Rationale Nursing Leadership

This paper aims to address and discuss about the leadership and management of the nurse leader interviewed. This experience was a great opportunity to witness first hand how a nurse leader cultivate and manage their staffs in real life setting. Moreover, it provides a great access to gain insight and knowledge about nurse leaders’ vital responsibilities and role diversities in the organizations they work with. Nurse leaders pay more specific and close attention in handling the staffs and most importantly, patient care.

This reflective essay is based on my strengths, weaknesses, threats and opportunities (SWOT) analysis (Appendix 1) in order to examine my leadership skills. Leadership is one of the essential component in nursing since all nurses are expected to demonstrate effective leadership skills to ensure patient’s well-being is protected and improve their experiences while receiving the care (Nursing and Midwifery Council (NMC) (2015). Firstly, leadership will be defined within the context of the NHS and particularly nursing. Furthermore, some of the current health issues and challenges faced by health care practice that are related to poor leadership will be discussed. The essay will be continued by exploring various relevant leadership theories in relation to nursing practice and working within the Multi-Disciplinary Teams (MDTs). Lastly, as mentioned earlier, I will also be reflecting on my strengths and weaknesses from practice, then develop a SMART (Specific, measureable, achievable, realistic and time-bound) action plan to improve my leadership skills which will be followed by a brief conclusion.

In this essay I will discuss the leadership style of 3 nursing leaders, which I chose from Nursing Leadership DVD (Orazietti & Singh, 2014). I will then describe impact the leaders ' style has on improving nursing care, organizational processes, and inter-professional collaboration. In addition, I will provide some examples of a change process or difficult situation which leaders encountered. Finally, I will explain how I have dealt with difficult situation involving my colleague and one of physician in the hospital department where I worked. Throughout this essay I will analyze what leaders should have done differently. 3 Leaders which I have chosen were Debra Bournes from group 1 because of her political and administrative success, Mina Singh from group 2 because she is renowned for her educational style at York University, and Esther Green from group 3 because she is the sound and knowledgeable practitioner.

Nursing leaders are crucial to any nursing organization. They motivate, empower, influence, and communicate the organization’s vision to create change within the organization. Great nursing leadership depends on great nursing leaders. This paper will define nursing leadership and describe leadership characteristics. It will further depict the democratic style and transformational theory of nursing leadership. While exploring leadership in action, this paper will illustrate the aspects of nursing.

Leadership has been defined in a number of ways, but the concept is still indefinable (Barr and Dowding 2016). Buchanan and Huczynski (2010, p. 596) define leadership as “a process of influencing the activities of an organised group in its efforts towards goal-setting and goal achievement”. In clinical practice, leadership translates to an ability to direct other to achieve evidence-based practice that supports enhanced patient outcomes (Kelly-Hiedenthal 2004). Like any other industries and organisations, an effective leadership skill is vital in the healthcare sector to improve the standards of the care and to achieve organisational goals (Bach and Ellis 2015). Sullivan and Decker (2004) stated that nurses often step up to the

Nurses are increasingly becoming the strong leadership in developing all aspects of health care policy and decisions. Unfortunately the shared consensus is that most nurses do not possess leadership skills adequate enough to keep up with the ever-evolving field. The IOM reports on this by stating: “Nurses at all levels need strong leadership skills to contribute to patient safety and quality of care.” (IOM, 2010 pp.223) It is felt that nurses are depicted as people who carry out

In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also

My nursing leadership philosophy is based on transformational leadership to which I ascribe. Transformational nurse leaders have a vested interest in the success of those they lead and their organization’s vision. They are visionaries in the pursuit of cutting-edge ways of completing the tasks and goals of the team and organization. They are able to inspire, encourage, open to mentorship, see the potential in those they lead while challenging them, and knowing their strengths and weaknesses. I am cognizant of my own limitations, strengths and weaknesses, acknowledge my mistakes and open to change.

Leading a health care organization comes with immense responsibility and is not an easy task. Transformational leadership has proven to be an effective leadership style in the nursing profession, demonstrating a clear mission, a commitment to excellence, and the ability to motivate and lead others to higher levels of achievement (Schwartz, Spencer, Wilson, & Wood, 2001). Characteristics and qualities of an effective leader include

Not all nurses go into the profession with leadership ideas. The nursing profession must produce leaders throughout the health care system. Leaders must function as workers, and administrators with leadership qualities, while still meeting their budgets and running effective units with high functioning and happy staff members. They need to trouble shoot necessary and work with the medical faculty while pleasing their staff and the administers.

Ethical conduct and moral autonomy may be used by nursing leaders motivate and inspire for change in others (Gaudine & Lamb, 2015b, p. 417). In addition, more paid training/coaching programs should be provided to nurses to enable them build and improve their critical thinking and leadership skills early in their career. More specifically, the establishment of variety of leadership workshops and government funded leadership programs across college and university boards will help create and improve leadership programs for nurses on a local and provincial level. Since change is always constant and nursing leadership is one that thrives off innovative processes; a strong-willed attitude towards change is one that should be adopted in order to achieve transformative change in leadership in nursing. A type of leadership that creates room for change to occur is one that is referred to as innovative leadership (Gaudine & Lamb, 2015a, p. 5).

Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. It “comes with the territory” so to speak. If there were no issues to solve or hurdles to overcome the necessity of designating a leader would not seem quite as important. Nurse leaders can tackle issues that occur in their work environment using nursing theory to guide them. Nursing theory provides a framework that nurse leaders can use to implement interventions or changes to positively impact the staff they lead. This framework of the theory will set the standards for achieving the desired outcomes and is based on knowledge that is gleaned from practice and/or research.

Leadership may mean different things to different people, the consensus opinion of experts in this field is that leadership is using power to direct and influence activities of people to achieve set goals or targets. Nursing leadership is all about every nurse providing, facilitating and promoting the best healthcare services to client and to the public. Leadership is a shared responsibility. (CNO 2012). The nursing profession need leaders that can build the capacity of nurses through mentoring, coaching, supporting, developing the expertise and management skills of nurses to make a difference to the quality of patient care at all levels of the profession ( McIntyre & McDonald, 2014 ). At the core of every leadership either political or managerial is power and how the leader uses it. While it is practically impossible to lead without power, how the nurse leader uses this power not only determine the leadership style but also the results or outcomes of what is achieved through the process.

In the healthcare field, nursing leaders and managers face consistent issues in their respective practices that force them to alter the way they work and the way they think. In taking on a role as a leader within the field, nursing leaders and managers also take on the role of ensuring that work within an organization runs smoothly regardless of new issues that may arise in the healthcare arena. For instance, in today's healthcare environment, the issues of nurse shortage and nurse turnover have the capacity to alter the healthcare field and many of its respective branches and organizations should these problems not be managed properly by the leaders in the field. In viewing the issue at hand and in discovering how nursing leaders and managers are expected to act, and do act, in order to approach this issues, along with pinpointing the best approach possible to aid this issue, one can better understand which leadership styles are necessary for leaders to function.

Nursing is a very complex career that at many times requires one to be a leader. Nurses can be leaders in formal roles and also on the unit during any given shift. Nursing is a career that truly tests the character and attributes of those who choose to enter this career. Leadership in nursing is vital in creating a successful environment for patients. According to Stichler (2006), “effective leadership is essential to transforming organizations into environments that are safe for both patients and staff” (p. 422). Therefore, it is vital that as new nurses start out his or her careers that they learn from great leaders who are already in the profession. There are several great leaders working in the field who have a plethora of