Introduction
This essay will explore my role as a shift leader and coordinator in a forensic care setting during a shift at my last placement. It will evaluate actions taken during this span of duty, lesson learnt and my learning needs. Nurses now work in management and leadership roles in addition to their clinical roles to meet academic, economic and management challenges (Grossman & Valiga, 2012). Similarly, Mannix et al. (2013) suggest that the role of a nurse in this modern day expands more than the usual clinical roles because nurses now take up management and leadership positions. In view of this, they need leadership and management skills to function well in these roles. Student nurses also need to gain leadership and management skill during their training to equip them with the required management and leadership skills necessary for managing a service and leading a shift successively (Nurses and Midwifery Council, 2015).
My leadership and management role during a shift.
Student nurses on placement are expected to work with a qualified nurse or their mentor whiles on duty. They are also expected to collaborate with other staff and professionals while on duty. During this shift, my mentor was there to guide my decisions and actions. The NMC (2015) code of conduct expects all qualified nurses and students nurses to be responsible for their actions. Oishi and Murtagh (2014) suggest that collaborative working occurs when professionals work together to meet a common
Observing and analyzing my leader opened my eyes to the amount of responsibility and knowledge one needs to be a great leader. These responsibilities that were witnessed during the shadowing project included aspects of role modeling, mentoring and educating fellow staff and colleagues alike. My leader possessed a well-rounded amount of experience, skills and knowledge about nursing and her management role. All of these aspects we observed and I feel my leader is not only strong nurse, manger and mentor; all these aspects contribute to making her a fine and valuable assets to our organization.
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.
“Autonomous nursing practice as defined as full command of expert knowledge and allowing for accountability and authority in decision making” (Creasia & Friberg, 2011, pg. 47). A doctor will more likely see a nurse as a professional once they show competence and autonomy, which in turn, will provide a positive nurse-physician relationship due to the trust built between professionals. A physician must be able to trust a nurse’s judgment and assessment skills to be able to provide a collaborative care for the patient. The wheel of professionalism is designed to compare nurses' professional behavior with other professions, which places university-based education as central to professionalism, which then leads to a strong code of ethics, professional recognition and continuing education to maintain nursing competence (Yam, 2004). As a nurse achieves a status of professionalism, a nurse will view oneself as an equal partner in the health care team, which in turn will boost confidence and support for a more proactive and confident nurse.
Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
When I began this course I was very nervous because I had no idea of the scope of the course. I was unfamiliar with the Canadian education system and other students. After receiving instructions from my professor, I introduced myself to the person beside me and this process helped to break the ice. I developed a good friendship with the student and this technique used by the professor helped me develop better communication and relationship skills. After few classes, I felt very comfortable and the nervousness and anxiety faded away. I learned about leadership, power relationships in the profession, personal, cultural, professional and organizational, each of which is very important in the nurse’s career. I also gained knowledge regarding client centred care.
As a nurse administrator, I have a distinct role to play in the healthcare sector. Preparation for this position commences at the graduate level; either masters or doctoral level. Prospective students at graduate level are expected to indicate a variety of roles across healthcare sector as stipulated in the legislative law. Factors such as the nature of the organization and its system of leadership provide credible knowledge that is critical for nursing management roles. As opposed to Gerontology Nurse Practitioners who are expected to have a wide array of technical and hands-on skills
One mistake that new nurse leaders make is that they believe that the only way to get things accomplished, is to be direct and autocratic (Kerfoot, 2008.) The new leader’s fear of failing can influence them to take on the autocratic role to try and earn respect from their employees. However, this is not considered to be very effective among staff. When the professional nurse takes on the autocratic leadership trait and uses it on a daily basis, employees feel micromanaged. When a manager micromanages their employees they take the risk of lowering morale, and losing good workers (North, 2011.) Nurses have a lot of autonomy in their profession. They work independently and take responsibility for their actions. When they become micromanaged by their nurse leader, it takes away that autonomy and creates a work environment that is very low in morale, and can hurt the relationship between manager and employee. Often managers are experiencing a substantial amount of stress from the administration concerning budgets, deadlines, and high performance issues, but this does not justify micromanaging employees (North, 2011.) It is important to give your staff some independence; this lets them know you trust their judgment (North, 2011.) A nurse leader may also change their leadership style depending on if they are dealing with an inexperienced new graduate nurse, or an experienced veteran nurse.
This is the way nurses come together with healthcare consumer, family, and others in the conduct of nursing practices. Collaboration is professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; the commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship. (Spring, 2010). Nursing students should be ready to collaborate with their patients and their families at times in every situation in order to come out with a positive outcome while helping the patients. This is attained by sharing the knowledge we have learned in class combined with what the patient says (subjectives) orthe situation you are. When nurses collaborate together and understand one another it will be easier for them to take care of the patients and they will manage to offer a high quality care possible.
The four major components of nursing leadership are decision-making ability, influencing and directing others, facilitating process and relationship building (Paul, Day, & Williams, 2016).Very closely associated with leadership is the concept of management and though many people use the two terms interchangeably, it’s very important to know that leading is one of the key functions of management; the others are planning, organizing and controlling activities to pursue
For instance, when two different professionals, such as carers and nurses, work together in a team as a form of partnership work, certain responsibilities in professional conduct or perspectives could differ from each other. In this case, these two different parties should reach to an agreement of shared objectives within the team in relation to work delegation balancing the possession of power, and be open to constructive feedback and ideas through developing a frank partnership relationship (Department of Health (DH), 2004).
Nurses demonstrate the core values of professionally caring for others in two different prospects. Huber (2014), notes that “nurses have two basic roles: care providers and care coordinators” (p. 3). Most significantly nurses are valued in the setting of patient care, while the coordinator role revolves around management and organizing care, using thinking skills to coordinate complex activities. Nursing is multifaceted, although direct quality patient care is of significance, a positive leader or manager is also essential to support the recent changes to healthcare requirements. Having the right blend of qualities is vital to becoming a
This means people from different disciplines all working together with the same goal or interest, it involves doctors, nurses, physios, occupational therapists, social workers and many other agencies working in the best interest of the patient. This ensures that continuing care is a smooth process from hospital admission and beyond. Respecting work colleagues and working as a team, listening to their contributions and sharing your knowledge will have an important impact on the patients care, maintain their dignity and respecting this will give the best outcome for them. This aspect of the NMC code sets good standards and guidelines for understanding the principles when providing nursing care, nurses have a responsibility to deliver safe and effective care for the best interest of the patient, which is
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
Management and leadership skills in nursing and other healthcare professions are becoming a more and more widely spoken of subject, as they are essential skills for everyday practice in delivering care (Gopee and Galloway, 2009). Effective management requires the nurse to be able to draw on evidence based knowledge and experience to develop the ability to manage competently during practice. Skills without knowledge, appropriate attitude and understanding will not equate to competency (Watson, 2002).