The Importance Of Transformational Leadership And The Key Skills Used

The basic knowledge of the nurse helps her to make positive clinical decisions, in addition, a nurse remains engaged with both existing knowledge and accruing new knowledge or skills related to the specific patient or situation (Gillespie M. , 2014). In this scenario the nurse Kathy shows various aspects of her knowledge and ability as the base of her clinical decision making.

Discharge planning is a routine feature of health in many countries. The aim of discharge planning is to reduce hospital length of stay and unplanned readmissions to hospital, to improve the co-ordination of services following discharge from hospital thereby bridging the gap between the hospital and community (S. Shapperd, 2008). The focus of this story is discharge planning that occurs while

The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas.

There are some ethical dilemmas evident in this scenario, starting with an End of life dilemma, refusal of care and informed consent.“End of

The first problem with Holland Community Hospital is their inadequate organization of services when discharging patients, stemming from a lack of preparation. The biggest organizational issue is the shortage of hospital beds in the institution. These beds serve to provide a place for patients to recover and prepare for their discharge. The disparity that is often encountered in hospitals is the need to serve an increased number of patients while reducing bed numbers in an effort to move more people in and out of the hospital. (Maloney, Wolfe, Gesteland, Hales, & Nkoy, 2007). Limited bed allotment has contributed to the accelerated need for the hospital to discharge Mr. Mitchell and is supported by a member of the medical staff explaining, “It’s busy in the ER this afternoon, and we need a bed.” (Scales & Wolfer, 2006, p. 104). The hospital’s pushing of the discharge process in an effort to free bed space, leaves Diana and the other social workers little time to fully create a plan that will make the transition from hospital to home much more manageable. In justifying Mr. Mitchell’s expedited discharge through the need for bed space the hospital has placed its needs above the patient’s in an effort to secure resources. HCH is experiencing many power struggles the first of which being who has authority and responsibility for discharge. The scare resource of beds has caused an influx in power in where the hospital

Making decisions for patients are difficult in general, but the decisions for end-of-life is the most challenging because it is tough and it involves family. Although we want to remain the autonomy of the patient, but I can empathize the hardship of the loved ones being able to let go. As a healthcare provider, the reasonable and ethical thing to do is to be completely honest about their condition and prognosis, then assist them to the best of our capabilities. I agree with Gawande (2014) that there is always something we can do. Whether the patient decides to fight the battle or to manage their symptoms to treasure the remaining time, nurses should and will respect their decisions.

Many families considering next care site options are not prepared and in need of some type of direction. Families may not know the range of available options or understand the benefits of each or have well-thought-out plan for therapeutic goals. The Case manager should be the advocator and organizer for their patients. Making a good long-term care decision requires proper information, but one must realize such decisions are often made during a stressful period as part of a hospital discharge. Case management intervention and guidance is well suited for this role. The case managers have two major roles in these transitions: one to ensure the continuous delivery of care and secondly to advocate to ensure decision making is in the best interest

Mary is a patient in the local hospitals Intensive Care Unit. Mary has a history of end stage COPD, lung cancer and renal failure. Mary is currently on life support via a ventilator. Knowing that her life would end due to her health complications, Mary had a living will and an Advance Directive written by an attorney in case that someday she would not be able to make her healthcare wishes be known. Mary did not name a Durable Power of Attorney in her living will. Mary’s family is aware of her wishes but thinks

Although clinical decision-making and clinical judgements are closely linked, but the concepts are separate. Clinical judgement defined as “an assessment between alternatives” whilst clinical decision-making defined as “a choice between alternatives” (Dowie, cited by Thompson and Dowding 2009). To choose the best between two alternatives requires the rationale behind decisions which can obtain by asking questions to create information (Standing 2010). Furthermore, Levette et al’s (2010, p. 515-20) define clinical reasoning as “the process by which nurses collect clues, gather information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes and reflect on and learn from the process”.

Transformational Leadership Theory as a Guide. My leadership philosophy closely mirrors the transformational approach to leadership. Like the transformational theory suggests, I believe that true leadership inspires the team to rise above its individual components in order to reach a shared goal (Huber, 2014). Some of the individual components are areas that I have personal strength in such as: desire to learn and ability to get the job done (Rath & Conchie, 2008). Additionally, some of the components are the ability to influence and connect with others; strengths that I do not possess (Rath & Conchie, 2008). Recognition of my own personal strengths and weaknesses led me to a democratic philosophy of leadership because I realized that one

The purpose of this assignment is to explore the psychological and sociological factors that influence health choices. As a Trainee Assistant Practitioner (TAP) on surgical ward, clinical experiences will be used in addition to academic resources in order to explore the major psychological, sociological and social-economical influences on health and well being on a patient with Alzheimer’s. An explanation of communication and barriers to communication will be given and how it can affect the therapeutic relationship between the TAP and the patient. Confidentiality and anonymity will be maintained throughout the essay by following the Skills for Health and Skills for Care (2013) Code of Conduct for Health Care Support Workers.

Transformational Leadership, is grounded on building relationships and motivating staff members through a shared vision and mission. Transformational leaders naturally have charisma to communicate vision, confidence to act in a way that inspires others, staff respect and loyalty from letting the team know they are important, and are masters at helping people do things they weren’t sure they could do by giving encouragement and praise.

What makes a good leader? Many people have their own perceptions on what entails a good leader. People have high expectations when a leader is involved. Our country is led by a Commander in chief and without their leadership things would be chaotic. A transformational leader, such as the Commander in chief, is known for being strong person, observant, and exercises great listener skills (Zerwekh&Garneau, 2015). They have a clear vision and will have an influential impact on others (Zerwekh&Garneau, 2015). In this in paper I plan to describe what makes a good leader, how transformational leadership function within the field of nursing, how transformational nursing can be implemented in my own practice, how I have gained personal growth and how Stephen Covey’s book The Seven Habits of Highly Effective People implements leadership.

Therefore, communication should be established between the nurse and the patient to ensure that effective communication takes place. Thus, the nurse can establish when the patient is ready to change the levels of care. The main objective of the nursing intervention in the process of discharge planning is to provide patients and families the essential knowledge, attitudes, and skills necessary to implement the discharge plan. The teaching related to continued care should not be done immediately before the discharge because the patient’s concentration ability and attention span will be hindered by the natural anxiety associated with the upcoming transition in care. Moreover, teachings done under the pressure of a deadline may not be effectively

Discuss three leadership attributes this person possessed AND provide specific examples you witnessed when these attributes were used to demonstrate effective clinical leadership