The authors O’Grady and VanGraafeiland (2012) provide informative insight into the role of the Clinical Nurse Leader (CNL) in bridging the gap in health care. The CNL role includes nine broad dimensions: 1) team manager, 2) educator, 3) client advocate, 4) clinician, 5) outcomes manager, 6) information manager, 7) systems analyst/risk anticipator, 8) member of the profession, and 9) lifelong learner (O’Grady & VanGraafeiland, 2012). Through the use of the nine dimensions the CBL may perform such roles as Communicator, Facilitator, Counselor, Teacher, Critical Thinker, Advocate, Change Agent and Diplomat (Marquis, B. L., 2014). However, the primary focus of the CNL is that of patient advocate and providing a bridge in care gaps, whether it …show more content…
However, there was a time frame of almost one year, due to the CNL retiring, that the hospital did not employee a CNL to provide and address inpatient diabetic care needs. In the interim, care needs and education fell upon the hospital nursing staff and individual practices to fill the gap. Numerous studies have shown the benefits of tailored diabetes care and the positive impact of education upon clinical outcomes. The team approach utilizing the leadership of the CNL, staff nurse and providers greatly improve care for all diagnoses not just …show more content…
Moore, Leahy, Sublett, and Lanig (2013) found that nurse to nurse relationships impacte the work environment in either a positive or negative manner. Interestingly, the authors reported that the nurse leader holds the key in fostering a successful work environment. Key characteristics of an effective leader, according to study participants, possessed the ability to apply strategies that resolved poor nurse to nurse relationships. Strategies consisted of a zero tolerance policy, code of conduct, fair treatment, providing education classes and workshops. Through the effective application of these leadership characteristics, the study participants reported feelings of empowerment that contributed to a healing environment, positive employee engagement and organizational commitment. The study findings correlated well with the Leadership Roles discussed by Marquis (2014) in the areas of being a Mentor, Energizer, Buffer, Role Model, Coach, Influencer and Problem
Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).
Week One Discussion Two Response to O 'Neill The addition of nurse leaders in the executive suite is essential in facilitating the perception that nurses are critical decision makers in the health care industry. Furthermore, it is imperative that a formal succession plan is incorporated in organizations to assure strategic leadership, quality care, and operational effectiveness incorporate nursing at the uppermost level of decision and influence (Trepanier & Crenshaw, 2013). The Chief Nurse Executive role is evolving as a tactical authority in acquiring a major influence on our nation’s health care delivery systems and clinical outcomes (Bradley, 2014). As health care shifts and changes, nursing must be at the forefront to assure optimal influence
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
This is proving to be inefficient and costly to healthcare and society as a whole (Lupari, Coats, Adamson & Crealy, 2011). Many former hospital based services including management of newly diagnosed diabetes is managed in ambulatory care (Haughton & Stang, 2012). There is a policy that has recently developed will have a huge impact on primary care nursing.
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
When things get difficult, the vision and mission are there to guide the team and help them remember why they are there in the first place. In nursing, the common goal is providing quality, holistic care to patients while they are healing. Nurse leaders, including charge nurses, nurse managers, and CNO’s, have the responsibility of keeping their nurses focused on that vision and mission when times are rough. Sometimes believing in the vision takes faith when burnout is imminent, but mentor leaders are there to encourage and remind the team about their common
Nursing is a profession that started as part of the larger medical field. Nursing has dropped its dependence on the medical field and it has grown independent with its models and separate interventions. Many nursing leaders have devised different theories to fit into the nursing field. There are some different nursing theories that encompass the nursing theory. The need theory, unitary human theory, self-care theory, interpersonal theory, transcultural nursing, and from novice to expert theories are all nursing theories.
Transformational leaders, who empower nurses to advocate, understand that communication and professional collaboration are the core ingredients to foster safe nursing care and to collectively advocate for improved health care policies. Of interest, due to communication and collaborative efforts among state hospital associations and the ANA along with the state nurses associations, seven states have enacted safe staffing legislation using the Registered Nurses Safe Staffing Act’s committee approach (ANA, n.d.). Conclusion The essence of an effective nurse leader lies in the ability to inspire and motivate others to action, which begins with communication and professional collaboration skills.
Clinical Nurse Leaders are part of an interdisciplinary team members working together to plan and implement most effective patient care. There are differences in terms of leadership. Family Nurse Practitioners act as a leader related to patient care in terms of patient diagnosis, treatment modalities for the wellbeing of the patient and community. Registered Nurses with their work experiences can work as clinical nurse leaders and monitor the care provided by the nurses on the unit. They participate in other nursing organizations or committees and provide suggestions to improve health care system.
Because of this implanted motivation, nurses are reinforced to reach higher levels of growth. Nurses also feel that they are valued when transformational leaders reach out to them; they get excited to participate and share their knowledge that also contributes to strong cooperation or openness. The real benefit goes to their patients during their intervention, when transformational nurse leader listens attentively to the needs of their patients. This leadership style also increases the image and reputation of the hospital or clinic within the community that they
The nurse leader combines clinical, administrative, financial, and operational skills to solve problems in the care environment so that nurses can provide cost effective care in a way that is satisfying and health promoting for patients and clients. Such an environment does not simply happen; it requires special skills and the courage and motivation to move a vision into action. Thus the study of nursing leadership and care management focuses critical thinking on what it takes to be a nursing environment architect, transition leader, and manager of care delivery services (Huber, 2014). In this assignment, the key concepts of leadership will be explained. This includes the definition, process and characteristics of nursing leadership.
To be an effective nurse leader means encouraging and enabling other people to act and use the power and skills they have. In my opinion, effective nurse leaders are those who involve every member of the health care team and recognise collaboration and provide choices and support the decisions of others. They are active listeners and foster collaborative relationships in order to build leadership. They are empowering others, rather than taking control and building a trustful environment where everyone contributes actively and feel valued by the healthcare
Focus and commitment are key factors that were most significant in driving nurse leaders to a common vision and strategic priorities. From the beginning, nurse leaders were focused on the task at hand, which included the goal selection and strategies required to execute the vision. Due the size of the XYZ Health System, it was wise to form groups of nurse leaders to identify strategic goals (Roussel et al., 2016). Additionally, this provided an opportunity for nurse leaders from diverse hospitals to bring forth unique ideas and goals that others may not have thought of. Nurse leaders were aware of the accountability and commitment that was required of them at the beginning of the project to ensure its success.
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
(Nursing Times). Nursing is gaining influence in all aspect of healthcare practice, therefore it is important for nurses to develop good leadership skills at the early stage of their practice which is the key to all nursing career and nurse managers can become good leaders with effective training and enhancement of their skills in leadership. Most nursing managers are tossed around by their leaders when they themselves are leaders in their capacities. A nursing manager aspiring to become a leader must be committed to excellence and passion for patient’s advocacy, employee’s protection and be a role model, living by example.