Week One Response Powell
Based on the Institute of Medicine recommendations regarding the improvement of quality and safety in health care in the United States, the role of the Clinical Nurse Leader (CNL) was developed by the Association of Colleges of Nursing and introduced in 2003, making it a comparatively new role in nursing (Webb & McKeon, 2014). However, as you noted there is confusion regarding the role of the CNL and how they integrate into the acute care team.
It is important to understand that the CNL focus is on care coordination, quality, and safety. The CNL is not an APRN, administrative, or managerial. Consequently, providing your workgroup with this information may assist them in defining the CNL roles and responsibilities
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).
a. This portfolio shows the educational journey through the BSN program at Western Governors University(WGU). The curriculum at WGU was very challenging, nonetheless it prepared me to become a safe and effective nurse. The BSN curriculum provided avenues to keep me up to date with safe practices and learn how to master therapeutic communication. WGU also helped me sharpen my critical thinking skills in order to make decisions quickly and provide safe and effective care to patients. As the result of my training, I am ready to embark in the field of nursing and do my best to make a difference in my patients lives.
The mission statement of any healthcare organization must relay the true purpose. Hofstrand (2009) suggested that a statement of mission is a universal announcement of how your vision will be achieved. The vision and the mission are directly connected. Both need to be simple and easy to appreciate and remember. The focus of the company would be on all the patients and the mission statement would look something like that: “New Mexico Essential Healthcare is a non-profit organization that operates throughout the state.
(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.
Nursing administration on a national level is best described by The National Center for HealthCare Leadership (NCHL). This is a non profit organization that exemplifies quality care and leadership in the 21 st century. The goal of this organization is to improve healthcare on a national level through efficient and effective management that is in accordance with it’s mission. In keeping with it ’s mission, NCHL embarked upon an ambitious initiative with the support of the Robert Wood Johnson Foundation, examining the role of the senior leadership team in promoting quality and safety in his/her organization (Disch, Dreher, Davidson, Sinioris, & Wainio, 2011).
Once the nurse fully understands and comprehends the entire situation, ethical decision making should be clearer based on the biblical principles he has established for himself. I use to think that a nurse leader was only someone who was the smartest and fastest when caring for a patient. Bed Number Ten has made me realized that a nurse leader is one who has characteristics such as environmental awareness, patience, and compassion. As I result, I aim to include these characteristics into my nursing care.
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.
Leadership is the ability to guide or influence others with an objective of achieving a desired outcome. It involves influencing beliefs, opinions, values, perceptions, or behaviors of an individual or a group, and it is an amalgamation of inherent personality traits, learned skills, and it is a response to situational stimuli. I believe that, at any particular moment, where two or more individuals are interacting, one of them will emerge as the leader the other(s). To me, this means leadership role is fluid, and it changes as situational stimuli changes. For instance, during interpersonal interaction involving two individual, the leadership role has potential to shift from one individual to the other, as the situational stimuli changes.
“A leader is the person who influences and guides direction, opinion, and course of action. Leaders are in the front, moving forward, taking risks, and challenging the status quo (Marquis & Huston, 2012).” I had the pleasure of observing and interviewing Sheila Barcimo, who is a charge nurse on the DOU unit at Beverly Hospital in Montebello, CA. Background Sheila Barcimo had a passion for nursing ever since she can remember.
The Institute of Medicine (IOM) has a strong stance on nurses and leadership. They believe that nurses are a vital component to health care system and nurses in leadership roles can have a positive impact on such. Nurses are in all sorts of roles within the health care systems ranging from a staff nurse, nurse managers, to advance practice, all the way to congress (Finkelman & Kenner, 2013). In addition, they even serve in the boardroom within some health care organizations. Leadership doesn’t necessarily mean a nurse in a manager position, but a nurse who has an influence on staff.
Advanced Practice Competencies There are many roles and areas of practice available to graduates with a master’s degree in nursing. Changes in healthcare resulting from the passage of the Affordable Care Act offer new and innovative roles for nurses. Among these roles are direct care practice roles as a Nurse Practitioner (NP) in family care, gerontology or adult health. Indirect care roles as a Nurse Educator, Nurse Administrator, or Nurse Informaticist are also options graduates of master’s program may choose. Regardless of the path chosen, there are core competencies that must be met for each, in addition to specific competencies related to the area of practice chosen.
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.
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
An analysis of recent literature on the effect of healthcare leadership revealed that nursing leadership was the primary barrier to establishing best practices in the clinical setting (2011). Furthermore, nursing leadership is shown to define clinical organisational culture, collaboration, and lateral violence which are all shown to impact patient outcomes indirectly (2015). A meta-analysis of 20 individual studies revealed nursing units with reported poor leadership had significantly higher adverse events, including the incidence of urinary tract infections, pneumonia, and higher patient mortality. Comparatively, nursing units with reported strong leadership had significantly less adverse events, including fewer medication errors, falls, pressure areas, and lower patient mortality (2013). Therefore, a strong correlation between effective nursing leadership and improved patient safety is shown to exist and vice
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