Pediatric Emergency Department Case Study

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Leadership in Pediatric Emergency Department
Nurses are considered the crucial and single largest healthcare discipline that reflects the overall effectiveness of the healthcare setting (Chagani, 2015). In the daily life of a nurse, operating a successful shift requires managing difficult and challenging situations which largely depend on leadership skills. Over the past twenty years, leadership has been defined differently; however, definitions shared common phrases including influencing, communicating, persuading, innovating, and motivating. As stated in Gamble, Henners, Lackey, and Beaudin (2009) “leadership can be defined as a multifaceted process of identifying a goal or target, motivating other people to act, and providing support and
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According to Raup (2008) 40.8 % of emergency departments reported staff nurse turnover and 26.2% reported job satisfaction scores of poor or fair. The pediatrics ED is well known of its uniqueness which requires management of cases within a stressful or hostile setting. Transformational and democratic leadership styles were perceived by nurses as the most effective styles in the ED setting (Chagani, 2015). Transformational leadership style focuses on motivating nurses beyond their duty and act as mentors. In another words, transformational leaders focus on the big picture, so they motivate, encourage, and inspire nurses to accomplish small tasks in order to accomplish the bigger goal. A study done in the United State of America revealed that 12 out of 15 ED nurses were using transformational leadership style and the impact was remarkably significant. The ED showed significant improvements on patients’ satisfaction, staff nurse retention, and job satisfaction (Raup, 2008). As stated by Flood et al. (2015) pediatric ED requires the adaptation of a process called immediate bedding which is applied by 72.3% of nurses who follow transformational leadership style. Therefore, it is highly recommended to use transformational leadership style to increase the quality of care for pediatric population in the ED in order to…show more content…
This style focuses on encouraging open communication with other staff nurses and involving them in the decision-making process. So basically, the leader collect information, ideas, and feedbacks from the nurses and other healthcare providers to come up with a finalized goal or decision that will affect the process of delivering care. In this case, the staff nurses will be valued and encouraged to act independently to achieve the optimal care for all patients. According to Flood et al. (2015) democratic leadership style is better applied in those rapidly moving environments including ED. Moreover, this type of leadership provides a great deal of flexibility in terms of change; thus, it brings the best experience of all nurses to achieve quality improvements in any specialization. The third leadership style which was mentioned as the least preferred to be applied in the pediatric ED is autocratic style (Raup, 2008). The style hinders nurses and healthcare providers to act autonomously. The leader discourages individuals to question the validity of any directions. They should follow and obey instructions under watchful supervision. Therefore, nurses tend to turnover from pediatric ED into a place that value their participation. Also, the most affected population is pediatrics patients who need immediate

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