NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety. In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and …show more content…
(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.
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).
The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs in order to help guide the practice of advance practice nurse (APN). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care to patients. By incorporating effective leadership skills, APN’s can impact healthcare reform and quality improvements for the patient, institution and the community. According to the American Association of College of Nursing (2011), a effective leader assumes and applies the skills of communication, collaboration, negotiation, delegation, and coordination. APN’s must establish and maintain healthy working relationships
Educational Preparation of Clinical Nurse Leader (CNL) The vision for the Clinical Nurse Leader CNL role began in 2003-2004 in response to the Institute of Medicine’s quality and safety reports. In 1999, the Institute of Medicine released its report, To Err Is Human: Building a Safer Health System, which called on health care systems to reduce medical errors and improve patient safety. In 2002, the Robert Wood Johnson Foundation called for developing new practice models and enhancing collaboration between education and practice, and in 2003, the Institute of Medicine released its set of five core competencies that all clinicians should possess, regardless of their discipline, to meet the needs of patients in the 21st-century health care system. The Clinical Nurse Leader (CNL) is a master’s educated nurse, prepared for practice across the continuum of care within any healthcare setting.
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
Clinical Nurse Leader Role in the Emergency Department Role Description The Clinical Nurse Leader (CNL) is a Master’s prepared Registered Nurse educated as a generalist, who is not educated towards specialization in a particular discipline, consequently, providing the CNL the opportunity to be a valuable asset in multiple venues (Perry, 2011). The addition of the CNL role in the emergency department (ED), will bridge the gap of professional practice to include leadership at the point of care delivery (Rankin, 2015). The CNL is an expert clinician with the supplementary skills to coach, mentor, lead, and provide evidence-based reinforcement for the nursing team.
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.
Only then did I realize that the leadership role incorporates all caregiving staff, patients, and the family. As described in Mohr, Abelson & Brach (2002), it is crucial to recognize the importance of the senior leadership role in improving patient safety. It's also important to address the role of all members of the caregiving team, including patients and their families. Leadership training supported me by strengthening and growing my leadership qualities and confidence. Swearingen (2009) states, "Nurse leaders who used their leadership skills to transform the strategy of patients care delivery in an organization improve patient outcomes, which included reducing patient mortality and adverse events and increasing patient satisfaction.
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.
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,
Leaders have an ability to empathise with their colleagues, an effective leader will be followed by staff that feel supported by them. Nurses are now working with more accountability and autonomy, this means there is an increased need for leadership skill among all nursing staff. It is not only required by those in a position of management but also by staff nurses on the ward who have a responsibility to demonstrate leadership skills when dealing with nursing students and healthcare assistant staff (Harris et al, 2006). Leaders create a shared vision among staff and empower them to make their own decisions. Leaders empower other staff converting dutiful sub ordinates into the leaders of the future (Cutis, E et al., 2011).
There is no doubt that the presence of evolution exists among the nursing profession. Likewise, the definition of leadership takes a similar course captivating different meaning to everyone as a complex concept in a global arena (Northouse, 2013). Powered by evidenced-based research, legislation, and the dynamic health care delivery system of our country; effective nursing leadership must maintain the equivalent path of these driving agents. Northouse (2013) explains leadership as a process that involves influencing groups to reach a common goal that combat workplace obstacles, hazards, and behaviors. In addition, evolution of the nurse leader (NL) role, as a specialty advanced nurse practice, infiltrates health care delivery with a worldwide
Nurses are at the core of multi-professional teams as they collaborate with multiple other medical and non-medical role-players (Jones, 2006:20). While doctors generally head-up multi-disciplinary groups, it is often nurses, who have direct contact with both patients and other professionals, who are in a better position to manage healthcare teams (Kosinska & Niebroj, 2003:71; King, 2000:63). An example of effective nurse leadership was evident at my CHC visit, where the clinic manager is a nurse who collaborates with all team players. I particularly noted that she did not give orders, but mentioned how she called meetings with staff members, presented them with objectives and lead them to suggest solutions. She acknowledged that certain members, especially doctors, were not always happy with her leadership, but that she solved these challenges by suggesting compromises that best served the patients’
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.
Caring, encouraging, motivating, developing and supporting their employees are all qualities necessary in a good leader. I am proud to say that these are all qualities I possess and practice in my everyday nursing. Helping them make a delivery table, running in to help if their delivery isn’t going well, and calling a physician for them if they can’t leave their patient’s bedside; these are all examples highlighting those characteristics . My challenge is to now use what I already do in my daily practice and apply it to leading others.