Summary: Clinical Incompetence

Therefore, the role of the nurse in managing and improving quality of care can be challenging, especially if nurses do not have competency, appropriate training, education, support and the resources needed (McCallin, A.M. and Frankson, C.

It is important that nurses acquire skills such as communication skills- both verbal and non-verbal, therapeutic, and clinical decision making among others. The ability of a nurse to communicate well and make appropriate clinical decision, determines the success of holistic assessment in nursing practice. There is no doubt that the capability of a nurse to provide the best and quality care is largely dependent on her or his ability to communicate, judge and make clinical decisions.

Nursing Core Competencies, Leadership At The Forefront Paul Oviasogie Broward College Nursing Core Competencies, Leadership At The Forefront Daphne Mallory stated, "Leadership is the art of serving others by equipping them with training, tools and people as well as your time, energy and emotional intelligence so that they can realize their full potential, both personally and professionally.” In nursing, RNs are encouraged to become proficient, professional leaders in the workplace. Nurse leaders embrace the responsibilities of their fellow nursing staff as well as the care of their patients. Also, leaders in nursing are devoted to advocating for their patients, ensuring patient and nursing satisfaction, delivering safe,

In this reading, the ethical issue is related to decision making for an incompetent patient. Here is some background information about the case:

When the nurse fails to communicate successfully with patients, it costs. It costs in unnecessary pain, in avoidable deaths, in poor health outcomes and in the prolongation of

The nurse must be able to communicate with an interdisciplinary team to advocate for their patient and to advance the plan of care. The nurse must also be able to successfully communicate with their patient to provide teaching and comfort. The nurse must remember that an important part of communication is listening to the needs of the patient and their families. Manager To be an effective nurse, one must be able to assume the role of manage, delegator, and coordinator of care.

These three problems are: lack of collaboration and teamwork, staff conflict, and lack of transparent performance appraisal procedures. All of these three broad problems need to be addressed simultaneously to ensure that the unit performs as Barbara expected. As we read in the case, there is a conflict between junior nurses, senior nurses, and PCA 's which lead to ineffective collaboration among them. Junior nurses feels like they don 't get positive feedback from senior nurses. However, senior nurses feel that many junior nurses and PCA 's are in competent and feel overwhelmed to support them.

The situational theory talks about “someone being in the right place at the right time” (The New Leadership Challenge: Creating the Future of Nurses-4th edition, 2013), to make change. The skills needed to become an aspiring nurse leader emphasise continually that safe, high quality, compassionate care is the top priority. Being supportive, available, empathic, fair, respectful, compassionate thoughout a patients admission is needed for a positive patient experience.

However, there are certain strategies that can overcome these barriers. For instance, the nurse’s resistance to change and poor communication of objectives is overcome by constant communication of the benefits of this leadership style not just through word, but also through actions until they understand its

The leadership issue in this setting is that most of the focus is on completing the job. The school nurse is focused on completing tasks that must be addressed as they occur. Every leader has their own style and method to leadership. The style that a leader chooses may be based on their experiences or influences from previous leaders. Regardless of the type of leadership every individual can have the ability to lead.

While understanding communication between nurses is important, similarly, communication is also important to the nurse and other disciplines. I was able to witness effective communication between disciplines that focused on the patients’ health. One example of this was pertaining to a patient in the ICU room. The respiratory therapist discussed the patient’s current situation with the hospitalist. The nurse I was shadowing used successful communication with the CNA on duty to help assist with the patient’s current needs at that particular time.

This implies that the clinical nurse leader can take on a teaching position within a facility, ensuring that all aspects of patient care are met and carried out. Although the clinical nurse leader is not expected to provide direct patient care, he or she is fully capable of doing so should the need arise (Rankin

Nursing managers and leaders play a critical role in influencing the safety and quality of healthcare services on offer as well as the business of healthcare institutions. The managers and leaders individually strive towards influencing the behavior of the rest of the nursing personnel to provide direct, professional and individualized nursing care. Thus, although both of them play a mediated role, their responsibilities and style of accomplishing tasks within a health organization may differ. In practice, nursing managers and leaders are likely to employ significantly different approaches in identifying and exploiting resources within an institution and in resolving issues that may be threatening the operations of a healthcare institution.

She doesn't put a high value on innovation or creativity and also does not request information, thoughts, ideas or feedback from the floor nursing staff. The activities of the nursing office staff are controlled through disciplines, written policies, punishment and the fulfilment of tasks. In this way, autocratic leaders more often

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