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). To accommodate for these challenges, the Canadian Nurses Association [CNA]
Across the United States, it is common to find nurse-managed health centers that offer accessible health care services to the people. Nurse-managed health centers are a basic necessity in healthcare because they provide affordable and deserved care to the unprivileged population, while at the same time educating and training nurse practitioners. Usually, such health care institutions are led by an advanced practice nurse and as a result, need careful and efficient management and leadership skills and models. With the role that these centers serve, there is a need for an advocacy strategy for the nurse-managed health centers as a way of overseeing their effectiveness in service delivery grow. One of the factors that can improve management delivery
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions. “Shared governance, which gives nurses control over their professional practices, is an essential element of a professional practice nursing model, providing structure and context for health care delivery” (cite shared governance article). This allows each healthcare worker to have a voice in the decision making and encourage input that will expand the business and healthcare.
Richard Straub’s reading, “Responding-Really Responding-to other students’ writing” clarifies ways to respond a student’s paper. At first I thought responding to other student’s writing means to reply with feedback but as I go further towards the reading it is actually more than just feedback. Certain points that I took from Richard Straub’s reading is how a responder should act as a friend rather than a teacher when responding, must not respond short and sweet, what to address in the comments and must praise and criticize. His suggestions are key strategies that must be followed in order to achieve progress as a responder. In “Responding-Really Responding-to other students’ writing” by Richard Straub’s offers ways for readers to approach a student’s paper, therefore, achieving the responders mission towards helping the writer make better decisions when writing a good paper.
Clinical Nurse Leaders are part of an interdisciplinary team members working together to plan and implement most effective patient care.
Weiss, S. A, & Tappen, R. M. (2015). Essentials of nursing leadership and management: (6th Ed). Philadelphia: F.A. Davis
The role of the nurse has always been that of the first point of contact for the patient to the clinical care team. As outlined by the Nursing and Midwifery Board of Australia (2016) the role of the nurse is to advocate, educate, liaise with, and provide adequate and appropriate clinical care to the patient. Additionally, the nurse represents the statistical majority of the Australian clinical team, outnumbering medical doctors at a ratio of almost 4:1 (Australian Bureau of Statistics, 2013) which is consistent throughout all sectors of healthcare. Therefore, the nurse has a powerful and tangible effect on policy and the outcomes for patients in the clinical setting. The connection between results and leadership has been known since the early
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. (Finkelman, et al, 2013). The importance to having all health care members working together in leadership roles is imperative to positive changes within the health care setting. Nurses can give an insight on matters that only a nurse can, and this is an important viewpoint that needs to be included when
Acting as a liaison between the nursing staff and other members of the administrative staff, they are often in high-level management roles. Though not in a direct patient contact role, they are often involved in the policy making within an organization affecting patient care (Ferguson-Pare, 2003). The nurse administrator meets the same competencies in the nine essential areas, but have additional competencies in organizational and system leadership, communication and relationship management, knowledge of health care environment, as well as business skills and principles (AONE,
Health care organizations require excellent management and leadership to keep the institutions running effectively. I agree with you that the Nurse Executive (NE) contribute to senior leadership by giving nursing a voice and oversee many functions in the organization. The NE has an important role to play in health care decision making. They have the ability to advocate for implementation of evidence based practice (EBP) in improving patient care while maintaining the vision and mission of the organization. Clinical nurses faces many challenges to use the EBP and that where the NE intervenes since they have the persuasive and decisional power to make EBP utilized within the organization. (Lavoie, Anderson, Bonneville, Drevniok, & Lavigne, 2012).
(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.
I have had the privilege to interview The Senior Chief Nurse Administrator/Health Research Analyst of the James A. Haley VA Medical Center. Dr. Jola Massengale Worked as a Registered Nurse for over twenty years, and in 2011 she earned her doctorate in Nursing Health Administration. Short after her graduation, she was promoted to Chief of Nursing Research, and two years later, she became the Senior Chief Nurse Administrator/Health Research Analyst. She was chosen for this interview because, in 2016, she was one of the key leaders to revamp the way the organization conducted their Las strategic planning process. Although the meeting was scheduled for one hour, it only lasted thirty minutes since Dr. Massengale was called away by the Hospital
Reflect on your Pre-Practicum/Service-Learning Journal; compare and contrast how your beliefs, assumptions, and attitudes regarding community service and/or volunteerism have evolved.
Marquis, B. L., & Hudson, C. J. (2015). Leadership roles and management functions in nursing (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
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