Leadership in Nursing Essay

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Leadership in Nursing

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Leadership in the nursing field entails influencing other nurse practitioners to improve patient care by offering high-quality care that significantly improves patient outcomes. Leadership in nursing enables nurse leaders to motivate other practitioners towards better healthcare delivery approaches. Nurse leaders need to encourage other nurses to work closely together as a team in health promotion. Therefore, nursing leadership e tails creating a conducive environment that motivates nurse practitioners and supports health promotion.Leadership in Nursing Essay

The healthcare facility where I offer patient care aims at always remaining relevant to the patient it serves through serving their care needs cost-effectively and efficiently. The facility promotes the continuous learning of the nurse practitioners and other health practitioners working in the facility. The learning ensures there is a constant improvement of healthcare services. It further ensures that we’ll inform all the healthcare staff on current and emerging trends in the healthcare sector. The practice ensures that the facility provides up to date care to its patients all times.Leadership in Nursing Essay

I work for a Private for-profit hospital that offers different types of care and health promotion approaches. The hospital has embraced information technology that it uses to improve the kind of care provided to patients while at the same time reducing the associated costs. Lowering the cost of healthcare services is one of the critical objectives of the facility; it ensures that the hospital receives an increased number of patients.

The climate in the facility motivates nurse practitioners to offer quality care that improves patient outcomes. The nurse leaders continue to create a positive work environment for the nurse professionals, thus serves as a very robust buffer against opposing forces that have adverse effects on their work. The motivation offered to the nurse practitioners by the leaders enables the nurses to work to the best of their ability. The leaders further provide training and guidance to the nurses, which also plays a crucial role in improving patient outcomes. The facility’s structuring is divided into four crucial segments: the individual patient segment, the care team segment that includes the healthcare professionals from the doctors, the nurses, and other professionals that deliver healthcare to the patients, the patient, and their family. The third segment is the administration, which comprises the hospital leadership and the external environment that comprise the hospital’s political and economic environment.Leadership in Nursing Essay

The health facility’s formal goals include improving the quality of care offered to patients, improving patient outcomes, and ensuring that healthcare services are provided to patients at a reduced and affordable cost. The healthcare facility’s informal goals entail ensuring the healthcare professionals serving in the facility have a good working relationship that fosters the coordination of care offered to patients. The goals play a crucial role in ensuring teamwork among the hospital staff, which is vital in improving the quality of healthcare provided to the patients (Weiss & Tappen, 2014).

The facility’s processes include detecting different health conditions patients have by carrying out a proper patient diagnosis. Another key process that the health facility engages in is carrying out the necessary treatment to the patient depending on the diagnosis given and, lastly, ensuring that the patients are provided with a good end of life. The facility aims to provide care that improves the quality of life of the patients served and ensures the patients’ healthcare needs are well addressed.Leadership in Nursing Essay

An organization’s work climate is vital to nurse leaders and managers because it enables them to understand better the processes involved in the work and have a clear picture of their roles and responsibilities in healthcare delivery in the organization. The work climate enables nurse leaders to understand the social processes that affect the nurse professionals they lead. As nurse professionals portray, work-related attitudes enable them to develop an environment conducive to the facility’s nurse practitioners.

The health facility climate is also vital for the career growth and development of nurse professionals in the facility (Stanley & Stanley, 2018). It promotes their empowerment and also impacts their productivity and job satisfaction. The work climate further leads to increased loyalty to the nurse leaders, significantly impacting nurse retention in the facility. In advancing their expertise, nurse practitioners need to embrace technological advancement in their practice. Through this, the nurses can learn new and emerging approaches that improve patient care quality.Leadership in Nursing Essay

Effective communication is another approach that nurse practitioners can utilize in improving their expertise in the nursing field. Through this, the nurses have more clarity and understanding of patient needs, and that the patients and nurse practitioners relate better with each other. In my health facility, nurse practitioners have continuously engaged in critical thinking to effectively promote their healthcare practices. Shared governance entails the framework of accountability, equity, partnership, and ownership. In healthcare practice, it involves the integration of crucial values and beliefs to improve patient care. Shared governance impacts the power structure of a healthcare organization by improving the structure of the health facilities. It promotes the job satisfaction of the health professionals, thus promoting job retention.

Understanding the health facility’s culture and real goals that nurse practitioners serve plays a crucial role in guiding the nurse practitioners in their duties. It offers a sense of direction and guidance to the nurse practitioners in the different activities they engage in. An organization’s culture sets expectations on the organization’s practices, how people behave within the organization, and how they work together as a team (Stanley & Stanley, 2018). Therefore, the nurse needs to understand the organizational culture and the facility’s goals they work in to achieve high-quality care.Leadership in Nursing Essay

According to one of the staff nurses, the activities that empower the nurses include providing them with leadership development. Different ways of doing this include introducing training programs that effectively empower nurse professionals in their professional and personal attributes. Involving nurse professionals in decision making is also an effective way of empowering nurse practitioners (Backman, Sjögren, Lindkvist, Lövheim & Edvardsson, 2017). Different ways of doing this involve giving the nurses a voice in crucial decision making. It enables the nurses to develop a sense of belonging, making them feel part of the big team.

My first impression upon walking into a healthcare facility was a place where my health issues would be solved with a lot of care. I remember who the nurses welcomed me with a lot of politeness and care, and I was instantly assured that I was in the right place. The changes that would be made at a low cost include training the nurse professionals on how to win a patient’s trust. Expensive changes include increasing the number of staff to offer a better patient experience. Making a good first impression is vital in enabling a health facility to gain patient trust.Leadership in Nursing Essay

Leadership is essential to the successful management in the field of nursing. However, nursing leaders and employees have different views on the type of leadership style to be adapted for best results. Owing to the challenges in the nursing leadership, re-evaluation of current managerial tactics is necessary. A nurse leader must master delegation because it constitutes a critical portion of the effective leadership and success in the patient care. Since we live in a multi-cultural nation; good leaders should consider all aspects of a person including cultural diversity. Time management skills, self-efficacy and assertive communication are the other significant qualities of nurse leaders. All the attributes of a nurse leader influence the quality of care provided to the patients.
One of the nursing leadership approaches is transformational style. A transformational leader is the one who employs good and qualitative styles associated with improvement in patient care. This style inspires the others to develop and implement leadership qualities. It comprises charisma, self-confidence, inspiration, intellectual stimulation and individual consideration. The transformational leader motivates the other nurses; he is sensitive to the needs of his subordinates and communicates effectively. This style of leadership increases the staff satisfaction leading to an overall reduction of nurse turnover and an increase in patient satisfaction (Smith, 2011). Though transformational leadership promotes nursing excellence, the difference in the interpretation of the nursing styles between the nurse leader and the staff is often associated with decreased satisfaction with the leadership (Andrews, 2012).Leadership in Nursing Essay
Several studies have been done to establish a relationship between managerial competencies, personal characteristics and leadership style of the nursing leaders. Managerial competencies refer to the ability of the nursing leaders to manage the other nurses well. The managerial competencies of nurse leaders consist of characteristics like visionary leadership, conflict resolution, effective communication, problem solving abilities and teamwork. The issues requiring apt management by nursing leaders include conflict resolution and addressing the laziness of employees. A leader must, therefore, have qualities or competencies that help in problem solving and conflict resolution. A leader who is a great manager is the one who is long-sighted. A leader must be a person who considers the future and not just the present. The leader must know that future healthcare depends on the present health care. Another important attribute of a nurse leader is delegation. Delegation of work by the leaders increases the satisfaction amongst the employees and nurses working under them. All these characteristics and attributes positively correlate with the patient care both in the short- and the long-terms (Lorber & Savic, 2000).Leadership in Nursing Essay
There is no dearth of knowledge regarding the appropriate leadership styles for nursing fields. However, inappropriate leadership styles are used by the nursing leaders in many healthcare set-ups. Therefore, a uniform and unique healthcare model for all institutions must be formed so that the country can properly facilitate the reforms needed in the healthcare system or sector. The country must also facilitate the competency evaluation and consistent monitoring of the leader’s work so that the results can be seen and appreciated. The leaders that do not furnish appropriate results may be denied their leadership roles (Lorber & Savic, 2000).
The definition of leadership is multi-faceted. All sectors in the society, from the business to the financial sector and even the nursing or the healthcare sector require good leadership for greater productivity. According to Giltinane (2013), leadership in the working environment is of utmost significance. Direct involvement of the leadership is advised because leaders motivate the employees to go beyond the call of duty. The leader’s role is to ‘elicit effective performance from others.’ The leader influences and guides others towards positive results and productivity. They empower the employees and, therefore, increase organizational loyalty, job satisfaction and reduce sickness levels. The direct involvement of nursing leaders in the actual work of taking care of patients encourages the other nurses to work and to take care of the patients in a better way. Hence, the nursing leader must have personality traits, emotional intelligence and apt cognitive responses that are able to inspire others to work harder and better in their work stations. Thus, a positive productivity is associated with good leadership styles. Effective leadership also requires trust between the leader and the staff. Therefore, the leader should treat them fairly and acknowledge individual achievements. A good leader shows interest in the working of the staff, listens to their problems and helps them in decision making (Giltinane, 2013).Leadership in Nursing Essay
The leader is a person who can inspire those behind him. This means that the followers should be able to agree with their leader, and the leader should be able to make them see the things the way he sees them. Overall, there should be an agreement between the leader and the followers regarding the goal(s). A respectful leader is the one who inspires the subordinate(s) to achieve the positive and effective results of the laid plans (Boyle & Kochinda, 2004). The registered nurses are trained to use techniques of the goal-oriented path to delegate more effectively to the patient care tasks. Delegation is an entry level skill and is the ability to be able to assign duties well to the respective people. Lack of delegation skills is a potential cause for negative and adverse outcome(s) resulting from ineffective supervision (Boyle & Kochinda, 2004).
A good nursing leader must learn the skill of delegation through educational and practical experience. Thus, a nursing leader can’t live without the delegation power, and every success of a registered nurse will depend on their power to effectively delegate duties well. Delegation has the major role in leadership and has the determination of how the leaders perform their duties. The results in positive or negative outcomes in patients measure the level of delegation in nurses. Therefore, a successful leader is the one who possesses the qualities to delegate duties well to the subordinate staff (Dunham-Taylor, 2000).Leadership in Nursing Essay
Confidence is the value of self-belief that a nurse should possess to be able to delegate patient care tasks. Research shows that demographic variables, registered nurses leadership skills and confidence in delegation are related to the outcomes of patient care in a community teaching hospital. The level of confidence is vital in the process of delegating duties among the registered nurses. The low level of confidence affects the delegation of tasks by the nurses adversely and may result in poor patient outcomes. Therefore, the level of confidence in the nurse leaders directly influences to the productivity in the health centers (Saccomano & Pinto-Zipp, 2011).
In a recent study, it was hypothesized that registered nurses who demonstrated a supportive leadership style will report more confidence in delegating patient care tasks than the ones with either directive or participative styles. The hypothesis failed to hold from the research conducted and thus, the level of confidence was not justified as a measure to alter the delegating process. The level of confidence was then correlated to the delegation of duties by the nurses. In a healthcare setting, some departments help to develop the delegating skills while others do not. Therefore, the skill may or may not develop in the leader. Also, the level of confidence in the nurses will help in increasing the productivity level as they are aware of what they are doing and are not undertaking a trial process. If the nurses undertake their duty with confidence, their productivity levels are bound to increase (Saccomano & Pinto-Zipp, 2011).Leadership in Nursing Essay

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The nurses serve the patients with very distinct cultural beliefs. Some of the issues that face the nurses due to such occurrences include the language barrier in cases where the nurse is serving a patient from a different ethnicity or with communication problems. Secondly, there can be the cases of prejudice. They may serve the patients with their belief about the patient or what they think rather than taking keen interest in the problem faced by the patient. Thirdly, they could be ethnocentric. The issue is more problematic where a nurse is serving patients from a country that has different ethnicities, religion and/or cultural beliefs. The nurse may serve in favor of some ethnic groups, religions or communities. In the case, a hospital is not in the position of solving the issue of biasness, the simple acts of favoring one group of patients and not-favoring the other group(s) may settle an institutional trend. This type of trends may lead to the loss of nurses as well as the healthcare organization(s). Therefore, much needs to be done about the issue of cultural competence in nursing students and faculty. Psychological empowerment is considered as the best option to enhance the cultural competence. Nurses should be trained on how to give equal treatment to the patients of different backgrounds. They should have the capacity of understanding that every patient is as important as the others and the services and resources should be allocated equitably and not by bias of issues such as ethnicity, religion or race. A perception is very powerful and can lead to justice in any service. The decisions of nurses should be autonomous with a professional basis in the decision making process. This can be installed by bringing in such study fields in nursing schools as well as seminars in places of work. The nurses should be empowered by the knowledge and not pressure (Dreher, & MacNaughton, 2002; Lipson & Desantis, 2007). A nursing leader has several roles in a culturally diverse healthcare system. In any hospital setting with culturally diverse nursing workforce, the nurse leader should be fair and unbiased towards all the staff members irrespective of their background. Leadership directly affects the staff retention, level of motivation and quality of the care provided. Therefore, a good leader should be able to generate and maintain a diverse workforce for the provision of culturally relevant care.Leadership in Nursing Essay
According to Skim and Miller’s theoretical framework (1999),(I could not find this reference??) there is a given process of achieving a sensitive process of changing the perception of a nurse or healthcare provider. The process involves the steps mentioned below:

• Understanding cultural diversity: Learning different cultural practices from other countries from where the practitioner might get clients.
• Increasing cultural awareness: It involves teaching the nurses to be mild on cultural decisions and not acting in the favor of some patients at the expense of others.
• Minimizing cultural sensitivity by uniting the community: This means that the patients work together with the medical practitioners in improving health standards. They communicate well and try to understand each other.
• Eradicate cultural competence behavior in the individual(s): In cases of cultural differences, the different cultures may be competing on usage of health resources. Nurses are not supposed to be a part of this fight. Therefore, they should remain neutral.Leadership in Nursing Essay

Such a process has the capacity of making a nurse act more professionally and avoiding being biased (Dreher, & MacNaughton, 2002).
In a study conducted in Australia, there was much effect of diversity on medical practices as well as medical practitioners and patients. Biases were noted in the nursing practice, and the patients with chronic diseases were very much affected in terms of the provided healthcare. Therefore, medical professionals need training on how to be of higher importance to such patients. The patients include diabetics, cardiovascular patients and others chronic disease patients. These patients need medical training on how to manage the illnesses and conditions when the medical practitioners are not around. The healthcare of these patients may be adversely affected if they are subjected to bias. Hence, the medical practitioners are needed to ensure a diverse cultural understanding of the community they are dealing with (Pardue & Morgan, 2008).
Another study was done in three different first world countries viz. the USA, Canada, and Switzerland. In all the three countries, the research gave a positive report about the diversifying services in the medical sector. Such diversities included overcoming language barriers. One of the best examples of the study was in the USA, in a clinic where physicians were facing a little challenge with language problems with some of their patients. They were not in a position to communicate perfectly with other patients other than the ENL speakers (ENL- English Native Language). The researchers brought interpreters of other languages and communication flow was improved. The result was evident from the customer satisfaction analysis. It proven that the services were appreciated 140% of the previous level of appreciation, an implication that diversifying cultural practices, such as teaching nurses different languages is of utmost significance to service improvement process in hospitals as well as clinics and also medical practices at homes (Pardue & Morgan, 2008).Leadership in Nursing Essay
Cultural diversity has been discussed as a way of improving the services of nurses and medical practitioners. It is of high importance to consider communication. To get better services, a nurse or any other practitioner must be in a position of understanding the language of the patient quite vividly, implying that the practitioner will be able to know the problem faced by his or her patient. For example, if a French speaking patient who does not communicate in fluent English is assigned to an American nurse, a communication breakdown is expected since most American health workers are trained in English (Flores, 2006).
In order to come up with a better understanding, medical practitioners should have cultural diversities. They should understand several languages and, therefore, be able to serve patients better. There is also a possibility of working with interpreters. It is, however, not only a matter of spoken language; the dumb might also need to be served in a hospital. They communicate using sign language. Interpreters of such signs should be available to ensure communication between the patient and the nurse (Gerrish, Chau, Sobowale & Briks, 2004).Leadership in Nursing Essay
Patients and medical practitioners need to work together interactively. Hence, there should be a clear understanding of communication from both sides. The nurses need psychological preparations that are of importance to them during the process of providing medical services to patients. Language barrier and other issues due to culture should be dealt with; they are a barrier to communication as well as efficient medical services. Patients with chronic diseases need attention and well stated instructions, since in the absence of doctors and medical practitioners they are supposed to nurse themselves. The process of treating them, therefore, needs to be communicated well to them, to avoid misunderstanding due to cultural differences including the language barrier (Flores, 2006).Leadership in Nursing Essay