Nurse Leadership: One Of The Five Core Domains Of Nursing Leadership

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The purpose of this paper is the formal interview of Nurse Betty to evaluate and illustrate her communication and relationship building skills. Communication and relationship building is one of the five core domains of nursing leadership ("Nurse Executive Competencies," 2015, p. 2). The nurse leader must possess all five domains to be an effective leader: Communication and relationship building; knowledge of the health care environment; leadership; professionalism; and business skills. Nurse Betty has been a nurse manager for multiple years in the Jewish Hospital health care system. She started her career as medical surgical nurse and soon after went to work in the emergency department and that is where she found her passion for the nursing …show more content…

584). Nurse Betty combines the management aspect of leadership with a positive relationship between staff members and medical providers to create a caring team approach. She has utilized the strengths from her experienced nurses and the medical providers to create treatment protocols. The creation of standing orders and triage orders was a collaboration of the medical providers. Nurse Betty has been part of the emergency room improvement committee that is in place to improve the day to day operations of this critical care environment. Her input into the committee has raised satisfaction scores to one of the highest emergency room in the KentuckyOne Health System. Nurse Betty as a manager has excellence conflict resolution skills and has nurtured a positive outlook in the emergency department. The emergency room is a high stress environment with large outspoken personalities. Tempers can flair up from time to time and with Nurse Betty at the helm cooler heads usually …show more content…

A level of trust and mutual respect must be in place for the emergency department to operate appropriately. “Teamwork and inter-professional collaboration are a requirement for efficient, safe healthcare delivery”(Glymph et al., 2015, p. 183). A relationship must be built on trust and knowledge of the desired goal and mission. Nurse Betty has worked diligently with the medical director to create such an environment and culture in her emergency department. She has collaborated with the medical providers and the health care staff to foster a positive attitude and a winning team. The medical providers looked at all of the various complaints that come into the emergency department and created triage orders for the majority of the most common and critical complaints. The triage orders are in place to allow a nurse to initiate care from the onset of care. A nurse cannot place an order without verbal or written permission but with these triage orders in place a nurse can begin to direct the patient’s care. The protocols and triage order sets are in place because of necessity and because of trust. The medical providers trust the critical thinking and care provided by the nursing staff. Nurse Betty has had a great deal to do with the incorporation of preset orders and policies. She has been a liaison between hospital administration and the health care

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