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Research study on nursing leadership
Leadership and nursing shortage
Nursing leadership and management
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Introduction Nursing leadership of an undergraduate student is gained through observed leadership and management and through their education. (Curtis, Vries, & Sheerin, 2011) Within my education, I was taught what ideal leadership may be visualized as, but within healthcare that may change on a day to day basis. One cannot be taught all possible situations in the nursing field, and a capstone clinical experience may open our eyes to a fraction of the situations. On the job site and in the field, leadership may be taught and learned. (Curtis, Vries, & Sheerin, 2011)
Observed Leadership The leadership I have observed throughout my capstone experience is endless. Every day there are opportunities for a member of the clinical team to take
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Every nurse has the training and capability of being charge nurse on any shift. Being the charge nurse, one has the responsibility to oversee and guide both medical surgical units throughout the shift and ease transitioning of patients from onto the floor to discharge. Management positions on the medical surgical unit of the VA also represent transformational leadership by always being willing to help with patient care on the unit. Every morning, afternoon, and night there is a group huddle that is guided by management to ensure a high-quality workplace and impeccable patient …show more content…
Without delegation, all tasks would not be completed in a timely matter; something essential in the health care field. With delegation comes responsibility and I have witnessed a great deal of ownership during delegating tasks. It is critical that the nurse is able to recognize which tasks are able to be delegated and which tasks are for licensed staff. (Taylor, 2011) Where I was able to see delegation at its best in the VA facility is in the instance of provider orders for ambulation. The nursing staff can trust fully that the nursing assistant is able to assist in patient ambulation. The nurse’s role after this task is to be done is to check with unlicensed assistive personnel and the patient to ensure completion. This instance happened frequently during my capstone experience. My nursing preceptor was always guaranteeing patient care was up to par and all duties were followed through with.
Management and leadership are very important skills to have as a baccalaureate nurse. Through this course I was able to identify and understand the different styles of leadership as well as the style that best fits the characteristics I can offer as a member of an interdisciplinary team. After completing the multifactor leadership questionnaire I was able to better understand my strengths and weaknesses. Collaborating with each other as a team helps complete each other and provides our patients with the most positive experience in their times of
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Delegation has been a very important element of nursing for some time now and has become more and more important over the years. In this article, it goes over the reason for the sudden interest and importance of delegation as part of the nursing process. Delegating is one of the many nursing tasks that is sometimes neglected to be taught. To delegate it takes an RN to remain accountable for a task that she assigns to a nurse’s aide. In the article the Board of Nursing Examiners rule and regulations states delegation as, “the act of authorizing an unlicensed person to provide nursing services while retaining accountability for how the unlicensed person performs the task”(Saccomano, 2011). Basically, this means that even though the RN is giving
The American Nurses association defines delegation as, ‘The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome’ (Saccomano, 2010, p. 523). When delegating to staff or members of your team, it is important that it is used appropriately and within the proper guidelines. It is common to see RNs delegating in the hospital setting to the LVN or nursing assistant, however, the RN must know the limitations and what is within their scope of practice. Unfortunately, even if the nurse uses these guidelines, conflict can still occur with other staff making the process more difficult. Having the responsibility to delegate, especially as a new registered nurse, can be daunting,
The Role of Delegation in Nursing Kiara Porter Chamberlain College of Nursing NR: 103 Winter January 2018 The Role of Delegation in Nursing Delegation plays an integral role in the nursing profession. In fact, delegating tasks to other appropriate staff members (e.g. patient care techs, LPNS) can be the key component in making sound clinical judgements as a registered nurse; as it also determines the hierarchy of care. However, there are many misconceptions in the art of delegation: it all depends on the right person, right circumstance, and right task.
In other words, “without effective delegation, an organization might potentially come to a complete standstill” (Porter-O’Grady & Malloch, 2016). Therefore, learning appropriate delegation to healthcare assistants such as “health care support workers, assistant practitioners and healthcare assistants” (Bryant, 2015) is vital in the delivery of safe, effective, quality patient care. Nurses must delegate appropriately in order to ensure that patients achieve safe, quality care via using nursing judgement. For example, the nurse must know that he/she can only delegate tasks appropriate for the skill and education level of the healthcare assistant who is receiving the task unlike nursing process, patient education, or assignments that require clinical judgment. It is the nurse’s responsibility to also provide well-defined instructions when a task is delegated and to periodically reassess and evaluate the outcome of the task.
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
Kerfoot, K. (2008). Bossing or serving?: how leaders execute effectively. MEDSURG nursing, 17(2), 133-134. Retrieved from EBSCO host
Delegation Is Part of the Nurse Role and Responsibility Nurses working in a hospital setting or long-term care facility are often supported by licensed and unlicensed personnel. They are a vital part of the team and are of great assistance. Due to nursing shortages, high patient acuity, and the emphasis placed on patient satisfaction, delegation is a skill that is essential in professional nursing practice today. The delegation of suitable tasks to assistive personnel is a cost-effective method to ensure high-quality care and positive patient outcomes.
Nursing is a field in which one never stops learning because it is always evolving. As nurses, we must be able to quickly assess and adapt to the constantly changing environment. An important aspect of nursing is the delegation process. Delegation in nursing is defined as the change in evolving responsibilities and roles of licensed healthcare providers and assistive personnel (Reyes, 2016). The article “Nursing Delegation Guidelines for Nurses and Advanced Practical Nurses” from the Iowa Board of Nursing Newsletter, talks about the delegation process, the responsibilities of the delegator and the delegatee, and the rules or regulations of delegation.
Utilization of the five key elements of delegation allows the nurse to think critically and professional when assigning this patient to the nurse. The five delegated acts are, Right task, within the nurse's scope of practice; Right Circumstance, Identifying patient goals and needs; Right Person, level of education required to complete patient need of care; Right Direction/Communication, collaborative communication
The American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) joint statement on delegation asserts that to delegate effectively the registered nurse uses critical thinking and professional judgment to ensure that the “Five Rights of Delegation” are met before a task can be effectively delegated. Thus the right task should be delegated under the right circumstances to the right person; with the right directions and communication and under the right supervision and evaluation (Delegation, n.d.). The plan also entails taking a minute to quickly run through a checklist of the five right of delegation before delegating a task. Implemented and data collected over a five week period, the evaluation of the plan was based on if delegated assignments were completed, partially completed or not
Leadership and the Graduate Nursing Role Leadership is a core competency of advanced practice nursing (Hamric, 2014). Unfortunately, there is no magic on how to become a great leader in your practice area. Constantly changing healthcare environment introduces new challenges to health care providers that need adjustment in their leading skills and techniques applicable to any situation. Leadership styles are based on leadership skills. Not all great leaders will be the same.
Later on, other support staff positions and clinical disciplines like therapists appeared facilitating adequate and timely care to patients. Delegation includes appropriate thinking and understanding about what is needed and who is able to do it. In other words, it is a process that requires appropriate critical thinking skills. Nurses responsible to delegate activities to others should be aware of everyone else’s scope of practice, legal responsibilities and not least the patient’s best interest and safety. When doing so should also follow the nursing process and allow clear communication and expectations.
Being at the apex of the chain of command, the administrative nursing supervisor has numerous responsibilities including but never limited to staffing, conflict resolution, and or crisis. In many circumstances, an administrative nursing supervisor must make timely, prioritizing decisions based on the resources available at any given time. The ultimate outcome ideally is patient and staff safety, and positive patient experiences and outcomes. Throughout the different departments in the facility, there are several governing unions with guidelines and contractual requirements. The facility also has policies and procedures that must be adhered to. Katie remains updated on all guidelines by attending conferences, in-services and administrative meetings. Eason, (2010) stated that, “lifelong learning allows nurses to develop confidence and skill in service provision that is evident to patients, their families, and other health care practitioners” (p.157). I believe that Katie is proficient, has strong leadership skills and is capable of unraveling conflict while following