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Nursing: Transformational Leadership

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The Strange Voyage
1. I think that the patient misunderstood the nurse’s intentions when he was moved from the ICU to the other places in the hospital because there was limited communication letting the know what will be happening. It seems that the patient was not familiar with the hospital, procedures and the people and because of that, the patient felt that all the interventions were to harm him. Even before the surgery, the surgeon visited the patient very quickly and told the patient this was a routine surgery. Although it may be routine, I think that it would be good to educate the patient about what will be occurring in each of the processes. In addition, when the patient was going for exams, the patient had to wonder what exam and why he was getting this procedure. Moreover, I think that he was not oriented to the time or place, and it does not seem like he was reoriented based on his responses.

2. As a nurse leader, I think that it would have been helpful to educate my team of nurses to effectively care for the patient. Communication is the key to interaction between individuals. I feel that if nurses in the ICU, OR, PACU were providing good communication between one another and with the patient, the patient would have had a better understanding of the situation. This was the first triple bypass surgery that the patient had, and it is a major event in the patient’s life. After the surgery, they are often placed in the ICU to recover so that their heart, lungs are oxygenating and pumping effectively. I think that it was an essential to communicate everything with the patient before and after the surgery.
The type of leadership management that I would use would be transformational leadership style. Transformationa...

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... building a team of staff to provide care for the patient, one must understand that every individual is different and be willing to come together to achieve a common goal to provide safe care to the patient. In looking at the team building principles, the nurse manager should set guidelines for meetings such as by setting a time frame, reviewing the progress of the unit, establishing standards, and talking to each member of the team. It is important to make sure that groupthink does not occur and that everyone gets the opportunity to express his or her concerns.

Reference

Harkness, G. & DeMarco, R. (2012). Community and Public Health Nursing: Evidence

for Practice. Lippincott Williams & Wilkins,

Merriam-Webster (n.d.). Despair - Definition and More from the Free

Merriam-Webster Dictionary. Retrieved from

http://www.merriam-webster.com/dictionary/despair
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