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Principles of leadership nursing
Principles of leadership nursing
Leadership and management in nursing
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Introduction According to the Oxford Dictionary, a leader is defined as “the person who leads or commands a group, organization, or country” (Oxford Dictionaries, 2013). Though there is a definition for what a leader is, people still have different ideas to what a leader should be and how he or she should act. There has never been a concrete idea of what a leader is; the only thing we know is that this person is the one in charge of the unit. We look at characteristics of those people we see as leaders and use those attributes to compare other people to see if they are able to be as good as or even better than those aforementioned leaders. We have to keep in mind that in different situations, leaders must do different tasks which indicates the need for different qualities. This is especially true in the hospital or other healthcare settings. Though it may be similar to other companies, it differs because of the continuous change it has to go through the new technology, innovation in techniques and new medical treatment plans made every day. In this paper, I will be discussing complex adaptive systems, especially in regards to the healthcare setting as well as the leadership necessary for these systems. What is a complex adaptive system (CAS)? A complex adaptive system is entity of networks and connections. It can “learn and adapt to change over time” which can change the “structure of the system” (Clancy, Effken, Pesut, 2008). It contains twelve elements: autopoesis or self-regenerization, open exchange, participation in networks, fractals, phase transition between order and chaos, search for fitness peaks, nonlinear dynamics, sensitive dependence, attractors that limit growth, strange attractors of emergence... ... middle of paper ... ...Eds.), Nursing, caring, and complexity science (pp. 325-338). New York: Springer Publishing Company. Clancy, T.R., Effken, J.A., & Pesut, D. (2008). Applications of complex systems theory in nursing education, research, and practice. Nursing Outlook, 56(5), 248-53. Crowell, D. M. (2011). Leadership in complex nursing and health care systems. In A. W. Davidson, M. A. Ray & M. C. Turkel (Eds.), Nursing, caring, and complexity science (pp. 199-210). New York: Springer Publishing Company. Oxford Dictionaries. (2013). leader:definition of leader in Oxford dictionary – American English (US). Retrieved on Dec. 7, 2013, from http://www.oxforddictionaries.com/us/definition/american_english/leader Stackman, R. W., Henderson, L. S., & Bloch, D. P. (2006). Emergence and community: The story of three complex adaptive entities. Emergence: Complexity & Organization, 8(3), 78-91.
Leadership is the ability of leaders to manipulate group members by utilizing different theories to achieve goals in the organization. Some example of theories is complexity, chaos, change and innovation theories (Otten& Chen, 2011). Complexity theory is an unfastened concept and systematic tools that is used efficiency in healthcare settings or organization. Healthcare system is made up of complex (nonlinear) there are multiple interaction and feedback within and external to the organization and simple system (linear). Both have the tendency to provide useful insights that guide the design and execution of intervention to enhance change. In a nonlinear situation in an organization, leaders use complex theory to build intervention for quality improvement. This is because complexity theory addresses obstacles that will interfere with successful intervention (Litaker, Tomolo, Liberatore, Stange, & Aron, 2006).
Laureate Education, I. (Producer). (2010c). Organizational theory [DVD]. In The nurse leader: New perspectives on the profession. Baltimore, MD: Author
The nursing career has a growing workforce, spurred on by the high demand for caregivers. The growing need for nurses has caused in influx of new nurses, graduating from school and ready to begin their career. Although there are many different work settings for nurses, one universal aspect of assisting new nurses is nursing leadership. Leaders within nursing are tasked with assisting new nurses as well as those who are veteran nurses, and their role is indispensible. “Health leaders model the behavior expected in the organization” (Ledlow & Stephens, 2018). Susan Eckert, the senior vice-president of nursing and chief nursing executive at Medstar Washington Hospital Center, is a prime example of a nursing leader.
In healthcare profession, leadership is defined as utilization of personal characteristics and experiences to communicate effectively with the patients suffering critical health problems for which there are no specific answers and to direct health care team in developing policies to solve these problems. The nurse leader establishes relationships to encourage others to set and accomplish clinical or administrative goals. An effective leader provides guidance, use moralities to direct the process, and develop self-confidence in others (Yoder-Wise, 2010).
Adaptive leadership is primarily an active process of adaptation, during which the leader does not take just a passive effort to adapt to circumstances in which he found himself. The leader should be able to change those circumstances in order to carry out tasks.
As 21st century, there is a change in era technology thus the leadership style also must update in line with the current development. It same goes with the changes in leadership for healthcare in 21st century. Thomas H. Lee in Arroliga et al (2014) said that health care delivery systems must develop a new kind of leadership to reduce chaos and improve outcomes. In this century, there are working collaboratively where different organizational structure are combine in one team during operation in order to deliver care to patient. Lee suggests that different organizational structures are needed if we are to efficiently achieve excellent outcomes.
When talking about leadership, one cannot help but wonder how it relates to nursing. If the focus of nursing should be caring for patients who are either well or ill, then why is there a need to tackle leadership? Unlike before, today’s health care environment is complex, rapid and continuously changing. This development prompts an upcoming danger to the nurse’s skills, identity and ability to coordinate with other health care professionals. On the other hand, this also makes nurses challenge their own into taking the lead, developing goals, consolidating a purpose and moving towards an attainable vision. A nurse leader then needs to combine clinical, administrative, financial and operational skills to effectively solve various clinical challenges. These challenges are the rationale behind tackling the need for leadership in nursing.
Nursing managers and nurse leaders are integral parts of the healthcare system. Together they can enhance patient care, contribute to overall satisfaction of patients and employees, and lead the way of change in the ever-changing healthcare system. However, nurse managers and leaders are not necessarily interchangeable titles. Nursing leadership is not limited to a managerial role and nurse leaders can arise in a variety of roles.
...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
At first, the study of nursing theories may seem like a daunting task, however understanding its appropriation and function makes them applicable to daily practice. Advanced practice nurses have strived for decades to distinguish nursing as a profession. With the creation of the metaparadigm, or the global focus of nursing, advanced practice nurses created not only a focus statement for all of nursing but also a definition in which to procure theories that drive all current nursing practices (McEwen and Wills, 2014). One theory that has withstood the test of time is the Betty Neuman Systems Model. Originating in the 1970’s, the Systems Model is so adaptable, that it can be applied to a variety of nursing fields in addition to different
The absence of adequate leadership is a challenge in nursing today. Many nurse leaders are with-in the generation of the baby boomers and will soon be retiring. Therefore, there will be an even greater shortage of nurse leaders. It is stated that by 2020 50%
Looking at the world where we live everything in someway is connected. Our world is not simple and in fact consists of multiple complex systems. Some everyday examples of complex systems are the brain, immune system, insect colonies, and even social networks such as Facebook and twitter. So what exactly do all these have in common in order to be a complex system? First is the fact that each one has a large amount of simple components that work together by communication through signals without being under leadership. But not all systems are exactly the same so we can break it down further into chaotic systems, complex adaptive systems, and nonlinear systems. Chaotic systems differ in that they are non-linear and are sensitive to initial conditions. Therefore any uncertainty in the system will not produce an outcome that can be predicted later on. A good example of a chaotic system would be the stock market because the prediction of its outcome is unknown due to its sensitivity to initial conditions. Complex adaptive systems are just like they sound. They are capable of adapting to the environment such as the immune system. It’s white blood cells work together to recognize foreign bodies and create antibodies for future encounters.
Before the existence of an advanced civilization many steps of evolution is required. The complex human society is one of the best examples there is. For example the revolutionary steps from the Paleolithic and the Neolithic to the Modern World is filled with wonder and awe. However, the ascents involved is not that extraordinary; if it is being closely observed.
...and comprises the genetic control of cell growth, differentiation and morphogenesis. In architectural interpretation, self-organization involves local independent decision making, planning and building without central control. In building, self-organization processes are not yet used in a strategic way, but could provide more economic ways of building. Limitation is thought of on all levels. Still, time-related processes are not considered sufficiently.