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Servant leadership and nursing practice
Servant leadership and nursing practice
The Power of Servant Leadership
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Nurse Jackie is a television series that is set in a hospital environment. Within the hospital there is an interdisciplinary approach which focuses more on the work the nurses perform. Jackie is the main character who we follow and is an emergency department (ED) nurse. Jackie is a hard working nurse who is experiencing severe back pack pain thus causing her to use narcotics to control the pain. That said, this paper will explore how nursing and Jackie’s character is portrayed in the show as well as how Jackie can be seen as a leader (Austin, 2009). The health care workers in the show Nurse Jackie, are portrayed as as hard working professionals who hold a high regard for patient care. The nurses follow an established dress code which requires …show more content…
Jackie respected her elderly patient’s choice not to receive care, but was an advocate for him to remain in the ED to eat his chicken soup (Hudis, 2009; Sullivan, 2012). The patient knew he was dying and did not want any further treatment except for his wife’s soup. Jackie respected his decision and fought for him to stay in the ED to consume his soup. This is a form of advocacy because Jackie had to convince her nurse manager to keep him in a bed. This kept the patient calm and actually relaxed him so much that he ended up dying by the end of the episode (Hudis, …show more content…
Jackie advocates for the patient’s daughter to be at her bedside, because the daughter is the main caregiver, even though the ICU has an age restriction of having to be at least 14 (Austin, 2009). Further, Jackie takes it upon herself to ensure that the patient has enough required medications to last a few weeks. She achieved this by taking the medications from the pharmacy and smuggling them out of the hospital by giving them to the daughter. The patient’s daughter was extremely grateful and appreciated all of Jackie’s actions (Austin, 2009). From the above examples, nurse Jackie displayed a servant leadership style. Jackie fits the servant leadership style because she has a desire to care for (serve) her patients (Sullivan, 2012). Jackie is aware of the needed changes in order to improve her ability to patient care regardless of the level or complexity of care to provide comfort. Further, Jackie is empathetic towards her patients by understanding their decisions and showing empathy with their decisions. Lastly, Jackie does persuade her managers and pharmacists to ensure that the required care is given to support her patients (Sullivan,
re-evoked in the work of nurses, where death is present and imminent. 'The objective situation confronting the nurse bears a striki...
Presented issues such as lack of nursing opportunities for nursing graduates, lack of respect for the nursing profession and nurses being viewed as a threat by doctors continues to be of an existence today. As a nurse, I feel that it is of high importance to highlight these presented issues from the film not only because they were the most outstanding to me but because the nursing profession needs more
They care and nurture patients back to health so they can develop and perform as highly as possible. Nurses must be willing to take the time to listen carefully to other staff members and patients for mutual respect and trust to evolve. Nursing leaders influence and motivate subordinates by building relationships and further developing the practice skills of individual team members. A Servant Leader makes sure the needs of the individual team members are addressed and any conflicts are dealt in way that enhances professional competency among nurses. Recognition that servant leadership advocates a more group-oriented approach to analysis and decision making helps to strengthen the organization and improve the healthcare community (Murphy,
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
In particular, the use of Florence Nightingale’s theory of nursing as the basis of my new practice had allowed me to begin with the basics and work my way forward toward a more modern and holistic approach to nursing care. While Florence’s work focused mainly on the military and her care of soldiers, she began to establish schools of nursing to promote nursing education and to encourage people to view nursing as a viable profession, (Alligood, 2014. 63). Nightingale’s focus may have been care of the military, but she made great strides on getting recognition for nursing and her theories still affect the practice of nursing today. In the article, Nurses as Leaders, the author proposes that nurse leaders have made great strides since Nightingale’s time when nurses were conscripted to help care for wounded soldiers. Such a setting required these early nurse pioneers to rely on critical thinking and quick action in order to save lives. The author goes on to discuss how a change in nursing occurred in the early 20th century as new management styles emerged, most notable the “Scientific Management,” model. This style placed doctors at the top, then nurse managers, and on down to bedside care staff. Though this did allow some nurses the ability to move upward, nurses resented a doctor being in charge of their teams as the work of a physician and that of a nurse are two very different practices, ("Nurses as Leaders," 2016). This is quite different from the modern concept of a nurse executive as leader of
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
Carper identifies four fundamental patterns of knowing that contribute to the structure of nursing knowledge and the promotion of safe, quality patient care, including empirics, esthetics, personal knowledge, and ethics (1978). According to Carper, empirical knowledge is knowledge of the science behind nursing practice (1978). With empirical knowledge, a nurse relies on the scientific facts she has collected throughout her years of education and experience and applies them to patient care in order to provide the best care possible. Knowledge of esthetics, according to Carper, is knowledge of the art of nursing (1978). Esthetic knowledge allows the nurse to rely on her perceptions and intuitions about what a patient really needs to creatively design and implement the types of care that will be the most effective and satisfying for her patient (Carper, 1978). The third way of knowing, personal knowledge, involves knowing, recognizing, and utilizing the role the individual self plays in nursing practice (Carper, 1978). Carper introduces the idea of therapeutic use of self, in which the nurse sees the patient as more than just an object that needs tending to and instead as another human being to form a relationship with (1978). Personal knowledge drives the nurse to think of how she would want to be treated if the roles were reversed, and motivates the nurse to engage the patient in every aspect of their care so they receive quality care that is tailored to their specific needs. The last way of knowing, ethical knowledge, is defined by Carper as encompassing a nurse’s sense of the right versus the wrong thing to do in a given patient situation (1978). A nurse has to rely on her moral intuition to make sure that every judgment call being made on a patient’s care are all ethical and in the best interest of the
There are several professional values that a nurse must possess altruism, autonomy, human dignity, integrity, and social justices are among these. Altruism is being concerned for the well-being and welfare of others; this includes their patients and colleagues. This is demonstrated daily through understanding cultural differences, considering the perspectives of others and mentoring others
Teaching is part of being a nurse (Angelo, 2015). Being a nurse does not only end at providing full care to the patients but also includes proper teaching about the patients’ disease and medications. Patient’s education should happen when opportunities come, especially before discharge. By teaching them prior to discharge and providing them hand-outs, pamphlets or websites to find important information about their disease and medication, they will be ready to administer their own medications and be informed about their disease. Good personality is also vital in nursing practice (Angelo, 2015). It is not only what a nurse has learned in school or the skills and knowledge that he or she acquired from clinical instructors that are important, but also the whole make-up of a nurse’s own self. For example, a knowledgeable nurse is fully equipped with the skills in dressing a wound, but will never be an effective nurse if he or she does not know how to behave while performing the skill. The facial expressions and body language showing that a nurse is uncomfortable seeing the wound makes him or her unsuitable for the job. It is important that a nurse must not only limit his or her learning inside the skills lab or hospital (Angelo, 2015). Joining associations, programs, community services, and volunteering opportunities can expand nurses’ knowledge, skills, and abilities. The tone of voice must
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Worldwide, nurses have developed themselves into professionals with a great deal of knowledge. Despite these developments towards professionalism, nurses are still portrayed in a misleading and inaccurate way and are not given the recognition for the skills they have acquired. The essence of nursing is not always clear and nurses still suffer from stereotypes (Hoeve,2014). A stereotype can be defined as “a cognitive representation or impression of a social group that people form by associating particular characteristics and emotions with a group” (Smith and Mackie, 2007). Of the many types of nursing, a very popular stereotype that is depicted of nurses is being doctor’s handmaiden and only performing repetitive and simple tasks (Hoeve,2014.) This public image of nursing does not match their professional images, in fact, it is quite the opposite. Nurses are strong independent individuals that play just as big a role in the hospital as due the doctors or surgeons. The problem is nurses are not depicted as professionals and the public is not aware that nursing today is very theory-based oriented and a scholarly profession. Over the last few decades, nursing gone through extensive and important
One of the most poignant statements that I have heard during my tenure in nursing school is that “Nurses are often the first person that an infant sees at birth and the last person that a patient sees upon death.” Nurses have contact with patients recurrently along this continuum of life, now more than ever. This is due to the world’s aging population and the correlating factor of higher patient acuity (Larson, 2013). This frequent and close contact with nurses has fostered a sense of trustworthiness in the minds of U.S. citizens. This is evidenced by a recent Gallup Poll which listed nurses as the most honest and ethical professionals in America (www.galluppoll.com, 2015). Nurses have the challenging task of providing this trust-worthy,
Nursing is a medical profession that involves the care and management of patients majorly in the hospital setting. This paper seeks to illustrate the fact that nursing is both a science and an art. Nursing is a science because it involves evidence based practice, education of the public, lifelong learning for the nurse and administrative roles that are allocated to the nurses. Nursing is also an art because nurses depend on intuition, have the capacity to promote positive change, are understanding and culturally sensitive.
She first developed an interest in nursing during World War I because she felt an inner need to help wounded and sick soldiers (“Virginia Avenue Henderson – the mother,” 1996). She started her nursing career in 1918 at the US Army School of Nursing and later became a nursing instructor at the Norfolk Protestant Hospital in Virginia (Smith, 1997). Henderson received her education during the empiricist era of nursing, which focused on needs however, she felt her theoretical ideas developed and advanced throughout her nursing career and experiences in the medical surgical unit. This is where she realized the importance of helping the patient return to independence so that recovery can continue after hospitalization. Henderson became familiar first with physiological principals while obtaining her graduate education. The understanding of these components became the major foundation for her care in nursing practice. (McEwen & Wills,