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Appendix 11: The Type Of Leadership In Nursing

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Before entering nursing school, the idea of leadership and management did not seem as important to patient care as other aspects of nursing. However, leadership extends beyond strictly management, but impacts patient care and safety. Nursing is a leadership position all on its own. Nurses lead in patient care, in the community, and as examples to everyone around them. The first aspect of understanding what leadership truly is and how it related to nursing is demonstrated in appendix 11, Leadership Paper. The paper illustrates the different leadership styles, how each affects patient care, and its application to practice. Furthermore, it provided me with an opportunity to explore the type of leader in nursing I hope to be. In appendix 12,
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“A leader is the person who influences and guides direction, opinion, and course of action. Leaders are in the front, moving forward, taking risks, and challenging the status quo (Marquis & Huston, 2012).” I had the pleasure of observing and interviewing Sheila Barcimo, who is a charge nurse on the DOU unit at Beverly Hospital in Montebello, CA. Background Sheila Barcimo had a passion for nursing ever since she can remember.

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Leadership in nursing is a pivotal function that influences the healthcare landscape and shapes the development of conducive work environments. Nursing leaders who foster a culture of excellence can inspire teams to deliver exceptional care, overcome challenges, and pursue professional development opportunities. As such, nursing leadership is an indispensable component of healthcare management that demands a deep understanding of the nuances of the nursing profession, a commitment to ethical and evidence-based practices, and a mastery of interpersonal and organizational skills. The National Organization of Nurse Practitioner Faculties (NONPF) defines the leadership competencies required for nurse practitioners to be influential and competent leaders. A leadership development plan

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Essentials of nursing leadership and management: (6th Ed). Philadelphia: F.A. Davis

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The Institute of Medicine (IOM) has a strong stance on nurses and leadership. They believe that nurses are a vital component to health care system and nurses in leadership roles can have a positive impact on such. Nurses are in all sorts of roles within the health care systems ranging from a staff nurse, nurse managers, to advance practice, all the way to congress (Finkelman & Kenner, 2013). In addition, they even serve in the boardroom within some health care organizations. Leadership doesn’t necessarily mean a nurse in a manager position, but a nurse who has an influence on staff.

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Awareness of oneself, and the unit and organization as a professional is pivotal. While these are essential characteristics, nurses must go even farther when striving for professionalism. However leadership comes with and requires time, the building leadership skills (behaviors that engage others while working towards the same goals), will emerge. Nurses in leadership roles need strong morals and ethics and the commitment to always act in the best interests of their patients (Schmidt and Brown

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Leadership Style This paper will discuss leadership and the role of the new graduate nurse. The authors quiz results will be explored and how her leadership style has impacted her current beliefs. This paper will also discuss the qualities of leadership for the graduate level nurse. This paper will examine the authors leadership characteristics including the ones she would like to develop. Lastly this paper will finish with a quotation from an article pertaining to leadership in the advanced practice nursing role.

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Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).

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This course gives me an insight of what type of leadership skills will be most compatible with me as a nurse. Nursing can be a tough field to work in because in nursing it is all about being compassionate, caring, and think critically. Throughout the course, there were 7 questionnaires that showed me what type of nurse I would be as a leader. As a CCU (Critical Care Unit Nurse), my philosophy to be a leader should involve being approachable and hard working. Many followers expect a leader to confident and competent and have the ability and capabilities to vision success to inspire others that will follow.

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My experiences in the nursing program have taught me to see patients not just as medical cases, but as individuals with unique stories, fears, and needs. I now believe that holistic care, which addresses the physical, emotional, and spiritual dimensions of health, is vital to promoting healing and well-being. When it comes to being a nursing leader, I believe in leading by serving others. I firmly believe that effective leadership isn't about exercising authority or dominance, but rather about serving others and enabling them to achieve their full potential. As a nurse leader, I want to create a friendly place where everyone feels like they belong and where they can share their ideas freely.

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Utility of collective leadership theory in nursing by nurse leaders to implement their roles: This topic deals with the meaning and characteristics of collective leadership style and its use in nursing by nurse leaders to carry out their roles effectively. The roles of the nurse leader will also be discussed in brief to give a connection. The key focuses of the collective leadership are accountability, responsibilities and leadership culture which works hand in hand to develop both individual and and organisational levels (West et al 2014). It stresses on continues critical learning by evidence based and reflective practice to improve quality care.

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Nursing managers and leaders play a critical role in influencing the safety and quality of healthcare services on offer as well as the business of healthcare institutions. The managers and leaders individually strive towards influencing the behavior of the rest of the nursing personnel to provide direct, professional and individualized nursing care. Thus, although both of them play a mediated role, their responsibilities and style of accomplishing tasks within a health organization may differ. In practice, nursing managers and leaders are likely to employ significantly different approaches in identifying and exploiting resources within an institution and in resolving issues that may be threatening the operations of a healthcare institution.

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Because of this, leadership is an important quality to have as a nurse. Leadership sets the tone of trustworthiness and positivity to others around. In the book Transformational Leadership Skills of Successful Nurse Managers, Jim Kouzes and Barry Posner, authors of The Leadership Challenge, studied groups of nurses to evaluate specific behaviors that demonstrate leadership. These men found three practices that most health care workers possess. First, workers must model professional behaviors and communication skills to exemplify what is expected on a daily basis in the work place (Heuston and 250).

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In the literature, few theories address that leadership is critical to the daily work of nurses, but for its effective exercise this professional need to find ways that enable the development of ability to lead; among these we highlight the learning based on professional experience and formal education. The first step for nurses to effectively exercise effective leadership consists in finding strategies that allow these professionals to know and to the effectiveness of the lead nurse process needs in order to meet the needs and personal and professional expectations of the members of the nursing staff. Laschinger et.al (2014) explains the desirable characteristics of an effective leader who works in the emergency department, among the characteristics identified by participants actors of the study, communication skills, and knowledge in the clinical area, professionalism and ability to encourage his team work were highlighted as the most important and necessary to

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(Nursing Times). Nursing is gaining influence in all aspect of healthcare practice, therefore it is important for nurses to develop good leadership skills at the early stage of their practice which is the key to all nursing career and nurse managers can become good leaders with effective training and enhancement of their skills in leadership. Most nursing managers are tossed around by their leaders when they themselves are leaders in their capacities. A nursing manager aspiring to become a leader must be committed to excellence and passion for patient’s advocacy, employee’s protection and be a role model, living by example.

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They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or

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