Leading and Managing Care Services

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Leadingand Managing Care Services

The ability to execute nursing duties is significantly dependent onone’s strengths. As a nurse, one has the responsibility to see toit that they capitalize on their strengths to improve the patientoutcomes. However, in many instances, personal weaknesses prevent onefrom executing the tasks assigned to them. The essay illustrates areflection of analysis of my strengths and weaknesses whileevaluating the leadership potential that I have. I will conduct theanalysis with relation to nursing practice highlighting the effect itwould have on my artistry. Further, I will reflect on my capabilitiesto execute the tasks assigned to me based on the identified analysis.The topic is of crucial significance when it comes to a considerationof the fact that it helps illustrate how well I can execute my dutiesas a nurse practitioner. It will form the basis for change towardimproved care provision.

Discussionon Leadership

The National Health Service as the ability of an individual toexplore their personal and team believes in the accomplishment ofchange (The King’s Fund 2011). It is identified as the need totune oneself fine by reflecting the individual needs and the factorsdefining the team (Cherry 2011). Leadership in Nursing has beenrecognized as the adoption of critical thinking, advocacy, and actionwhen it comes to the execution of nursing practice (Ronald 2014).The complexity of the hospital environment negates the need to adoptsound leadership skills that are essential in the performance ofassigned tasks. Leadership is required at different sections inhealthcare to execute the tasks that are in place successfully(Rokstad et al. 2015). Further, various reports and suggestions arepresented with the aim of improving service delivery. Theintroduction of such reports negates the need to adopt properleadership skills that are crucial in the realization of theparticular objectives (Azaare &amp Gross 2011).

The Berwick Report suggested by Professor Don Berwick identifiesclinical leadership as an essential component when it comes to theachievement of health care reforms including adequate patient careand reduced costs (Gulland 2014). Indeed, the ability to implementthe ideas of Berwick report depends on the nature of leadership thatis employed (Evangelia &amp Thomai 2012). It is critical that aparticular nurse leader while working with the rest of the team focuson the implementation of a report that would in the long-run improvethe quality of services provided to patients (Mendes &amp Fradique2014). Success can only be realized if a given nurse leader canembrace effectiveness in leadership while at the same time mobilizingthe rest of the team toward the achievement of particular goals(Supamanee et al. 2011).

Similarly, the Francis report that sought to establish the failure ofcare at Mid Staffordshire NHS Foundation can only be implementedthrough adoption of proper leadership (Francis 2013). Therecommendations will only be meaningful to the extent that the restof the nursing team are willing to chant the course of itsintroduction to practice. Nurse leaders need to ensure that at anygiven moment, they communicate the objectives of a particular aspectof service provision and the need to have each one work toward therealization of the same (Raelin 2012). For example, the reportreiterates the need to employ openness and transparency in theexecution of services at the healthcare set up. Leaders need toensure that they can coordinate with the rest of the players in thehospital set up to improve patient care (McKenzie &amp Manley2011).

It is critical that as a leader, one acknowledges the input of otherservice providers when it comes to the improvement of patientoutcomes (Mendes &amp Fradique 2014). Particularly, there is thefact that professionals from other disciplines characterize thehospital. Leadership in clinical nursing entails the identificationof such dynamics and use the same in the improvement of quality careto the patients (Scott &amp Miles 2013). It is essential that aparticular leader gets to understand how to work with themultidisciplinary team to realize the best patient outcomes. Nurseleaders ought to acknowledge the role played by other individualsworking in different specialties and use the same in the improvementof patient care (Wong et al. 2013).

Leadership in nursing must be supported by proven theories based onthe prevailing circumstances. Various theories have been useful infacilitating nurse leadership and the execution of practiceactivities. They include the trait, behavioral and contingencytheories (Giltinane 2013). The contingency theory seems appropriatein nursing practice because of its provisions. Notably, the theoryidentifies the fact that a particular nurse leader will executefunctions while taking into consideration the prevailingcircumstances. It focuses on the contingent factors that define theparticular situation and not the traits of an individual. It iscritical that a particular nurse leader executes the tasks assignedwith a focus on achievement of the best patient outcomes (Curtis etal. 2011).

Reflectionon My Leadership Skills and Style

Overview ofPreferred Leadership Style and Rationale of My Choice

My preferred style of leadership is participative. The style isdefined by the need to seek the input of all participants when itcomes to the handling of a particular issue that is of significanceto the health care system. For example, in a situation where there isa particular issue to be addressed, the leader seeks the opinion ofthe rest of the team players before making the final decision. In thehospital set up, various issues are likely to arise (Frandsen2014). Because of the same, it becomes essential that the rightstyle of leadership is adopted to ensure that the problem isaddressed (Wong et al. 2013). Participative leadership has beenchosen because it enables other nurses to provide their input on agiven issue (Evangelia &amp Thomai 2012). The ideas presented areessential in solving the problem in question. Also, there is theaspect of other nursing staff getting the morale to execute the tasksassigned to them because their input has been valued (Nayback-Beebeet al. 2013). It is a style that endows a particular leader with theopportunity to get multiple opinions or different ways of addressinga particular problem (Doody &amp Doody 2012). However, aftergetting the opinion of others, the leader remains with the duty ofmaking the final decision (Galuska 2012).

Situation inPractice Demonstrating My Strength

I recall a situation in nursing practice where I demonstrated mystrength. I encountered a patient in the psychiatric ward who wasscared and was not aware of how to execute the entire process oftreatment. I introduced myself and showed him around. Further, I wasable to introduce him to staff and make him comfortable and feelreassured that all was well. I believe I was able to behave in aparticular way because I value my clients. Nurses have the mandate toensure they make the patients comfortable when they come and seekservices at the hospital (Swanson 2012).I have the strength ofworking well with them and it is always my happiness to see to itthat they are satisfied with the nature of services that are offered.My decisions were informed by the need to realize the best patientoutcomes at all given moments continually (Melnyk et al. 2014). Theeffect on such a trait on my peers and colleagues is that they couldlearn from and use the same in the improvement of patient care.Patients could equally benefit from the best services that areprovided to them.

Situation inPractice Demonstrating my Weakness

As a leader, one can have a weakness that may affect the ability toexecute the tasks assigned to them (Chemers 2014). I recall aninstance where I failed to prevent a patient from self-harmingbecause I decided to dress a different patient as was requested by mycolleague. It was unprofessional of me since the patient was willingto confide in me about self-harm, an issue that I could have avoided.I behaved that way because I have the tendency of pleasing everyonewho needed my assistance. The inability to decline to say no to helpothers affects how one executes the tasks assigned to them (Riley2015). The issue has resulted in some of my colleagues takingadvantage of the situation, and my patients have suffered because ofthe same. For example, the patient who was willing to confide in meended up self-harming themselves because I failed to give them alistening ear.

Outlineof Development Plan to address my Weakness

I will talk to my colleagues about the issue and remind them not totake advantage of the scenario since it affects my ability to executethe tasks assigned to me. Further, I will practice to be assertiveand decline to provide assistance especially in cases where I thinkthe work can be done by someone else and not necessarily me. I willpractice the new methods within a duration of six months in the hopeof transforming the weakness. Through the same, it would be possibleto eliminate the issue. I will adopt the SMART goals framework indealing with the problem. The specific objective will be to seek thehelp of a professional psychologist on the best way to deal with myproblem. I will measure the progress by determining the number ofcolleagues who seek my help when I am busy. The objective isachievable/realizable because in the long-term will be in a positionto address the problem and prevent the weakness from affecting myability to execute the tasks assigned to me. I intend to have asession with the psychologist for a duration of six months afterwhich I will assess progress.

Conclusionand Recommendation

I have gained significant insight when it comes to the concept ofleadership in nursing and using the same in the improvement of carefor patients. The essay has equally been instrumental in informing onthe crucial aspects of nursing leadership concerning the differentstyles and theories of nursing. I have been able to use the same inthe development of innovative approaches to solving various problemsthat are likely to arise in the course of practice. Further, theleadership strategies identified have been crucial in enhancingclinical governance with the ultimate goal of improving the patientoutcomes. I also intend to work in coordination with professionalsfrom other disciplines to ensure that patients get the best services.

I intend to work on my weakness to ensure that it does not affect myability to execute the tasks that have been assigned to me. Forexample, I will consult a psychologist to help me in dealing with theissue and ensure that my patients and colleagues are not adverselyaffected. I believe the inability to say no to the wishes of mycolleagues affects how I discharge my duties. Because of the same, Iwill seek professional help in dealing with the issue. I will be ableto execute my services efficiently to the patients while at the sametime maintaining a good rapport with the rest of the nurses.

Listof References

Azaare, J. &amp Gross, J., 2011. The nature of leadership style innursing management. British Journal of Nursing, 20(11),pp.672–680.

Chemers, M., 2014. An integrative theory of leadership.Psychology Press.

Cherry, K., 2011. Leadership Theories – Eight Major LeadershipTheories. Leadership Theories – Eight Major Leadership Theories.Available at:http://psychology.about.com/od/leadership/p/leadtheories.htm.

Curtis, E. a, de Vries, J. &amp Sheerin, F.K., 2011. Developingleadership in nursing: exploring core factors. The British journalof nursing, 20(5), pp.306–309.

Doody, O. &amp Doody, C.M., 2012. Transformational leadership innursing practice. British Journal of Nursing, 21(20),pp.1212–1218. Available at:http://0-search.ebscohost.com.library.vu.edu.au/login.aspx?direct=true&ampdb=c8h&ampAN=2011739842&ampsite=ehost-live.

Evangelia, P. &amp Thomai, K., 2012. Leadership and motivation:Important concepts in nursing. Rostrum of Asclepius / Vima touAsklipiou, 11(4), pp.473–483. Available at:http://search.ebscohost.com/login.aspx?direct=true&ampdb=a9h&ampAN=82177098&ampsite=ehost-live.

Francis, R., 2013. Report of the Mid Staffordshire NHS FoundationTrust Public Inquiry, Available at:http://www.ncbi.nlm.nih.gov/pubmed/23589203.

Frandsen, B., 2014. Nursing Leadership: Management &amp LeadershipStyles. AANAC Extras, p.2. Available at:http://www.aanac.org/docs/white-papers/2013-nursing-leadership—management-leadership-styles.

Galuska, L. a, 2012. Cultivating nursing leadership for ourenvisioned future. ANS. Advances in nursing science, 35(4),pp.333–45. Available at:http://www.ncbi.nlm.nih.gov/pubmed/23107990.

Giltinane, C.L., 2013. Leadership styles and theories. NursingStandard, 27(41), pp.35–39.

Gulland, A., 2014. BMJ Awards 2014. Berwick Patient Safety Team:making the NHS a safer place. BMJ (Clinical research ed.),348(March), p.g2404. Available at:http://www.ncbi.nlm.nih.gov/pubmed/24682400.

McKenzie, C. &amp Manley, K., 2011. Leadership and responsive care:principle of Nursing Practice H. Nursing standard : officialnewspaper of the Royal College of Nursing, 25(35), pp.35–37.

Melnyk, B.M., Gallagher‐Ford,L., Long, L.E. and Fineout‐Overholt,E., 2014. The establishment of evidence‐basedpractice competencies for practicing registered nurses and advancedpractice nurses in real‐worldclinical settings: proficiencies to improve healthcare quality,reliability, patient outcomes, and costs. Worldviews onEvidenceBasedNursing, 11(1), pp.5-15.

Mendes, L. &amp Fradique, M. de J.J.G., 2014. Influence ofleadership on quality nursing care. International journal ofhealth care quality assurance, 27(5), pp.439–450. Available at:http://search.proquest.com/docview/1551332176?accountid=14477

Nayback-Beebe, A.M. et al., 2013. Using evidence-based leadershipinitiatives to create a healthy nursing work environment. Dimensionsof critical care nursing : DCCN, 32(4), pp.166–73. Availableat:http://www.scopus.com/inward/record.url?eid=2-s2.0-84880799039&amppartnerID=tZOtx3y1.

Raelin, J. a., 2012. Dialogue and deliberation as expressions ofdemocratic leadership in participatory organizational change. Journalof Organizational Change Management, 25(1), pp.7–23.

Riley, J.B., 2015. Communication in nursing. Elsevier HealthSciences.

Rokstad, A.M.M. et al., 2015. The role of leadership in theimplementation of person-centred care using Dementia Care Mapping: Astudy in three nursing homes. Journal of Nursing Management,23(1), pp.15–26.

Ronald, B., 2014. Comprehensive leadership review – literature,theories and tesearch. Advances in Management, 7(5), pp.52–67.Available at: http://www.emeraldinsight.com/.

Scott, E.S. &amp Miles, J., 2013. Advancing leadership capacity innursing. Nursing administration quarterly, 37(1), pp.77–82.Available at: http://www.ncbi.nlm.nih.gov/pubmed/23222758.

Supamanee, T. et al., 2011. Preliminary clinical nursing leadershipcompetency model: a qualitative study from Thailand. Nursing &ampHealth Sciences, 13, pp.433–9. Available at:http://www.ncbi.nlm.nih.gov/pubmed/22122346.

Swanson, K.M., 2012. What is known about caring in nursing science.Caring in Nursing Classics: An Essential Resource, p.59.

The King’s Fund, 2011. The future of leadership and management inthe nhs: No more heroes. London: The Kings Fund, p.38.Available at:http://www.kingsfund.org.uk/publications/nhs_leadership.html

Wong, C.A., Cummings, G.G. &amp Ducharme, L., 2013. The relationshipbetween nursing leadership and patient outcomes: A systematic reviewupdate. Journal of Nursing Management, 21(5), pp.709–724.

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