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Net at DigitalEssay. Net Hello! I have searched hard to find a reliable and best research paper writing service and finally i got a good option for my needs as DigitalEssay. No Downloads. Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Nursing essay on leadership example 1. Leadership Styles and Management Discuss the impact of transformational and transactional leadership styles on the management of violence and aggression within UK regional maximum security forensic mental health hospital.
Incorporating organisation structure, change management, multidisciplinary working, staff motivation and retention, legal and ethical implications for nursing practice. Executive Summary: In this essay we discuss the transformational and transactional leadership styles in the management of violence and crisis situations within the clinical setting and in mental health units. We begin our discussion with studies on the need for disaster management teams and structured command system within hospitals to help ensure that patients receive proper care when needed.
We then briefly discuss the differences of transformational and transactional leadership styles and suggest that both personality patterns and attitudes towards these styles determine care and change management within the hospitals. Introduction: Leadership styles within the nursing practice can be evaluated by understanding the relationship between management and planning, change operations and organisation structure.
As Zane and Prestipino point out, hospital disaster manuals and response plans lack formal command structure in most cases and the hospital authorities rely on the presence of certain individuals who are familiar with hospital operations or hold leadership positions and abilities during the routine operations and management of the hospital. Management of emergency situations, especially in case of mental health patients who are prone to violence requires the expertise of a disaster management team.
However such leadership patterns in which the hospital does not have a formal command structure may be unreliable and during critical conditions, the relying on a few individuals may be inadequate as the concerned persons may not be available at all times and even for prolonged events of crisis, this is not a feasible option or proper management.
The Hospital Emergency Incident Command System HEICS is a command structure and a method suggested that provides a structured pattern of leadership which does not have to rely on specific individuals for crisis management such as inpatient violence, or serious injury and is more flexible and can be applied in all kinds of services such as fire services, emergency medical services, military, police agencies and improves ease of communication among professionals during crisis periods. The study by Zane and Prestipino give a descriptive report of the implementation of the HEICS in a healthcare network and recommends that since this tool provides a complete command structure for hospitals and by being a common tool 2.
Considering the necessities of a disaster response team and the need for effective leadership styles of management of crises situations, in this essay we would discuss the various styles of leadership and how this relates to change management, nursing practice, and the quality of care during emergency and normal conditions. Several issues are considered here along with examples from evidential studies and clinical research.
Leadership Styles in Clinical Management - Our discussion will revolve around two forms of leadership patterns - mainly the transactional and the transformational styles of leadership. The differences between transactional and transformational leadership styles were first given by Weber , in Turner, who suggested that transactional leadership is based on control on the basis of knowledge and hierarchical power and transactional leaders aim to negotiate and bargain to achieve higher efficiency. In case of transformational leadership, the leader is a charismatic personality who seeks to change or transform ordinary people with his qualities and seeks to change ways of thinking by using novel ideas within the organisation.
Hendel et al examined the relationship between leadership styles and the choice of strategy in conflict management among nurse managers. The study identified conflict mode choices of head nurses in general hospitals as nurses deal with conflicts on a daily basis and have to implement effective choice of conflict management mode to deal with the complicated situations.
The authors point out that the choice of conflict management mode is largely associated with managerial effectiveness of the nurses. It is largely understood that the ability to manage conflict situations creatively to result in constructive and effective outcomes is a standard requirement in nursing practice.
The most common conflict management strategy was an emphasis on compromise and more than half of the nurses studied admitted to using only one mode of conflict management. Transformational leadership was found to be more popular and widely used than transactional style of leadership and the style of leadership also affected the conflict strategy selected. The management is however equally as important since it directs and introduces priorities within the group while also maintaining reorganization Brabant et al.
damavand-uast.ac.ir/images/secret/2220.php However, the nurses or employees within the group are mandated with the responsibility to accomplish the setout priorities and involving them in deciding the best methods to attain these structures is essential. In clinical practice, democratic leadership is the best style if the management wishes to deliver quality service since the nursing staffs are heavily involved in decision-making. Technology is part of the nursing practice since the records and information on patients and the history of the hospital have to be recorded.
Technology has revolutionized service delivery and made the work of nurses easier since their efforts are coordinated and systematically synchronized by the systems. However, there is some form of control that should be implemented to ensure that the records and patient information are protected and confidential for effective service delivery. The management, therefore, needs to ensure that there is a participative approach to these controls and access Swansburg and Swansburg, The group should agree on the best approach so that the information is helpful to all the nurses and to the patients.
It is the responsibility of management to oversee the framework instituted by the employees but there is a need for a participative approach to ensure that the group reaps the benefits of technology. The same case applies to education where the nurses have to be properly coordinated to ensure that they can pursue their careers as well as practice nursing Brabant et al.
There are nurses who may wish to further their studies and in the event, they may not be fully invested in the daily nursing roles. It is critical for the management to give the nurses a platform to make decisions on the routine and schedules to ensure that the nursing practice is still effective in service delivery. Patient safety is an important function in nursing since the patients are the responsibility of the nurses. It is therefore crucial that the nurses work as a group and there is no form of individualism to ensure that all the nurses have a responsibility towards all patients.
In order to give the best form of patient safety, the nurses need to communicate between themselves and give personal information on the patients Kanter, Allowing the members of the nursing staff a participative role, therefore, ensures proper service delivery through the protection of the patients. Leadership skills can be both inborn and developed through the application of appropriate techniques, training, mentorship and timely education. X describes a leader as an individual who is as good as the team.
X further explains that without proper training or education, good communication skills and ability to guide the team efficiently, a leader will fail in their mandate. Moreover, X emphasizes the need for a leader to be willing to do what is requested of the organization staff at any given point. X further states that a real leader needs to have the ability to request their employees to move above and beyond if the need arises and to be a good steward of their word. In her setting, X notes the acknowledging that the client is always the most important person who forms the fundamental cause of being a great leader.
The most significant attributes of a leader identified by X need to be encompassed in their clinical knowledge and educational experience. In the healthcare environment, organizational learning impacts upon numerous elements of organizational experience that enhances the quality of nursing care, patient safety and job satisfaction.
According to Casida and Parker , a leader is critical in establishing networks and connections with team members to encourage high levels of performance and quality results. As the healthcare cost continues to rise, the government is striving to find ways to reduce the cost while providing more affordable care.
Accountable Care Organizations ACOs are key units that accept the responsibility for both quality and cost of the healthcare provided to the specific population of patients and offer performance data. Home Healthcare Agencies are under the authority of ACOs and are responsible for offering care and services necessary to sustain the patient in home setting and reduce the danger of re-entering the acute care context.
X credits the mentorship program in her previous hospital situated in Wichita as having impacted on her personal development as a nurse leader. The opportunities that were accorded clearly depicted her as a true leader. X remembered her second day in the eye unit while working as a licensed practical nurse where she was assigned to the ICU department because of staff shortage.
X spent the next two days in the ICU and, consequently, decided to make the department her new home. The RN mentor offered numerous opportunities for X to expand her learning and enhance her clinical skills. Afterward, X became the scheduler of all departmental units in the hospital to move to a twelve-hour shift rotation.
Subordinates also feel important part of the process of patient safety with this method of teaching. Mentorship enhances learning opportunities as well as assists in supervising and assessment of the staff practice setting. Leadership style and patient safety: implications for nurse managers. Is there a less-expensive way of doing this? As a result, the leaders in healthcare settings normally embrace and integrate different leadership styles, approaches and models in order to ensure effective healthcare services delivery. To empower fellow nurses, a nurse leader needs to be a driving force for admiration.
X perceives true leadership as always inclined towards a problem area that requires decisiveness. According to X, staffing remains the most challenging issue in her current position as a nurse leader. It is explicit that nurses lack the same work ethics they had before.
All over the country, staffing remains the key challenge in the nursing field.
American Nurses Association and media have repeatedly cited that a looming nursing shortage will elevate to drastic levels if not countered on time Stanley, In response to how to remedy the problem, X notes that it is essential for leaders to create open channels of communications with their staff in order to discover and put into consideration their concerns. X reaffirms that best leaders acknowledge their limits and always make efforts to secure current information that keeps them updated.
According to Stanley , trust factor with other staff members remains the greatest attribute a leader can possess in any organization. With respect to aspiring leaders, X notes that novice nurses need to always be at the top of every difficult situation where critical decisions are required.
In nursing setting, a nurse learns the basic and ground work first and shares knowledge with individuals willing to nurture success Stanley, In leadership, everyone has a way of learning and embracing the ideals that best suit individuals on their way to becoming effective leaders.