NURSING LEADERSHIP STYLES AND STANDARDS
Leadership is a great umbrella term and not everyone can possess the quality of a good leader. In every sector of the society a good leader carries out the most effective and successful outcomes in their respective course of action and it have been proven since ages. Nowadays, to adapt with the existing situations and thereby following the innovative inventions in health care services, leadership styles amongst the nurses has become of great importance. In this very context, the term leadership not only indicates to instruct fellow teammates to complete their deeds but also help to achieve success as well as helping them to develop their individual skills under certain circumstances (Laliotis & Sfantou,2017, pp. 14). Nursing is regarded as the key system for the safety and safe caring of the patients and it is totally a human centred profession. For this very reason, leadership is the most important and dynamic skill in the nursing profession. Nurses under the leadership of a good leader nurse has been proven as always highly motivated, well informed, and they are thoroughly committed to organizational goals willing to implement practices based on proper evidence. Their effectiveness has been reflected in their process of planning efficient ideas in patient care (Asamani et al., 2016, pp. 26). The paper presents three nursing leadership styles and its implementation with the registered nursing standards of practice and National Safety and Quality Health Service Standards (NSQHS).
Leadership styles and implementations:
The registered nurses have to thoroughly follow the RN standards of practices as determined by health care expert and professionals to provide the patients superior quality of services and their leadership styles have been categorised in various categories depending on the process of implementations and the area that are being covered (Cope & Murray, 2017, pp. 65).
As a leader of the team, the leading nurse has to maintain various sides of patient care so that each of the patients receives same quality of service effectively. The foremost quality that is expected from a good leader nurse is the style and effectiveness of communication. As they have to deal continuously with various kinds of patients and their various problems including some of major risk factors, it is always expected from a leading nurse to instruct her fellow nurses properly about the care as well as communicating with the relatives of the patients in a proper way to deliver them the news regarding the patient’s health. The nurse also has to keep appropriate contact with the supervising doctor (Anonson et al., 2014, pp. 129). The team leader always has to think ahead of any situation and is expected to be prepared always for any risk factors. This quality of thinking deals with the leader’s intellect. A nurse with the ability of thinking intellectually, critically and logically can cope with any kind of situation and are always ready to serve every individual with appropriate care and attention. Such leadership quality has been categorized as Transformational leadership (MacBeth & Mitchel, 2016, pp. 144) and is this quality is well mentioned in standard 1 (NMBA, 2016). Such leadership quality solely deals with patient outcome, satisfaction of the employee as well as with the maintenance of proper safety culture. An effective leader nurse is expected to become the role model of the fellow attendants which has been accepted as one of the primary quality of the transformational leadership style. In applying transformational leadership quality in attending patients, the leader has to maintain certain prime qualities including charismatic behaviour, thinking with her respective intellect and thereby inspiring other members of the team and paying attention to each of the deeds of the individuals (Brewer et al., 2016, pp. 2880).
Apart from these the team leader has to think forward ahead of time so as to deal with situations that needs hectic schedules and cares. To produce efficient results the nurse leader can divide the tasks into short term goals which will be easy to bear with successful outcomes (Intestines & Peace, 2018, pp. 100). Apart from attending each single individual patient she has to manage everything from medications to report as well as the course schedule of other nurses. Their management style can be either active or passive. While an active team leader monitors frequently the performances of the other nurses and make corrections of any kind of errors occurred at duty, the passive leader motivates her followers to detect the errors of their own before coming out with negative feedback and warnings (Akyurt et al., 2015, pp. 58). To motivate the followers and to engage them in more successful outcomes, the leader has to announce some kind of rewards which will act as the goal and motivating factor for the others. This style of management is also regarded as Transactional leadership style where the leader is entitled to deal directly with the followers through explaining their duties as well as maintaining the existing orders and acts along with tradition and past. The requirement of explicit orientation demands the approach of transactional leader for most effective outcome (Keklik et al., 2014, pp. 263).
Sometimes the team leader let the followers carry out their tasks of their own. This freedom doesn’t mean that the leader is careless but this is regarded as one of the effective ways to teach the followers to carry out their duties by making effective decisions of their own. This very technique of leadership the nurse leaders follows is regarded as Laissez-faire leadership style (Durak et al., 2016, pp. 182). Sometimes it is needed to set the followers free to carry out duties and if not done they will struggle in tough situations if the leader is not available at that very moment. To avoid such mishaps the leader often work passively by only instructing the fellow nurses and providing suggestions when needed, but not participating directly in the courses. This does not mean they are not monitoring what is actually going on. Leaders are always expected to be task focused as well as authoritative too and such style is implemented in such cases when the leader thinks that it is needed (Giltinane, 2014, pp. 38).
Nursing standards and implementations:
As a senior leading nurse of the team the leader has to maintain the standards as mentioned in the NSQHS while following the leadership styles (ACSQHC, 2017). While treating the patients the leader has to deal with several factors as well as think logically and reasonably. As the patient’s safety is the main concern in this regard, some other responsibilities too have to be dealt frequently. Building partnership with the patient as well as with their family has been proven as an effective means to maintain quality standard of treatment (NSQHS standard 2 – Partnering with consumers and patients) (ACSQHC, 2017). While planning care responsibilities and health related designs, as a leading care giver the leader nurse has to build up suitable and proper communicating partnership with the patient and his/her family (Gaca et al., 2020, pp. 230). This effectively helps to evaluate the situation of the consumer as well as discussing in details about the treatment plans and ideas that are going to be implemented upon the patient. This keeps patient and family involved and working on built trust. To provide safe, and appropriate quality of service communication and effective partnership is therefore a must concern (NMBA standard 6) (NMBA, 2016). The transformational style of leadership actually serve as the best in this regard as the primary task of the leader in such style is to have effective communication skill and critically intellectual thoughts that will surely come out with efficient and successful outcomes (Bryce et al., 2017, pp. 265). This partnership also leads to enlightenment of the consumer and patient families about the medicinal approaches as well as also about the safety practices and health literacy related to the patient. Apart from all these there are obviously some risk factors associated with the partnership ideas. Monitoring processes are hence followed to thoroughly after the implementation of partnership and communication ideas leading to quality care services (Bucknall et al., 2016, pp. 2490).
Some of the patients come with rare diseases as well as in critical conditions where the risks of infections appear in broad daylight. While treating the patient these factors also have to be noted and observed properly (Hamilton, 2019, pp. 17). Infection prevention and control systems hence become the primary concern to avoid making situations tougher and critical than before (NSQHS standard 3 – preventing and controlling healthcare associated infection) (ACSQHC, 2017). The transactional leadership qualities are most effective in such cases. The leaders must think positive and ahead of time about the circumstances that can occur at any time (Botti et al., 2016, pp. 169). Preparations henceforth have to be made before they knock at the doors. Apart from communicating with the patient and the families and making them aware and enlightened about the risk factors the leader is expected to build up preventive measures as well. Development of advanced plans in nursing care is most required in such cases (NMBA standard 5) (NMBA, 2016). Apart from all these the financial states should not be neglected in any case. The leader has to be aware of this fact. Reusable medical devices have to be implanted in the treatment procedures so as to cut off the financial outcomes coping with the probable financial status of the patient family. Innovative and intellectual ideas are therefore much needed which can bear efficient results (Gardner et al., 2016, pp. 143).
Documentation of information as well as providing appropriate and exact nursing services are much needed to maintain quality standard of services at healthcare organisations. The leader of the nursing team is expected and should be expert in communicating properly with every staff member and patient and the associated relative. Medical conditions are truly uncertain and only proper approaches can bear fruitful results. Considering this fact the task and procedures of the nurse leader should be top notch perfect in every aspect and situation. Before treating a patient, proper identification is the main task that needed to be done immediately. Usage of structured clinical handovers has to be done and mandated by the nurse leader to communicate effectively about the proper health, condition and care of the patient (NSQHS standard 6 – communicating for safety) (ACSQHC, 2017). The nurse leader has to make short term task schedules for each of the fellow team members and instruct them properly to have efficient outcomes. Delegation plays the crucial role. Dividing tasks into parts will consume less time which is much needed in most of the critical cases. Evaluation of the fellow team members need to be done by the leader to maintain and analysis the capabilities of the fellow members and the leader has to monitor them in appropriate ways frequently (NMBA standard 7) (NMBA, 2016). The nurse can also put on rewards for each individual for successive results. The past records of nursing history will be much helpful to diagnose similar cases which will be time effective as well as can be promising in most of the cases. The implementations of therapy through analysing past records and following some traditional approaches have always resulted in positive and promising outcomes (Anderson, Dwyer et al., 2019, pp. 396).
Nursing practices is all about care, affection, proper guidance and accuracy level at its peak. The patient seeking treatment in any medical organisation is totally dependent of the caregivers as well as upon the doctors and trusts them to get rid of the situations they are suffering from. This is why the leader of the nursing team is entitled with such heavy responsibilities. As they all are dealing every time with lives of some individual, any little miscommunication or ill treatment can cause the very of that individual. Their practices as well as guidance to other fellow members hence have to be according to all the standards which deals with the all the safety and other features in details maintaining appropriate partnership with the consumers, patients as well as with the family of the patients too. This effectively help them to come out with the most effective and fruitful measures thereby setting the stage of an efficient example for the others involved in this very profession. The safety standards has been developed for nursing practices by investigating thoroughly various cases and results through ages and such measures are meant to be effective if applied and maintained appropriately.
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