Verified Document

Nursing Leadership As Nursing Has Moved Toward Term Paper

Nursing Leadership As nursing has moved toward professionalization, roles for nurses in leadership positions have been created. Historically, the roles of charge nurse, nurse manager, nurse educator, and nurse leader, have existed to coordinate and improve care delivery. In recent times, advanced practice nursing education has been introduced in order to formalize and improve performance of this role, in order to ensure evidence-based practice and improve patient care outcomes. While the presence of CNS's and other graduate-prepared nurses has been shown to improve patient outcomes, the existence of problems with medical errors and cost escalation still extant in hospitals has prompted health care leaders to develop a new role addressing these problems. This nascent, credentialed role, created by the American Association of Colleges of Nursing (AACN) in consultation with nursing faculty, clinical experts and other stakeholders, is called a Clinical Nurse Leader (CNL).

Nursing administrative position

The outcome variable of nurse job satisfaction measures the degree to which nursing care delivery systems acknowledge, nurture, and protect the practice of the professional nurse. Common indicators of nurse job satisfaction are the degree of job autonomy, the accountability of the professional nurse, and the presence of meaningful work (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Deutschendorf, 2003; Kramer & Schmalenberg, 2002).

Nurses work in several different settings and have many different job titles, responsibilities, and credentials. (As new roles for nurses develop in the health care setting, many nursing professionals describe these innovations in care modalities as nursing care delivery systems.) This paper will discuss some of the innovations and advancements in health care delivery as evolutionary adaptations of the four basic nursing delivery systems using Marie Manthey's (1990) definition of a nursing care delivery system. Manthey describes nursing care delivery systems as ". . . A set of concepts defining four basic organizational elements. The definitions of these elements are based on principles that are in turn based on fundamental values. These fundamental values will ultimately determine the quality of the product. These four fundamental values or elements are clinical decision making, work allocation, communication, and...

203). Marie Manthey's definitions of nursing care delivery systems published in 1990 are still widely accepted.
Management responsibilities

The CNL is not a manager, but is expected to lead in the design and implementation of care & outcome objectives while advocating for the best interests of her patients. As such, she collaborates with other health care providers, patients, family and community members, and must be comfortable in delegating (and in many cases, teaching) goals and responsibilities to each. As well, the Clinical Nurse Leader should be vigilant in anticipating risk for illness or injury to her patient or population; and, work to mitigate those risks through coordination of health promotion & illness prevention education. (American Association of Colleges of Nursing, 2007).

Good fiscal stewardship is a condition of quality care. The CNL, as a patient manager and care coordinator, cannot turn a blind eye to the cost of care, and must maximize resources using evidence-based practice. As an owner of a small business would keep an eye on possible cost-reduction actions, so does the CNL have to understand economic influence in the clinical world, be able to balance and monitor the flow on a business account sheet, and have some basics in marketing and business as well.

Effective leadership style

An effective leadership style for nursing would be transformational leadership. This is because this style of leadership adapts to its profession. By substituting the nurse as the leader and the followers as anyone in needs of the nurse's services, whether it is a patient, organization or even other healthcare professionals, a very useful philosophy of nursing can be established. For instance, transformational leaders have 1) charisma, b) the ability to inspire and motivate, c) the ability to provide intellectual stimulation and c) the propensity to provide individualized consideration to followers. These traits, when applied by the transformational leader, can enhance the followers self-worth and value -- this is needed in healthcare practice.

Communication strategies

Communication technology will facilitate the continuity and comprehensiveness of care. Use of technologies such as telephone, email, video conferencing, and discussion boards for education and…

Sources used in this document:
References

Aiken, L.H. (2002). Superior outcomes for magnet hospitals: The evidence base. In M. McClure & A.S. Hinshaw (Eds.), Magnet hospitals revisited (pp. 61 -- 81). Washington, DC: American Nurses Association.

American Association of Colleges of Nursing. (2005). CNL frequently asked questions. Retrieved October 5, 2007, from http://www.aacn.nche.edu/CNL/faq.htm.

Deutschendorf, A.L. (2003). From past paradigms to future frontiers: Unique care delivery models to facilitate nursing work and quality outcomes. Journal of Nursing Administration, 33 (1), 52 -- 59.

Manthey, M. (1990). Definitions and basic elements of a patient care delivery system with an emphasis on primary nursing. In G.G. Mayer, M.J. Madden, & E. Lawrenz (Eds.), Patient care delivery models (pp. 201 -- 211). Rockville, MD: Aspen Publishers.
Cite this Document:
Copy Bibliography Citation

Related Documents

Nursing Theory From the View of a
Words: 1634 Length: 6 Document Type: Essay

Nursing Theory from the View of a Mirror, Microscope and Telescope The objective of this work is to examine perspective of nursing theory from the view of a mirror, a microscope, and a telescope. Theories are described as "a set of interrelated concepts that give a systematic view of a phenomenon that is explanatory and predictive in nature." (Nursing Theories, 2010) Theories are stated to be composed of "concepts, definitions, models, propositions

Nursing Curriculum
Words: 765 Length: 2 Document Type: Essay

Nursing Clinical performance can be graded in two different ways. Letter grades are the most common, but some places choose to use the pass/fail technique instead. In that option, there is no letter grade given. The person being graded is simply told whether they have passed or failed the clinical examination. As a member of the committee, I would favor using the letter grades for clinical experiences. This provides much more

Leadership Discussions First Half Conflicting Obligations Identify...
Words: 1899 Length: 5 Document Type: Research Paper

Leadership Discussions First Half Conflicting Obligations Identify at least two ethical dilemmas that occur when you are in a position of leadership. What makes the dilemmas ethical? Would you expect each person to react to the dilemma in the same way? People have different ways of reacting to dilemmas. In my position as a leader, I have encountered a situation where I had to choose tow rights. In this case, I was entangled

Nursing and Scholarship Will Two-Hour Turning and
Words: 1199 Length: 3 Document Type: Essay

Nursing and Scholarship Will Two-Hour Turning and Positioning Decrease Pressure Ulcers in the Elderly Population in Nursing Homes? In order for a modern nurse to be both clinically and practically qualified to give exemplary patient care, they must be able to assimilate knowledge quickly and preserve the tenets of nursing while still excelling at the science of the field. . Within the subject of nursing, there are often times in which different

Nursing Associations the Benefits of
Words: 4670 Length: 16 Document Type: Essay

In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering. The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the

Leadership Styles Among Male and Female Principal and How Teachers...
Words: 14019 Length: 50 Document Type: Term Paper

Leadership Styles Among Male and Female Principal It is the intention of this research to study the leadership and cognitive styles of teachers and instructors of both genders within the educational system and their preference for types of leadership in a principal of that institution. The research will include teachers and educators from all levels of the educational system from grade school to high school. The study will also include teachers and

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now