• Subject Code : NRSG375
  • Subject Name : Nursing

Clinical Leadership

Post 1 - Modules 1 & 2. I don’t see the relevance of learning about clinical leadership now, as a third year student about to course complete. My focus is really about getting a grad year first. Reflect and discuss this for your online post (ensure you support your point of view with the contemporary literature).

Clinical leadership in nursing is important for many reasons. The leaders of clinical nurses play a vital role in maintaining nursing services' quality, growth, and cost-effectiveness. Good clinical leadership skills empower the nurses with the knowledge to guide and help patients and healthcare staff while providing the care. This also helps in patient satisfaction, which, in turn, makes patient outcomes better. However, leadership in clinical nursing affects the health and quality of care received. So, highlighting the impact nursing clinical leadership has on patient care is also important (Joseph & Huber, 2015). Nurse leaders find the health of patients as a goal for achieving the best patient satisfaction when providing nursing care such as drug management, help alleviate health, disease prevention, and treatment planning.

Good clinical leadership is correlated with optimum efficiency in hospitals. Complexity, uncertainty, high change rates, severe health and safety problems, and health care staff constraints have been some of the factors why clinical leadership is necessary. The task of clinical leadership may include supervising a team of nurses and other healthcare assistants in a home, nursing home, or hospital environment (Williams et al., 2016). The clinical leaders will lead a team and be responsible for making sure that they uphold their level of outstanding treatment, both personally and as a team.

Post 2 - Modules 3 & 4. Autonomy in nursing is not relevant as nurses do not make clinical decisions. Reflect and discuss this for your online post (ensure you support your point with the contemporary literature).

There are many situations during providing the care to patients where nurses have to make decisions, so nurses' autonomy is very important. Nurses must preserve the autonomy of patients while improving their health. However, there are many circumstances in nursing care where the nurse can invade this essential requirement. Nurses should also value the autonomy of patients by presenting appropriate information and enabling them to engage in decision-making processes (Oshodi et al., 2019). An understanding of autonomy is required to understand and develop the nursing profession in rapidly changing healthcare settings. Globally, there is debate as to how the basic aspects of nursing are taken care of when concentrating on the growth and expansion of nursing professional positions. Health institutions must provide the required means for nurses to function autonomously by formulating specific duties, responsibilities, and behaviors and improving functional and decision-making competence (van Oostveen & Vermeulen, 2017). Besides, nurses agree that they linked accountability and obligation to their ability to operate individually, operating on their own needed trust. The nurses must now be able to operate individually, which means that the actions taken and the outcomes are then accountable.

Post 3 - Modules 5 & 6 As a grad, it is not expected that I contribute to innovation and change in the organisation where I am doing my grad program? Reflect and discuss this for your online post (ensure you support your point with the contemporary literature).

Being innovators, all registered nurses (RNs) serve to be change agents to guide procedures and policies and use technologies to provide improved, more affordable healthcare for patients and communities. The nurses can lead to creative ideas and strategies to build new pieces of information; implement strategies and procedures in health care; increase the quality and advance information technology in health care. Innovative concepts and activities of nurses who build new insights, successes guide product, method, and policy change to improve healthcare.

Smolowitz and co-workers (2015) identified a range of procedures that provide primary care in team-based environments and use RNs to both the maximum capabilities of licensing and SOP in functional activities, managing of chronic conditions and episodic and prevention health roles. Another group examined the changing positions of RNs in Accountable Care Organizations (ACOs), a delivery model in which a network of health care organizations function collectively and jointly responsible for the quality and cost of the treatment they receive. They also indicated that ACOs use RNs in new and improved positions and proposed that managers should be empowered to use health professionals to the maximum potential of professional learning and practice because they are responsible for the risk of delivering treatment changes (Pittman & Forrest, 2015).

References for Clinical Leadership

Joseph, M. L., & Huber, D. L. (2015). Clinical leadership development and education for nurses: prospects and opportunities. Journal of Healthcare Leadership7, 55–64. https://doi.org/10.2147/JHL.S68071

Oshodi, T., Bruneau, B., Crockett, R., Kinchington, F., Nayar, S., & West, E. (2019). Registered nurses' perceptions and experiences of autonomy: A descriptive phenomenological study. BMC nursing18, 51. https://doi.org/10.1186/s12912-019-0378-3

Pittman, P. & Forrest, E. (2015). The changing roles of registered nurses in Pioneer Accountable Care Organizations. Nursing Outlook, 63, 554-565. doi:10.1016/j.outlook.2015.05.008

Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E., Ulrich, S., Hayes, C., Wood, L. (2015). Role of the registered nurse in primary care: Meeting health needs in the 21st century. Nursing Outlook, 63(2), 130-136. doi:10.1016/j.outlook.2014.08.004

van Oostveen, C., & Vermeulen, H. (2017). Greater nurse autonomy associated with lower mortality and failure to rescue rates. Evidence-based Nursing20(2), 56. https://doi.org/10.1136/eb-2016-102591

Williams, M., Avolio, A. E., Ott, K. M., & Miltner, R. S. (2016). Promoting a Strategic Approach to Clinical Nurse Leader Practice Integration. Nursing Administration Quarterly40(1), 24–32. https://doi.org/10.1097/NAQ.0000000000000143

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