Nursing for Leadership Model Witnessed - myassignmenthelp.com

Question: Discuss about theNursing for Leadership Model Witnessed. Answer: Approaches for Leadership Example of the Leadership Model Witnessed In a clinical setting, it becomes difficult to arrive at absolutely proper decisions if the subject has been sensitive for a while. Such situations are usually witnessed in the Department of Oncology. During clinical placements in the respective department, the manner, in which my senior registered nurses implemented a democratic style of leadership for effective care of their patients, could be identified. Their profiles as leaders in nursing team were authentic and they could effectively combine the interpersonal communication and planning to provide faster resolution to conflicts arising among cancer patients. In an Oncology Department, things are to be planned carefully through collective consultancy involving axillary nurses, technicians, doctors and radiologists prior to interaction with the patients who arrive at hospital. Specific Examples During the entire period of my stay at the healthcare environment, coordination was to be performed with Miss Phoebe who was the head of the nursing team for administering Chemotherapy. She was quite empathetic and fairly realized that things are dynamic when it comes to dealing with psychological disturbed patients and therefore she used to take each members advice before arriving at a decision regarding handling diversified patients. Description of the Approach Identification of the Leadership Approach As per my personal identification, it can certainly be opined that the kind of leadership approach she adopted was of democratic nature. She could prepare the entire team to deal with changes that are speculated in a nursing care for cancer. Things were not confined to the care only and the leadership model reflected within the education and research works also. I performed the exploration of management techniques from the initial phase of training itself to prepare myself professionally for similar situations in future (ONS, 2012). Explanation of its Key Features and Characteristics Democratic style of leadership is sometimes also termed as Participative leadership. There were various definitions framed for this particular kind of leadership seen among nurses. The definition changes as per the theories adhered to. Any effort to define a perfect model of democratic pattern is operationally inconsistent. Some of the key features in the pointed out leadership approaches are: Relatively Lesser Degree of Control over Subordinates than In case of Autocratic style when it comes to Work-Related Decisions Provision for Much Freedom for the Workplace Subordinates to Participate in Group Discussions. Emphasis on the Active Participation of the Group in Decision making Active Stimulation Among the Group During Participations and Discussions Collective Framing of Policies, Activities and Techniques that are required to cope with Any Kind of Tasks. Resemblance of the Leader as a Regular Member of the Group without Considerable Investment of Effort in the Work. Leaders Effort for Extension of Existing Knowledge and Competencies of the Team Members. Partial Resemblance of the Autocratic Behaviour in Highly-Specific Situations Where Accuracy is Critical Non-Directive Control over Members Actions and Bidirectional Flow of Communication (Neuss, et al 2013). From the past learning outcomes, it has been sufficiently understood that a democratic leader has high moral values in any kind of situation irrespective of gender perceptions and beliefs. Some argue that the democratic style of leadership is outweighed by the transformational one but the same might not be true. According to personal analysis, it can be revealed that the former do not result in low productivity rather the latter one may. The possible drawback can be the lengthy time consumed to decide over simple and short-termed executions. But the benefit leader brings among by encouraging volunteer efforts in its member far outweighs the drawbacks. A democratic leader notably demonstrates some desirable characteristics. He/she tends to be knowledgeable and stimulating and therefore can have high influence on the subordinates for accomplishing a task properly. Such leader observes winning in cooperation and often provides desirable consequences that are logical and situation-orient ed (Ray, et al 2012). Observation of Mentioned Key Features from the Clinical Practice The level of competencies and standards that Miss Phoebe demonstrated was commendable which are also required for effective administration of chemotherapy. Poor decision making skills while being in that setting can be impactful for any patient irrespective of his/her age or literacy factor. Chemotherapy can be costly and a patient might become extremely depressed post-realisation of any terminal illness. In such cases, Miss Phoebe has multiple times effectively demonstrated the participation of her patients and its family members for making medical decisions. During the clinical practice, it was observed that Miss Phoebe followed some preliminary procedures in case a patient refused treatment methods as prescribed by the doctor. Her procedure primarily reflected the effort to find out the cause for avoiding chemotherapies. This kind of situation truly indicates the sensitivity of a subject and therefore Miss Phoebe used to discuss with her team regarding the method of communication they were supposed to have with different patients. This implies a collective decision making and consultancy which are major characteristics of a democratic leader. A democratic leader is also participative in nature and the same was revealed when her intrapersonal skills were evaluated by colleagues and other healthcare professionals. She could build rapport with her patients with ease and thus succeeded in altering the medical decisions of her patients for positive health outcomes. This again implies that she is a democratic leader because of her active participation, which is a key characteristic of democratic leadership (Lanzoni, et al 2011). Self-Reflection Underlying Assumptions about the Suitable Role Carer, Patient and Health care Professional The cancer chemotherapy care that is being provided by both senior and junior registered nurses is assumed to be based on autonomously made decisions. It is an underlying assumption that all advocacies are performed in the best interest of the patient only and there is no medical obligation even if an illness has been evidently found to be terminal. In a technical aspect, chemotherapy is a person-centred approach as the nursing team and other care providers ensure that the patients maintain their optimism levels and stay psychologically and psychosocially stable. The underlying assumptions mentioned above are in context with the healthcare professionals. During the clinical practice with other senior nurses, it was learnt that testing of cell lines and studies related to animals act as determinants of efficacy and toxicity in anti-cancerous agents. Clinical trials still seem to be the only method for determining the same effect on humans. Thus it is assumed that patient plays the rol e of an experiment sample and new therapy are supposed to be adopted or brought into effect strictly only after multiple clinical researches. The underlying assumption in case of a clinical trial is that any clinical trial which is fairly conducted makes the agent worthy for testing. Other aspects are also considered practically like the population to be accessed, consideration of ethics while making nursing related decisions, competence level of fellow practitioners etc. The healthcare professionals have a big role to play as investigators. They are presumed to facilitate the implementation of study and adhere to such protocols that are designed for diagnosing the participants; in this case the participants are the patients that visit hospital premises for screening of cancer symptoms. For effectively operating within the clinical setting of an oncology department, there is strong need of some other operational assumptions. The definition of an Oncologist should not be generic but rather confined to such a physician who perceives the treatment of cancer patient as his/her primary responsibility. Such a domain of physician can include the surgeons, haematologists and the oncologists themselves. As Chemotherapy is strongly guided by scientific protocols, some aspects like eligibility criteria of patient, toxicity related modification of dose, informed consent and confidentiality of records are supposed to be concerning. Thus the nursing care can be moulded into a person-centred care with regards to the psychological sensitivity of patients in different age groups. The procedures for nursing care in Chemotherapy are compatible with the principles of person-centred care. Contribution towards Quality Health Care Multiple researches have been conducted in the past that evidently reveal that a person-centred care model can be more fruitful in the department of oncology to provide patients with holistic healthcare services. The principles of person-centred care can be incorporated into a comprehensive manner of cancer management program that might be on-going or is about to commence in future. By adopting PCC, the approach becomes integrative and therefore additional focus is given to the patients quality of life apart from the fundamental therapeutic regimens. According to Nandini et al (2011), a cancer management program which is based on principles of palliative care can enhance the patients who are usually in their terminal illness. The practice of Person-centred care is not recognised in a wider zone because of the already established medical training, culture and clinical practice that has ingrained into the socio fabric. Typically in institutions that are concerned with tertiary care of cancer-related illness, the needs and desires of patients are wrongly interpreted to be mere interventions that could modify any disease. The conventional system of relief against cancer symptoms is designed by means of a team of oncologists and palliative care specialists. A PCC-reflective oncology program would be highly interactive and help in holistic assessment of patients needs and concerns. PCC shall also make it possible to provide suitable and precise inputs from professionals hailing from multidisciplinary teams within the oncology departments. Moreover, the medical care for each patient will be a compassionate and a continued one. Subsequently the existing culture can also be altered to carry out systematic record processing and enhance the medical care services. Opportunities for Nurses who are Graduates The person-centred program will provide great opportunities for the graduate nurses to develop their leadership skills while conditioning them to operate in a practical setting. The graduate nurses will be working with the multidisciplinary teams associated with Oncological departments and they can perform networking with the prevailing healthcare service on a regular basis. This is obviously a part of the healthcare environment which is a big benefit for the nurses to practically implement their theoretical concepts gained over academic years. The group policy can also be enhanced through a PCC approach if each nurse performs focused interaction in a regular manner. This is because collaborative interaction among members is a crucial step towards building of an effective team. Person-centred approach can also assist graduate nurses in gaining an insight of patients needs and priorities. In-depth communication or subtle connections can bridge the level of trust a patient has on nurse s. The organisational reputation and regards for nurses can also rise among patients if the latter are provided with autonomy for medical decisions. Operational strategies shall help the graduate nurses to build their professional competence as a necessary factor for delivering holistic care. PCC-approach might help to achieve this if specific training activities are targeted towards the graduate nurses and if the same is incorporated into the existing program associated with oncological trainings. Contribution towards quality health care will certainly reflect within a short period if the attitudes and skills for palliative nursing are built up within the graduates. Precisely, that would be a gross building in the field capacity of those nurses. Person-centred care is usually followed by recruitment of a specialist who can rectify the common mistakes and turn the human assets to something more valuable (Kulig, et al 2016). Critical Evaluation of the Knowledge and Skills Gained and Development of Early Career Plan 1st person Aspiring Nursing Role Within the first 12 to 24 months of my professional career, I would certainly like to apply for the job role of a palliative nurse. This is because the chosen alternative opens more opportunities to refine my professional as well as personal skills. I will be operating in a practical setting along with a multi-disciplinary team that has high chances of providing me with extended areas of operations apart from my core competence. By performing informed and consistent interactions with healthcare professionals from various disciplines, my horizon will get widened and I shall become more dynamic than I am at a present stage. I can also contribute towards improvement in the policies and compliance procedure that are associated with regulation of quality in hospitals. Also, a PCC approach would help me to improve my rapport building abilities and I can connect with my patients in a holistic manner thereby establishing deeper level of connection with them. This is an indirect way to enhanc e my understanding of patients and their needs priorities without having them invest much. By working in a multi-specialized team, I can also efficiently stay uninfluenced from cases of incidents that are individual based and start building analytical mind for the wider solutions. Last but not the least, by practicing a Person-centred based delivery of nursing service, I can connect with people from diversified groups and my theoretical interpretations will not be limited as I shall be getting to interact with more subjects of interests. All these will definitely skyrocket my professional experiences as a nurse in different environment (Han, et al 2010). Two Factors Considerable for Transitioning to the New Role To be able to operate efficiently in the Palliative Unit, as a Graduate nurse it is important to consider 2 factors in a serious manner. As it is observed in the palliative unit that there is a dominant strength of such patients there are already suffering from poor physical and emotional outcomes. The indicators of service quality can be accessed if these patients are delivered with fast actions. It is equally important to gain a fair command over Hospice which is a highly customized palliative care for patients in their last phase of life or those in their terminal phase of illness. The two most considerable factors are as follows: The assessment of patients must be comprehensive when it comes to different dimensions including the physical status, the psychological conditions, belief systems, patients spirituality and his/her social interpretations. Even the Hospice needs to be a comprehensive one. The emotional needs should be additionally documented apart from a comprehensive assessment of overall dimensions of patient (Roth-Rochester, 2015). The screening procedures meant for diagnosing patients for symptoms should be as accurate as they can be. The screening is counted for issues pertaining to shortness of breath, vomiting nausea and pains in different parts of the body. Issues can be well documented only when the interpersonal skills of a palliative nurse are at par with the doctors with regards to understand the issues that have been verbally provided by a patient or subject. References Han, P.K. and Rayson, D., 2010. The coordination of primary and oncology specialty care at the end of life. Journal of the National Cancer Institute Monographs, 2010(40), pp.31-37. Kulig, J.C., Kilpatrick, K., Moffitt, P. and Zimmer, L., 2016. Rural and remote nursing practice: An updated documentary analysis. University of Northern British Columbia School of Nursing. Lanzoni, G.M.D.M. and Meirelles, B.H.S., 2011. Leadership of the nurse: an integrative literature review. Revista latino-americana de enfermagem, 19(3), pp.651-658. Nandini, V., Sridhar, C.N., Usharani, M.R., Kumar, J.P. and Salins, N., 2011. Incorporating person centred care principles into an ongoing comprehensive cancer management program: an experiential account. Indian journal of palliative care, 17(Suppl), p.S61. Neuss, M.N., Polovich, M., McNiff, K., Esper, P., Gilmore, T.R., LeFebvre, K.B., Schulmeister, L. and Jacobson, J.O., 2013. 2013 updated American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards including standards for the safe administration and management of oral chemotherapy. Journal of Oncology Practice, 9(2S), pp.5s-13s. Oncology Nurse Society, 2012. LEADERSHIP COMPETENCIES. Retrieved 20 September 2017 from https://www.ons.org/sites/default/files/leadershipcomps.pdf Ray, S.A.R.B.A.P.R.I.Y.A. and Ray, I.A., 2012. Understanding Democratic Leadership: Some Key Issues And Perception With Reference To Indias Freedom Movement. Afro Asian Journal of Social Sciences, 3(3.1), pp.1-26. Roth-Rochester, C., 2015. In palliative care, these 10 factors matter most. Retrieved 20 September 2017 from https://www.futurity.org/palliative-care-858232/