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  • Subject Name : Nursing

Leadership Issue Identification and Its Management in Clinical Practice


Leadership is a quality which enables to guide and to influence a group of people towards a common goal. Leadership in medical management has many characteristics like listening, vision, empathy and integrity. Quality of the best team leader measures on the basis of improving the team performance after knowing all the positive and negative factors of the team. A group leader should be present to address issues revolving pressures of personal differences as well as to develop a cohesive environment within the group. Leadership in the context of medical management can be critical as it is oriented to deliver and provide the experience of best medical facilities to the patients (Boustani et al., 2019).

As everything cannot be perfect, same goes with leadership as well. While adaption the leadership, leader faces many problems as well. In this report, I have shared my recommendations and solutions briefly that how can we build a team that is more efficient in doing the work. Some of the major key recommendations to make an efficient team are good communication, team members should have a clear vision of the process to reach the goal of the organization and that includes in commitment, each member of the team working on the same project must have a mindset of ownership and ready to contribute their knowledge as well as time and focus not only on the organizational needs but also on the team member’s perks and benefits. All these recommended keys can help in constructing an efficient team in the medical management. In the present report an issue will be identified in the clinical set up. The report will shed light on the application of leadership for tackling with the issue identified.

Leadership in Medical Management

Leadership in nursing is very critical and highly valued. Nurses have to be prepared for all the circumstances. In the research by The Institute of Medicine, it’s been observed that, nurses have to be ready for all the part of the medical. Mainly leadership refers to influencing the group of people. Leadership includes the key factors such as motivation, communication, and integrity and goal attainment. These were the factors which helps a leader to achieve a good team. Achieving a good and effective team is a very big task.

It takes a lot of courage to build a team which follows and work with same dedication as a leader has. Leader can only modify the team efficiency with the help of some solutions. Leadership is only based on the teamwork. Teamwork is an action that is taken by all the team members to work or accomplish the task in an effective and efficient manner. Teamwork plays an important role in an organization as all the team members have a common goal. Actions taken by the team members are always to reach the organizational goals (Yun et al., 2014). Efforts of each team member are goal oriented for the organization. Teamwork helps to reduce the burden of excessive work load from an individual.

Teamwork leads to achieve many difficult tasks as every team member shares their innovative ideas to make it successful. Teamwork helps to complete a project in a very short time of period as one work is divided and given to each member equally. There are different types of responsibilities and practices in medical management (Xu, 2017). Doctors and nurses have to take care of many things such as to teach and to train all the team members so that they can perform well in the absence of any department manager or doctor, another critical responsibility is to plan all the work and to manage or using the available resources effectively and efficiently, the doctors or the medical management also have the responsibilities regarding to the issue of employment and the most important responsibility is to improve the facilities and the services which are provided by the hospital and the management which includes doctors and nurses.

Leadership has several practices to manage the management of medical and the first principle is leadership based on evidence. Evidence oriented leadership refers to the research and study done by the management for the efficient and impactful leadership (Lee et al., 2020). Nurses and doctors firstly studies and research about the facts and collects evidence so that they can provide the best services to the patients. Evidence is actually required for the medical management to create trust in between the patients for the medical faculties. Nurses and doctors use the researches and the data so that they can provide the best and excellent practices to the patients (Patten & Sauer, 2019).

There are three types of behavior in the leadership which is based on evidence that are strategies, cross cutting and functional. The leadership which is based on the evidence actually requires focus on the language and literature and they are used on the daily basis. This helps in to plan that are the issues related to the research and that build on each other on a continuous basis and that results to adapt the change (Asurakkody & Hee, 2020). Now another part of the leadership that is based on the evidence is functional. Functional is a behavior that includes encouraging others to apply the practices that are evidence based. In functional behavior, if leaders want a team to adapt the wanted behavior then leaders have to act as a model to get the wanted actions and behavior from the team (Broome & Marshall, 2020).

Now the last type of behavior in the evidence based practice that is cross cutting. In cross cutting, the leaders provide a culture that supports the practices based on evidence. In this behavior, leaders encourages the faculties to motivate them and have a proper communication behavior for the team members and also make sure that every team member follows the strategic behavior and functional behavior to provide the best services to the patients. Second principle of the leadership in medical management is leadership excellence. Leadership excellence has characteristics that provide better understanding of the principle:

  • Leadership philosophy that includes service, communication and commitment.

  • Mission commitment that tells to attach the mission to an organization

  • Leader should always covey these qualities to others that are encouraging, empowerment and mentoring

  • Leaders should always respect the members of the team because they all are the prestigious part of the organization (Patten & Sauer, 2018).

  • Leaders of the medical management should use the perspective for the short and long term both.

  • Every member of the management should always open to the feedback of the services from the respective patients.

So, these were the characteristics that define the leadership excellence in a proper manner. Third principle of the leadership in medical management is organizational excellence. Organizational excellence refers to an organization which is constantly putting efforts to improve the environment of organization, standard of the services provided by the doctors and nurses and framework (Gordan et al., 2019). Organizational excellence needs a strategic planning, leadership and also a direct focus on the patients and the customers. It also includes the focus on the business management, information and analysis, process management and human resources. Organizational excellence completely depends on the internal factors as well as on the external factors.

An internal factor includes the aspects of the employees. Internal factors are only dependent on the employee that includes the goals related to them and an external factor depends on the customers and market. Now the last principle of a leadership in medical management is optimal health status (Jones et al., 2020). Optimal health status refers to a state where a patient is completely well. In the leadership of medical management, optimal health status plays a very major role because providing a good service and helping patients for the total recovery helps to improve the standard of an organization. It creates trust in all the patients who are trusting to the hospital and doctors or nurses for the better cure.

Evidence oriented leadership, leadership excellence, organizational excellence and optimal health status are the four principles of the leadership in medical management and all the four factors provide a better leadership in the management of an organization. I am a team leader is a very prestigious organization and I have faced some critical issues as well. The biggest responsibility of a team leader is to analyze the work of the whole team individually (Kiss et al., 2020). I need to check everyone’s performance and productivity. When analyzing the performance of all the team members, I came through the fact that there are several positive factors which gives us results but I got to know that there many negative factors as well in the team which degrade the performances.

I am having a team that consists of twenty members, all the twenty members belongs from different areas, background, culture and age groups, with the diversity in my team, every member has several innovative ideas, techniques and suggestions. Every member of my team is an asset for the organization (Klinke & Jónsdóttir, 2020). While spending so much of my time in working with my team, I came to know that there are two positive factors which are giving heights to my team. There are two negative factors as well which are degrading the performance of the team. A team should be an asset to the organization and one of the qualities of the best team leader is to increase more effectiveness in the team.

There is a major difference between completing task and taking ownership. Having an ownership mindset in a single team member is equivalent to a leader. When someone takes charge of the responsibility, they actually create a big difference in the team performance. In my team this is the biggest issue that I have been facing. Every member does the work that is allotted to them but no one from the team has an ownership mindset to complete a task (Kim & Kim, 2019). If everyone from the team starts taking their responsibility on their own then, we can easily achieve the ideal goals in the organization. But no one gets ready to take responsibilities on their own because they have a mindset of an employee. Another major drawback of my team is that they don’t have any defined goals (Ali, 2020).

They only do the work which is assigned to them in the given time frame. In my team, no one has an aspiration to grow themselves by creating some targets for their own growth. They don’t have even clear visions for the organizational goals. Sometimes it becomes really hard for me to motivate them to achieve the organizational goals by accomplishing the given tasks and projects (Patten & Sauer, 2018). It’s very important that an individual have aspirations to grow in the career that not only helps the individual personally but also helps the organization. As a team leader it’s my responsibility that I find the solution and overcome the problems of my team. I planned to do some new things and adapt a new strategy to change the overview of my team.

So, I decided to adapt a strategy and the strategy includes a good communication behavior with every employee and I started encouraging them. After implementing all the factors, I have seen drastic changes not only in the teamwork but also in the personalities of the team members. Now, they have dedication in their work. They put extra efforts to achieve more. They also started taking responsibilities which is shaping their personalities and also helping the organization by becoming an asset. Leadership in medical management faces several critical issues like reimbursement, technology, workforce shortage, health care policy and leadership gap (Dolbier et al., 2001).

Reimbursement refers to a situation when government tells health care organization to lower down the cost and the fees charged from the patients (Lee & Kim, 2016) Technology can be a very critical issue for the medical management because medical authorities have to keep on updating the technologies. Workforce shortage refers the shortage of staff. All the problems and the critical issues can be resolved by the good strategy and planning.


Leadership in nursing is very critical and highly valued. Nurses have to be prepared for all the circumstances. In the research by The Institute of Medicine, it’s been observed that, nurses have to be ready for all the part of the medical. Mainly leadership refers to influencing the group of people. Leadership in medical management has four principles that help to conduct the leadership in a very effective and efficient manner. Leadership in medical management also faces some critical issues and they can be resolved by the proper planning and strategies.


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