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Clinical Leadership

Table of Contents

Introduction.

Post 1.

Post 2.

Post 3.

Conclusion.

References

Introduction to Clinical Leadership

This study will be initiated through the three posts made in assignment 2. The posts are related to clinical leadership, autonomy in nursing and innovation and change in the organisation. Comprehending clinical leadership is very important to ensure effective patient outcomes. The following posts will reflect the importance of nursing as a whole with the support of contemporary literature.

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).

As stated by Joseph & Huber (2015), Clinical leadership in nursing is important as it plays an important role in maintaining the quality, growth, and efficiency of nursing services. Good clinical leadership skills empower nurses with the knowledge to guide and assist patients. It provides healthcare professionals guidelines while providing care contributing to patient satisfaction which in turn improves patient outcomes. It is important to emphasize the impact that clinical nursing leadership has on patient care. Nursing leadership pursues patient health in order to achieve optimal patient satisfaction in the field of nursing care. It includes medication management, health, disease prevention, and treatment planning. Good clinical leadership refers to optimal hospital efficiency while handling complications, uncertainty. All these must lead to high conversion rates, effective health, and safety issues. Alongside all, it helps in the mitigation of the health care worker's barriers justifying the organizational need for clinical leadership. Clinical leaders will lead a team and they will be responsible for ensuring that they are in favor of their outstanding care both individually and as a team (Joseph & Huber, 2015).

The effective importance of clinical leadership is to ensure high-quality, consistent, yet safe as well as efficient care within the health care system as reiterated in the literary works of the scholars (Williams et al., 2016). It also considerers the government reports as well. All forms of clinician engagement and leadership are promoted in the recent inquiries, commissions, as well as the reports. Mentioning them as critical factors in the improvement of quality along with the safety measures for example, in Australia's key priority as recommend in the Garling Report associated with nursing refers to those of the Nurse Unit Manager (NUM) positions. It has to be reviewed as well as significantly redesigned so as to enable the contextual NUM. Although it is there to supervise, it helps the patients in ensuring and undertaking the clinical leadership for 70percent NUM’s time as applicable to the duties (clinical).

The time saved can be used various administrative as well as in management tasks. In the current UK based Francis report, it was recommended the positioning of the ward managers or the nurses to get involved more in clinical leadership. In the US, health service performance is completely driven by clinical leadership. With the increase in Quality of Healthcare, a dedicated Committee was instrumental in suggesting some of the considerable amounts of improvements in terms of quality. It can be only achieved with more and more clinical as well as patient’s engagement in the reform process. On the other hand, health care leadership is often complex, as claimed by some authors that faces some unique challenges. Without a doubt, all across the health care sector, the clinical leadership need is proven in the presence of evidence that optimizes the delivery of care. Additionally, resources as well as demand-based challenges refer to poor patient outcomes, poor cultural care. Alongside the workplace difficulty range, they are associated with the poor form of clinical leadership. All the mentioned concerns stimulate the use of examining clinical leadership interventions more closely (Wheeler, 2013).

The International Council of Nurses at the global, context identifies the leadership that underpins their activities as well as instrumental in establishing a Global Nursing Leadership Institute acting as an activity vehicle for these (Moscrop, 2012). Even the local clinical leadership enhancement initiatives were developed as well as implemented in many countries (as a widespread approach) apart from the aforementioned ones. Australia has undertaken steps toward the development of clinical leadership. An empirical example, to enhance clinical leadership skills New South Wales Health’s response toward the Garling report was to “Take the Lead,” in the form of a program’s developed and implementation in NUMs. It was instigated through a number of professional activities toward health care development. On the other hand, issue addressing effective clinical leadership is identified to be enhancing the clinical leadership in spite of the other’s presence. There are in present times exists studies lack but this particular field of management show improvements in reorganizing them as of having the capability in delivering the patient outcomes. These strategies lead to overall development in context to the health workforce (Moscrop, 2012).

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).

A critical situation arises during the care interventions to a patient in which nurses take important decisions hence proving the importance of nurses' autonomy. Preserving patient’s autonomy catering care services brings improvement in the patients and is of utmost importance. On the other hand, there are provisions of invading essential requirement during a critical nursing care circumstances valuing patient’s autonomy by appropriately presenting information thus engaging them in decision-making processes. As described by Oshodi et al. (2019), an autonomy’s clear understanding is required to develop and understand the nursing profession within the ever changing settings of healthcare globally. It concentrates on growth as well as helps in the positional expansion of nursing professional. Health institutions provide the nurses with necessary equipments to function autonomously. All these may contribute towards the formulation of the nursing based specific duties, responsibilities, as well as develops behaviour to improve the functional as well as a decision-making competence (van Oostveen & Vermeulen, 2017).

Nurses, are peri operative, responsible for practising within their scopes instrumental in providing care practices obliging legal duties in ensuring patient’s health and safety measures. Obviously reviewing the informed consent, then documenting as well as counting are accounted to be of highly prioritized legal responsibilities in case of a peri operative nurse. A mandatory procedure before the invasion of the procedures along with non-surgical procedures initially, obtains consent from the patient’s in the cases of arteriography. Informed consent helps the patient to understand the causes, associated risks, as well as the benefits or consequences related to the treatment procedure and care. It helps in the ensuring of patient’s safety and protects the interest of the physicians as well (sued for unauthorised surgery). According to Munday, Kynoch & Hines, (2014), an infringement of autonomy occurs if the patient is deprived off from getting adequate information in regards to his/her treatment and nursing interventions. It is the peri operative nurse’s responsibility to confirm a preoperative consent duly signed by the patient. It is done to notify the surgeon of the patient’s need and address them with more information prior to a decision making procedure.

As discussed by, the process of documenting the perioperative services is considered to be an indispensable role in context to the perioperative nurses. Even the contextual documentation helps in the improvement of the patient’s safety as well as protection. Hamlin, et al. (2016) was in a view that perioperative nurses can do it legally and acts as a nurses’ intra-operative nursing care evidence. Going further a tool is obtained to recognise the professional practices. As mentioned in the works of (Søndergaard et al. (2017), all form of documentation are based on observational as well as evidential details those are needed to be contemporaneously accurate, describing the detailed facts, and descriptions of provided nursing care interventions. Alongside Hamlin et al., (2016) were instrumental in documenting the information as an communication tool meant for health care members. These can help them in ensuring continuity in context to the catered care (Hamlin et al., 2016).

Lastly, as proposed by Biswas et al. (2012), the patient safety is ensured by surgical count plays that includes surgical items or operative instruments are used to avoid retention, injury as well as serious patient bodily complications. For that reason, as commented by Biswas et al. (2012), surgical accounting is considered as important for peri operative nurses. The reason for this is its accuracy that going further can affect both the physician as well as the patient in terms of ensuing health and well being safety. Any confusion can lead to a huge scene creation and instigates legal battle in between the patient as well as the surgeon. Stating an example the author adds that a fault of leaving foreign objects in patient’s body is to be considered as a malpractice based on negligence. As according to the views of Biswas et al. (2012), the patient’s health and safety is put in danger.

It can be concluded that peri operative nurses must be aware of, these nursing legal responsibilities based on their medical care actions. As it aims toward the ensuring of patient’s safety as their respective well-being to avoid some of the serious consequences those are relative to their career as well as can impact even the other members of a healthcare team.

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 the right kind of innovators, all types of registered nurses (RNs) tend to serve as in the 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. Being a change agent is very much innate for nurses. Healthcare providers or nurses are on the floor to see the effects of medications and the healthcare system falls on the patient, because they recognize certain things are good for the healthcare user and some things are not. For example, Nurses make up the largest sector of healthcare workers in the US and many other nations. There are more than three million healthcare providers in the US alone. They can subject an important role in determining the health system of tomorrow.

Nurses do not have the right to be effective agents of change in the changed healthcare system (Kjærbeck, 2017). These challenges must be fully recognized, identified and healthcare providers must be able to guide change and show their ability to be agents of change. Some of the challenges to nurse becoming a key leader in change are that nurses must be licensed to practice at the full level of their education and training. Healthcare providers should also be subjected as a fully functioning discipline in the delivery of healthcare and should be fully involved in healthcare decision making. The role of change agents can take many forms. Nurses have provided much more evidence to reduce workforce policy. Nursing is a key part in context to building an effective future in health care. Future policy options should be considered to broaden the participation of nurses in future policy design rather than simply expecting their implementation. There are several policy interventions that will improve the health of the people, but they need their help to change and that means integrating the voice of nurses in decision making at all levels of the system (Padilha, Sousa & Pereira, 2018).

Smolowitz and co-workers (2015) subjected several procedures to provide primary care in team-based environments and identify several methods that use RN to maximize efficiency, manage long-term situations, and manage episodic and preventive health roles in licensing and SOPs in functional activities. Another group looked at changes in the status of RNs within the ACO. A distribution model where a network of health organizations collectively takes responsibility for the quality and cost of treatment they adopt. As stated by Pittman & Forrest (2015), they further noted that ACOs use RNs in new and improved locations and suggest that managers enable health educators to use them to their maximum professional training and practice, as they are responsible for the risk of change.

Conclusion on Clinical Leadership

In conclusion, it can be stated that all three posts have been discussed elaborately with the help of evidence based literature. The posts were very imperative to comprehend the changing dynamics of nursing and it wrought out that nurses can be a change agent for their organization or to be more precise the healthcare sector. It has been conferred that practising autonomy and understanding clinical leadership is also very important in this context.

References for Clinical Leadership

Biswas, R.S., Ganguly, S., Saha, M.L., Saha, S., Mukherjee, S., & Ayaz, A. (2012). Gossypiboma and surgeon- Current medicolegal aspect – A review. Indian Journal of Surgery, 74(4), 318–322. doi: 10.1007/s12262-012-0446-3.

Hamlin, L., Davies, M., Richardson-Tench, M., & Sutherland-Fraser, S. (2016). Perioperative nursing: An introduction (2nd ed.). Australia: Elsevier.

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

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

Kjærbeck, S. (2017). Positioning and change in a hospital ward. Journal of Organizational Change Management. doi: 10.1108/JOCM-05-2016-0094

Moscrop, A. (2012). Clinical leadership: individual advancement, political authority, and a lack of direction?. British Journal of General Practice62(598), e384-e386. doi: https://doi.org/10.3399/bjgp12X641528

Munday, J., Kynoch, K., & Hines, S. (2014). Nurses’ experiences of advocacy in the perioperative department: a systematic review protocol. The JBI Database of Systematic Reviews and Implementation Reports, 12(5), 42-53. doi: 10.11124/jbisrir-2014-1458

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. doi: https://doi.org/10.1186/s12912-019-0378-3

Padilha, J. M., Sousa, P. A. F., & Pereira, F. M. S. (2018). Nursing clinical practice changes to improve self‐management in chronic obstructive pulmonary disease. International nursing review65(1), 122-130. doi:https://doi.org/10.1111/inr.12366

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

Søndergaard, S.F., Lorentzen, V., Sørensen, E.E., & Frederiksen, K. (2017). The documentation practice of perioperative nurses: A literature review. Journal of Clinical Nursing, 26(13-14),1757-1769. doi: 10.1111/jocn.13445

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

Wheeler, H. (2013). Law, Ethics and Professional Issues for Nursing: A Reflective and Portfolio-Building Approach. New York: Routledge, 109-112.

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. doi: https://doi.org/10.1097/NAQ.0000000000000143

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