• Internal Code :
  • Subject Code : NURBN 3018
  • University : Federation University
  • Subject Name : Clinical Practice


Nurses play a critical role in the health care area to ensure the safety of patients by observing them for medical concerns, examining care procedures and doing other related tasks. All the medical staffs are working on improving their skills and abilities for giving quality care to patients in healthcare organizations.Motivating assistants to attain high values of care is leadership ability(Mingay, 2019). It is the ability of a leader to act as a role model for their assistants and inspire them to give the maximum quality care to patients. There is a requirement of including the assistants in the quality control process.

By teaching the nursing assistants about the cause and effect relations, changing the group or individual performance will be easier which will help in improving the quality of care for the patients. A registered nurse has the duty to attain excellence and care values inpatient care. A registered nurse is responsible for leading and advising the assistant team in completing the projects.

It is the duty of the nurse to form and implement a deadline for the assistant team for attaining the goals(Barton, Bruce & Schreiber, 2018).This essay will assist in understanding various theoretical and practical approaches which are significant to leadership in different situations as a registered nurse.

Responsibilities in Team Leading to Ensure National Safety and Quality Health Service Standards

In the healthcare organizations, there is a requirement to meet the National Safety and Quality Health Service (NSQHS) standards. It is required to give clinical teaching to the assistant nurses so that they can provide quality care to patients. These clinical teachings will be beneficial to meet the National Safety and Quality Health Service (NSQHS) standards. The role of the head nurse is very important in managing and handling the assistant nurse team and a project (Kusi‐Appiah, Dahlke, Stahlke& Hunter, 2019). The manners in which the head nurse will work will have influenceon the productivity and achievement of their assistant team.

The main concern of the NSQHS Standards is to save the patients form any kind of harm and enhance the quality of healthcare. The standard explains a level of care which must be given by the health care system. As a leader, it is the responsibility of the head nurse to ensure that such quality is delivered by the assistant nurse team. Also, the head nurse should ensure that the NSQHS standards are met in the services of the assistant nurse team. Ahead nurse is one who supervises the functionality of assistant nurse team by giving direction and teaching. Various responsibilities of a head nurse in leading an assistant nurse team are:

1. Coaching assistant nurse team members

2. Developing assistant nurse team strengths and recover weakness

3. Identifying assistant nurse team objectives and assess team growth

4. Resolving conflicts

5. Organizing assistant nurse team initiatives

Leadership Styles and Rationale

The chosen leadership style for the registered nurse is:

1. Transformational Leadership Style:

Transformational leadership style assists in motivating the staff. It is not necessary that there is a requirement of the presence of the leader to make the change(Cope & Murray, 2017). The leader initially starts the transformation in the organization and inspires the staff to perform accordingly.

Rationale: In health care, there is a requirement that the head nurse should motivate the assistant nurse to provide high-quality care to patients. The head nurse also has some duties so she should provide -guidance to the assistant nurse once and expect them to follow the same. This kind of leadership style requires a high-level quality, involvement and productivity from the assistantnurses (Cummings et al. 2018). Thus transformational leadership style is the most applicable style.

2. Charismatic Leadership Style:

Charismatic leadership can convert the outlooks and opinions of staff. The leader has the power to encourage and motivate staff so that the goals of the origination can be achieved (Asamani, 2016).

Rationale: In health care, there is a requirement to convert the assistant nurse team's views. They must be inspired to work well and give quality care to patients by the head nurse. This type of leadership style can help to incorporate great change and motivate the assistant nurse team. Thus Charismatic leadership style is the most applicable style.

Responsibilities and Methods in Team Leading

The responsibility of the registered nurse is to work on innovative policies to build efficient care providing team. The responsibility of delivery of the services depends on the competent team members. It is the duty of the head nurse to guide the assistants with the help of examples which delivers satisfactory services(Manning, 2016). Head nurse should also give measurable aims as a source to give high-quality service. The head nurse should give training to the team members about communication skills and building relations. There are various responsibilities and methods of a Registered Nurse in leading a team for providing quality care.

Emphasis on teamwork: Due to teamwork the morale and the productivity of the employee's increases therefore it is necessary for the head nurse to focus on teamwork. The team should be taught to develop trust among the team members. This will help to reduce conflicts in the team.

Team-oriented Objective Setting: For increasing the teamwork the head should focus more on fixing up of team-oriented objectives (Giddens, 2018). This will help to enhance the overall productivity.

Teaching Communication Skills: The head nurse should ensure that there is no communication gap or misunderstanding among the assistant staff for which the head nurse should provide communication skills training to the assistant staff. The team members should improve their skills by screening, clarification, patient focus and open-ended questioning

Boosting Trust and Respect: It is necessary to build respect and trust amount the team members in healthcare. This will help to produce positive results.

Defining, Recognizing and Allocating Particular Roles: This is a very essential step for leading the team. This will help assistants to know about their duties and the support which they require in that.

Role Modelling or Teaching During the Shift

This phase is very critical in healthcare. The changing of shift can impose a lot of criticality in the treatment(Ellis, 2018). A small fault can lead to major issues in delivering quality care to the patients. It is the responsibility of the head nurse to teach and give training to the assistant nurses about taking the handover carefully from the team member who is leaving. It is mandatory for the assistant nurses that all the required medications and arrangements should be addressed before leaving the department (Lunden, Teräs, Kvist&Häggman‐Laitila, 2017). Proper notes must be prepared and maintained by the nurses those are to be provided to the nurse who is available on duty. The head nurse should motivate the assistant nurse team members for managing the shifts properly without missing appropriate details.

RN Standards of Practice

The Registered nurse standards of practice comprise of the seven standards which include:

  1. Thinking critically and analysing nursing practice: It helps to analyse, access and utilise the best available proofs which include research finding for quality and safe practice. It develops practice with the help of experiences, feelings and knowledge and respects all the culture. It also obeys the regulations and legislation requires decision making and follows ethical frameworks (Moura, Hayashida, Bernardes, Zanetti& Gabriel, 2019). It assists in maintaining correct and comprehensive documentation for contributing improvement in quality.

  2. Engaging in therapeutic and specialized relations: It helps to establish and sustain relations which keep a boundary among personal and professional relationships. It assists in interacting efficiently and giving supports and leading people towards optimise decisions related to health (Kelly &Porr, 2018). It utilises supervision and coordination for attaining the results. It vigorously raises a culture of safety and contributes to cooperative practice.

  3. Maintaining the ability for practice: It regards and gives responses in a time-efficient manner towards self-health. It gives information and training to people for their control over their health. It follows and replies to practice analysis and feedback.

  4. Systematically conducts evaluations: It helps to conduct evaluations which are culturally suitable. It utilises a wide range of evaluation methods for methodically collecting correct information (Cava &Lankshear, 2019). It evaluates the sources which are accessible for planning.

  5. Developing a strategy for nursing practice: It utilises evaluation data and available proof to form a plan. It also helps to plan and negotiate the practice evaluation. It helps to organize sources efficiently and professionally for planned activities. It builds the nursing practice collaboratively.

  6. Providing safe, suitable and responsive excellent nursing practice: It gives a completely harmless, quality practice to attain decided objectives and results that are receptive to the nursing requirements of people(Herman, Gish, Rosenblum& Herman, 2017). It helps to practice in the scope of practice. It gives efficient and timely supervision and direction to assure that the practice is secure and right.

  7. Evaluating results to inform nursing practice: It evaluates and observes development towards the predictable objectives and results. It helps to review the plan based on the assessment. It shows documents and interconnects further urgencies, objectives and results with the applicable persons.

NSQHS standards 1, 2 and 6

There are various NSQHS standards out of which some of them are:

  1. Clinical Governance: This standard explains about the safety and quality of systems which are mandatory to preserve and increase the consistency, care and quality of health care, and progress health results for patients. It is the responsibility of the registered nurse for continuous improvement of the care and quality of the facilities. Also, there is a need for the approaches to be safe, person-centred and efficient (Flanigan, 2016). The main concern of this standard is to deploy a clinical governance setup which assures that the patients get secure and high-quality care.

  2. Partnering with Consumers: This standard explains those strategies and systems which help to build a person-centred health care system. It will involve the patients in the decision-making process so that the patients become partners in their care. It can be felt that the clients are also included in the design and development of a quality system of healthcare. It is the responsibility of the head nurse to design, develop and manage systems to partner with the clients. The main concern of this standard is to form a healthcare company where the results are mutual (Flanigan, 2016).

  3. Communicating for Safety: This standard explains those strategies and systems which help for efficient interaction among nurses, patients and families, clinicians and teams and in the health care. It is the responsibility of the head nurse to set up and handle the process and systems for supporting efficient interaction with patients, nurses and families. These systems can be used by the staff to interact efficiently. The main concern of this standard is toguaranteewell-timed, purpose-driven and efficient interaction and documents that contribute towardsuninterrupted, synchronized and harmless care for patients.


It can be concluded from the essay that the nurse attendants assume a basic job in the medicinal services to guarantee the wellbeing of patients by observing them for clinical decay, understanding consideration strategies and doing different tasks. All the clinical staffs are taking a shot at improving their aptitudes and capacities for giving quality considerations to the patients in the medicinal services. It is required to propel assistant nurses to accomplish high estimations of care. It is the capacity of the head nurse to be a good example for their subordinates and motivate them to give the most extreme quality consideration to patients.

The assistant nurse must be considered in the quality control process which will help in improving the nature of care for the patients. A registered nurse has the obligation to accomplish greatness and care esteems in patient consideration. A registered nurse is liable for driving and motivating the subordinate group in finishing the healthcare projects. It is the obligation of the head medical caretaker to shape and actualize a cut-off time for the subordinate group for accomplishing the objectives. This essay helped to gain an understanding of different leadership styles and effective ways to lead the team.


Asamani, A. (2016). Leadership styles in nursing management: implications for staff outcomes. Journal of Health Sciences, 6(1).

Barton, G., Bruce, A., & Schreiber, R. (2018). Teaching nurses teamwork: Integrative review of competency-based team training in nursing education. Nurse education in practice, 32, 129-137.

Cava, M., &Lankshear, S. (2019).Developing the Role of Leader. Leading and Managing in Canadian Nursing E-Book, 26.

Cope, V., & Murray, M. (2017). Leadership styles in nursing. Nursing Standard, 31(43).

Cummings, G. G., Tate, K., Lee, S., Wong, C. A., Paananen, T., Micaroni, S. P., &Chatterjee, G. E. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85, 19-60.

Ellis, P. (2018). Leadership, management and team working in nursing.Learning Matters, 1(2).

Flanigan, K. (2016). NSQHS standard-patient identification. ACORN: The Journal of Perioperative Nursing in Australia, 29(1), 23.

Giddens, J. (2018). Transformational leadership: What every nursing dean should know. Journal of Professional Nursing, 34(2), 117-121.

Herman, S., Gish, M., Rosenblum, R., & Herman, M. (2017).Effects of RN age and experience on transformational leadership practices. JONA: The Journal of Nursing Administration, 47(6), 327-337.

Kelly, P., &Porr, C. (2018). Ethical Nursing Care Versus Cost Containment: Considerations to Enhance RN Practice. OJIN: The Online Journal of Issues in Nursing, 23(1).

Kusi‐Appiah, E., Dahlke, S., Stahlke, S., & Hunter, K. F. (2019). Acute care nursing team members' perceptions of roles: Their own and each other's. Journal of Nursing Management, 27(8), 1784-1790.

Lunden, A., Teräs, M., Kvist, T., &Häggman‐Laitila, A. (2017).A systematic review of factors influencing knowledge management and the nurse leaders’ role. Journal of nursing management, 25(6), 407-420.

Manning, J. (2016). The influence of nurse manager leadership style on staff nurse work engagement. JONA: The Journal of Nursing Administration, 46(9), 438-443.

Mingay, J. (2019). Models of leadership and their implications for nursing practice. British Journal of Nursing, 28(6).

Moura, A. A. D., Hayashida, K. Y., Bernardes, A., Zanetti, A. C. B., & Gabriel, C. S. (2019). Charismatic leadership among nursing professionals: an integrative review. Revistabrasileira de enfermagem, 72, 315-320.

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