Nursing as leadership in practice and power relationships (WK 7) Flashcards
what is nursing leadership
The ability to inspire, influence, and motivate interprofessionals by providing, facilitating, and promoting best possible pt care
How can nurses demonstrate leadership?
Advocating for pts
Identifying risks to pt safety
Advocating for quality practice setting
Sharing knowledge
Why is there a need for nurse leaders?
Mass exodus of retiring RNs
Influx of new grads
Growing demand for nurses due to baby boomers population
What skills do you need to be a nursing leader?
Accountability
Integrity
Effective communicator
Emotional intelligence
Critical thinking skills
Knowing how to delegate
Able to cultivate a positive working environment
Dedication to excellence
Ability to evolve and adapt to changing health environment
Commitment to education and professional development
Mentorship
what are the 5 common styles in nursing?
1) transformational
2) democratic
3) Laissez-Faire
4) Autocratic
5) Servant
Transformational leadership
Motivates employees to take ownership for their roles and perform beyond expectations
- Teaches people how to think rather than just do what they’re told
- “Quiet leaders”
PROS
- Inspires + motivates employees to find better ways of achieving their goals
- Mobilizes people into groups
- Raises well being, morale and motivation level of a group through excellent support
CONS
- May be ineffective in initial stages of during ad hoc situations
- Requires an existing structure
- Not ideal for new organizations
Democratic leadership
- Encourages input and communication from the team during decision making
- Values relationships
- Values feedback from team
- Members are comfortable and willing to voice their concerns, opinions, ideas
PROS
- Team members feel valued and comfortable speaking up
- Values transparency and input from entire team
CONS
- Detrimental to team during emergencies
Laissez-Faire leadership
- “Hands off approach”
- Common in new and inexperienced leaders
- Rarely provides direction or feedback
- Allows team to fn as they prefer w/o strong supervision
PROS
- No micromanaging
- Great when team is highly experienced
- Philosophy: “If it’s not broken, it doesn’t need to be fixed or changed”
CONS
- Not a good fit for healthcare settings due to constant change in environment
- Not good when quick decision making is needed
- Not proactive
Autocratic leadership
- Extremely “hands on”
- Makes decisions w/o input from the team
- Withholds info from the team
- Little tolerance for mistakes
PROS
- Effective in making quick decisions when necessary
- Good during emergency situations
CONS
- Not a lot of trust or communication in the team
- Team members do not feel valued and do not share
- Stifles collaborative decision making and transparency
Servant leadership
- Leaders influence and motivate others by building relationships and developing the skills of individual team members
- Leaders who serve; naturally cares for the team and wants them to succeed
PROS
- Beneficial for multi-disciplinary and diverse teams
- Seeks to meet the needs of all teams
CONS
- Poor performing teams continue to suffer
- Not recommended for top down position needs to be made
What do the BPGs identify and describe in terms of leadership?
- Leadership practices that result in healthy outcomes
- System resources that support effective leadership practices
- Organizational culture, values, and resources that support effective leadership practices
- Personal resources that support effective leadership practices
- Anticipated outcomes of effective nursing leadership
The guideline can be used by nurses in all roles, all settings
What are 5 practices of transformational leaders?
- build relationships + trust
- create an empowering environment
- create an environment that supports knowledge and integration
- leading and sustaining change
- balancing competing values and priorities
The nurse leader vs nurse manager
The nurse leader
- Oversee a team of nurses
- Makes decisions and directs pt care initiatives
- Has advanced clinical knowledge
- Focuses on having positive pt outcomes
- Works directly w/ pts and interprofessional team
- More hands-on in terms of pt care
The nurse manager
- Not involved in direct pt care
- Focused more on managing daily operations on the unit and supervising staff
- Must have an understanding of nurse management
- Often in charge of budgeting
What are 2 nursing roles in Ontario?
RN - Performed flexible sigmoidoscopy (RNFS)
- Educating RNs to perform FS - diagnostic procedures to screen abnormalities in the lower ⅓ of the colon
- Increases pt access to colorectal cancer screening
RN - surgical first assist
- FN collaboratively w/ surgical term to achieve optimal pt outcomes
- Reduces waiting time for surgical services
