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Nursing Leadership

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Huang Ke

on 26 November 2014

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Transcript of Nursing Leadership

Issues and Challenges
Time Management Skills
Leadership Styles
Leadership styles
Nursing Leadership
HS8014 Case study one
Group members :Shao Zhen Zhi, Li Yan, Punitha, Irah, Huang Ke, Nora

Employees are motivated by external forces, such as power, authority, and need for approval
Leader makes decisions alone and uses punishment and direction to change employees’ behaviour and achieve results
Useful in crisis situations

Employees are motivated by internal drives and impulses, and participated in decision making
Create a spirit of collaboration which results in staff satisfaction

Managing Informatics in Nursing

Recently, you are overseeing the implementation of a clinical pathway other than coping with constant change of staff assignment at the ward. You have always wanted to be a good role model of change,
inculcate the right values and culture to the staff and align work plans to the organization’s vision and mission. Hence, nurse managers like you have to strive to acquire sufficient management knowledge to lead the team effectively.

Case study 1
You are an Acting Nurse Clinician who is transferred to a busy surgical ward.
You are faced with challenges of managing the available resources: staffing, facilities and budget to deliver an efficient, quality and cost-effective care to the patients and department.

You are faced with challenges of managing the available resources: staffing, facilities and budget to deliver an efficient, quality and cost-effective care to the patients and department.
The profile of the staff nurses in your ward are mainly from generation Y who periodically challenge your every decision, as well as a few senior nurses who are near retirement age and like to stick to their ‘old practices’.
The nursing team lacked teamwork which led to conflicts.
Junior nursing staff challenges decisions made by management.
There is a lack of motivation to excel together as a team
Senior nursing staff are resistant to changes implemented by management.
They like to be in the comfort zone and stick to nursing practices they are skilled in.
The nurses in the department are not motivated to work together as a team.
They only want to get the work done their way.
They felt there is no need to learn new things and improve process of care for patients.
As the nurses are not interested to learn and improve.
They just want to focus on the task they are assigned to and complete them and head home after work.
Nursing became a checlist of things to do for these nurses.
As staff were not passionate about their work, they worked day by day to get by.
Staff morale was low, nurses who could not find meaning in their work resigned.
This in turn caused a vicious circle of manpower shortages and those who remained in the department did not really care
Challenges faced
The ability of the nurse manager adapting to a new environment in the shortest time possible.
Resource Management includes facilities and budgeting, staffing management
Having the ability and emotional
strength to listen and resolve
Quality improvement in 3 main areas:
1. Staff development
2. Standard of Care
3. Clinical pathway

The Nurse Manager must always aim to improve the quality of work in the areas above.
The Nurse manager must lead and implement changes leading to a positive working environment for all staff.
The Nurse manager must keep up with technological advancement to take advantage of the latest technology to provide the best possible care for the patients and running the department effectively with the help of technology.
The nurse manager must be able
to manage knowledge effectively
and be able to store these knowledge for the department reference in future.
Time management skills is critical for the nurse manager to complete the multiple aspects of her work in a timely manner.
The Nurse manager must be able to handle
and reduce her stress effectively to deliver
optimal work performance.
The Nurse manager need to delegate her
work effectively to be able to focus on the
(Sullivan & Decker, 2009)
Autocratic Leadership
Democratic leadership
Employees are motivated by internal drives and impulses
Need to be left alone to make decisions, leaders are not involved to provide direction
Not useful in health care organization

Laissez-faire Leadership
Base on social exchange theory
Individuals engage in social interactions are expected to receive social, political and psychological benefits
Meet the needs of employees to enhance employees’ performance
E.g. staff who work overtime in exchange for granting special requests

Transactional Leadership
Employees are motivated by external forces
Neither leader nor employees make decisions
Rely on organizational policies and rules to direct work process

Bureaucratic leadership
Inspire and motivate
Merge values and goals of leaders and employees into a common cause
Foster employees’ inborn desires to pursue higher values and moral missions
Encourage others to exercise leadership quality

Transformational Leadership
Characteristic of a transformational leader
Team oriented
Effective communicator

(Smith, 2011)
(Sullivan & Decker, 2009)
Practical Strategies
Strategies for Conflict management
Managing Change
• Win-lose strategy
• Lose-lose strategy
• Win-win strategy

(Sullivan & Decker, 2009)
(Sullivan & Decker, 2009)
Recognize the early warning signs, pay attention to body language and be cognizant of the moods of the staff
Address the issue of concern at an early stage before it cause frustration
Try to understand, interpret and evaluate what’s being said, pay attention on the speaker
Keep responses and emotions under control, it will help set the tone for the parties involved
It will help to minimize the misunderstanding and facilitate resolution
Resolve the conflict that both parties are able the accept the solution
(Johansen, 2012)

Budgeting is an important part of the organization’s planning and controlling process.
Preparation of budget
(Grohar-Murray & DiCroce, 2003)
Types of budget

( Marquis & Huston, 2009)
- Information technology is changing the world
- Nursing has been greatly affected by the technological advances in communication and information sciences,
(Grohar-Murray & DiCroce, 2003)
Applications of Nursing Informatics

Nursing education
Nursing practice
Patient education
Clinical alert system
Patient data
Telehealth eg : use phone , faxes remote camera imaging.
Clinical information
Nursing research
Nursing administration.
Time management Strategies

Time management strategies

-a detailed and honest look at what actually occurs during a period

Set priorities
-base on the importance and urgency of goals

-develop action plans and schedules

-internal strategy to overcome barriers and delays

-ensure that goals are met within the set time frame

Benefits of clinical pathway
Methodical approach to care increases patient and family satisfaction
Communication among care team members and patients increases
Baselines for standards of care are established for clinical competency
Orientation process of new staff member encourages consistent practice from the start of
employment; pathways reduce inconsistency in
Clinical pathway process provides for a holistic approach to care, as opposed to the
traditional model.
Improve quality of patient care and reduce overall costs
Stress management strategies
Recognize stressors, it is important to improve one’s self-awareness regarding stressors
Keep balanced life includes balanced diet, regular exercise and adequate sleep
Develop effective mental habits includes role redefinition, time management and self-care
(Marquis & Huston, 2009)
Giltinane, C. L. (2013). Leadership styles and theories.
Nursing Standard, 27
(41), 35-39.

Grohar-Murray, M. E., & DiCroce, H. R. (2003).
Leadership and management in nursing
. (3rd ed.). New Jersey: Pearson Education.

Huber, D. L. (2010). Leadership and nursing care management. (4th ed.). Maryland Heights:

Johansen, M. L. (2012). Keeping the peace: Conflict management strategies for nurse managers. Nursing Management, 43(2), 50-54.

Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: theory and application. (6th ed.). Philadelphia: Lippincott Williams & Wilkins.

Ministry of Health. (2014). National nursing taskforce recommends new “care” package to enhance growth, professional development and recognition of nurses. Retrieved from https://www.moh.gov.sg/content/moh_web/home/pressRoom/highlights/2014/care-for-nurses.html 6.40pm 16th November 2014.

Price, S. A., Koch, M. W., & Bassett, S. (1998). Health care resource management. St. Louis: Mosby.

Sullivan, E. J., & Decker, p. J. (2009). Effective leadership and management in nursing. (7th ed.). Upper Saddle River, New Jersey: Pearson Prentice Hall.

Smith, M. A. (2011). Are you a transformational leader? Nursing Management, 42(9), 44-50.

A leader should be a master of all managerial skills.
Effective leadership style determines the outcome of the institution.
Identifying the right strategies will help a leader to resolve challenges.
Full transcript