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The Road to Nursing Leadership

A presentation of what our team has learned throughout our NURS 1091 course.
by

Melody Alderton-Ballik

on 30 June 2014

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Transcript of The Road to Nursing Leadership

Group Members
Decisions, Decisions

To be a nurse
Is a blessing in disguise
Not a curse
But a chance to change lives.

Leaders are amongst us to survive
We argue, smile, agree, compromise, and push on
We empower each other to keep healthcare alive
Communication is key in our art, dance, and song.

We work together to form the best outcome
From all walks of life
We become one
What a pleasure we take in our sacrifice.

We create a thorough plan
To save one life at a time
We are each others greatest fan
Fighting illness like its a crime.

We do it because we can't rest
Until we see a positive change
Lets decide whats best
Practice within our scope and understand our boundary range.



How do these areas affect decision making?

Melody
: Leadership Style Transactional

This style is useful for quick decisions, but team members can become dependent and frustrated if their opinion isn't heard
Communication Apprehension Low

Good for communication, however listening to others could be improved


How do these areas affect decision making?


Ashlee
:
Leadership Style

Transformational


This style is useful for promoting team satisfaction through involving others in decision making and valuing input; however, problems can arise with cost-effectiveness, the need for quick decision making, and with short-term crises.
How do these areas affect decision making?
How do these areas affect decision making?

Samantha:
Leadership Style
Transactional Leader
What can we do with what we have learned?
The Road to Nursing Leadership
Creative Reflection - NURS 1091
Group Conflict:
I discovered that I have an accommodating style of dealing with group conflicts which means that when being faced with conflicts, I often will try to preserve the harmony and have concern for the welfare and needs of others (Ellis & Hartley, 2009). Learning this, I

Amber
:
Leadership Style Democratic
Democracy relies upon open communication, teamwork, and enjoyment of sharing ideas and options. This form of leadership is very motivational and empowers multiple people at once, however it is very time consuming and requires an open mind.

Workplace Conflict Management
Being a charge nurse with seniority enables
me to practice conflict resolution frequently.
I find it challenging to encompass staff
engagement because staff find repetitive
meetings useless, when in fact they are slowly
changing our work atmosphere. It is very
challenging to be transparent during these times,
especially when you want everyone's voice to be heard while concisely developing one plan, one goal, and one resolution.
Transition: A New Level of Acceptance
Some key components that I need to improve and refine continuously include: self-confidence, be heard by more experienced nurses and Doctors, ask help when needed, interpersonal
communication
, body language, and
interpretation
. I tend to go to the RN in charge frequently for assistance. Becoming an RN I am learning that I will be that “go-to” person soon. I have developed a very healthy, dominant, involved RPN role within my workplace, so transitioning is rather difficult. The CNO (2014) states it is imperative for a nurse to have the proper
authority
before performing care, which includes knowing your scope of practice and boundaries (p.7). I am fortunate to be a member of a great
team
at my workplace. We have mutual
respect
and admiration for one another. We trust each other’s perspectives and share the same concerns which makes decision making flow smoother regarding certain topics.


Resistance to Change:
Another aspect of leadership development I currently struggle with is the acceptance of change. I tend to associate conflict and in turn change as having a negative impact on whomever was involved because the term conflict has a negative connotation . In order to progress towards becoming a stronger leader,a shift in the way I view and interpret conflicts is necessary. One approach to accepting conflict is to categorize it as constructive or destructive based on the communication style and issues identified (Ellis & Hartley, p. 342). Doing this will easily allow me to identify, and
Use reflective practice in our portfolio!
Melody Alderton-Ballik

Ashlee Murphy

Amber Ring

Samantha Saint
FOCUS TOPIC
DECISION MAKING
Why is decision making challenging?
Group Conflict:
"To support interprofessional collaborative practice team members consistently address conflict in
a constructive manner" (CICH, 2010).
I discovered that I need to develop strategies to address disagreements. Specifically, effective communication skills without becoming emotional during conflict with colleagues

Lack of Experience:
As a novice nurse, it is easy to shy away from some decisions, and feel unsure about the ones that are made. Confidence comes with experience, and having access to reliable information to support nursing decisions. I found this link helpful when working through a decision.
http://www.criticalthinking.org/pages/universal-intellectual-standards/527
References
keep a journal of decisions where strategies were used
discuss with peers, learn to accept feedback
participate in assertive communication workshops
encourage colleagues through challenging situations
be a better listener
confide in more experienced nurses
do not fear asking for help
continually reflect upon your own practice and seek refinement
Leadership Style (Module 2 & 3) - Transformational

Communication Apprehension (Module 4)

Group Conflict (Module 5) - Tuckman's model

Lack of Experience (Module 10) - Delegation/
Critical Thinking
Canadian Interprofessional Health Collaborative. (2010). Retrieved from http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf

Decisions about procedures and authority. (2014). College of Nurses of Ontario, 1-19. Retrieved from http://www.cno.org/Global/docs/prac/41071_Decisions.pdf

Elder, L., & Paul, R. (2013). Universal Intellectual Standards. Retrieved from http://www.criticalthinking.org/pages/universal-intellectual-standards/527

Ellis, J.R., & Hartley, C.L. (2009). Managing and coordinating nursing care (5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

NCLRC. (2014). Portfolio assessment. Retrieved from http://www.nclrc.org/portfolio/2-2.html

Personal Report of Communication Apprehension (PRCA-24). (from module 4 slide) Retrieved from http://www.hawaii.edu/gened/oc/PRCA-24.pdf

The Foundation of Nursing Leadership. (2011). What's Your Leadership Style? http: www.nursingleadership.org.uk/test1results.php?ii1=5&im1=4&is1=5&ic1=5&cr1=8&mbea1=8&mbep1=2&lf1=2&ii2=5&im2=4&is2=4&ic2=5&cr2=6&mbea2=6&mbep2=8&lf2=4&ii3=3&im3=4&is3=3&ic3=5&cr3=2&mbea3=4&mbep3=2&lf3=2&ii4= &im4=4&is4=4&ic4=5&cr4=4&mbea4=6&mbep4=2&lf4=2&Submit=Submit


Melody
In an interview to show personal growth
Reflect back on personal accomplishment
Provide guidance for future goals
Keep notes of a job well done to reflect and feel proud of yourself (always remind yourself you are good enough)
Communication Apprehension Moderate
Good for providing thoughtful thinking and communication, but can become a problem when an individuals communication is suppressed due to fear and anxiety of judgment from others.
Lack of Experience:
Being a new
graduate within the last year, I find that
my lack of experience has lead to me
having low confidence with decision
making.
have now become more aware of this in my personal life and clinical practice. When dealing with group conflicts, I use my accommodating style to assist in supporting others, while watching for when I am self-sacrificing and abandoning responsibility.
Ashlee
Ashlee
Group Conflicts:
Through this course I have discovered that I use an accommodating style of dealing with group conflicts, often trying to preserve the harmony and being highly concerned with the welfare and needs of others (Ellis &
Lack of Experience:
Being a new RPN graduate
within the past year, I have found that my lack
of nursing experience has been a problem for
me in the past with decision making. This
course has helped me identify resources and
tools that can assist me as a nurse to build my
confidence in decision making. Information
resources; policies, procedures, and
protocols; clinical pathways; experienced
colleagues; listing pros and cons; and algorithms (Ellis & Hartley, 2009) are all resources that I have used or plan on using to aid in my student nursing practice
.
Hartley, 2009). Learning this, I have become more aware of my conflict style in my personal life and clinical practice. My new knowledge and recognition on my accommodating conflict style has assisted my clinical practice by continuing to provide support to other team members, and watching for problems where I may be self-sacrificing or abandoning responsibility.

This leadership style rewards others for a job well done. It is also characterized by recognition for the accomplishments of others. A transactional leader tends not to act unless something is wrong.

Group Conflicts:
Through this course I have realized that my approach to conflicts is very passive. For that reason, I believe my leadership skills are overlooked. I can quickly identify the source of the problem and how to rectify it, but my "small voice"
Lack of confidence:


prevents others from following through with my decision (my opinion is easily dismissed). QUOTE, As a result I tend to be very observant and try to anticipate problems and make decisions accordingly.
anticipate the direction of the conversation and suggest other options to rectify the situation. Changing the way I interpret conflict by focusing on the positive aspects of change will also aid in acceptance by highlighting how each party benefits from the changes being proposed. This will cause less reluctance towards change because I will be able to use conflict as a catalyst towards fair and positive outcomes as I develop as a transactional leader.
Group Conflict:
Regardless of how accepting and open a meeting may be, there will always be disagreement and some form of conflict present. Conflict is very healthy, it develops deeper thinking and projects more negative and positive outcomes of scenarios. I find I am rather dominant during meetings, however at work surrounded by interprofessional co-workers it can be intimidating to make a point known. Fear and intimidation are two aspects of conflict I interact with frequently. Fear of being viewed differently, or overly assertive. Mixed with intimidation from very opinionated, more experienced professionals.
Portfolios Are Beneficial
authentic to individuality
evidence of skills
displays validity and reliability
(NCLRC, 2014)
By Amber Ring
R
ecognize that every opinion is valuable
E
xpress and receive feedback without making it personal
S
top collusion, direct the issue back to the owner
P
ractice authentic listening
E
ncourage discussion of ideas and issues, not people
C
elebrate each other’s successes
T
reat others as they wish to be treated

RESPECT
Full transcript