Qualities of Practical Nursing Leader
Good leadership is both a science and art in the field of nursing. Formerly, planning, critical thinking, data collection observation, and implementation were critical components of the practice; but in the last moments, nurturing personal relationships and caring for patients have become essential for the success of any healthcare operations. Thus, leadership in nursing dictates that all registered nurses must cultivate both skills and attributes from both artistic disciple and science, which is attained through mentorship, experience, and education (Aitken, 2019).
The qualities of a practical nurse leader can be realized through sound governance principles, relating well with other subordinates, and the facility in which the nurse showcases their expertise. Even though management and proficiency in giving direction are fundamental to the success of the operations of the health facilities, it requires a higher level of significance when the wellness and health of a patient are left at stake.
Performance appraisal is applicable in several organizations to measure workplace effectiveness and productivity. Nurses have the unique fundamental task of ensuring the patients' comfort, caring for them, and ensuring that the patients are safe to the best of their ability. An appraisal can be explicitly designed for the nurses to access good standards of care in the health facilities (In Chang, 2020). The guidelines to evaluate the criteria lie with the governmental standards; for example, departmentally developed standards, evidence-based guidelines, client feedback in various forms, audit of nursing care, professional standards published by the Australia Association of Nurses, and Medicaid regulations. Ideally, appraisal measure the level of work delivered and motivates the nurse. For example, organizational commitment and job satisfaction are positively correlated with the feedback from the registered nurses regarding how much they enjoy doing their work. The performance attribute of a registered nurse can be determined by two factors; motivation and ability. Motivation is the desire to achieve set goals and the willingness to work. At the same time, the ability is made up of a collection of mental and physical capabilities that enable a nurse to exhibit a set of skills. Skills, experience, and knowledge give the ability to achieve a set objective. Thus, ability in a huge capacity is molded by training and experience.
The type of care to a patient is perhaps one of the most critical decisions that a nurse can make. Proper procedures and guidelines should be followed when determining the type of care that a patient deserves. Most cases of negligence and risks have resulted from the improper assignment, thus jeopardizing the patient's safety, hence even leading to legal consequences (In Curtis, 2021). It is also essential for a team member to decide where to practice effectively; for example, Kim does not approve of working with Alex, meaning her perception of working with Alex is harmful and will automatically affect communication and her attitude towards committing to her role.
When it comes to assigning a nurse leader to a patient, proper and amicable decisions should be based on the policy and procedures of the health facility, the job description of the staff, the skills of the staff, the needs of the patient, and the legal aspects of the care by speculated by the state. Being intimidated by working with Alex, Kim would feel that whatever task allocated to him may not be the right one. This Means Kim could not positively encode the communication between him and Alex, and he felt he did have the suitable supervision; hence the circumstances and his rights as a nurse are in jeopardy. On the other hand, Kim would amicably apply his rights in delegation while working with Bronwyn, whom Kim perceived to be much more caring than Alex. In this scenario, the five rights of the delegation are applicable in assigning care to others; the right supervision and evaluation, right direction and communication, right circumstances, right task, and the right person. In other words, the right job must be done by the right person under favorable circumstances. The nurse who is delegating the role must employ effective communication and give clear directions to the person in accomplishing the task (In Sutherland-Fraser, 2021). The nurse doing the supervisory role must monitor to ensure the work done meets the demand and is appropriate, correct, competent, and safe for the patient's well-being.
Performance Appraisal in Nursing
NMBA, also known as the Nursing and Midwifery Board of Australia, monitors to ensure that Enrolled Nurse (EN) is swift in critical thinking; uses good skills in communicating and providing healthcare. The families of the person receiving the care and the person receiving the care and the health professional colleagues must be skillfully and empathetically communicated with (In Aitken, 2015). These standards have been approved to be clinically focused. They reflect the person's potential in providing the care: engage in the reflective and analytical practice, provide direct and indirect care, and demonstrate professional and collaborative practices through appropriate education and support to others. Kim's potential to provide proper care is dependent on her surroundings and his work-mates. He may be having appropriate education, but with hostility in the workplace, his level of competence will be affected since he does not show the spirit of teamwork in working with Alex. The shortage of nurses, as in the case of Kim and Alex having to care for many patients by themselves, also infringe the standards of NMBA in the provision of quality healthcare to the patients.
Therefore, Alex feels that she is experienced and should not be supervised. She allocates herself more responsibility than Kim. This is against the framework set by the Australian National Board and Aphra, which states that all nurses should be supervised. The life of the patients under the care of Alex is put at stake since no one would be able to monitor and know if any patient requires care should Alex be in a position of not meeting their needs. Australia National Board and Aphra have developed a framework to create a risk-based and responsive approach to monitor the activities across the nation’s healthcare facilities. These practices reassure the national board the public that a registered nurse who practices is being supervised is competent and safe to practice and does not subject the public to risk. The framework was designed to set components that support safe, effective, high-quality supervised practices, consistent support processes, make decisions, and be user-friendly, more explicit, and relevant. They help both supervisor and supervisee understand what is expected of them. Also, nurses must be registered by the Nursing and Midwifery Board of Australia and meet the stands set by the board before the practice in Australia. These standards define the behavior and practices of midwives and nurses: codes of ethics, standards for practice, and codes of conduct (Burrows, 2018).
The nurse supervisor will have to be familiar with the trending changes to quickly assess the student against the standards and ensure the performance meets the new standards. Additionally, the changes will also provide clear direction for the nurses in their daily practice. Alex, having experience in practice, indicates that she is familiar with most of the operations. Bronwyn also has experience in the supervisory role as he had occasionally played the same role. He seems to have developed a good comprehensive plan and a positive work attitude hence good conduct and working capability, especially when working with Kim. The standards of a registered nurse consist of the following; give an evaluation of nurses to inform nursing practice, develop a plan for nursing practice, comprehensively conduct an assessment, maintain the capability for practice, provide appropriate, responsive, safe, and quality nursing practice, and thinking swiftly and critically to analyze the nursing practices (Crisp, 2020) effectively.
Institutions for health improvement in Australia have come up with responsibilities for the nurse leader to achieve effective, reliable, and safe working excellence. This responsibility empowers leadership styles such as authentic and transformational. Visionary nurse leadership is also tasked with strengthening the presence of the determinants of population health, both external and internal, in the healthcare firm. Healthcare providers can offer leadership and advocacy policies for environmentally responsible practices (Crisp, 2020). For example, these policies include: advocating for policies that protect health by preventing exposure to hazards and promoting sustainability, and communicating and assessing risks of hazards to individuals’ staff, patients and families, and the community.
According to Fundamentals of Nursing, nursing has become a global profession, and it exists within a very complex environment. In most cases, nursing leaders are issued with the responsibility of being leaders, working with other nurses, and successfully managing them to ensure the successful operation of the health facility. There is a need to understand the challenges that currently affect healthcare to excel in nurse leadership. This essay elaborated on the need to assist nurse leaders in developing leadership knowledge and skills that will enable them to attain better results to ensure patients’ safety by 3ensuringconduciveg working environment (Alvinius, 2017). Clear concepts and suitable leadership styles assist leader nurses in further developing good potential for leadership and motivational skills in coaching and mentoring other colleagues.
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