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Part 1 . Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the "highest nursing leader" in your organization. Typically this is the leader who represents nurses and nursing to the governing board. I have picked number III. Leadership. For the past 6 months that I have been working as a new grad in the med-surge unit, I have limited information about the DON of my hospital. I picked Leadership because even though I am not familiar with my DON's work skills, I can feel how the hospital is being led by simply working there. I work at a small hospital that consists of five floors, and in the med surge floor, there are 30 beds. The DON always keeps herself involved with her co-workers by sharing ideas and beliefs. Very often the DON and a few other hospital executives make rounds on our floor to assess the unit and health care workers who are working. Additionally, when they find problems, they try to resolve it by either notifying the charge nurses, posting flyers, requiring to complete an online course, or having meetings. I have noticed that because of our DON being so strict, my hospital values learning and evidence-based practice. We continuously have to show up to classes for enhancement of knowledge and for prevention of mistakes. Additionally, we often get educators on our unit during the 12-hour shifts to come and educate us for 5-15 minutes about skills that they are promoting us to complete the right way. According to Finkelman (2016), DON is a professional role model or mentor, and supports people who he or she works with during difficult times. Based on my few months of experience I do not know if those are some of our DON's characteristics. However, our DON has created an environment for a new grad nurse like me an environment that looks forward to working every shift. 2. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
There are major differences between a transactional nursing leader and transformational nursing leader. In Transactional nursing leadership, the leader values structure and order. It is ideal for people who work for transactional nursing leaders to know their job well and be motivated by reward and penalty system. St. Thomas University (2014) states that transactional leaders focus on short-term goals, they are also inflexible and oppose to change. Following structured policies, procedures and rules accurately are important to them. On the other hand, transformational leaders set goals with their workers and strive together to reach those goals. In transformational leadership, people are inspired to work hard to reach improbable. Transformational Leaders are fair, trusting, and inspirational. In the hospital that I work at, it is led by transformational leadership style. I do not think any of the nurses or other healthcare providers would work at the hospital if the leadership style was transactional. Nurses and Doctors in my facility desire encouragement and positive reinforcement. Especially, in nursing nurses have to collaborate with others to provide safe patient care. 3. Describe how the Nurse Executive "leads the charge" for transformational leadership in an organization where you work or have done prelicensure clinical experiences. In the hospital that I work at I feel like everyone has empathy. The charge nurses and managers are fair and trustable. I am very comfortable with asking questions and knowing their opinions. Additionally, the people whom I collaborate with Doctors, physical therapists, speech therapist, occupational therapist, social works, case managers and etc are friendly and kind. I believe this is due to the work environment that our DON has created. Finkelman, A. (2016). Leadership and management for nurses: Core competencies for quality care (3rd ed.). Boston, MA: Pearson. (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site. St. Thomas University. (2014). What is Transactional Leadership? How Structure Leads to Results. Retrieved From https://online.stu.edu/articles/education/what-is-transactional-leadership.aspx (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.
Part 2 1) select one section from appendix A and share how your CNO demonstrates expertise in this area I chose relationship management form appendix A. I must admit that I have not had any personal contact with my CNO, I wasn't even sure of her name ( more my fault thane hers). with that being said I did a little research and interviewed some colleagues to get a better picture. The CNO at my institution is an RN, BSN, MSN. The CNO does post a monthly newsletter with information about the status of the hospital's ongoing programs and her hope for future projects, My colleagues recall a meeting that she held in our department where she spoke with them individually about their goals for the unit. ( I missed that day) She is seen as personable and approachable. She uses a transactional approach to leadership, She set goals or institutes programs and expects the managers and staff to make this happen and although she does not seem to micromanage these plans she gives little leeway to deviate from goals. 2) Difference between transactional and transformational Transactional is focused on the role of supervision, the leader pays attention to the work and finds faults and deviations this is good in a crisis or when projects need to be done in a specific manner (Bradley University) Transformational is inspirational motivation, providing a vision of the future and intellectual stimulation to change old habits (Bradley University) Transactional appears to be more of a dictatorship or an approach that tends to focus on punishing poor behavior or results. Transformational seems to be more team oriented and encouraging everyone to work to a common goal. The CNO is transactional. 3) how does a nurse executive lead the charge to transformational leadership? The nurse manager leads by example and includes the team in decision making and setting goals, she encourages team members to participate and challenges them to set higher goals for themselves and their unit
Bradley University.How Nursing Leadership Styles can Impact patient outcomes and Organizational Performance.retrieved from https://online degrees.bradley.edu
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Part3 For this week's discussion post, I chose to answer the questions for the second article titled "Ethical Issues, Responsibilities and Dilemmas". The first question wishes to know the difference between ethical responsibilities and ethical dilemmas. According to the article, an ethical responsibility is very similar to a legal responsibility in the sense that they either require or forbid certain actions (Feeney & Freeman 2016). The "right" choice is clearly stated in the Code of Ethical Conduct which makes the decision easier to make. An ethical dilemma is not such an easy decision. The article states that anytime there are two choices that can be made that have both benefits and costs and both can be considered ethically moral, the choice between those two actions is an ethical dilemma. Both situations can be considered "right" and it is up to the healthcare professional to make the appropriate choice given the situation. The article further clarifies that in ethical issues, it is either a responsibility OR a dilemma, but cannot be both (Feeney & Freeman 2016).
An ethical dilemma came up recently at the hospital I work at. We had a patient in the ICU who was determined to be brain dead after suffering a massive heart attack at home but being resuscitated by EMS workers. This patient had been in the hospital ICU for weeks and weeks because the family did not want to give up hope. Their hope persisted despite many conversations with doctors trying to explain the reality of the situation. Eventually, this patient began to go into multi-organ failure. I was called in to do dialysis when the kidneys started to shut down. One particular day, I was preparing to do a blood transfusion on this patient. The hospitalist came in and asked me why I was going to give a blood transfusion. I responded that I had orders from the nephrologist to do so. He told me to not proceed because "we are not wasting resources on this patient". To me this was an ethical dilemma. The family was determined to not give up hope and felt that a miracle would happen due to their strong religious faith. The doctor was looking at the situation from a scientific medical standpoint. Technically, the patient was already dead. We had spent weeks keeping her alive on a ventilator with medication and expensive treatments, spending hundreds of thousands of dollars and resources that could be used elsewhere on patients that had a chance to survive. I felt this was an ethical dilemma because it is "right" to not give up on patients when the family is not willing to stop treatment but it is also "right" to save precious resources on patients who can benefit from them and not waste money on a patient who will not make it when the cost of healthcare is already so astronomical.