Tuesday, May 5, 2020

Analyse Role Of A Success Clinical Leader In Healthcare Profession

Question: Discuss about the Analyse Role Of A Success Clinical Leader In The Healthcare Profession. Answer: Health care is a complex system which involves a large number of individuals and organisations. In order to function effectively the clinicians are required to understand these inter-connected complex pathways and systems of care. Moreover, they must also remain comfortable while working both with and within, these inter-regulated systems for the overall benefit of the patients. The following essays aims to in order make effective change in practise and improvement of the quality of care while working in sync with different organisations and group of professionals. Overview of different styles of leadership According to Gleeson (2018), effective leadership is an integral part of any organisations and not all the situations demands same leadership styles. The leaders adapt changes in the leadership styles based on the surrounding environments and thereby empower the team to succeed. Some of the unique approach of leadership styles as stated by Gleeson (2018) is illustrated below in tabular format Having faith in your beliefs Making hard choices Earning respect of the team members: Not taking all the credits Knowing the team from the core: Recognising talents Recognising the members of the team as the key towards success: Extracting the best from the team Having a clear and articulate vision Pushing the members of the team to achieve their best: Cultivating an Environment for growth Serving for a greater cause Focusing on helping the members of the team: education, motivation and delegation Never to lead by force: Leading by example and inspiring without intimidation Table: Traits of an effective leader (Source: Gleeson 2018) Clinical leadership in nursing According to the reports published by the National Health Service (NHS), Institute of Innovation and Improvement (2011), the health systems round the world is gradually grappling with the task of delivering system-wide evidence based approach, person centred care along with effective and efficient mode of care models. Clinical leadership particularly in the domain ofnursing profession is proposed to be an integral pillar towards reaching this potential goal (NHS Leadership Academy 2013). According to Ogrin and Barrett (2015), there is no definite definition of clinical leadership however role of a clinical leader summarise to the process of developing a culturally competent environment and then leading a set of tasks for continuous improvements of the quality and safety of service delivery model of healthcare to the service consumers. Effective mode of clinical leadership encompasses individuals with accurate skills and traits at all spheres of the organisation along with prime focus on the multidisciplinary and interdisciplinary service delivery model Ogrin and Barrett (2015). According to Ogrin and Barrett (2015), the nurses who are under the formal leadership position like the nurse managers are of the opinion that the clinical leadership attributes they required in their roles fall under the three main areas namely personal attributes, team attributes and capabilities. Personal attributes Having sound confidence in the ability of self to procure best practise Nimble in the domain of effective communication Emotional intelligence Team attributes Encouragement of trust and commitment among the team members via valuing skills and expertise of others. Increasing the focus of the team members Capabilities Building and maintaining steady relationships among the team members Encouraging contribution from other members of the team Creating a clear direction of progress and ability to serve as a role model My perspective in clinical leadership innursing is solely based on the Clinical Leadership Competency Framework of NHS Leadership Academy. According to NHS, the core traits that must be executed among the a clinical leader innursing profession is demonstration of personal qualities, working with others, managing services, improving services and setting directions. All these traits highlighted by the NHS under clinicalleadership in nursing profession related with the core principles of the leadership models and thus can be prove to be effective in achieving desired quality outcomes. Leadership characteristics influencing practise change in quality improvement The importance of the application of effective clinical leadership in order to ensure quality health care system that constantly provides efficient and safe care has been restricted in the domain of the scholarly literature only an in other reports of the governmental publications. At present, commission, inquiries and reports have promoted the engagement of the clinician and clinical leadership as the principal pillar of achieving along with sustaining the improvement in the domain of quality care patient safety (Daly et al. 2014). According to Ogrin and Barrett (2015) organisations are now beginning to embrace the model of clinical leadership in order to improve the quality of care. According to Ennis, Happell and Reid?Searl (2015), clinical leadership helps in the quality improvement via reinforcing the importance of delivering individualised evidenced-based care model to the clients. Research have demonstrated that the model of clinical leadership can lead towards the possible ga teway of improved outcomes with more positive experience coming from the consumers of the health care and thereby contributing towards the recruitment and retention of the nursing staffs. According to Davidson, Elliott and Daly (2006), effective clinical leaders use confident and calm approach under clinical situations. This type of approach helps to achieve positive clinical outcomes on the patients along under crisis situations or other unplanned events under the healthcare settings. This improvement of the outcome during the crisis situation helps to increase the overall quality of the health-care model. Swanwick and McKimm (2011) opined that execution of the clinical leadership models that vouches for the confident and clam approach during the emergency situation helps in the establishment of effective therapeutic leadership and thereby promoting effectiveness of the output of the multidisciplinary team and thereby helping to improve the overall health outcome of the patients. I n the domain of health improving the health outcome, Swanwick and McKimm (2011) opined that comprehensive healthcare cannot be delivered by a single healthcare professionals but demands a complex systems working in concert that both tenured and novice healthcare professionals. Thus one-to-one clinical leadership is not enough; quality care involves effective participation of multidisciplinary team along with assistance from the trainee professionals. This comprehensive support apart from improving the overall health outcomes also facilitated proving effective training with the newly enrolled healthcare professionals and thereby helping to upgrade the system as a whole. This gives an evidence towards teaching of nursing leadership from the perspectives of management. Ennis, Happell and Reid?Searl (2015) further opined that clinical leadership is also proved to be effective in procuring quality mental health. Effective clinical leaders enrolled under the mental health nursing can faci litate more positive environment and thus potentially contributing both the patients and the newly enrolled nurse to develop positive attitudes towards the care plan and the services being offered. However, the NHS in UK is now focusing on empowerment of the clinicians and the front line employees in order to refine their decision making capabilities via working in unison with sharing of information via active communication (Ogrin and Barrett 2015). Davidson, Elliott and Daly (2006) further stated that systematic strategic initiatives are important in order to develop effective clinical leadership model. These systematic strategic strategies are required to be undertaken under collegial collaborations between the health care and the academic sectors and thus helping to provide united strength for making advancement in the nursing profession. Critical analysis of the interview In order to enquire more detailed about how leadership characteristics can influence practice change, and what are the important traits of the clinical leaders in the healthcare organisations, I have interviewed two nurses with experience in nursing leadership (the interview question are provided in the appendix). Response to first question In response to the first question nurse (1) replied, First of all, I would like to say that I admired my on-job trainer as my leader role model in my nursing profession and the main trait executed by her which I admired most is working effectively with others as a team. I think this attitude of her helped in building and maintaining relationships with the other members of the teams and thereby helping to deliver quality service along with increasing the team bonding. I think what nurse (1) opined in relation to question 1 is absolutely relevant in the domain of clinical leadership model. According to NHS Institute of Innovation and Improvement (2011), it is the duty of the healthcare professionals to execute leadership via developing networks via working in partnership with their representatives, colleagues, patients, carers, service users. This in turn helps to improve the quality of service and at the same time helps to promote sharing of information among the resources. It also he lps to create opportunities to bringing individuals or group of individuals together in order to achieve a defined set of goals and thus explaining the qualities of exemplary nurse leaders. Though nurse (1) have only state her comments based on her perspective of the subordinated working under the leader, it also has an emotional intelligence approach. According to Tomey (2009), creating association with the patients and their family of carers help to develop care plan through informed decision-making. In response to question (1), nurse (2) came up with that one of th'e important traits of her role model of nursing leadership is setting directions. She said that, My role model as a leader was able to identify the contexts for change and this he used to do via anticipating and preparing for the future consequences via scanning for new ideas along with best practices and emerging trends that will helpful to cast an significant impact on health outcomes. He also used to apply the knowledge and evidence-based approach towards framing the care plan while influencing others to make proper use of the knowledge and evidence to achieve the best possible results. I thing, the issues highlighted by nurse (1) extremely evident in the present days scenario. This is because, according to DiCenso, Guyatt and Ciliska (2014), application of evidence-based approach is an unique approach in nursing care as it provides the nurse with new tools for evaluating the nursing literature and clinical scenari os and then developing the care plan based on that approach. Thus, this aspect of clinical leadership helps in the improvement of the literature based knowledge of the healthcare professionals and thereby helping them to devise the care plan in accordance to the prevailing outcomes and standards. Melnyk et al. (2012) further opined that nurse leaders or the educators must provide opportunities regarding the EBP while facilitating supportive culture to achieve effective clinical decision making. Response to second question In response to second question, nurse (1) is of the opinion that she as a nursing leader always try to work effectively with her team members. She said that, I always try to work along with my team members in order to improve the overall service. She also said that the first thing which I keep in mind while working in unison with my team members is ensuring the safety of my patients while critically evaluating the vital parameter of the patients health outcomes. She also stressed over the fact that while working in with her team members she always encourages improvement and innovation. She said that, It is the role of a leader to encourage innovative approach among the team mates and this helps to increase the participation among the team members while increasing the increase in the flow of the effective information and thereby helping to increase the overall health outcomes. As per my understanding, the main clinical leadership model practise by nurse (1) is improvement of the overa ll service delivery via encouraging effective participation of the team members and effective flow of the information. According to Weng et al. (2015), it is the duty of the leader to promote learning and developmental opportunities via creating and promoting opportunities for colleagues. This will in turn help to generate open debatable ideas and there encouraging change, and improvement in practise. Moreover, an efficient clinical leader must systematically appraise the evolving practise via acknowledging the team members who have given effective contribution towards framing of that practise. This in turn will help to earn respect from the team members as taking all the credit may demotivate or generate unrest among the subordinate team members. Nurse (2) also opined that towards the improvement of the quality of care, she trains and subordinates locally and engages them under local networks to practice and publicise good practise thus improving effective treatment. As per opinion her clinical leadership model as an influence of the transformational leadership in nursing profession. According to Weng et al. (2015) the role of the transformational leadership is to foster nursing innovation via improvement in the organizational climate. Her aspect of the leadership model facilitated transformation and thus further providing the reference of transformational leadership model in her clinical leadership framework. However, she did not highlight the strategies that she undertakes in order to review patient satisfaction. According to Martin et al. (2012) under the domain of clinical leadership, it is the role of the leader to consult with the senior colleagues to review the patient satisfaction in order to develop strategies for implementing and thereby managing innovative solutions within the organizations. Nurse (2) opined she apply her clinical leadership skills towards managing the service in an effective manner. Via managing the service, she opined that she manages her people, available resources along with the management of the performance. I think, this is another important attribute of the nursing leader under the clinical practice. This is because as per the findings of the NHS (2011), it is the duty of the member of the management team towards contributing development of the business and this development of business in healthcare is achieved via initiating along with proper collaboration and ola ning of service improvement projects. Response to third question In response to third question both nurse (1) and nurse (2) said that their leadership approach towards under the ethics of the clinical leadership model framework helps in comprehensive management of the recourses and thereby helping to manage the performance. They also said that the proper management of the performance is done via critical evaluation of the service procured and this helped them to bring further improvement and innovation into the overall system. I think, what they have opined is indeed significant towards bringing a crucial practice change in the health care system but according to Gantz et al. (2012), further setting of goals and pushing members of the team towards more improved outcomes along with helping them to work in unison in a confident and compose manner will help to critically manage the crisis situation. Moreover, I also feel that they must also not preach leadership via force and must practice leadership via inspiring without intimidations as this will i ncrease the sense of participation and satisfaction. Thus from the above discussion it can be concluded that the practise of clinical leadership helps to impose proper practise change in the healthcare organisations and thereby helping to improve the quality of care among the patients and the family of carers. However, from the interview it is evident that the nursing leader must further emphasise on the more improved outcomes via asking their team members to work under calm, composed and confident manner and thereby improving the overall health outcomes during the crisis situation. References Daly, J., Jackson, D., Mannix, J., Davidson, P. and Hutchinson, M., 2014. The importance of clinical leadership in the hospital setting.Journal of Healthcare Leadership. Davidson, P.M., Elliott, D. and Daly, J., 2006. Clinical leadership in contemporary clinical practice: implications for nursing in Australia.Journal of Nursing Management,14(3), pp.180-187. DiCenso, A., Guyatt, G. and Ciliska, D., 2014.Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences. Ennis, G., Happell, B. and Reid?Searl, K., 2015. Clinical leadership in mental health nursing: The importance of a calm and confident approach.Perspectives in psychiatric care,51(1), pp.57-62. Gantz, N.R., Sherman, R., Jasper, M., Choo, C.G., HERRIN?GRIFFITH, D.O.N.N.A. and Harris, K., 2012. Global nurse leader perspectives on health systems and workforce challenges.Journal of Nursing Management,20(4), pp.433-443. Gleeson. B., 2018. 10 Unique Perspectives On What Makes A Great Leader. Forbes. Access date: 6th April. Retrieved from: https://www.forbes.com/sites/brentgleeson/2016/11/09/10-unique-perspectives-on-what-makes-a-great-leader/2/# Martin, J.S., McCormack, B., Fitzsimons, D. and Spirig, R., 2012. Evaluation of a clinical leadership programme for nurse leaders.Journal of Nursing Management,20(1), pp.72-80. Melnyk, B.M., Fineout-Overholt, E., Gallagher-Ford, L. and Kaplan, L., 2012. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators.Journal of Nursing Administration,42(9), pp.410-417. NHS Institute of Innovation and Improvement., 2011. Clinical Leadership Competency Framework. NHS Leadership Academy. Access date: 6th April. Retrieved from: https://www.leadershipacademy.nhs.uk/wp-content/uploads/2012/11/NHSLeadership-Leadership-Framework-Clinical-Leadership-Competency-Framework-CLCF.pdf NHS Leadership Academy., 2013. Healthcare Leadership Model: The nine dimensions of leadership behaviour. Version: 1.0 Access date: 6th April. Retrieved from: https://www.leadershipacademy.nhs.uk/wp-content/uploads/2014/10/NHSLeadership-LeadershipModel-colour.pdf Ogrin, R. and Barrett, E., 2015. Clinical leadership and nursing.Australian Nursing and Midwifery Journal,23(2), p.45. Swanwick, T. and McKimm, J., 2011. What is clinical leadership and why is it important?.The clinical teacher,8(1), pp.22-26. Tomey, A.M., 2009. Nursing management and leadership.USA: Mosby Elsevier. Weng, R.H., Huang, C.Y., Chen, L.M. and Chang, L.Y., 2015. Exploring the impact of transformational leadership on nurse innovation behaviour: A cross?sectional study.Journal of nursing management,23(4), pp.427-439.

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