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Leadership on the ward –
Nursing Hierarchy
Nursing hierarchy - Australia
Clinical Nurse
Manager
Clinical
Development
Nurse
Clinical Nurse
Registered
Nurse
Enrolled Nurse
Assistant in
Nursing
Special responsibilities of the Nurse
Manager
-Maintaining standards
Control
Risk
management
Success
Encouragement Research Improvement
- Motivation in the work setting
Design plans Facilitator
Improved
performance
Competent
“Nursing management uses administrative
directives and should use leadership skills to
ensure the efficient use of time, equipment,
supplies, and staff to reach the goals and
objectives of the nursing department.”
Theofanidis & Dikatpanidou (2006)
Role of the Clinical Development Nurse
Leadership Education
Quality
Improvement
Create new
ideas
Decision
making
Environmental
influence
Reliable
Educator &
Facilitator
Facilitation of learning by the nurse
Preceptor Novice
The informal leader
“Others may act as informal leaders, deriving
power from their unique characteristics.
Education, experience, drive and decisiveness
are viewed positively and help establish
credibility. The person with these qualities
may be viewed as reliable and therefore
others are willing to cooperate”
Theofanidis & Dikatpanidou (2006)
The Process – How did we get here?
Orientation
search
Brainstorming
and organisation
of information
Isolation and
delegation of
topics for further
research

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Leadership on the ward pp

  • 1. Leadership on the ward – Nursing Hierarchy
  • 2. Nursing hierarchy - Australia Clinical Nurse Manager Clinical Development Nurse Clinical Nurse Registered Nurse Enrolled Nurse Assistant in Nursing
  • 3. Special responsibilities of the Nurse Manager -Maintaining standards Control Risk management Success Encouragement Research Improvement
  • 4. - Motivation in the work setting Design plans Facilitator Improved performance Competent
  • 5. “Nursing management uses administrative directives and should use leadership skills to ensure the efficient use of time, equipment, supplies, and staff to reach the goals and objectives of the nursing department.” Theofanidis & Dikatpanidou (2006)
  • 6. Role of the Clinical Development Nurse Leadership Education Quality Improvement Create new ideas Decision making Environmental influence Reliable Educator & Facilitator
  • 7. Facilitation of learning by the nurse Preceptor Novice
  • 8. The informal leader “Others may act as informal leaders, deriving power from their unique characteristics. Education, experience, drive and decisiveness are viewed positively and help establish credibility. The person with these qualities may be viewed as reliable and therefore others are willing to cooperate” Theofanidis & Dikatpanidou (2006)
  • 9. The Process – How did we get here? Orientation search Brainstorming and organisation of information Isolation and delegation of topics for further research

Notas del editor

  1. Adapted from: Government of Western Australia department of Health. (2011). Nursing and midwifery in Western Australia. Retrieved December 21, 2011, from Promotional positions: http://www.nursing.health.wa.gov.au/working/promotional.cfm
  2. Control the activities of the staff to prevent problems and facilitate goals of organisation.. Risk management functions & tools The success of these responsibilities & initiatives is directly related to the Manager’s attitudes in regards to administrating them.. Encouragement to follow and adhere to these tools and incident reporting Research shows that when Nurses feel a lack of concern for their welfare from Managers, that reporting of incidents were reduced Improvement in the environment can increase the level of reporting, which requires initiative- driven by leadership.. Managers can use this information collected from the reports to determine where initiatives need to be implemented in order to improve the quality of outcomes etc.. Adapted: Grohar-Murray, M. E., & Langan, J. C. (2011). Leadership and Management in Nursing. United States of America: Pearson.
  3. Nurses in management positions must design plans that can foster staff participation , which then set professional standards -Managers must be facilitators through leadership rather than order-givers -Leadership of the Manager, can facilitate rewards of improved performance, and improved capacity for change -With a workplace encompassing competent individuals, leadership and co-operation facilitated by the Manager which ******
  4. Quote taken from: Theofanidis, D., & Dikatpanidou, S. (2006). Leadership in Nursing. ICUS Nursing Web Journal (25), 1-8. Image sourced from: http://smallbiztrends.com/2011/01/better-business-goals-2011.html&docid=Asu1g9PsgT_kmM&imgurl=http://smallbiztrends.com/wp-content/uploads/2011/01/iStock_000004996421XSmall.jpg&w=400&h=300&ei=IhzzTrLKH-_Y4QSWrtCNCA&zoom=1&iact=rc&dur=3&sig=108125072540068073160&page=1&tbnh=150&tbnw=229&start=0&ndsp=10&ved=1t:429,r:0,s:0&tx=136&ty=42
  5. Many of the skills that stated as being required of a nurse in the role of a Clinical Development Nurse, are also stated in many texts regarding leadership, as being traits of leaders.. These skills, traits & abilities of leadership applicable in Clinical Development Nursing are most relevant in the areas of Education & Quality Improvement Create new ideas/ Plan formulate plans for nursing education & initiatives Decision making/ Assessing performance & identifying areas of strengths-weaknesses & evaluating levels and progress of professional development Environmental influence/ Skills in effective oral communication, creating a trusting work environment amongst the staff and confidence in asking questions where they are unsure of the answer.. Not to feel judged, resulting in a secure environment with freedom encouraged Reliable/ General knowledge of the principles, methods, and practices of professional nursing – the specific nursing area Educator & Facilitator/ General knowledge of adult learning theory and curriculum design & Ability to plan and conduct research courses of study for nursing education to staff members Adapted from: Staff Development Nurse. (n.d.). Retrieved December 22, 2011, from http://www.oregon.gov/DAS/HR/class/ccrt/spec/6226.pdf?ga=t Grossman, S. C., & Valiga, T. M. (2009). The new leadership challenge (3rd ed.). Philadelphia: F.A. Davis Company. Bally, J. M. (2007). The role of nursing leadership in creating a mentoring culture: conclusion. Nursing Economics , 25 (3), 143-148
  6. -Nursing preceptor, is required to be a knowledgeable leader who is supportive and facilitative of the maturation of the student and/or novice nurse. -The novice will eventually become the knowledgeable nurse and hopefully become a leader and facilitator of learning in the future, perpetuating the cycle.. **Clinical nurse role** Personal note here.. Adapted: Grohar-Murray, M. E., & Langan, J. C. (2011). Leadership and Management in Nursing. United States of America: Pearson.
  7. Quote taken from: Theofanidis, D., & Dikatpanidou, S. (2006). Leadership in Nursing. ICUS Nursing Web Journal (25), 1-8. Image sourced from: http://kathrynvercillo.hubpages.com/hub/Formal-vs-Informal-Leaders&docid=Tr4cGpzwUoOd1M&imgurl=http://s3.hubimg.com/u/2387766_f260.jpg&w=260&h=260&ei=thzzTovNLsfR4QSJwcyNCA&zoom=1
  8. Initial broad spectrum orientation search