Leadership in Nursing
Within the healthcare system, nurses constitute the largest healthcare provider group. Hence, personnel and other workplace matters are very crucial to this group. Besides, a latest nursing consultation recognized the urgency for more attention on approaches that deal with generational variations, like recruitment and retention problems associated with work-life balance expectations; full-time engagement; and particular education and mentoring requirements that help the changing roles of new nurses into more complex settings. More and more evidence has been obtained that nursing care has put a huge impact on the quality of care and patient safety. As regards nursing leadership is concerned, the areas which need to be addressed are identification of strategies and models for engaging nurses in governance and decision-making; finding means to strategically support new nurses in leadership development and mentoring; and finding out the role of nurses and nursing leadership in the implementation of quality improvement in health systems. ("Nursing Leadership, Organization and Policy" n. d.)The most recent development in Nurse Leadership has been Clinical Nurse Leader --CNL under w
It has been observed that the CNL brings a high level of clinical competence and knowledge to the point of nursing care and caters as a vital resource for the entire health care team. (Jenkins, 1989) Another positive aspect of nurse leadership is that the Advanced Practice Nurse --APN roles are abundant and very divergent depending in the environment and the requirements of the populations to be served. Decision making within practice disciplines involves more than the application of theoretical knowledge. The urgency for the CNL was corroborated by way of discussion among the AACN and health care leaders within the practice setting. The challenge comes to be more confrontational due to the rising complexity of ethical problems associated with economic and legal concerns. The main benefit has been that the APA integrates education, research, management, leadership and consultation into clinical roles and they operate in collegial relationships with the nursing peers and other professionals and individuals who influence the environment. Community Health Nurse -- CHN leaders are faced with ethical problems in rising numbers and complexity. With the delivery of health services outside the hospital system rising and the home care scenario changes because of political changes, leadership in community health becomes a challenge for the nurse executives. Those who stayed sometimes experienced considerable increases in their workloads. The outcome has been that every Health Authorities presently have a Chief Nursing Officer -- CNO who is answerable for enabling the delivery of safe and suitable nursing care. In case of nurses having more experience, leadership includes precepting, mentoring, administrative responsibilities like scheduling and remaining in charge, and professional duties like committee assignments. With every profession which has barriers, nursing is no exception. A CNL plays a multitude of roles in healthcare setting including: Clinical practice, Outcomes manager, Patient Advocate, Educator, Information Manager, Systems Analysts or Risk Anticipator and the most important role which is Team Leader spearheaded by the American Association of Colleges of Nursing -- AACN. One of these sources of stress is the shift work constituent of nursing work.
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