Professional Documents
Culture Documents
Nur 400 Week 6
Nur 400 Week 6
Wayne Trader
Nur 400-601
12/3/2022
(Inam,2018). Martin Luther King Jr. (MLK) is considered one of the top leaders of the past
century because of his ability to lead people. This quote means that to become a great leader
you must be able to share your dream and convince others to agree with that vision and follow
you. If you wait around waiting for consensus that you are not leading anyone and being a
follower rather than a leader. Many people try to emulate great leaders like MLK, Gandhi, or
Lincoln but forget to be a great leader you must be your person and earn the respect of the
people you are trying to lead. I think for to be an effective leader they must find a style that is
similar to the value they agree with that allows them to operate most naturally and efficiently
as possible. Utilizing all these traits a nurse can become an effective leader and be an
The leadership style that I would like to model after would be Peter Drucker who
grow. He believed that the autonomy of an individual was crucial in theory management as
management asking staff about their ideas could lead to significant contributions to the
growth of the company (Finkelman, 2022). The role of a nurse leader can consist of many
factors but any combination of them can result in the unification of its staff to promote patient
safety and needs. According to Garrity (as cited in Ahmadi et. all, 2021), trustworthiness,
independence, reliability, humility, resilience, initiative skills, trust, ethics, innovation, and
patience all allow a person to fulfill the needs of the role of a leader. A nurse can be a leader
operations to accomplish a mission or goal where a leader is concerned with how to inspire
and help them grow as a person as well as the company (Duggal, 2022). Peter Drucker's
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theory of management is based on people who help in the process of planning and executing
goal setting. Managers should have the ability to implement a vision, delegate, manage and
focus on people. Traits for a leader include vision, integrity, inspiration, communication, and
then be able to challenge people (Duggal, 2022). This is important because these skills can all
be implemented by a nurse leader to help promote patient safety. A nurse leader has to be able
to communicate with their coworkers to delegate tasks and take charge of the situation as time
is of the essence when a patient’s condition is deteriorating. The way I would develop this
leadership into my own would be to implement my coworkers into my decisions but also
combine it with the autocratic leadership style. Autocratic is one person assumes control of a
group and makes decisions for all of them to follow (Finkleman, 2022). When you are dealing
with situations that involve life and death you cannot have a laissez-faire approach which is a
hands-off approach. For example, when there is a code one must be able to take leadership of
the group issuing orders to effectively manage the emergency. Unless you are working
stepdown or ICU where deteriorating patients are common due to their fragile state this is
where this type of leadership would flourish. I believe that bureaucracy is the style I would
use daily as the hospital is built on the foundation of rules and policies that are fundamental to
patient safety and stability for the organization. I plan on building a relationship with my staff
based on trust and respect as that is the foundation for establishing a healthy relationship. I
think that as a leader you must be able to earn the respect of your peers for them to want to
follow you. According to Darwall (as cited in Almost, 2022), there are types of respect where
recognition respect refers to basic respect that all humans should be given whereas, in
contrast, appraisal respect is a positive appraisal of others to recognition of their value. This is
significant because there is a moral mutual respect that all human beings should get but then
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appraisal respect you must earn among your peers. I believe that for my individualized plan to
work I have to be flexible and adjust to the needs of coworkers while being steadfast in my
beliefs as well. For example, if someone makes a serious error that causes harm to a patient I
will report it whereas if they are like 5 minutes late I won’t lecture them unless it’s a chronic
problem. To be an effective leader you have to be able to balance being a leader and a
manager and I hope to use what I learn in school can be implemented in the workplace.
I will incorporate lifelong learning to be an advocate for my patient when they are
unable to do so for themselves. I plan on doing this by using my personal life experience as
motivation to attain my graduate goals and execute my plan. My father recently passed away
from marginal zone lymphoma and heart failure with an ejection fraction of less than 15%. He
was educated at every point of his hospitalization and understood what would happen if
continued to refuse medications and treatment. Eventually, dementia became a daily issue and
he was deemed incompetent resulting in my brother and stepmom making decisions for him.
It was with a heavy heart that we decided to switch him to DNR even though he said he
wanted to be a full code because his health was deteriorating with his continued refusals of
treatment which we did not want him to suffer during resuscitation. Some family members
were understandably upset by this decision but I knew from all my talks with him that he
wouldn’t want to suffer, so as much as it pained me, I tried my best to be an advocate for him.
If I wasn’t educated in the nursing field or had family support my father may be one of
thousands of patients across the country who do not have someone being a patient advocate
for them. I plan on finishing my bachelor’s degree in nursing and then pursuing my master’s
degree and possibly my doctorate in nursing after that. I believe the more knowledge you have
will help you do your job better but you must be able to adapt to the most current knowledge
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available. This is important because lifelong learning maintains your current knowledge and
applies new information which will affect patient care resulting in better patient outcomes
(Krespani, p. 1687, 2021). I will use the information I gain from school to learn how to be a
better patient advocate and pass on that information to my coworkers to help them. I can
accomplish this goal by being a nurse leader keeping up with my continuing education credits
and prompting patient health through education of my coworkers to help them deliver quality
I think the best way to incorporate my lifelong learning with my leadership model
would be to use a combination of Peter Drucker management style and the bureaucratic
leadership styles. I would use both of these policies to implement education regarding patient
advocacy but also ask them to participate in how I could change my approach to make it
better. Nursing burnout is an ongoing issue that results in poor patient outcomes due to an
increase patient to nurse ratios. One study regarding patient ratios noted:
Nationwide, we estimate that 77,500 nurses are directly caring for COVID-19 patients
each day, compared with only 22,500 nurses in mid-September, an increase of 245%.
Metro and rural hospitals increased at a rate nearly double that of suburban hospitals
(249%, 282%, and 131% respectively). Non-COVID staffing needs are down, but taken
additional 26,000 nurses (11%) per day doing direct patient care that can be attributed to
This quantitative study puts into perspective how much nurses are needed and why there are
shortages around the country. This is relevant because in order to be a patient advocate you
need adequate staffing to represent patients to speak on their behalf. Nursing is a team sport
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so to speak as you cannot take care of a patient by yourself 24/7 and requires reliance on the
interdisciplinary team to work together. I think bedside nursing can improve though nursing
leadership which can be improved through leadership and education. COVID-19 caused
nurse-to-patient ratios to increase, decreased direct patient care and nurse burnout in
unprecedented numbers (Acute care, 2020). Many nurses started to not give report at bedside
either because it wasn’t safe to risk exposure, lack of time, or burnout from going in and out
of the room. SBAR is a useful tool that is used for nursing shift report that conveys critical
Recommendation (SBAR, 2022). I believe that the utilization of telehealth would a valuable
tool to present bedside report to the patient on isolation and maintain safety precautions to
prevent exposure from minimizing entries to and from the room. Many people feel detached
from people when they are isolated in a room and the hospital business model is driven by
patient satisfaction. With med express and other hospitals being competition healthcare
facilities must do their best to serve their patients’ needs the best way they can. I believe that
structure, process, and outcomes related to the assessment of care can be achieved with
evidence based practice and patient reviews. Use the constructive criticism of the patient you
are serving now to be the foundation of change for the patients you serve tomorrow. We must
continue to search for ways to advocate for our patient by listening to their needs so it can be
passed on to administrator’s, managers, and chief nursing officer and the CEO. Drucker’s
theory of management works well in regards to communication and collaboration with the
healthcare team. Physicians, Physical therapy, Occupational therapy, Nurses, Social work and
any specialty needs all work together in the interest of the patient. The best way to facilitate
information is to be concise and efficient while also thinking outside the box. When you are
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working with others you should welcome any input as information from staff nurses who are
experiencing these issues everyday on the floor should be heard as you never know how it can
affect you or your patient. If you are management or a leader and are not a bedside nurse who
can see the everyday issues or politics on the floor then you should rely on them to be the
voice to guide any changes you are trying to make. Every nurse is an advocate and it’s their
responsibility to convey the needs of the patient to maintain the best quality of care and
protect their rights when they are unable to speak for themselves.
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References
Acute care nursing burnout related to the COVID-19 pandemic. Exigent. (2020, August 21).
to-the-covid-19-pandemic/
Ahmadi , M., Akhoondi, M., Baigi, S. A. S., El-Farr, H., Hosseingholizadeh , R., Lotfi, H., &
169–192. https://doi.org/https://dorl.net/dor/20.1001.1.20088302.2022.20.4.11.0
Almost , J., & Mildon , B. (2022, June). R-E-S-P-E-C-T: A key to nurse retention. Nursing
Breaking down nursing management roles: USAHS. University of St. Augustine for Health
management/#:~:text=A%20nurse%20leader%20oversees%20a,on%20the%20latest
%20healthcare%20research
https://www.simplilearn.com/leadership-vs-management-difference-article
Finkelman, A. (2020). Leadership and management for Nurses: Core Competencies for Quality
Inam, H. (2018, April 5). Martin Luther King on leadership: 10 quotes for a Changing World.
luther-king-on-leadership-ten-quotes-for-a-changing-world/?sh=6b461155c88a
Krespani, M., Tsaloglidou, A., Koukourikos , K., Ouzounakis, P., Iliadis , C., Krepia , V.,
Kaptanoglu, A. Y., & Kourkouta, L. (2021). Educational Needs and Motivations for
http://internationaljournalofcaringsciences.org/docs/16_kourkouta_original_14_3.pdf.
https://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx
Teriakidis, A., McNitt, J., McAllister, M., Sizemore, O., & Lindemann, P. (2021, January 5).
Covid-19 impact on nurse staffing and ICU Beds. Epic Research. Retrieved from
https://epicresearch.org/articles/covid-19-impact-on-nurse-staffing-and-icu-beds