NURS 206 Lecture Notes - Lecture 7: Health System, Transformational Leadership, Shared Decision-Making In Medicine
October 24th, 2017 206 Leadership
Who is a leader:
-Someone in a power position
-Someone who has experience
-People who step forward in times of need. They lead by example. Do what they say
they are going to do.
-leaders provide guidance to followers; directing towards a goal/vision
What qualities do they have:
• Confidence
• Good communication skills
• Compassion
• They have a vision
• Organized
• Trustworthy (doing what you say you are going to do because that is a way to
earn trust)
• Passion to lead
• Approachable
• Helping followers to gain autonomy (can be staff or patients so they can do
the job without you there)
They can be a formal leader: because it’s their job
Informal leaders: can be mentors, they learn new skills to give better care
Leadership is not always climbing the corporate ladder it can be later expansion by
learning new skills too. And sometimes leaders are also followers
There is a course you can take to precept or mentor other nurses
Compare and contrast formal and informal leadership in nursing, including:
• Examples: formal: nursing manager, regulatory body, chair of an association,
chief of staff , CEO of health authority, etc.
informal: experienced nurse mentoring other nurses, supervisor, lead a
practice change, suggesting changed that need to be done
• Responsibilities: formal: its their job to be a leader , they get paid for it.
enforce standards, assign tasks to others, implement mission, vision of the
workplace
• informal: it’s the way they are, its their choice. Maintain goals set out by the
formal leader, step up if others need help
• Contribution: informal: recognizes what needs to be fixed formal: help
implement it both improves patient care and quality
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• Benefit: formal: organization, role model, financially it can benefit, improves
practice and improves patient care
Informal: doing good things without having a title, improves practice, improves
patient care
Attributes of a good leader:
• Good communications: you need to listen as well as talk (really listen!! This
can be shown when you restate back what they said)
• Good decision making
• Social power: influence
• Vision
• Followers (both effect each other but a good leaders knows what the
followers need)
• Steer change (guide followers to move organization through change to
achieve a goal
Several staff members call in sick with the flu for the next shift, and additional help
is not available. Wat do you do?
• Delegate
• Discuss and work with your team. It empowers the staff and creates better
team work, and better quality work.
• Support the nurses
• Check in and do a debrief
A family member calla to complain about the care that her father is receiving at the
facility. She is threatening to sue the hospital if something is not done immediately.
• Ask their full story
• Get the chart to get information
• Empathize with them, tell them that you are taking it seriously and that
calms the person down
• Work with staff to find out what happened too.
• Never have a conversation over email
October 26th, 2017
)n APA you shouldn’t quote a secondary source unless you cannot find the
secondary source. You never put ------. For reflections never quote a secondary
quote.
Only thing you italicize in APA is titles don’t italicize quotes.
Leadership theories:
• Great man theory/trait theory
1. Leaders are born not made
2. No prior education or prep required
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
People who step forward in times of need. Leaders provide guidance to followers; directing towards a goal/vision. They can be a formal leader: because it"s their job. Informal leaders: can be mentors, they learn new skills to give better care. Leadership is not always climbing the corporate ladder it can be later expansion by learning new skills too. There is a course you can take to precept or mentor other nurses. Informal: doing good things without having a title, improves practice, improves patient care. Attributes of a good leader: good communications: you need to listen as well as talk (really listen!! Several staff members call in sick with the flu for the next shift, and additional help is not available. Wat do you do: delegate, discuss and work with your team. It empowers the staff and creates better team work, and better quality work: support the nurses, check in and do a debrief.