Introduction followed is a Registered Nurse (RN) employed

Introduction

According to an
article by Villanova Universityaj1 ,
a successful leader inspires others to do their best, and successfully creates
group consensus through trust to buy into their vision and follow their lead
(Villanova University, 2017aj2 ).
The nurse that this writer followed is a Registered Nurse (RN) employed with
Lutheran Hospital. The nurse is the clinical coordinator for the palliative
care wing in the hospital and has been a nurse for a number of years, starting
out in oncology and then moving to palliative care. The nurse has been in this
field for the last six years. As the clinical coordinator, the nurse requiresaj3 
a great amount of efficiency, organization, and critical thinking. Organization
and efficiency are important to ensure all of the patients that require care
are seen. According to
Nurse Journal, criticalaj4  thinking skills are important,
because “they are what you use to prioritize and make key decisions…” (Nurse
Journal, 2005-2017aj5 ).
The clinical coordinator performs several tasks throughout the day to ensure
patient needs are being met.

Nursing Role

The clinical
coordinator has several roles and responsibilities. In this role, the nurse
acts as a liaison between the hospital and Visiting Nurse and as a case
manager. Once a patient is referred for palliative, a consultation for Visiting
Nurse is put in and together the clinical coordinator and visiting nurse assist
the patient and the patient’s family in choosing the appropriate services. The
nurse coordinates family meetings that can take place in person or over the
phone. These meetings allow the nurse to collaborate with the power of attorney
about options for his/her family member. The nurse gives support and fills in
loved ones on available options for services. If the patient or the patient’s
family chooses hospice care, the nurse works with Visiting Nurse to help the
patient or family find an agency they would like to go through.       The clinical coordinator’s work also consists
of case management. Every patient referred or receiving services through
palliative has an electronic medical record with diagnosis, age, and other
background information. Each day, the nurse pulls a master list from the
database of the patients that need to be seen on a particular day. The nurse
then rounds on these patients, inquiring about patient’s status, whether that
may be a declination or progression. When finished with rounding, the nurse
enters her notes in the database where other team members have access to the
information.

Nurse Supervision and Collaborations

The clinical
coordinator is a supervisor to the social worker and the other registered
nurses working in the office. The nurse interviewed stated that the role of
supervisor is more or less just another role that comes with the title as
clinical coordinator. The nurse stated that although the role of clinical
coordinator includes supervisor, the nurses on the floor know their job and
they do it well. For this reason, the subordinates do not believe much
oversight is required. The nurse collaborates with Visiting Nurse’s attending
physician, the social worker and registered nurse that work in the office, as
well as the health care teams that care for each of the patients under the
nurse’s care. The nurse informs the physician about patient status changes and
if a patient is in need of a new order. The physician will then put the order
in and the nurses working with that patient will follow those orders as
appropriate. Collaboration is important in nursing and by doing so effectively
will lead to improved quality outcomes, patient experience, patient safety, and
use of resources (ANA, 2016). 

 

 

Leadership Style

            The
clinical coordinator is a laissez-faire leader. A laissez-faire leader is a
leader that does not exercise direct control over employees and due to the
employees being highly experienced; do not need much supervision (Management
Study HQ, 2017). The nurse followed allows the employees being supervised to
work primarily on their own. The nurse trusts that they know how to do their
job and do not require constant supervision, and reviews and intervenes as
necessary. All team members communicate and collaborate as needed to provide high
quality patient care.

Communication

            The
clinical coordinator uses interpersonal communication, the most common form of
communication in nursing, which requires an exchange of information with
another individual (Henry, et al., 2016). When the nurse rounded on patients, information
was exchanged regarding the patient’s current status and needs. Interpersonal
communication, a form of therapeutic communication, was utilized with the patients
and patient’s families as well. Therapeutic communication is the purposeful use
of communication to build and maintain helping relationships with clients,
families, and significant others (Henry, et al., 2016).  The nurse was respectful and used a
light-hearted tone when communicating.

Summarize

I feel like I
learned many useful things from this observation. I learned there are several
hats a nurse must wear to effectively do her job with being a team player and
effective communicator being two of the most important. I once read that
“effective teamwork has been show to achieve team goals successfully and
efficiently and with fewer errors” (National Center for Biotechnology
Information, 2015). I really enjoyed watching the nurse navigate the hospital
and round on her patients. She was calm, cool, and collected; she was proactive
and a self-starter which are important traits to have as a nurse. In the future
during my nursing career, I would like to be a participative leader. This type
of leader seeks to involve other people such as subordinates, peers, and
superiors in the decision-making process (Changing Minds, 2012-16).

This type of
leadership is the most appealing to me, because it allows for everyone regardless
of their status to have some say so in the decision-making process. I believe
that if you allow your co-workers to be involved in making some of the
decisions that will affect them and their work environment, you can foster a healthy
working environment. To develop the leadership skills I am seeking, I think the
most important thing to do is to be open minded and eager to learn. Through
watching and learning, I will be able to implement the traits essential for a
democratic leader into my nursing role.

 

 aj1Add
year of reference: According to…Villanova University (2017),…

 aj2Then
delete this reference – by adding it above with the date, that is the APA
citation

 aj3The
nurse is required to possess a great amount of…

 aj4Critical
thinking skills are important because they allow for prioritization and key
decisions (Sharples et al., 2017).

 aj5Change
this sentence and reference

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