Contemporary issues in nursing leadership in nursing practice nursing essay

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Contemporary issues in nursing leadership in nursing practice nursing essay

Editor who approved publication: With the implementation of the Affordable Care Act, elevated roles for nurses of care coordinator, clinical nurse leader, and advanced practice registered nurse have come to the forefront.

Because change occurs so fast, matching development and education to job requirements is a challenging forecasting endeavor. The purpose of this article is to envision clinical leadership development and education opportunities for three emerging roles.

The adoption of a common framework for intentional leadership development is proposed for clinical leadership development across the continuum of care. Solutions of innovation and interdependency are framed as core concepts that serve as an opportunity to better inform clinical leadership development and education.

Additionally, strategies are proposed to advance knowledge, skills, and abilities for crucial implementation of improvements and new solutions at the point of care. Although the future may be difficult to predict exactly, history has taught us that it is crucial to prepare nurses for key roles in the health care delivery system, both for present jobs and for potential future opportunities.

The challenge for clinical leadership is how to structure the knowledge, skills, and abilities required so that nurses are positioned to step into roles that are needed, yet, for which there may not yet be formal jobs.

One example is expanding and elevating the registered nurse RN role from traditional care delivery to integrating care, where they are working with autonomy, authority, and accountability in managing and coordinating care across disciplines and settings.

They noted that there is a compelling need to expand the contributions and optimize the scope of practice of RNs in primary health care for leadership in interprofessional teams. The purpose of this article is to envision clinical leadership opportunities for three nursing roles: Subsequent implementation has contributed to reconfiguration in health care delivery, accelerated the demand for health care along with a shortage of key health care professionals, and opened up new and expanded roles for nurses under new care delivery models.

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Aimed at extending health insurance coverage, there are many provisions of the ACA, including those designed to emphasize prevention and wellness, improve quality and system performance, and curb costs.

Notable among these aspects are the creation of health homes and integration of care for persons with chronic illnesses, improvements in care coordination, emphasis on prevention and primary care, investment in health information technology, and testing of new delivery and payment systems.

Authorized under the ACA for Medicare reimbursement, the Centers for Medicare and Medicaid Services CMS has implemented an initiative to reward acute care hospitals with quality-of-care incentive payments for the quality of care delivered to Medicare patients.

The goal is to link payment to a value-based system that improves quality of care and is not just based on volume of services. Nurses hold the central ground for quality, safety, and improving the patient experience.

Jun 10,  · Contemporary Issues In Nursing Leadership In Nursing Practice nursing. This essay will define leadership and how leadership qualities relate to nursing practice in order to help nurse leaders to work effectively with in nursing. The Top Five Issues for Nursing in In , the Institute of Medicine released a report, U.S. Health in International Perspective: Shorter Lives, Poorer Health, . - A Review of Leadership in Nursing related to Clinical Nursing Practice Abstract: Leadership in Nursing has become a major issue in health care settings and in management. Leadership in nursing is a wide in nursing field .

For example, having quick care clinics affiliated with a hospital can decrease nonemergent patients seeking health care on weekends and nights in the emergency department and increase patient satisfaction with not having to wait.

However, to run smoothly, nurse clinical leadership is needed to coordinate and integrate care with affiliated sites such as laboratories, imaging centers, and pharmacies.

What is clinical leadership in nursing? Leadership in nursing is highly valued. The Institute of Medicine 3 noted that nurses need to be prepared to lead in all aspects of health care.

Contemporary issues in nursing leadership in nursing practice nursing essay

Clinical leadership is defined here as the process of influencing point-of-care innovation and improvement in both organizational processes and individual care practices to achieve quality and safety of care outcomes.

McCausland 5 noted that new interdisciplinary models of care that cross traditional boundaries of ambulatory, inpatient, and community settings need credible clinical leaders. Thomas and Roussel 6 noted that clinical leadership is about clinicians augmenting care for safety and quality by using innovation and improvement.

This places the opportunity for health care leadership at the clinical level within the realm of each direct provider of care, especially nurses who are at the direct care level.

Clinical leadership uses the skills of the RN and adds components of general leadership skills, skills in management of care delivery at the point of care, and focused skills in using evidence-based practice for problem solving and outcomes management.

There is clearly a need for clinical leadership in nursing because of the many and varied point-of-care implementation problems that arise. For example, patient safety may be compromised if there is poor team communication. When nurses are busy or short-staffed, hand-off communications may be compromised, creating gaps in care Huber et al, unpublished data, Discharge transitions may not be smooth if both sending and receiving areas do not communicate well.

Medication administration may be less than smooth when multiple disciplines caring for a patient do not coordinate prescribing and transcribing practices. This is true in acute care and across the continuum.

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Resolving ongoing care gaps requires energetic actions based on best practices, teamwork, care coordination, and clinical leadership competencies at the point of care.

Evidence base for clinical leadership There is a body of evidence demonstrating the relationship between nursing leadership and patient outcomes.

Their systematic review of 20 studies from to on the relationship of nursing leadership practices and patient outcomes demonstrated a positive relationship between relational leadership and multiple patient outcomes.

A connection between supportive leadership styles and positive patient safety outcomes was noted. Among the 20 studies reviewed, transformational leadership was the most frequently used leadership theory. Transformational leadership is an evidence-based theory used as a strategy and manifested as a style for working within the complexity of care and the use of interdisciplinary teams.

Transformational leadership directly addresses some of the competencies in the first category of leadership. There is a solid body of evidence that transformational leadership is related to effectiveness, 9 — 12 which is especially important for working with interprofessional teams, managing the coordination of care, and innovating roles and functions as structures are changing.

Clinical leadership roles Clinical leadership roles are often thought of as targeted to the development of nurse managers and executives. Given the need for clinical leadership development at all levels, the focus here is on the development and education of nurses as leaders who are prepared to lead at the unit, program, or microsystem level and across the continuum of care.

Nurses in direct care roles deliver care to and coordinate the care of patients and clients.Essay about Nursing Leadership Philosophy. Appropriate management and leadership theories will be used to support the issues which would be discussed in this essay.

A critical analyses of the event we be carried out. Nursing Philosophy Essay. It is true that Nursing is a practice discipline that incorporates scientific and .

Many papers address the importance of nursing leadership in facilitating, enhancing and supporting the introduction and integration of advanced practice nursing roles in organizations (D'Amour et al. ; Hamilton et al. ; Lachance ; MacDonald et al.

; Martin-Misener et al. ; Reay et al. ; Schreiber et al. a; Stolee et . Nursing Leadership And Management Nursing Essay. Eevoy Seechan. Gurnick Academy of Medical Arts. NURSING LEADERSHIP AND . Jun 10,  · Contemporary Issues In Nursing Leadership In Nursing Practice nursing.

This essay will define leadership and how leadership qualities relate to nursing practice in order to help nurse leaders to work effectively with in nursing.

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nursing ethical legal considerations in today’s practice setting. There is a growing amount of literature and media attention to ethical issues. Every week on medical and legal television shows, such as "ER" and "Law and Order," characters are faced with ethical dilemmas and decisions. Free nursing practice papers, essays, and research papers.

My Account - A Review of Leadership in Nursing related to Clinical Nursing Practice Abstract: Leadership in Nursing has become a major issue in health care settings and in management. • Why are vital signs relevant to contemporary nursing practice.

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