Highlights
Learning outcomes
1. Analyse the major models of care management and leadership
2. Demonstrate leadership concepts, skills and decision-making required in the provision of quality nursing care, healthcare team coordination, and the accountability for care delivery in a variety of settings.
Background This Critical essay is aimed at developing your knowledge and skills in care management and leadership when you encounter complicated issues as an RN. It provides you with an opportunity to consider leadership theories and then apply them to the clinical context. In the scenario provided, you may wish to solve the issue using a single leadership theory or use more than one theory depending on the clinical context.
As in many areas around the world, hospitals, workforce and patient care has been impacted by COVID-19. This has meant many challenges have developed for nursing staff. Emerging from this pandemic is the role of clinical leadership to ensure high-quality patient care and collective efforts to accomplish the management of the pandemic at a local level. Leadership is the process of influencing others to meet the demands placed on the workforce and ensure high quality patient care. In the clinical setting, effective clinical leadership is vital in ensuring quality patient care and healthy workplaces.
Scenario
You are an RN, with 6 months of postgraduate experience. The setting is a medical ward in a public hospital in the local health district. There are 42 beds in the ward. The ward is divided in half with a clean* area that contains medical patients, none of whom have COVID-19, and a dirty* area which contains patients who have COVID-19. The experienced RN’s are working with these high needs COVID-19 patients. Because of the impact of COVID-19 on hospitals, the local health district has employed extra staffing.
You are directed by the NUM to be the team leader for the clean (no COVID-19 infection) area of the ward for the next 4 weeks as the senior staff are being rostered to care for the patients with COVID-19. The NUM has asked you to plan ways in which care can be designed and delivered in this changed inpatient setting. The NUM has emphasised that this has been a big change for staff in this unit and as the clinical leader, you must maintain a safe environment for temporary staff, students and patients.
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