Issues and Factors that Impact on Nursing Leaders - Transition to Practice (TTP) - Nursing Assessment Answer

Nursing Assessment Task

Essay Question
Using the case study as a starting point, analyse and evaluate the issues and factors that impact on nursing leaders and professional practice; explain clinical leadership expectations for beginning new graduate nurses and reflect on strategies to develop personal and professional resilience that are important to your role as a leader.

Case Study
Kim, a Registered Nurse, graduated from the University of Technology Sydney in 2018. She is now undertaking a Transition to Practice (TTP) program at a tertiary hospital in western Sydney. Halfway through her program, she was involved in a cardiac arrest on the ward. Fortunately, the patient was successfully resuscitated and transferred to the Intensive Care Unit. The resuscitation went smoothly apart from an incident where the attending Registrar shouted at Kim, admonishing her for not knowing which equipment to provide for the intubation. Up until that point, Kim had felt that she was “getting on top of things” and coping quite well with the demands of ward work. Kim left the arrest feeling “hopeless” and “useless” and incompetent as a nurse. These thoughts and feelings are causing her ongoing distress and embarrassment, damaging her confidence and affecting her ability to conduct everyday nursing tasks. For the first time in her career, she is considering leaving.
The following day, Kim’s Nursing Unit Manager (NUM) approaches her on the floor during the busy morning shift (surrounded by colleagues and patients). She says “I hear you were really upset and might need some counselling after what happened during the arrest the other day.
I am free now, come into my office”. Kim follows the NUM into her office, feeling embarrassed that the issue was raised in front of her colleagues and other patients. Kim also feels uneasy about burdening her colleagues with her workload while she is in the office. Kim sits down and begins to listen to the NUM....

Issues and factors that impact on nursing leaders and professional practice
How would you approach the situation if you were the Nurse Unit Manager (NUM)? How would the RN Standards of Practice apply in the NUM’s case?

Clinical leadership expectations for beginning new graduate nurses: scope of practice, legal and ethical boundaries
Did Kim meet her obligations as a new graduate nurse? How would the RN Standards of Practice apply in Kim’s case?

Gibbs model of reflection: strategies to develop personal and professional resilience How you would have felt in Kim’s situation. What strategies would you recommend to develop personal and professional resilience?

Supportive elements in effective leadership: knowledge, evidence, communication and networks
What knowledge, evidence, communication and networks could leaders, such as the NUM in the case study, offer new graduate nurses to support their development as a leader?

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