Exam on Nursing and Leadership Management

Running Head: EXAM ON NURSING LEADERSHIP & MANAGEMENT 1
NURSING LEADERSHIP AND MANAGEMENT
NUR567-Home Exam
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EXAM ON NURSING LEADERSHIP & MANAGEMENT 2
Introduction
Healthcare organizations need to deliver a high quality of nursing care to their patients.
The role of nurses has emerged to be similar to managers and leaders. Nurses employed
across various domains of healthcare needs to collaborate with different types of personnel.
The nursing care delivery system has the responsibility to deliver appropriate nursing care to
the patient group. The nursing care delivery system is continuously transforming and has
undergone tremendous changes that can optimize the knowledge and skills of nurses. In this
rapidly transforming healthcare environment, demands are gradually changing and requiring
more management skills and excellent leadership skills. With the rapid transformation of
healthcare, there is needed more demand for self-care as technology impacts each aspect of
life and care. Nurses need to be ready to adapt quickly to societal changes such as gender,
cultural, and generational differences, increased violence, disasters, and pandemics. Nurses
while delivering care has to make various types of important decisions. Such decisions can
concern might have a tremendous impact on the team of nurses and healthcare professionals
as well as on patients. In the current analysis, a situation where an integral decision had to be
made is evaluated against its outcomes. Then in the second discussion, a patient care delivery
system during clinical placement has been discussed.
Analysis
1. A situation where an important decision was made and its outcome
Nursing managers are expected to make use of their knowledge from varied disciplines to
resolve challenges associated with patients, staffs as well as the organization. Nurses often
have to resolve challenges in their personal and professional lives. In the current situation, my
experience as a nursing quality coordinator has been evaluated. I was asked my decision to
put a written examination for my staff for yearly evaluation and undertaking an interview
apart from the head nurse's evaluation. To arrive at this decision, I had to implement critical
thinking skills and ascertain decision-making methods.
Nurses need to apply elements of crucial thinking to resolve such challenges. The process
of critical thinking includes analysis of underlying assumptions, interpreting, and evaluation
of arguments, exploration of choices for arriving at a justified choice. Critical thinking skill is
essential when nurses need to resolve complex problems. Zori, Nosek, and Muskil (2010)
applied the California Critical Thinking Disposition Inventory to ascertain critical thinking in
nurses. Their studies concluded that nurses with higher critical-thinking skills are to consider
their work environment more positively. When nurses make use of critical thinking skills,

EXAM ON NURSING LEADERSHIP & MANAGEMENT 3
they need to question their underlying assumptions which include the various beliefs that
affect an individual's reasoning. The interpretation of evidence or information is crucial such
that the facts can be substantiated. This enables evaluating whether the evidence is
undertaken using emotional or biased information, it also allows evaluating errors associated
with reasoning. Objects evidence for the support of arguments needs to be determined to
evaluate alternative perspectives.
Nurses make use of varied types of critical thinking skills to make decisions. They need to
determine the problem-solving or decision-making methods they use. Nurses are known to
face various types of problem-solving challenges and decision-making methods. Common
problems can be solved using routine decisions, which make use of policy and report form.
Adaptive decisions are applied in case of problems and alternative solutions when they are
unusual and less understood. This is a situation where nurses need to undertake innovative
decision making, to create novel solutions. There are various decision-making models that a
nurse can select from, they are the rational decision-making model, the descriptive rationality
model, satisficing and the political decision-making model. The rational decision-making
model undertakes rational selections for the maximization of objectives. The descriptive
rationality model focuses on the limitations of the rationality of the decision-maker as well as
the situation. In satisficing, individuals select an alternative that can meet the existing
condition or is the first acceptable alternative. In the political decision-making model, the
objectives and interests of the powerful stakeholders are evaluated for decision making.
There are various decision-making techniques available as per the nature of the problem, for
example, an artificial intelligence expert system. The problem-solving method is applied in
case there is a gap between the present state and the desired state. Problem-solving has
various methods that can be applied which include the trial-and-error method. Nurses can
make use of such techniques to creatively resolve problems and effectively resolve problems.
Applying all the above knowledge related to critical thinking, it can be said that critical
thinking was applied when I had to give a written examination for my staff for their yearly
evaluation. For every question that I was setting, I undertook a practical evaluation of
whether the staff could attempt them or not. I selected each question in a rational manner that
was relevant to their practical experience and the knowledge of which they are likely to
possess. I selected most questions from the internet and nursing guide books available online
on relevant topics of patient care and the healthcare environment. I phrased each question in a
manner such that they are easily understood by the staffs and they can comprehend the
meaning of the questions. I considered alternatives for every question such that the