Health Management Journal

Running Head: HEALTH MANAGEMENT JOURNAL 1
Health Management Journal
Name
Institutional Affiliation

HEALTH MANAGEMENT JOURNAL 2
Introduction
Healthcare management involves directing and coordinating healthcare services in various
organizations (Giobbi, Gallivan & Yundt, 2013). Effective health management involves
attributes such as good communication skills, detail-oriented skills, interpersonal skills,
analytic skills, technical skills, critical thinking, active listening, coordination, and
judgmental skills (Basole, Bodner& Rouse, 2013). This journal details my association with
my place of work. As a team leader directly in charge of my fellow nurses I have had
difficulty in handling my colleagues especially during work hours. As a team leader, I was
forced to handle a conflicting situation amongst two of my teammates for eight weeks. As a
team leader, I was mandated to ensure that there is a peaceful coexistence amongst all the
members of the team and adapting measures that will treat all the members with equity.
To achieve effective management I had to consider effective skills. In this journal, I
have documented my weekly experiences with my colleagues, the challenges involved in my
leadership experience and my achievements during this tenure of leadership. When handling
conflicts between two colleagues you must ensure that you set precedence in handling such
matters in the future, you must also show aspects of equity in handling all the teammates.
Journal Entries
As a team leader, I am tasked with overseeing a team of five nurse trainees who are
currently in their industrial training in our health facility and five licensed professional
nurses. Handling students is always an intricate task since you have to ensure that you
achieve two goals at the same time. Students are obligated to learn during their industrial
training and gather experiences that will help them in their class work. At the same time they
have to deliver to the expectations of the health care in terms of service delivery and

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production, which implies that they have to be taught to be effective managers in their
coming careers. Management can be taught and instilled in learners.
To best create a reflection on my personal experiences I will relate the experienced to
Gibs reflective cycle that starts with the description of situations to feelings, evaluation,
conclusion and then action plan. As part of the description I will focus on what happened,
where it happened, when it happened, who was involved, what I did, what other people did
and the results of these actions (Husebø, O'Regan & Nestel, 2015). When reflecting on my
activities I will evaluate the activities to establish the success that unraveled, the reason for
the same and the contributions of other people on it. (Howatson ,2016).
One of the student trainees registered as an international student from Russia had
difficulty in speaking fluent English using their accent; most words pronounced by the
student would hardly be understood by the patients and her teammates. Students are always
faced with the tassel of who is better than the other in terms of service delivery; this tassel
can escalate to a point of preventing effecting service delivery amongst the conflicting
parties. As an in charge, I was tasked to manage a maternity section where the students
assisted five of my colleagues. Each of the five students made efforts to show how best they
are in service delivery involving offering the best care to the expectant mothers and their new
born babies. As a leader I was tasked with ensuring that my teammates offered the best health
care, handling two teams of both experienced and inexperienced nurses makes it difficult
since the experienced nurses always tend to have laxity while on duty and delegate most
duties to the trainees who are forced to overwork themselves to please them.
The tussle of who is better among the students creates enmity between them. The
laxity created by the experienced nurses leads to several medical mistakes created by the
trainees in the course of their delegated duties since there is no professional to guide them.

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These are the two most difficult challenges that I had to go through in the last eight weeks
and as the team leader, I had to devise methods to combat these mistakes and bring sanity
back to my teammates. I have documented the experiences that went down and the measures
I took to ensure that normalcy was brought back.
On June 3rd, 2019 one of the trainees attending to an expecting mum gave an overdose
of the inducing medicating after confirming that the due date of birth had passed by a week,
this was after a consultation which was done via call to the professional nurse in charge who
had taken a lunch break and left the trainee to handle the matter. Before giving a go-ahead,
the nurse in charge should have done a physical extermination and assessed the situation. The
overdose induced on the patient triggered exec labor that overwhelmed the patient making
her faint. As the team leader, I was notified in time and after responding I noticed that there
was a need for a cesarean section to remove the baby due to the increasing contractions that
could not stop.
The situation called for a probe by the administration that had been notified through
complains tabled by the family of the victim. Upon investigations, the nurse in charge of the
shift denied the allegations and insisted that she had not given the order. The student insisted
that the instruction came from the professional nurse in charge of the shift and provided call
logs as evidence on the allegations she had made. The alibi the nurse had given could not
weigh out and she had to be suspended by the management. This incident left me with a
severe warning letter that was presented as the team leader for not overseeing the operations
of my team. I saw this as a failure on my side as the leader.
On 10th June 2019, I had to call for an indoor meeting with my team to address the aftermath
of the incident that had caused us to lose one of our team members who was serving her
suspension. This was purposed to push for teamwork amongst the teammates and ensure that