Significance of Interpersonal and Intrapersonal Skills

Running Head: NURSING
NURSING
Name of the Student
Name of the University
Authors Note

1
NURSING
Introduction
Clinical leadership is a very critical aspect of nursing practise and every nursing
practioners should possesses (Rosser et al., 2016), if not then trained to be develop the proper
leadership skills to better orient herself or himself too the day to day clinical scenario and
supervise the roles and functions plus functioning of the junior nurses working in the same
department and same setting and it is to be critically understood that the clinical leadership of
a nurse comes with certain attributes and traits such a effective interpersonal and
intrapersonal skills that is required for team management and self-management as the same
time (Stanley and Stanley, 2018). The other traits are active listening, apt decision making
and quick as well as empathic decision making.
Clinical Scenario 1
The clinical reasoning processes is very much vital in order to identify and applying
thee leadership role in the delivery of a safe and quality care is very critical and important.
Arya is a postgraduate nurse who has fifty residents under her car and she also manages a
team of one enrolled nurse and a team of five carers as well. She has a patient named Mr
Lannister who have been complaining of developing rash on his back and she has asked the
general practioners to visit him and check. One resident has a PEG feeding schedule and five
have flu like symptoms and are on four hour interval observation for the checking of the
vitals. Two residents are to be administered with insulin. Arya has five dressings and two
dressings (simple and difficult respectively) to be performed in the shift time and one of
residents whose name is miss snow is out for a lunch with her daughter and Arya have to
keep that in mind as well. A continence assessment has to be undertaken for the resident Greg
Clegane, as requested. The concerned postgraduate nurse also has Edward Stark and Ted
Littlefinger to be checked with a three monthly care review. All her carers are gone as they

2
NURSING
were feeling uneasy and unwell. The concerned nurse also has two medication rounds
pending and at last, after her dinner, she receives an urgent information that one of her
patients have fallen down and had his head lacerated, which is a severe injury. As a clinical
leader, it is critical and very important that the postgraduate nurse must at first prioritize the
cases as per the urgency based on medical and nursing needs and each and every case has to
be attended and addressed properly and with professional evidence based practice. She must
be able to apply her delegation skills and the right problem solving skills to perform the
dressing and plan the day’s case managements in a very skilful manner (Brown, Dewing and
Crookes 2016). It is highly important that the cases there are medications to be given and the
insulin to be administered are done on a timely basis and as the carers who works in the team
under her supervision are gone, as per the nursing leader or rather a clinical leader – she must
be taking the ownership and the responsibility of doing or rather performing their jobs and
roles in terms of medication administration and doing the dressings in an imperative manner
to order to led the clinical management process with skills and with clinical excellence as
well (Xu 2017) back due to certain reasons and the patient himself along with the family of
thee patient is really worried and in this case, at first the clinical reasoning cycle has to be
incorporated in to practice. Considering the patient information regarding age, gender,
demographic data of the patient is important and then Arya must be collecting the objective
as well as the subjective cues and then be able to process the information (Stanley and
Stanley 2019). The vitals of the patient must be taken from the residents and the blood
glucose level must also be assessed before administering insulin to the patients. In case of the
head injury patient, the nature of fall, the risk of fall, the environmental risk factors and the
perception, cognition of the patient be addressed as well in order to understand thee
neuropsychological status of thee subject. In this stage, critical analysis using clinical
reasoning and accurate correlation drawing with the pathophysiology of the disease is

3
NURSING
important and Arya must be able to analyse what has led to the causation of rashes in the
subject (which might be due to drug allergy or food allergy or bed rest complication).
Identifying the main problems and also the comorbid conditions follows next in the process
of applying the clinical reasoning cycle. Establishing the goals and taking action is critical
and the most important part of the clinical reasoning cycle and in this case, Arya as a clinical
leader should be able take charge of the situation as the carers have gone home in the middle
of the shift. Evaluating the actions and reflecting on the clinical processes are very important
important aspect of clinical reasoning in order to deliver a safe and secure clinically proper
nursing service to the residents.
The decision making framework in order to delegate the tasks to other enrolled nurse
and the carers and in order to supervise them, on their roles. The enrolled nurse can be
delegated the task of assisting the postgraduate registered nurse in complex dressings and
also when she is feeding the patient which is very important (Ha and Pepin, 2018). For
delegation related decision making, the roles and responsibilities of the careers and the
enrolled nurses, the areas of strengths and weakness should at first be assessed properly by
the postgraduate nurse and then the right person must be communicated professionally and
effectively about their roles and finally, thee clinical leader nurse must evaluate and supervise
their actions in an imperative way.
Engaging in the right professional and therapeutic relationships with the patients and
the other carers and nurses respectively (according to the nursing and midwifery board of
Australia standard 2) and providing a safe, responsive and appropriate quality nursing service
is important (according to NMBA standard 6).
Clinical Scenario 2

4
NURSING
At first it is to be considered that Jade is a second year nurse who works in the
intensive care unit and it is highly important and also very vital to understand that the roles of
a nurse in the intensive care unit differs very much from the roles and the responsibility of a
nurse working in the surgical ward and that is why, Jade might have a complicacy or difficult
adjusting to the sudden change of clinical environment and in the nursing management of
new clinical cases. In order to demonstrate clinical leadership skills in delivery of a proper,
safe and secure service to the patients in the surgical ward, the clinical reasoning cycle must
be applied in each and every case that she is delegated to manage. Considering the patient
situation is the first step of clinical reasoning cycle. For bed 1 – patient name is Kay White,
day 2 post appendicectomy. Type 1 diabetic on free fluid diet. Bed 2 patient name is Mark
Black, 59 year old male: day 1 post op total knee replacement, buzzes needing to open
bowels. For Bed 3- Jan Green, 79 year old female: day 3 post hemicolectomy along with
ileostomy formation. Her stoma is not functioning, and the stump appears to have a dark
colouration. Bed 4- Jock Grey, 69 year old male: medical outlier awaiting a bed on the
Respiratory ward; exacerbation of COPD; due for regular nebs, spo2 is 92% on 2L/O2. He
buzzes complaining of chest pain, Bed 5- Pippa Blue, 48 year old female; day 1 post-
mastectomy for breast cancer, bellovac drain in situ which is nearly full of haemoserous fluid.
She will be allowed to go home once she has been seen by the breast care clinical nurse
consultant (CNC). On Bed 6- Tanya Pinkstone who is a 26 year old female. On Day 8 - post
motor vehicle accident patient who has fractured sternum, preparing for the discharge
tomorrow, needs a CXR check today. Bed 7 – Tom Purple is a 72 year old male with post
total knee replacement (day 10), needs to be ready for QAS transfer to private rehab hospital
at 0900. He needs basic wound dressing applied and has staples removed. A discharge
paperwork to be finished taking last vital signs set and discharge medications to be arranged
with pharmacy. On Bed 8 – Stacey Yellow is a 62 year old female. On Day 12 she was with

5
NURSING
settling acute pancreatitis. She is a heavy drinker and a smoker who wants assistance and help
to go outside for a cigarette. Her discharge planning is complex due to her difficult social
situation –has recently been evicted from her government housing. She has no family.
Collecting the subjective and objective data in each case is critical. Bed 1 – pain assessment
is very critical, bed 2 – assessment of activities of daily life and functional dependence is
important. For bed 3 – pain assessment, stump patency has to be checked. For bed 5 - vital
signs, chest assessment and respiratory assessment is critical and pain assessment has to be
done. For bed 6– vital signs, chest assessment and respiratory assessment is critical. For bed 6
– chest assessment and respiratory assessment is very much critical. For bed 7 – knee
mobility, activities of daily life, functional status of the knee and knee stability has to be
taken. For bed 8 – psychosocial, alcohol dependency assessment has to be taken by the nurse.
The next step in the clinical reasoning cycle refers to the analysing the information that is
already being taken in the previous stage and it has to be critically analysed in order to find
the critical problems in response to the cases. Once the establishment of the goals are done
based on the problems, thee pain action needs to be developed by Jade and it is important that
the outcomes are evaluated by Jade and the processes are reflected upon by the Jade and all
these mentioned steps would help in the safety and secure patient centred nursing care
delivery to the subject.
For the right decision making, it is very important that the critical and the clinical
reasoning are done particularly in pertinence to the problems presented in each and every
case presentations. It is vital that the 8 patients that the second year postgraduate nurse is
delegated with are taken through an apt clinical decision making process and Olive is an
experienced surgical ward enrolled nurse. Ash is the ward Assistant in Nursing, and is
supervising a thirty bed ward. Jade supervises Hunter who is a supernumary third year
student registered nurse who is doing an internship in the Surgical Ward. It is very critical

6
NURSING
that Jade maintain a good and effective clinical relationship with the Ebony who is the shift
team leader and collaborates effectively with thee enrolled nurse in order to perform the right
delegation functions by delegating the right duties to the Ash and Hunter. As bed 1, 3, 4 and
5 are critical, Jade along with the enrolled nurse must be taking care of them. As bed 2 and 7,
are same, has knee replacement, Hunter and enrolled nurse will be delegated of addressing
the case. For bed 6, Hunter will be addressing the case along with me. For bed 8, the enrolled
nurse and Ash will be addressing the case.
According to NMBA nursing standard 2, it is very critical that the nurse engages in
therapeutic and professional r3lationship with the other nurses in the department and with all
the patients as well. Developing a plan nursing practice, according to NMBA standard 5, is
crucial and this can be done through proper delegation of role and collaboration with the
other nurses in the setting.
Conclusion
It is critical that as a nursing clinical leader, it is very critical to develop the
collaborative practice with the professionals of other disciplines and it is critical that the
NMBA codes of practices and standards are applied properly in the management of these
cases. The therapeutic and the professional relationships are to be critically developed with
thee patients and the practioners of other disciplines in order to deliver a proper patient
centred care to the patient. It is highly important to note that the delegatory actions and taking
ownership are important aspects of the nursing clinical leadership and the same should be put
to day to day nursing practice.

7
NURSING
References
Brown, A., Dewing, J. and Crookes, P., 2016. Clinical leadership and pre-registration nursing
programmes: A model for clinical leadership and a prospective curriculum implementation
and evaluation research strategy. Nurse education today, 42, pp.30-34.
Ha, L. and Pepin, J., 2018. Clinical nursing leadership educational intervention for first-year
nursing students: A qualitative evaluation. Nurse education in practice, 32, pp.37-43.
Rosser, E., Reeve, J., Neale, D., Smith, C., Valentine, J. and Grey, R., 2016. Developing
clinical leadership: a co-operative inquiry approach to evaluate the benefits of an action
learning set with nursing consultants in England.
Stanley, D. and Stanley, K., 2018. Clinical leadership and nursing explored: A literature
search. Journal of clinical nursing, 27(9-10), pp.1730-1743.
Stanley, D. and Stanley, K., 2019. Clinical leadership and rural and remote practice: A
qualitative study. Journal of nursing management, 27(6), pp.1314-1324.
Xu, J.H., 2017. Leadership theory in clinical practice. Chinese Nursing Research, 4(4),
pp.155-157.