Leading and Learning: Building Professional Capacity
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This essay report explores the leadership roles of a graduate nurse, focusing on delegating care and being an advocate. It discusses the reasons why these roles are expected of a graduate registered nurse and the patient care outcomes that can result from effective or ineffective care delegation.
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Leading and Learning: Building Professional Capacity 1
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Contents INTRODUCTION...........................................................................................................................3 PART A...........................................................................................................................................3 Why delegating care and being an advocate are leadership roles in nursing and why these roles are expected of a graduate registered nurse.................................................................................3 Patient care outcomes may occur as an outcome of effective and/or ineffective care delegation .....................................................................................................................................................4 CONCLUSION................................................................................................................................5 REFERENECS................................................................................................................................6 2
INTRODUCTION Building professional capacity is referred as promoting a surrounding which maximize the potential of people and organisations to possess and receive skills and knowledge and to become competent in planning, formulating, executing and sustaining activities related to health as per the emerging or changing needs (Fullan, Rincón-Gallardo, & Hargreaves, (2015).This is an essay report which intent to demonstrate the understanding of leadership roles. This report covers the leadership roles of a graduate nurse including being an advocate and delegating care along with the reasons these roles are expected of graduate RN. It also discusses about the patient care outcomes which may occur as an outcome of effective and ineffective care delegation. PART A Why delegating care and being an advocate are leadership roles in nursing and why these roles are expected of a graduate registered nurse In relation to nursing practice, delegation can be stated as transfer of authority for performing a specific task from one person to another when retaining accountability for results. Effective delegation develops more time for graduate nurse to perform the tasks which are of high value added and those which needs critical thinking and judgement. In the modern day, the role of a graduate registered nurse has evolved to that of guiding, directing, delegating and oversight of care. The graduate nurse required to have delegation skills in order to protect health, safety as well as welfare of patients. The main purpose of delegation leadership role is to make sure that safe care reaches to the patient (DELEGATION SKILLS: ESSENTIAL TO THE CONTEMPORARY NURSE, (2011).A graduate registered nurse must be an effective delegator in order to get success in his/ her profession. Lack of delegation skills may put the service user at risk and also put their own licence of practice in jeopardy (National Council of State Boards of Nursing. (2016).So, delegating care is a significant leadership role in nursing as this skill is paramount to accomplish required outcomes and the employers are expected this leadership role from the graduate registered nurse as this will help in ensuring effective delivery of care to patients.Delegation enable registered nurses to use theknowledge informed practice while providing care by prioritizing skilful nursing care (Motacki, & Burke, (2016). Beinganadvocatetranscendsnursingprofessionatalllevelsandneedsleadership competencies and skills which should be executed in collaboration with other healthcare 3
professionals and within own profession. In health care settings, being an advocate includes taking responsibility for determining issues, developing and executing an improvement plan, tracking enhancement overtime as well as making needed adjustments in order to realise developed goals. Being a strong advocate of patient help nurses to enhance the delivery of care by involving in decision making. Advocacy helps nurses in ensuring effective and safe practice environments and emphasize on addressing problems in need of solution (Choi, (2015).So, the employers expected advocacy as leadership role of graduate registered nurse as this assist in addressing the concerns of workplace, promoting positive environment of work and advocate for profession effectively.The influence of graduate registered nurses on the outcomes of patient is progressively evident; and the nursing contribution into decision making in organisation related to safety as well as quality initiatives is priceless. Registered Nurses are gradually positioned to advocate more excellently than ever earlier not only for the patients, but for themselves too and the nursing profession (Advocating for Nurses and Nursing, (2012). Patient care outcomes may occur as an outcome of effective and/or ineffective care delegation The patient care outcomes which may occur as a result of effective or ineffective care delegation are as follows: Patient satisfactionis a key to know the exactly what treatment received from their health care provider. In the evaluationsof health care quality, patient satisfaction indicatesthe performance measured in a self-report study and a particular type of customer satisfaction metric. Because patients can be dissatisfied with health care provider or they can be satisfied with the service provide.There may be some circumstances where patient satisfaction is not plays a potent role in quality of health care. The satisfaction of patient depends upon the duration and efficiency of care provided by the health service provider, and how much empathetic and communicative they are. It is directly related to the doctor and patient relation. Also, the patients whom are well-described of the essential procedures in a clinical event (Batbaatar & et. al., (2017).Another crucial factor which can influence the patient satisfaction is the job satisfaction received by the health care provider. When talk about the patient satisfaction region wise, in the united states, the surgery patients are reported as the most satisfied and efficiently being performed by the quality level surgical procedures. Presently the CAHPS stands for Consumer Assessment of Healthcare Providers and Systems is project under research regarding to provide 4
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guidance for the development of consumer survey which are being used to assess the caring quality provided by health plans, clinician and physician groups. Good health care facilities play a vital role in the outcome ofpatient safety. Resulting of a good care provides the lessening the harm in health of patient. It reduces and prevent the risks, errors and sudden harms that can be happened during the procedure of health care. The base of this discipline of safety rely on improvement of learning from defects and contrary events. Without proper safety measures, there is a huge possibility to get harmed with tiny mistakes. A well-mannered health system provides the lower risk to get adversely affected by the process of treatment (Patient Safety - a fundamental component for Universal Health Coverage, (2019).For example, if a patient who is under severe treatment sometimes might receive a wrong medication or wrong method just because of tiny mistakes e.g.mixed up the two similar salts due to the same packaging. In this condition the doses may be high or sometimes adversely reactive which can cause a serious harm to the patient. The prescriptions are generally passes through the various channels such as firstly from the doctor to the nurse and then to the pharmacy, in between the process if the proper safety couldn’t be taken for the right medication and right dozes, the impacts can be worst upon the patient. CONCLUSION As per the above discussion, it can be concluded that delegating care and advocacy are the two crucial leadership roles required by graduate registered nurse. These roles help graduate nurses in performing their roles and responsibilities effective and ensuring delivery of quality care. Patient safety and patient satisfaction are the outcomes of effective care delegation to the patients. 5
REFERENECS Books and Journals NationalCouncilofStateBoardsofNursing.(2016).Nationalguidelinesfornursing delegation.Journal of Nursing Regulation,7(1), 5-14. Motacki, K., & Burke, K. (2016).Nursing Delegation and Management of Patient Care-E-Book. Elsevier Health Sciences. Choi, P. P. (2015). Patient advocacy: the role of the nurse.Nursing Standard (2014+),29(41), 52. Fullan,M.,Rincón-Gallardo,S.,&Hargreaves,A.(2015).Professionalcapitalas accountability.education policy analysis archives,23, 15. Batbaatar,E.&et.al.,(2017).Determinantsofpatientsatisfaction:asystematic review.Perspectives in public health,137(2), 89-101. Online DELEGATION SKILLS: ESSENTIAL TO THE CONTEMPORARY NURSE,(2011). [Online] Availablethrough:<https://sophia.stkate.edu/cgi/viewcontent.cgi? article=1020&context=ma_nursing> [Access on: 09-09-2020] AdvocatingforNursesandNursing,(2012).[Online]Availablethrough: <https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/ OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocating-for-Nurses.html> [Accessed on: 09-09-2020] Patient Safety - a fundamental component for Universal Health Coverage, (2019).[Online] Availablethrough:<https://www.who.int/news-room/fact-sheets/detail/patient- safety#:~:text=It%20aims%20to%20prevent%20and,delivering%20quality%20essential %20health%20services.> [Access on: 09-09-2020] 6