Clinical Leadership in a Nursing Team Name

last time i failed the assignment even after telling the expert many times this please make sure use all the relevant articles related to nursing please dont put any business related material kindly use information relevant to nursing, and please use Harvard style referencing only, kindly check the attached documents details are given there

Running head: NURSING
Leadership in a Nursing Team
Name of the Student
Name of the University
Author Note

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Introduction- Clinical leadership is an umbrella term that encompasses the notion of
medical healthcare professionals undertaking the responsibilities of leadership such as,
establishing, encouraging and promoting vision and values, while utilising their skills and
clinical experience for ensuring that the needs and preferences of patients are the fundamental
focus to the delivery of healthcare (Swanwick & McKimm 2017). All across the world, the
healthcare systems continuously struggle to meet the escalating demands of patients and
healthcare costs. According to Sarto and Veronesi (2016) effective clinical leadership of RNs
has been associated to numerous functions such as, system performance, timely care delivery,
accomplishing health reform objectives, and system efficiency and integrity. In this
assignment, two case scenarios shall be analysed using clinical reasoning process.
Clinical Scenario 1- An analysis of the scenario suggests that Aarya, the graduate nurse at the
Westeros Aged Care, is entitled with a range of responsibilities and needs to oversee the
operations of the entire unit. She is not only expected to plan, lead, direct and assess nursing
care delivered to all patients who are within her domain, but is also expected to take charge of
developing workflows, recording progress of the unit, and overseeing development of staff.
In other words, RN leaders are expected to make crucial decisions which are abound to have
positive consequences, thereby creating an impact on the lives of patients (Regan et al. 2017).
In this scenario, it has been found that Aarya has called the GP for surgery of a patient, has
three monthly care plans due, and also has to complete medication rounds during the shift.
Hence, as an RN leader, she has to provide support, direction, motivation, while fostering
collaboration and effective communication, with the aim of accomplishing optimal health
outcomes for the patients. In nursing, it is imperative for RN leaders to demonstrate the
followers how care is delivered, thus guiding their direction and the path of care actions
(Udod & Lobchuk 2017).
Often it has been found that delegation is one of the most complex and necessary skills in
nursing leadership. Delegation in nursing environment comprises of a sound understanding of
the accountability, authority and responsibility (Siegel et al. 2017). As evidenced in this
scenario, the RN has to comprehend the demands of their patients and/or family member,
besides engaging the suitable caregivers for meeting the healthcare needs. In the context of
nursing leadership, delegation is mandatory for effectively managing the vast accountabilities
that the RN leader has. Taking into consideration the ever-changing environment of health
and social care, engaging in delegation will help the leader to further involve all caregivers in
clinical decision-making.

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With reference to the clinical scenario, it can be stated that as a leader, Aarya is
expected to be a core component of the interdisciplinary healthcare team, and must be
accomplished and proficient in leading the team members in this age of fast paced, great
patient acuity, and extremely multifaceted environment. As supervisors, RN leaders are also
expected to maintain open communication with the subordinates, administrators and
department heads (Driscoll et al. 2019). Aarya has to overview the care delivered to around
50 residents who are in the Winterfell Wing. This has made her adorn the role of a leader for
a team that comprises of six carers and one enrolled nurse. Thus, her role as a supervisor
requires her to consider patient care as the central focus of her role.
Considering the huge number of patients who are being cared for in this scenario, as a
supervisor, Aarya must also confirm that presence of adequate staffing for meeting patient
needs, while being directly associated in new staff orientation and training. The role also
emphasises on the need of ensuring that all staff show adherence to relevant policies and that
the care delivered to the patients is comprehensive and appropriate (Cutcliffe & Sloan 2018).
Using the decision-making framework developed by the NMBA, it can be suggested that
Aarya needs to be successful in fulfilling the responsibility of supervision (NMBA 2020).
This can be accredited to the fact that though she spends most of her time delivering hands-on
care to all patients, she should remain primarily engaged in overseeing the care given by all
shift nurses. Moreover, as in this case, she needs to take efforts to guarantee presence of
adequate staff assigned to all patient shifts, while interacting directly with the patients and the
healthcare professionals.
According to Swanwick and McKimm (2017) clinical care teams are frequently
randomly assigned, and the authentic make-up of these teams often get modified. Therefore,
the leadership role of the RN considers it necessary to promote a setting that makes the team
members feel at ease and deliver care. However, she could not completely fulfil her duty of
delegation. The fact that care delivery to several patients was due and not completed on time
provided an indication for ineffective delegation, or non-existence of follow-up for the
errands that had been delegated. This in turn increased the risk of omissions or errors in care.
This can be associated to the incident where a patient Mrs Targaryen suffered a laceration on
her head. In the words of Little, Wagner and Boal (2018) leaders can enhance patient safety
by engaging in more direct communication with the frontline healthcare personnel. However,
failure of Aarya to delegate the tasks prevented the personnel from engaging in surveillance
of the patients, thus threatening the safety of the patient.

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With the range of administrative demands, it is imperative for the leader to maintain
an equilibrium between patient care and business. Hence, she is anticipated to demonstrate
supervising skills that are essential for patient wellbeing and safety. According to NMBA
(2016), RN practice focuses on persistently engaging in actual proficient and therapeutic
relationships. The role of an RN leader requires Aarya not only to provide assistance and
direct individuals to resources that can optimise health decisions (2.4) but also emphasises on
the need of participating in collaborative practice (2.8). She must actively engage in her
profession (3.6), besides providing timely supervision and direction to the delegated
professionals (6.4). Clinical leadership in nursing comprises of an environment with a
definite vision, where the staff feel empowered and motivated. Hence, it can be suggested
that Aarya must try to successfully adorn the role of an RN leader, in order to effectively
manage the actions of all six carers and the nurse who are looking after the 50 residents.
Clinical Scenario 2- There is growing evidence for the fact that being a nurse leader
in the domain of health and social care is critical in the continuum of the recent times. The
leadership role of an RN can be accredited to the fact that most RNs are challenged on a
regular basis with several healthcare problems require immediate attention, using critical
thinking (Moore, Sublett & Leahy 2016). An analysis of the case scenario suggests that Jade,
the postgraduate RN is assigned to play the role of a supervisor in the surgical ward. Time
and again it has been postulated that RNs are expected to coordinate and influence patient,
family members, and healthcare team for the objective of incorporating the care delivered to
attain positive health outcomes amid patients (Watkins, Hart & Mareno 2016). Based on the
description above and scenario, it can be suggested that Jade is also working as a clinical
leader, particularly in the surgical environment. A clinical leader is typically expected to own
clinical proficiency in a speciality area and generally utilises interpersonal skills for enabling
subordinates and other care personnel to provide quality patient care (Sarto & Veronesi
2016).
Despite the fact that Jade works in the ICU, she had been assigned to work as a
supervisor in the surgical ward. Though this was different from her speciality area, as a
postgraduate RN, the NMBA standards expect her to develop practice by reflecting on her
experiences, actions, knowledge and feelings (1.2), while using supervision, delegation,
consultation, referral and coordination in her professional associations for attaining enhanced
patient health outcomes (2.6). During supervision, the patient load comprises of eight
patients, each of whom have been subjected to different surgical procedures like

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appendectomy, hemicolectomy, knee replacement, or fractured sternum. There is mounting
evidence for the fact that clinical leaders have an exclusive role in promoting health and
safety of patients considering the fact that they manage and lead the workforce, thus having
maximum contact and diverse interactions with providers and patients (Moen, Brown &
Kaehne 2018).
While working as a supervisor in the surgical ward, not only will Jade be expected to
oversee and monitor the care that is being delivered by the student Hunter, but will also have
to undertake a breadth of activities for the eight patients such as, infection control, care
coordination, medication management, psychosocial support, help in conducting activities of
daily living, and general nursing care. Research evidences have established the fact that
nurses play a central role in the delivery of high-quality care to patients (Wagner 2018).
However, they cannot operate and function in isolation and their capability to looking after
patients is governed by the environment where they work. Thus, while working as a
supervisor, Jade will have to monitor the activities of hunter, besides ensuring adherence to
relevant procedures and policies. A significant correlation has often been established between
positive clinical leadership and patient outcomes across a plethora of clinical settings
(Carvalho, Ramalhal & Bernardes Lucas 2019).
Utilisation of the decision-making framework helped in identification of the fact that
in relation to the role as a supervisor, a more accommodating structure of management would
place an emphasis on helping the employment association work well. Hence, relevant to the
case scenario, the responsibilities of supervision that must be followed are providing the
subordinate with the tools required for delivering post-surgical care, providing a direction for
each of the eight patients and ensuring that there are adequate opportunities that will help all
staff to whom tasks have been delegated, to account for their progress regarding management
of patients in surgical ward. On using the decision-making framework developed by the
NMBA, it can be suggested that Jade must demonstrate appropriate delegation skills where
she will take efforts to transfer the responsibilities of all eight patients from Hunter to other
nursing students and staff, while retaining responsibility for the outcome (NMBA 2020).
While it might be problematic for the RN to finish the tasks on time, effective delegation
helps in freeing the leaders to attend to more complicated needs of patients, thus facilitating
the development of skills of the nurse.

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A comprehensive and thorough analysis of the case suggests that not all eight patients
have same needs. While some require change of dressings following the surgery, others have
presenting complaints of chest pain and opening of bowels, with some others necessitating
discharge planning. Thus, in order to play the role of an effective supervisor, it is necessary
for Jade to use the five rights of delegation that are namely, right person, right task, right
circumstance, right supervision, and right communication or direction.
According to NBMA (2016) RNs are accountable for their professional advancement
and directly contribute to the enhancement of others. In addition, they are also expected to
provide education and information required for enhancing control in relation to health and
wellbeing (3.2). The standards also make it imperative to plan and negotiate evaluation of
practice (5.4), besides focusing on the importance of coordinating resources in an effective
and efficient manner for the planned actions (5.5). Considering the duties of a supervisor, it is
also necessary to advocate for individuals in a manner that shows respect towards autonomy
(2.5), and foster a culture of learning and safety (2.7) (NMBA 2016). Owing to the fact that
patient care requires several time-consuming errands, delegation is an essential tool that helps
in spending time in a productive manner, while decreasing instances of errors. Hence, efforts
need to be adopted by Jade in order to delegate the tasks in the surgical ward by maintaining
balance between responsibility and authority and defining the limits of nursing rights.
Conclusion- Thus, it can be concluded that a clinical nurse leader makes it the mission
to recognise strategies that can help in enhancing the quality of care delivered to patients,
while adopting methods to prepare subordinates and team members with the expertise
required for thriving in the contemporary and challenging healthcare environment. Quality
care generally initiates at the patient bedside and despite the fact that nursing leadership is
recognised to extend farther than the decision-making or managerial level, the leader is
bestowed with the responsibility of considering patient care as the core aspect of duty. To
conclude, in both the case scenarios, Aarya and Jade should show adherence to the NMBA
standards of practice in order to protect health and safety of their patients.

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