NURSING REFLECTIVE ESSAY.

Pls use the article that less than 6 years ago. The title of this reflective essay is regarding conflict management in our workplace.

Running head: NURSING REFLECTIVE ESSAY
NURSING REFLECTIVE ESSAY
Name of the Student
Name of the University
Author Note

NURSING REFLECTIVE ESSAY
Introduction
The concept of leadership and management in the nursing and health care setup is a
crucial factor. It helps in the management of the workforce, patient management, clinical
approach, improvement in the treatment process, addressing all needs of patients and other
factors (Van Rossum, Aij, Simons, van der Eng & ten Have, 2016). The leadership management
is the factor that needed to be assessed by the senior nurse and the process of the management of
a certain ward is his or her responsibility. Leadership is primarily associated with the workforce
management and also coordinating the staffs according to the work load. The leadership also
associated to the decision making process for the clinical aspect of a patient. The factor of the
leadership and management can be gained by the experience gathering in the workplace
(D’Andreamatteo, Ianni, Lega & Sargiacomo, 2015). The following section will be comprised of
the reflection on a certain aspect of the leadership and management process for the clinical care
to the patients in a ward of an organisation.
Description
I am a senior registered nurse in the acute care unit of the Alexandra Hospital, Singapore
(Ah.com.sg, 2019). One day there was a rush in the ward as a number of patients admitted to the
ward with different type of emergencies including myocardial infarction, cerebral stroke, several
elderly patients with acute mental and physical conditions and two accident cases. However, that
day in the acute care unit we did not have the adequate number of staffs along with the head
nurse as well to address all these cases and we need to collaborate according to the situation and
as the senior nurse I need to take charge and lead others. The situation was critical and lacking

NURSING REFLECTIVE ESSAY
the actual workforce I was unable to address all the patients at a time. Here, I needed my
management skills along with the leadership commands. In order to provide the proper care to all
the patients I took the responsibilities of the accident cases and divided the work load between
two subordinates of the care for the elderly patient. However, I only had one more subordinate
nurse under me to address all the cardiac patients. Hence, I contacted the hospital management to
provide me at least two nurses in order to treat those patients as well. The management group
ensured me about providing extra nurses but it would take time thus I also tried to provide care to
the cardiac patients for the time being.
Feelings
On the basis of this condition I can be able to reflect on the leadership skills and the
management skills of me in the critical conditions. I found that in order to address proper care
and treatment to all the patients we need more staffs and the collaboration among those staffs as
well (Hobbs et al., 2016). A leader should be able to lead and interact with other staffs in order to
properly divide the work load and also provide required care to the patients (Hanse, Harlin,
Jarebrant, Ulin & Winkel, 2016). At the mentioned critical situation I needed to ensure the care
of the patients proceed in a continuous way however, lack of staff made the situation more
critical and we were failed to collaborate with the doctors at several times and also failed to
assess all the factors of the patients in several accounts (Reeves, Pelone, Harrison, Goldman &
Zwarenstein, 2017). Hence, on the basis of this condition I feel I need more experience for the
leadership and management in the field of health care. It has also been seen some conflicts
among the staffs and fumbles as well. I need to take account of those incidents as well in order to
develop my leadership skills and try to prevent those factors.

NURSING REFLECTIVE ESSAY
Evaluation
Evaluating the situation I found out that the leadership management is a crucial factor and
without proper experience it is a very difficult thing to address as well. As I was a senior nurse I
took charge in place of the ward head and my experience of treating patients in difficult
situations helped me in this situation. However, the conditions where I and my subordinates fail
were the factors I need to assess more and need to find solutions that would be help develop
more experience about the leadership management. On the other hand as leader a person needed
to be able to interact with other staffs as well as the management group for the better treatment of
the patients and I have tried my best to provide the proper care to the patients and also
collaborate with the nurses, doctors and also the management group. The situation and the
failures helped me in the learning about the leadership management in the critical situation as
well as the factors by implementing which I can be able to interact with the staffs more
effectively and address the mal situations. I was also able to experience and learn the leadership
principles that needed to be considered in the process of the management (Beam & Kohane,
2018).
Analysis
Based on the above mentioned situation and the evaluation we can be able to analyse the
factors of the leadership management skills needed in the critical situations of health care in an
organisation. The factor of the leadership is a factor that would be gained by experience and the
health care knowledge as well (Davies, Powell & Nutley, 2015). The leadership principles would
be needed to be considered by the person leading the health care process. The five basic

NURSING REFLECTIVE ESSAY
principles of the leaderships which would be considered in these kind of critical cases are the
focus on the situation, issue, or behaviour, not on the person, maintain the self-confidence and
self-esteem of others along with him or herself, maintain constructive relationships with your
employees, peers, and managers, take initiative to make things better and lead by example
(Amanchukwu, Stanley & Ololube, 2015). On the basis of this principle it can be stated that the
needed of the person centred care and the evidence based practice would be needed for the batter
care providence. On the other hand the management skills such as the communication skills,
planning, decision making, problem solving, motivation and other needed to be used as well for
the proper health care providence to the patients and also managing the workforce, work load
and the conflicts among the staffs and patients as well (Heijmans, M., Waverijn, G., Rademakers
van der Vaart & Rijken, 2015).
Conclusion
Based on the above discussion it can be stated that the need of the leadership and the
management skills are the primary factors for a health care personnel in order to address
different critical situations. The leadership principles and the management skills needed to be
considered in case of the critical situation management as well. The factor of the experience and
the knowledge about the leadership and the management skills are the factors that needed to be
assessed by the health care personnel. The factors of the proper care providence are a factor that
helps in the better assessment of the situations of health care. The above mentioned situation is a
basic situation where the time management and also the interaction skills and the constructive
relationship build up approaches are the factors that needed to be considered with a primary
focus. The factors of the leadership and the management in managing critical situations and the

NURSING REFLECTIVE ESSAY
conflicting situations are the factors needed to be taught to the nurses for better assessment of the
situations and take action according to the knowledge.
Action Plan
On the basis of the evaluation and the analysis process we can be able to devise some
action plans which can be able to help in the better development of the leadership and
management skills of a nurse. The nurse should take some online management and leadership
training for the betterment of the knowledge about the aspect of the leadership. Other than this
the nurse should also be able to read different published reports from the electronic databases.
The nurse should also read and analyse the factors of leadership and management from the
printed sources. Moreover, the nurse should follow the senior management personnel of the
organisation and the senior nurses of the organisation as well. Taking advise from the seniors
would also be a factor that would help the nurse in the process of the learning the process of
leadership in the critical situations and the conflicts (Sonnino, 2016). All the learning from
different sources should also be reflected by the nurse for the better assessment of the knowledge
development of him or her. All these factors can be done with a time frame of at least six months
(Hafsteinsdóttir, van der Zwaag & Schuurmans, 2017).
Summary
The above sector is a description of a situation in a health care organization and the nurse
addressing the situation by means of his or her leadership skills and the management skills.
However, the analysis and the evaluation highlighted the nurse needs more knowledge and
experience in the field of the leadership and management. The action plan for development of the

NURSING REFLECTIVE ESSAY
skill development in a more effective way was also discussed. On the basis of this discussion it
can be said that the leadership and the management skills are the crucial factors that needed to be
incorporated in the nursing career.

NURSING REFLECTIVE ESSAY
References
Ah.com.sg. (2019). Home. Retrieved from https://www.ah.com.sg/Pages/Home.aspx
Amanchukwu, R. N., Stanley, G. J., & Ololube, N. P. (2015). A review of leadership theories,
principles and styles and their relevance to educational management. Management, 5(1),
6-14. DOI: 10.5923/j.mm.20150501.02
Beam, A. L., & Kohane, I. S. (2018). Big data and machine learning in health care. Jama,
319(13), 1317-1318. doi:10.1001/jama.2017.18391
D’Andreamatteo, A., Ianni, L., Lega, F., & Sargiacomo, M. (2015). Lean in healthcare: A
comprehensive review. Health policy, 119(9), 1197-1209. Retrieved from
https://dx.doi.org/10.1016/j.healthpol.2015.02.002
Davies, H. T., Powell, A. E., & Nutley, S. M. (2015). Mobilising knowledge to improve UK
health care: learning from other countries and other sectors–a multimethod mapping
study. DOI 10.3310/hsdr03270
Hafsteinsdóttir, T. B., van der Zwaag, A. M., & Schuurmans, M. J. (2017). Leadership mentoring
in nursing research, career development and scholarly productivity: A systematic review.
International Journal of Nursing Studies, 75, 21-34. Retrieved from
http://dx.doi.org/10.1016/j.ijnurstu.2017.07.004

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Hanse, J. J., Harlin, U., Jarebrant, C., Ulin, K., & Winkel, J. (2016). The impact of servant
leadership dimensions on leader–member exchange among health care professionals.
Journal of nursing management, 24(2), 228-234. DOI: 10.1111/jonm.12304
Heijmans, M., Waverijn, G., Rademakers, J., van der Vaart, R., & Rijken, M. (2015). Functional,
communicative and critical health literacy of chronic disease patients and their
importance for self-management. Patient Education and Counseling, 98(1), 41-48.
Retrieved from http://postprint.nivel.nl/PPpp5640.pdf
Hobbs, F. R., Bankhead, C., Mukhtar, T., Stevens, S., Perera-Salazar, R., Holt, T., & Salisbury,
C. (2016). Clinical workload in UK primary care: a retrospective analysis of 100 million
consultations in England, 2007–14. The Lancet, 387(10035), 2323-2330. Retrieved from
https://doi.org/10.1016/S0140-6736(16)00620-6
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional
collaboration to improve professional practice and healthcare outcomes. Cochrane
Database of Systematic Reviews, (6). DOI: 10.1002/14651858.CD000072.pub3
Sonnino, R. E. (2016). Health care leadership development and training: progress and pitfalls.
Journal of healthcare leadership, 8, 19. doi: 10.2147/JHL.S68068
Van Rossum, L., Aij, K. H., Simons, F. E., van der Eng, N., & ten Have, W. D. (2016). Lean
healthcare from a change management perspective: The role of leadership and workforce
flexibility in an operating theatre. Journal of health organization and management, 30(3),
475-493. Retrieved from http://dare.ubvu.vu.nl/bitstream/handle/1871/53515/complete
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