University Nursing: Clinical Leadership and Management Conflict Report

This report examines a conflict in a hospital setting concerning nursing leadership and management. The conflict arose due to inadequate staffing, impacting patient care and leading to nurse dissatisfaction. As a registered nurse and team lead, the author describes the events leading to the...Read More

Running head: CLINICAL LEADERSHIP AND MANAGEMENT IN NURSING
CLINICAL LEADERSHIP AND MANAGEMENT IN NURSING
Name of the Student
Name of the University
Author note

1CLINICAL LEADERSHIP AND MANGAEMENT IN NURSING
Table of Contents
Introduction......................................................................................................................................2
Discussion........................................................................................................................................2
Events that have resulted in the conflicts of the situation...........................................................2
Position in the workplace.............................................................................................................3
Measurements taken to seek immediate resolution.....................................................................4
The leadership style employed in the management.....................................................................4
Discussion about the outcomes of the patients and the staffs......................................................6
The changes that took place for the result for the purpose of eliminating the potential for a
similar event to arise....................................................................................................................7
Key recommendations for the purpose of the improving the outcomes or for the purpose of
preventing a similar situation.......................................................................................................7
Conclusion.......................................................................................................................................7
References........................................................................................................................................9

2CLINICAL LEADERSHIP AND MANGAEMENT IN NURSING
Introduction
Leadership and management skills are one of the most important skills which is required
to maintain and manage a group of people working together in a company or anywhere else.
Even in the hospitals and in the nursing homes the nurses and the other health professionals are
required to possess the leadership and management skills in order to manage any conditions that
has arose because of any misconducts of any of the workers working in the hospital or among the
patients or in any conditions including the management authorities of the hospital (Bolden,
2016). In case of any conflicts the leadership and management skills are required to possess by a
person so that the conflict can be controlled (Ghasabeh, Soosay & Reaiche, 2015). This
assignment is going to discuss about such a conflict that has arose in the hospital and which is
very much affecting the effective care giving policies of the nurses and the health physicians and
the patient outcome is decreasing. The conflict has occurred regarding the recruitment of more
nurses in the hospital so that the patients can get more care but the management of the hospital is
not allowing to recruit more nurse at the present condition. I am working in the hospital as a
registered nurse and I am the lead and manager of the whole team of nurses who are asking for
the recruitment of new nurses. This paper will address in details about the effective leadership
skills followed by the team lead of the nurses so that the conflict come to an end.
Discussion
Events that have resulted in the conflicts of the situation
The patients in the hospital were not getting proper nursing care since long days. The family
members were complaining about this conditions but they did not have any scope except to
tolerate all these issues. After watching all these issues all the nurses found that it is also

3CLINICAL LEADERSHIP AND MANGAEMENT IN NURSING
becoming impossible for only such few nurses to take care of all the patients. Even incidences
have also occurred where patients were deprived of effective care giving (Frich et al., 2015). The
patients also complaining that that they are not getting medicines within proper time, the nurses
because of huge pressure of work were not communicating properly with the patients and also
with the family members. The reputation of the nurses were decreasing and obviously their job
profile were effected (Won, 2015). So it was very much required to recruit new nurses and that is
why all the nurses decided to ask for recruitment of new nurses in the hospital but the conflict
arose when the management authority was not willing to recruit more nurses in the hospital. The
management is creating issues that it was not possible to recruit more nurses in the hospital by
considering the economic status of the hospital. Apart from that they were forcing the present
nurses to take care of the patient, to carefully look at all the present conditions, the nurses were
told to do extra work in the hospital after their own work schedules and also they were not given
much extra amount for their over-time work. This is not a legal thing to work extra hours a day
in the hospital without getting extra money (Bird & Mendenhall, 2016). This is the main thing
for which conflict was created among the nurses and the management of the hospital. The nurses
denied to do the extra work without getting proper benefits.
Position in the workplace
In the hospital I am working as a registered nurse as well as I am the lead of the team of
the nurses who are conflicting with the management regarding the matter of the recruitment of
the nurses. I am working in this hospital since many years, most of the other nurses working with
me are new and the others are not as experienced as me in this profession. None of them have the
leadership and management skills required to lead and manage a group of revolting people. To
face the management authorities the nurses had to be bold and courageous so that the

4CLINICAL LEADERSHIP AND MANGAEMENT IN NURSING
management of the hospital would listen or respect the views of the people revolting (Mathew &
Gupta, 2015). Because of having good leadership and management skills I took the role of
leading the nurses into the wright path and also the claim of the nurses are fulfilled.
Measurements taken to seek immediate resolution
The conditions of the conflict started taking severe measures that it was going out of control. At
the same time the conditions of the patients started worsening, the family members of the
patients becoming more and more distressed after finding the conditions of their near and dear
ones deteriorating. Most of the nurses were busy with the conflict and the revolt while at the
other site the management were not ready for the recruitment of new nurses. The condition were
worsening day by day. The management were even about to take illegal actions against the
nurses however they were the only ones who were doing illegal work by asking the nurses to do
extra work without getting proper benefits (Grissom, Loeb & Mitani, 2015). So it was very
necessary to apply the leadership and the management skills. The immediate action was to
control the nurses so that they can do the minimum work of the day that they were supposed to
do. The nurses were denying their regular works that they were supposed to do. The patients
must get the regular care otherwise their health conditions would deteriorate. Rather than getting
cured, the patients will acquire more diseases. The nurses were made to understand that whatever
the circumstances come they should not hamper their work (Аndriukaitiene et al., 2017).
The leadership style employed in the management
A specific leadership style is required to be maintained in order to stabilize the conflicts
that have arose. Apart from the leadership style, the characteristics of a good leader also effects a
lot in the activities of the leaders. The first most important character that a leader must possess is
honesty. The leader must be a honest and an impartial person, he should consider all the workers

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equally and also at the same time must avoid any biases or any conditions that may lead to any
bias (Ramazani & Jergeas, 2015). The next most important character is the communication skills,
a leader must have proper communication skills so that no one in the team working with the
leader may hamper the workplace because of miscommunication. The leader must be very
understanding and should listen to each and every workers so and check their view regarding a
single matter of concern. The other important character is the confidence of the leader. The
leader must be confident enough so that he can take any decision at any time without thinking
much about the consequences. He must be confident enough that the decision is he is taking
should not hamper the present situation. The leader also must have positive attitudes so that the
other team members can learn something from the leader. The negative attitude of the leader also
effect the other team members in a negative way (Shek & Lin, 2015). The workers may start
developing negative attitudes regarding a matter of concern. The leader should also be creative
and also have the capability to inspire the other workers to improve their working status. The
creativity of the leadership should be applied for bringing new innovations on the workplace.
The leadership style that I have employed is the autocratic leadership or the authoritarian
leadership. An autocratic leader himself controls whole of the power and also the decision
making. The leader is the only one to assign for the tasks, give the orders and also perform the
duties without any consultation with the other employees (Pihlainen, Kivinen & Lammintakanen,
2016). This leadership activity rather than being so advantageous have some negatives as this is
based on the threats and the punishments. All the people working with the leader have to follow
all his verdicts. This leadership is very effective as it is completely based on the supervision of
the leader having a clear cut direction and commanding on the others. It promotes quick
decisions, prompt actions and unity of direction. The main advantage of this leadership is all the

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works obey the rules that are set by the leaders for the other members of the team. I have
followed this leadership style because the conditions of the nurses were getting out of control
and also the management authority not willing to meet the demands of the workers (Endacott et
al., 2015). A strong leader was needed for controlling the situation otherwise the management
authority was about to take legal actions against the nurses. I thought it better to take early
actions and take control over the nurse. I strictly prepared some rule and regulations that the
nurses should follow in order to avoid any further severe consequences. The nurses were not
willing to do their daily work of taking care of the patients, even they were not willing to listen
to my words. When I started dictating them strictly then only they followed my instructions.
Apart from the nurses I also had conversations with the management authorities in order to avoid
the legal consequences of this actions (Tyczkowski et al., 2015).
Discussion about the outcomes of the patients and the staffs
After the whole incidences were over, the management authority agreed to recruit few
more nurses so that the conditions of the patients get improved to some extent and accordingly
few nurses were recruited and this really made the care taking policy of the patients more easy.
The conditions of the patients were found to be improving. However the nurses could no able to
maintain all the works associated with the patients but the patients also cooperated with the
nurses and started self-caring which led to the quick improvement in the health conditions of the
patients. The burden of work of the native nurses who were already working there reduced
significantly and also the salary structure of the nurses also remained satisfying as they need not
to spend extra time in hospital for taking care of the patient (Ebrahimi Mehrabani & Azmi
Mohamad, 2015).

7CLINICAL LEADERSHIP AND MANGAEMENT IN NURSING
The changes that took place for the result for the purpose of eliminating the
potential for a similar event to arise.
After this event was over, the management authority of the hospital became concerned
about the total number of the nurses working there versus the number of patient accommodation
of the hospital. Immediately only few number of nurses were recruited because of lack of
sufficient amount of money, but to avoid further such consequences, the hospital management
recruited more number of nurse so that the care taking procedures of the patients do not face any
difficulties (Roche et al., 2015).
Key recommendations for the purpose of the improving the outcomes or for the
purpose of preventing a similar situation.
The patients’ care can be improved if the other commodities of the hospital also
improves. This particular incidence was only about the recruitment of the nurses but further
incidences of conflict can arise because of the shortages of the hospital instruments. The
management authority at that time can also create conflicts by creating issues that they may not
provide additional instruments at the present time. To avoid such circumstances, the nurses were
told to gather instruments for the hospitals by creating funds to avoid shortage of money (Démeh
& Rosengren, 2015).
Conclusion
This assignment has to come to an end. While doing this assignment the knowledge about
the leadership and the management skills and how to apply the knowledge of the leadership and
the management skills in the professional sectors became clear. Not only in the industrial sectors
but the requirement to develop the leadership skills about the nurses can be learnt from this

8CLINICAL LEADERSHIP AND MANGAEMENT IN NURSING
assignment. This assignment also dealt with the appropriate style of leadership appropriate for
the present incident. The characteristics of an appropriate leader has also been discussed in this
assignment. The role of a person playing the role of both the nurses and the lead of the team has
been clearly described in this assignment and no doubt this assignment will help a lot in future.

9CLINICAL LEADERSHIP AND MANGAEMENT IN NURSING
References
Bird, A., & Mendenhall, M. E. (2016). From cross-cultural management to global leadership:
Evolution and adaptation. Journal of World Business, 51(1), 115-126.
Bolden, R. (2016). Leadership, management and organisational development. In Gower
handbook of leadership and management development (pp. 143-158). Routledge.
Démeh, W., & Rosengren, K. (2015). The visualisation of clinical leadership in the content of
nursing education—a qualitative study of nursing students' experiences. Nurse education
today, 35(7), 888-893.
Ebrahimi Mehrabani, S., & Azmi Mohamad, N. (2015). New approach to leadership skills
development (developing a model and measure). Journal of Management
Development, 34(7), 821-853.
Endacott, R., Bogossian, F. E., Cooper, S. J., Forbes, H., Kain, V. J., Young, S. C., ... &
First2Act Team. (2015). Leadership and teamwork in medical emergencies: performance
of nursing students and registered nurses in simulated patient scenarios. Journal of
clinical nursing, 24(1-2), 90-100.
Frich, J. C., Brewster, A. L., Cherlin, E. J., & Bradley, E. H. (2015). Leadership development
programs for physicians: a systematic review. Journal of general internal
medicine, 30(5), 656-674.
Ghasabeh, M. S., Soosay, C., & Reaiche, C. (2015). The emerging role of transformational
leadership. The Journal of Developing Areas, 49(6), 459-467.

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Grissom, J. A., Loeb, S., & Mitani, H. (2015). Principal time management skills: Explaining
patterns in principals’ time use, job stress, and perceived effectiveness. Journal of
Educational Administration, 53(6), 773-793.
Mathew, M., & Gupta, K. S. (2015). Transformational leadership: Emotional intelligence. SCMS
Journal of Indian Management, 12(2), 75.
Pihlainen, V., Kivinen, T., & Lammintakanen, J. (2016). Management and leadership
competence in hospitals: a systematic literature review. Leadership in Health
Services, 29(1), 95-110.
Ramazani, J., & Jergeas, G. (2015). Project managers and the journey from good to great: The
benefits of investment in project management training and education. International
Journal of Project Management, 33(1), 41-52.
Roche, M. R., Duffield, C. M., Dimitrelis, S., & Frew, B. (2015). Leadership skills for nursing
unit managers to decrease intention to leave.
Shek, D. T., & Lin, L. (2015). Core beliefs in the service leadership model proposed by the Hong
Kong Institute of Service Leadership and Management. International Journal on
Disability and Human Development, 14(3), 233-242.
Tyczkowski, B., Vandenhouten, C., Reilly, J., Bansal, G., Kubsch, S. M., & Jakkola, R. (2015).
Emotional intelligence (EI) and nursing leadership styles among nurse
managers. Nursing Administration Quarterly, 39(2), 172-180.
Won, H. J. (2015). Effects of self-leadership and stress coping on college life adjustment in
nursing students. The Korean Journal of Health Service Management, 9(1), 123-131.

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Аndriukaitiene, R., Voronkova, V., Kyvliuk, O., Maksimenyuk, M., & Sakun, A. (2017).
Theoretical insights into expression of leadership competencies in the process of
management. Problems and Perspectives in Management, 15(1-1), 220-226.