Clinical Leadership and Management in Nursing Specialisation Report

This report delves into the realm of clinical leadership and management within the context of nursing specialisation, specifically focusing on the operations of Accuro Home Care. The assignment begins by identifying and explaining conflict situations within the organization, such as staff motivation issues, communication breakdowns, and inadequate medical record management, which led to negative impacts on patient care. The report then details the author's role as a Charge Nurse and the measures taken to resolve these conflicts, including the implementation of a new healthcare information system and a hierarchical communication structure. It explores transformational and servant leadership styles, advocating for their application to improve staff performance, patient outcomes, and overall organizational efficiency. The discussion covers the positive outcomes of these leadership approaches on both patients and staff, emphasizing improved service quality and enhanced communication. Finally, the report suggests changes to prevent future conflicts, such as improving communication, implementing better medication management protocols, and adopting technological advancements to enhance patient care. This report aims to provide a comprehensive analysis of leadership challenges and solutions in healthcare, providing valuable insights for nursing professionals.

Clinical leadership and
Management in Nursing
Specialisation

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
a) Explain the events leading or resulting in the conflict situation.............................................1
b) Explain your position in the institution/ward/ Workplace......................................................2
c) Describe the measures you applied to seek immediate resolution..........................................2
d) Leadership style employed in the management......................................................................1
e) Discuss the outcomes..............................................................................................................2
f) Changes to eliminate potential for a similar event to arise.....................................................2
g) Recommendations for improving outcomes and preventing similar situation occurring
again............................................................................................................................................4
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................5
Books & Journals .......................................................................................................................5

INTRODUCTION
The clinical leadership and management refers to utilising relevant theories or styles in
terms of conducting medical practices in proper manner for providing care to service user. It
includes the criteria of fulfilling roles of nursing specialisation accurately which facilitate to
improve patient outcomes (Martin and et. al., 2012). The present report is based on Accuro
Home care which provides care including for aged persons, disabled people, social support,
personal care and many more. This assignment will focus on events leading in conflict situation
and measures to seek immediate resolution. It will also include leadership style employed in
management approaches to resolve conflict and changes which helps to eliminate potential for
similar event to arise.
MAIN BODY
a) Explain the events leading or resulting in the conflict situation
In present time, health care department consists with ample number of conflicts which
creates issues while offerings services to patients that are dealing with severe diseases. In case of
Accuro Home care, which is managed by committed people for the provision of home care
services for community have been going through a couple of complex situation and this took
place because management was not been able to perform in full extent. A number of problems
came in front which raised problem for this home care (Yoder-Wise, 2014). Here, a few events
that can be considered as main factors which created conflicts at workplace where staff members
were less motivated towards work. Like nurses were not giving medication to patients right on
time, clearing department was not that effective which created unhygienic environment for the
home care, lack of communication among professional and medical records were also not
appropriately managed (Twigg and McCullough, 2014).
This impacted negatively on overall performance level of Accuro Home Care. Because of
this, management of this home care was not been able to make modifications as per the
feedbacks that were being given by patients. Henceforth, specific reason that is being identified
over here is that less motivation and less communication among superiors. It is needed to resolve
these issues right on time else reputation of this home care is going to get loose which will
directly impact upon profit margins of Accuro Home Care.
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b) Explain your position in the institution/ward/ Workplace
A private organisation in Australia named as Accuro Home Care, if offering proper care
for clients and carers in the comfort of their own homes. This company is proud to provide a
range of services at the times and locations suitable to clients and families. I am designated in
this company as Charge Nurse, and my duty is to manage all the records of patients and manage
the staff (subordinate nurses and ward boys), and try to give proper services to patients as per
their requirements. Apart from this, Accuro's main aim is to invoke independence and self-
esteem through freedom in lifestyle choices.
Thus, I have to focus on these terms so that home care could easily deliver right kind of
services to patients so that they can get good experience (Drennan, 2012). At workplace, of this
home care, I give 8 hours daily in my job and try my level best to assign tasks to individuals
(medical staff members) as per their capabilities because mismanagement in that could lead
patients to suffer. It is also required to offer right kind of compensation to staff so that they may
easily stay motivated and perform well because then only all the issues which is being faced by
both patients and Accuro Home Care can be resolved.
It is also required for me to communicate with staff on a regular basis so that, it could
lead me to embrace overall environment of Accuro Home Care. This can be helpful for both
Charge nurse and employees to give suggestions to each other so that improvement can be done
or managed as well at the same time.
c) Describe the measures you applied to seek immediate resolution
When the whole Accuro Home Care was going through a number of problems which
raised conflicts among staff, healthcare providers and patients as well. Charge Nurse have taken
a number of steps which could be helpful in drawing favourable resolutions in specific time
frame. A few steps like undertaking a whole new healthcare information system because this
may aid in working with ethical norms and conditions at the same time. Apart from this, Charge
Nurse have also implemented a fresh electronic medical records system so that information
related to patients can be stored for a longer time frame and it can also be managed as per the
requirements (Ellis, 2018).
This may aid in pulling out improper medications and will help in reducing conflicts
among staff and patients. Another step, which is being taken by Accuro Home Care's charge
nurse is that it started using hierarchical format through which information can go through or
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transmuted in a systematic manner. Because, matrix approach which was previously used created
a complex communication process among staff and seniors of Accuro Home Care. With the help
of this, effective benefits can be gained like reduction among conflicts and problems could easily
be resolved. This may aid this home care in gaining the lost reputation in shorter span. On the
other hand, considering all these factors that has been discussed above will directly aid in
improving process related to making modifications among services with the help of feedbacks
that has been given by clients or patients. With the help of this, maximum benefits and a good
experience can be given to patients in much effective and efficient manner (Begley and et. al.,
2013).
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d) Leadership style employed in the management
Leadership is a most specific approach that assist in managing working practices within
an organisation. In this procedure, leader play a most important role in terms of adopting
different style that employed the management properly. In a health care sector, leadership styles
and practices play a most important role in terms of managing business practices effectively.
Accuro home care faces numerous issues due to lack of management and leadership approaches.
These activities influence on customer's values as well as professionals outcomes towards
services users. Major issue that arise due to this mismanagement is lack of proper
communication among professionals, improper maintenance of medical records of patients and
incorrect medication due to lack of trained staff (Rozenblum and et. al., 2013). Therefore, leader
of Accuro home care needs to implement transformational as well as servant leadership for the
betterment of their service practices as -
 Transformational leadership – This leadership styles is basically requires to analyse
vision of Accuro home care to shared values that are necessary for the development of
positive relationship with services users. By implementing these leadership style, leader
can provides technical knowledge and training to their staff member for enchaining their
abilities and skill properly. Through this, employees of the firm can easily analyse values
of the clients as well as their requirement for providing better treatment. All these
approaches assist in managing positive relation between clients and professionals.
Transnational leadership approach resolving some major issues as improper maintenance
of medical records as well as inappropriate uses of medication as well. Main objectives of
this approach is to determining clear vision to services provider by enchaining their skills
and working abilities as well (Allen, 2015).
 Servant leadership – This approach denoting some major value in which leader
characterized on the basis of their abilities to put the needs of users before their own
interest. By implementing this approach, leader of Accuro home care can introduce
working ethics to profession of hospital in order to providing quality services to patients
instantly by analysing their issues. With the help of servent leadership, leader of Accuro
home care can resolve major issues as ignoring behaviour of staff, lack of communication
and so on.

e) Discuss the outcomes
Transformational and servant is the leadership approach implementing by Accuro home
care for better management of staff, communication within professionals, maintaining records of
patients, hygiene and so on. On the basis of these kind of approaches charge nurse of the
organisation can make positive decisions towards their management and leadership practices.
All these are important and must to be consider so that better services to be provided. Respective
leadership approach give impact on staff and patients both. Explanation of these are as follows :- Patients – It is important to provide quality services to patients on time because
sometimes mismanagement of things directly result is harm of life in health care sector.
With the assistance of transformational and servant leadership approach Accuro home
care maintain records of their patients and provide them medical services as per the
requirement. Along with this, emergency services are also provided according to the
needs so the issues of patients can be resolve on time and save their life. Most important
thing in hospital is hygiene of the patients because unhygienic things sometimes may be
the reason of increasing diseases (Shearer, 2012). Thus, with the assistance of same
approaches Accuro home care is able to manage things in better manner and provide
quality as well as on time services to their patients and save life.
 Staff members – In health care sector it is important to have proper management within
employees so that day to day activities can be performed in effective manner according to
the requirement. With the help of transformational and servant leadership approach
communication in between professional increase by which emergency treatment is given
to the patients and help in saving life. Along with this, record of patients will be
maintenances with their medical issues and provide them services as per the requirement.
Apart from that, hygienic must be kept in mind by the employees and they use cleans tool
for treatment of suffering person.
f) Changes to eliminate potential for a similar event to arise
The conflict situation are necessary to be focussed and solve immediately as their impacts
negatively on clinical practices which results into improper patient outcomes. As per given
event, Accuro Home care is not able to resolve problem of patients as they are unable to address
their feedbacks and complaints about difficulties faced by them while taking treatment for
specific health problem. There are different types of issues from infected people including
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ignoring behaviour of staff, hygiene, lack of proper communication among professionals,
improper maintenance of medical records of patients and incorrect medication. In addition to
this, it is necessary for given hospital to implement advanced technological aids, devices
equipment and machines which provide support to address actual problem of people in correct
way. The problem faced by patients are required to resolve immediately by apply certain changes
which are given below –
Lack of communication among professionals – The proper communication is essential
between professionals associated with single case of patient as it impact on medication
procedures and its outcomes (Awases, Bezuidenhout and Roos, 2013). Every single symptom
should be discussed as it plays an important role to provide correct and effective treatment to
infected person for their welfare. In context of Accuro Home care, they are required to
implement a technical change i.e. Healthcare Information system in order to provide required
data about patient which facilitate to conduct proper clinical practices for welfare of them.
Improper medication – This involves issue of incorrect medication which create severe
complications or may leads to death of the patient so that it is necessary to carefully diagnose
actual disease. It is essential to records each symptoms or problem of patient then evaluate
correctly health issue in respect of conducting desired medication process appropriately. In case
of Accuro Home care, strict rules and regulations should be applied and Hierarchical format are
required to be followed for making decision about treatment of particular patient to avoid risks
of improper diagnosis.
Improper maintenance of previous medical records – The previous medical records
are very important to be managed for future reference as they facilitate to make decision for
further treatment. It is necessary for given health organisation to maintain medical records of
every patient for future needs (Dury and et. al., 2014). The Accuro Home care are required to
apply technological modification in terms of implementing Electronic Medical Record of
patients so that every detail about people can be managed for future perspectives.
g) Recommendations for improving outcomes and preventing similar situation occurring again
The feedback and complaints of patients and their family members should be addressed
properly which helps to gain their trust so that they will prefer same organisation to fulfil
relevant needs in future. It is necessary for health care organisations to conduct survey or
interviews to analyse actual threats of clinical practices which caret problem for infected people.
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From the above discussion, it has been recommended that Accuro Home care should
implement several technological changes so that they can attend every patient property. It
involves to apply Healthcare Information system and Medical Records system, which provide
support to maintain previous medical data to fulfil the future requirements in appropriate way. In
addition to this, a Hierarchical Format should followed by discussing about infectious disease of
particular patients so that leader of medical team can take correct decision for welfare of them.
At the other hand, it is suggested to Accuro Home care that they can utilise Transformational
Leadership Style which include about clarifying about patient goals by leaders to professionals
which impact positively on respective outcomes. It is also recommended to implement servant
management approach is required to be used for solving conflict of give hospital as it considers
to take views of service users (Zydziunaite and Suominen, 2014). It includes the criteria to take
opinions and feedback of patients and then make objectives to improve patient outcomes along
with resolving their problems in proper manner. Moreover, these technical and management
changes are mandatory in accuro home care in order to resolve desired problems faced by
infected people and provide then treatment correctly. Additionally, appropriate technical aids and
devices can also utilised to provide support for disabled and aged people to make their lives
comfortable.
CONCLUSION
From the above report it has been summarised that health care sector determine value of
services for the betterment of clients health. Thus, it is required in the organisation to keep
proper management and leadership practices that assist in rendering quality services to users by
analysing their issues. In this procedure management having responsibility to monitoring
working practices for the effective analysis of conflicts. These barrier are requires to resolve
REFERENCES
Books & Journals
Martin & et. al., (2012). Evaluation of a clinical leadership programme for nurse leaders. Journal
of Nursing Management. 20(1). 72-80.
Yoder-Wise, P. S. (2014). Leading and managing in nursing-E-Book. Elsevier Health Sciences.
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Twigg, D., & McCullough, K. (2014). Nurse retention: A review of strategies to create and
enhance positive practice environments in clinical settings. International journal of
nursing studies. 51(1). 85-92.
Drennan, J. (2012). Masters in nursing degrees: an evaluation of management and leadership
outcomes using a retrospective pre‐test design. Journal of Nursing Management. 20(1).
102-112.
Ellis, P. (2018). Leadership, management and team working in nursing. Learning Matters.
Begley & et. al., (2013). Differences between clinical specialist and advanced practitioner
clinical practice, leadership, and research roles, responsibilities, and perceived outcomes
(the SCAPE study). Journal of Advanced Nursing. 69(6). 1323-1337.
Awases, M. H., Bezuidenhout, M. C., & Roos, J. H. (2013). Factors affecting the performance of
professional nurses in Namibia. Curationis. 36(1). 1-8.
Dury & et. al., (2014). Specialist nurse in E urope: education, regulation and role. International
nursing review. 61(4). 454-462.
Zydziunaite, V., & Suominen, T. (2014). Leadership styles of nurse managers in ethical
dilemmas: Reasons and consequences. Contemporary nurse. 48(2), 150-167.
Rozenblum & et. al., 2013. The patient satisfaction chasm: the gap between hospital management
and frontline clinicians. BMJ Qual Saf. 22(3). pp.242-250.
Allen, D. (2015). Inside ‘bed management’: ethnographic insights from the vantage point of UK
hospital nurses. Sociology of health & illness. 37(3). 370-384.
Shearer, D. A. (2012). Management styles and motivation. Radiology management, 34(5).
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