Leadership in Practice: Charge Nurse Leadership Report

This report delves into the practical application of leadership within a psychiatric hospital setting, focusing on the experiences of a charge nurse. The report is divided into two sections: the first critically examines a specific leadership scenario, considering how the hospital's environment and the charge nurse's role influenced the leadership approach. It identifies the required knowledge, skills, and behaviors, and analyzes potential improvements. The second section presents a 12-month personal development plan designed to enhance the charge nurse's leadership skill set. This plan outlines specific areas for development, such as team building, communication, and management skills, along with timelines and strategies for achieving these improvements. The plan considers the outcomes of the reflection in the first part of the report. The report aims to provide a comprehensive understanding of leadership challenges and strategies in a healthcare context.

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Leadership in practice

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Contents
Section 1..........................................................................................................................................3
Impact of role and nature of organization on leadership approach.............................................3
Knowledge, skills and behavior required....................................................................................4
Measures for improvement..........................................................................................................5
Section 2..........................................................................................................................................5
Personal development plan..........................................................................................................5
References......................................................................................................................................10

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Section 1
Impact of role and nature of organization on leadership approach
Leadership is an important requirement in all the types of businesses and it is required that the
same shall be managed in an effective manner (Doody and Doody, 2012). The structure and
nature which is followed in the organization affect the approach which is to be followed. In the
nursing profession, there is the need to follow the proper approach as the exact treatment is made
and there shall be no default in the process which affects the health of any patient in adverse
manner. The critical incident arises in all the businesses and they are required to be handled with
care (Wong, Cummings and Ducharme, 2013). There is the need to identify the requirements and
then the process shall be developed accordingly. The psychiatric hospital deals with the mental
patients and in that case a high quality of the care is required. There was a patient which whom I
was dealing and due to some issues, the case got worse. The nature of the organization affects
the approach as the process will then be managed in the required manner. The medicines which
are to be provided to the patients required specific knowledge and so the task cannot be allocated
to any random person (Scott and Miles, 2013). I was required to provide this duty to the potential
member who would have taken care of the requirements in the most effective manner possible.
The leadership which is to be maintained in the health care requires integration of the care. There
will be an appropriate relation which will be developed by me with all the members who are
working under me. Due to the particular nature of the medical profession, it is necessary that the
leadership style shall be chosen after taking into consideration all the necessary elements which
are involved (Matsuo, 2012). The transformational leadership is available which can be
undertaken as in that motivation will be provided to all the members by creating an effective
relationship with them and that way the issues which are arising in the current system will be
avoided. This style helps in creating confidence among all and they are able to communicate
with each other through which their vision is expressed in relation to various situations which are
arising. The productivity will be increased by this and the patients will be attended with much
responsibility and care. All the staff under me will be satisfied with the jobs which are provided
to them by the approach and this is selected on the basis of the role which is being played in the
organization (SHAPIRA‐LISHCHINSKY, 2014). As I am a charge nurse so will be attending all

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the members who will be looking after the patients. I am required to provide them with the
required instructions which will have to be followed by them for the attainment of effective
results. The other approaches which can be used in this process are task-oriented, autocratic and
transactional approaches. It can, therefore, be said that due to the nature of the business the
approach also varies and there shall be proper undertaking of this aspect so that best approach
can be selected and implemented.
Knowledge, skills, and behavior required
In the psychiatric hospital, there are special skills which are required to be possessed so that all
the operations can be carried in the best possible manner. I am required to deal with various
people who are suffering from mental illness and to deal with them is a big challenge. It is
required that patients shall be helped in a proper manner by which they can recover from their
disease and this will be done by creating a positive and healthy environment around them. Being
a leader in such profession required some special knowledge and skills which shall be adopted.
There is the requirement of the specific knowledge about the medicines and the treatment which
is given to such patients (Stetler et al., 2014). By having the idea of the medicine will help in
performing the task in an adequate manner. There are various tasks which are required to be
carried in the team and in such cases, it becomes necessary that proper coordination is
maintained among all so that the task is completed in a successful manner. The health
professionals will be included in the team who will be taking care of all the medical requirements
in the manner which will be most suitable for the patients. Being a leader in such organization in
being required to have the appropriate communication skills so that can interact with all the
patients in the manner required and can convey the required instructions to the other team
members by which they can take care of the patients appropriately (Scully, 2015). The
observation skill shall be strong by which even the slight change in the behavior of the patients
are noticed by me and that way the treatment will be provided accordingly. The physical fitness
is to be maintained as in the hospital there are several tasks which are to be performed and
stamina shall be built for the same. Being a nurse I am not required to be judgemental about any
patient and treat all with equality. All have their personal reasons and consequences because of
which they are in such position and so the understanding will have to be developed which will
help in building a positive bond with the patients (Dignam et al., 2012). The ability shall be

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possessed by which I can help all the patients to overcome their social stigma that is present in
relation to mental health. There are several challenging circumstances which are faced and in
that staying calm is a major skill which needs to be developed. All of this will have to be
maintained by me in order to be a good leader.
Measures for improvement
The response which is provided in the current situation can be improved by undertaking all the
requirements which have been identified. In the current situation in was not able to deal with the
team and the patients in an effective manner and in order to avoid the same situation I will have
to make the changes in the process which is being followed. I will be developing a team which
will be strong in all the aspects and will be able to deal with all the circumstances that arise in
hospital. There will be training which will be given to all and in that the required knowledge will
be given so that they have the idea about the treatment which is to be provided in several cases
(Clavelle et al., 2012). The motivation among the team will be increased and that will be done by
building a strong relationship with them. I will have to be calmer and composed in all the
negative situations and in that act in the manner which will be beneficial for the patients and
their mental health. Proper instructions will be given to the team in which all will be provided
with the responsibility which is required to be fulfilled by them ad that way there will be no
errors which will be made. The communication will be developed and in that case of all will be
discussed in such manner that all have an idea about what needs to be done in case of emergency
and when the other members are not available (de Veer et al., 2013). The patient history will
have to be studied in detail and bond will be developed with them by which they feel
comfortable with all and are able to respond to the medication and treatment which is being
provided to them. A proper team bond will be established by me in the team so that all will be
ready to carry with the guidelines which will be given to them.
Section 2
Personal development plan
All the areas in which the improvement is required to be made have been considered and
identified in the above section. It is required that the same shall be improved so that the same

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issues are not faced in the coming period of time. For that, there is the need to make personal and
professional development and that will be done with the help of the plan. In order to deal with
the situation, there will be the preparation of the personal development plan in which all the
areas of improvement together with the manner in which the same will be done is identified
(Fischer, 2016). The duration for each task will be set and that needs to be attained in the
required time frame. Below is provided the personal development plan which will be
implemented for the duration of 12 months.
Skills to be developed The manner in which
development will be made
The time duration for
development
Team building skill Team building skills will be
developed in which the team
will be prepared by involving
the professional members. The
training will be given to all the
members together with the
instructions to perform the
given tasks in the most
eligible manner.
3 months
Communication skills The communication
requirements will be identified
and then various forms of the
same will be used so that
proper interaction is made
with all. There will be the
development of the bond
among the team and outside
by this which will help in
4 months

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attaining the set targets.
Management skills The team which will be
developed is required to be
managed in the most effective
manner. They will be given
the specific responsibilities
which need to be performed
by them and then proper
follow up will be made to
ensure that the task is
completed in time and
effective manner. There will
be proper guidelines which
will be provided to them so
that all can follow them to
accomplish the goals.
2 months
Knowledge about patients
and their requirements
The issues which will be faced
will be dealt in a proper
manner when the proper
knowledge and information
will be available. For this,
there will be proper data
which will be collected and
provided among the team so
all have the idea about the
situation of the patient and
will treat them accordingly.
3 months

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The development of the personal development plan is a process in which proper evaluation is
required to be made of the situation which is prevailing. In the given case there were mental
patients with whom the dealing is to be made and that will be done when the proper skills will be
developed (MacPhee et al., 2012). All of the shortcomings have been identified and by the
development plan it will be able to emerge as a successful leader and will not face the difficulties
in the future. I am required to manage my team in the best possible manner and for that, the
members shall be selected properly. All those having the required knowledge and experience will
be taken into the team and then relation among them will have to be developed. This will be
done with the help of the team-building skills which needs to be developed. The team members
will be provided with the proper motivation and spirit so that they can carry their tasks in the
proper manner. They will be satisfied with the team and that will enhance their potential and
overall productivity.
The communication will have to be developed among all so that they can share their ideas with
each other and this will help them in developing the effective steps ad processes to attain the
success (Makaroff et al., 2014). The cases will be discussed which will provide them with the
experience and if a similar situation arises in the future then they will be able to deal with them
effectively. I am responsible to create the environment in which all will feel free to share their
views and come to me in case of any emergency. By this, the issues will be resolved on time and
their adverse impact will not be faced. They will be providing the new ideas which I will be
considering and then the ones which are in the interest of the organization will be taken into
consideration. This will be making the overall improvement and benefit of same will be attained
as the patients will be attended with more care.
The management shall be made in an appropriate manner so that no patient remains unattended.
The team will be given the task and that will be delegated as per the skills and knowledge. There
will be adequate training which will be given so that the targets which are provided are attained
and the patients are attended in the required manner. There will be a proper procedure which will
be set and with that the proper guidelines will be specified which will be required to be followed
by all. In this way, the improvement in the quality of the task will be made by which the

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organization and others will be benefited. There will be an undertaking of the proper system and
the treatment which will be provided to the patients will be identified as per the requirement.
That will be communicated to the team members so that they can take the appropriate measures.
The information about the issues which are being faced by the patients will be identified and then
the proper knowledge about them will be gained. The manner in which the treatment will be
given and the data in relation to the specific persons will be collected (Regan, Laschinger and
Wong, 2016). That will be used to design the process which will have to be followed so that the
problem of the patent can be reduced and they can be provided with adequate treatment. The
focus will be made on the welfare of the propel suffering from mental illness and by that the
issues will be reduced.
All of these steps will be undertaken and by that, the development in the personal and
professional manner will be made. I will emerge as the better leader and the skills which are
required in this process will be developed. They will be helpful for me in the personal as well as
professional life. The duration which is specified for the entire task will be complied with and
they will be completed in the provided time frame (Hauck, Winsett and Kuric, 2013). The issues
which are being faced by the patients due to my incompetence will not be made in the coming
period and they will be more satisfied with the services and treatment that will be provided to
them. Therefore leadership will be maintained as per the requirement of the organization and
complete success will be ensured by undertaking the required actions. There will be no issues
which will be faced again and all the patients will be treated in manner that provides them with
highest satisfaction and helps them in recovering fast and in efficient manner.

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