Registered Nurse Reflective Report: Leadership, Informatics, Practice

This reflective report examines critical aspects of a registered nurse's professional life, encompassing leadership and management, communication and health informatics, and professional practice. It identifies and explores key leadership skills like emotional intelligence and integrity, highlighting their importance in patient care and team dynamics. The report also delves into the challenges nurses face when utilizing medical records in aged care and explores the role of digital health in planning patient care, including technologies like robotic receptionists and huggable robots. Furthermore, it analyzes the impact of role conflict on registered nurses and discusses essential self-care strategies and positive workplace behaviors. The report provides a comprehensive overview of the multifaceted responsibilities and skills required for effective nursing practice in a modern healthcare environment.

Reflective Piece

Table of Contents
INTRODUCTION ..........................................................................................................................3
Leadership and management ...........................................................................................................3
Identify and explore two key leadership skills needed in role of registered nurse ................3
Skills to develop ....................................................................................................................4
Communication and health informatics ..........................................................................................5
Key challenges that nurses face when utilising medical record in aged care ........................5
Digital health in planning patient care ..................................................................................6
Professional practise .......................................................................................................................7
Impact of role conflict on registered nurse ............................................................................7
Self care strategies .................................................................................................................7
Positive work place behaviours or attitudes ..........................................................................8
CONCLUSION ...............................................................................................................................9
REFERENCES .............................................................................................................................10

INTRODUCTION
The registered nurses are defined as those individuals who provide healthcare service to
people and for that they need a graduate degree. In clinical profession, it is important for nurses
to have effective leadership skills. In the following report there are three sections consisting
leadership and management of nurses, communication and health informatics and professional
practice of registered nurses.
Leadership and management
Identify and explore two key leadership skills needed in role of registered nurse
Registered nurses are those nurses who are graduated from a nursing program and met
the requirements of state, country or province in order to obtain a nursing license (Bawafaa,
Wong & Laschinger, 2015). The role of registered nurse varies according to the area of expertise.
They have an important role in promotion of wellness by performing different range of services.
The main focus of a registered nurse is on caring and educating patients and their family
members regarding recovery and preventing diseases. Different skills required by registered
nurses are mentioned below -
Emotional intelligence – Nurse leaders have to work with trainees and must develop
emotional intelligence. This support will help peers to overcome with stressors which are present
during different routine challenges. The nurse leaders are responsible for managing these
challenges and various counterproductive influences which result in poor collaboration of team.
Integrity – The main aim of primary registered nurses is having integrity for own self
and among charges. Personal integrity is aiding registered nurses in making correct decisions
while critical junctures or treatment of patients. Moreover, nurses must teach ethical practices to
trainees as this helps in making effective and safe care decisions.
Dedication to excellence - Nurses must be dedicated towards their work and they must
have passion and purpose. Nurse leaders must teach new nurses that they should work hard and
improve their performance every day. Nurses must provide top notch services to patients and
influence new nurses to work effectively.
Critical thinking - The nurse leaders must guide other practitioners to use critical
thinking as this helps in developing ability to make effective decisions. If nurses have critical

thinking then this will help in effective working in job role and activities. This is a vital skill in
health care environment. Critical thinking is defined as intellectual and disciplined process in
which skills are applied as a guide to an action. The critical thinking in nurses helps in making
good decisions. When critical thinking is present in registered nurses then it creates adherence to
intellectual standards, commitment to develop and maintain intellectual traits of mind and habits
of thoughts. A nurse having critical thinking are more skilful in applying intellectual skills for
sound reasoning. The critical thinking skill is known as focusing, information gathering,
analysing, generating and evaluating. The different acts included in nursing are significant and it
is required by nurses to have a mindful for engaging in practise of nursing. To be a successful
nurse, it is important for then to have critical thinking.
Effective therapeutic communication – The therapeutic communication skill includes
silence, active listening, focusing and using open ended questions while talking to a patient.
Active listening is an important part of communication and this is more than just hearing. Silence
is purposeful process. This is a therapeutic communication technique which is helpful for nurses
in providing good services to patients. If a person wants to talk about their extended family and
accomplishments at the same time. Messages given to patients are clarified and validated for
insuring that nurses have received and interpreted correct message without any errors or bias.
The therapeutic communication reflects what nurses believe in client's feelings. The therapeutic
communication is based upon willing and unconditional offering of nurses. The therapeutic
communication is helpful in provision of quality healthcare to people.
From the above listed skills, it is stated that all skills are important for providing good
services to people. But there are two key leadership skills such as emotional intelligence and
integrity. These are necessary for nurse practitioners as this helps in improving service of
healthcare sector.
Skills to develop
According to me, I work well as a nurse practitioner but there are few skills where I lack.
These are integrity and critical thinking. Nurses must be skilled so that they can provide effective
services to patients. As a nurse it is important to develop critical thinking skill. Critical thinking
is defined as intellectual and disciplined process of applying reasoning for believing an action
(Endacott & et. al., 2015). In context of nursing, critical thinking for making decisions of clinical
processes is the ability to think in a logical manner. On the other hand, integrity is also an

important skill that will help in making right choices while making decision for patient's
treatment plan. There are some strategies which will help me in developing my skills. These are
described below -
Pursue lifelong learning – It is analysed that taking personal development classes and
leadership classes helps in improving leadership skills of nurse. As an effective nurse I have to
understand the impact of technology and research on nursing sector. A good training will help in
improving competencies. This provides safe and quality care to the patients. I must join several
seminars and conferences for exploring knowledge as well as network with different nurse
leaders.
Effective mentoring – Mentoring is an essential factor that helps in development of
leadership skills for nurses. It is very important for me to develop this skill as it is important to
transfer learnt skills to other inexperienced nurses.
Confidence – It is essential for me to be very confident as a nurse practitioner as a
confident nurse can provide more good services to patients. I need to be confident nurse and for
this I had to develop self awareness and build confidence and trust among team members. As a
nurse it is important for me to improve my strengths and overcome my weaknesses (Farrell,
Payne & Heye 2015). I will be able to become more confident in my job role by continuously
improving my abilities.
Communication and health informatics
Key challenges that nurses face when utilising medical record in aged care
The conditions for facilities of aged care people have drastically deteriorated .There are
various cases related to abuse, neglect and violence. There are many cases in which people
suffer from abuse and violence. Thus it is important for healthcare organisations to take care of
safety, security and privacy of these kind of patients. The security issues for residents in aged
care home can be resolved by hiring and managing of trustworthy staff and employees. The
psychological and physiological needs of elder patients are specific and care must be taken. An
effective self care policy and continuous evaluation is important for nurses. Privacy and security
can be referred to as key parameters used to identify the effectiveness of services offered. The
primary challenge which can be faced by a healthcare professional relates to work overload.
Service providers are offered with additional responsibility which hampers the work they were

assigned. The exhausted and frustrated workforce tends to make major errors when dealing with
client information. Consideration to the privacy and security of the patients are critical as most of
the information now-a-days is stored electronically. One of the major errors while dealing with
patient information is Administering wrong medication. Therefore it is very important to form
and maintain ideal patient records so that right medication is offered. In this era of digitalisation,
The manner in which patient data is stored have changed dramatically. Patient record and data
have been stored electronically with the helps of internet. Such innovations raise major concerns
relating to privacy and security of the data which has been stored on the internet. As such
information could be used unethically by service providers for their self gain. They have to
keep record of correct time, date and individual's name, date of birth, social security number and
examination details who has come for treatment. This information that is being recorded needs to
be needed to be protected from falling into wrongful hands (Laschinger & et. al., 2015).
Digital health in planning patient care
Digital health refers to concept which is related to improve health and wellness of an
individual using technology. This includes wearable gadgets, ingestible sensors, artificial
intelligence and mobile health apps. This is basically applying digital transformation by cultural
change and disruptive technologies in HCS. (Paterson, Henderson & Burmeister, 2015). Some of
these are discussed below -
Robot receptionist - Pepper was a first robot receptionist developed by a team of
researchers and professors of Foscari University. This robot was trained for interacting with
guests and answering frequently asked questions. This Pepper robot has the ability to speak three
languages. This robot was first used in Parc Hotel for answering guests. After the analysis and
evaluation of this robot it has been seen that this can be used in healthcare service. This will help
in minimising workload of nurse practitioners.
Huggable robots – Huggable is a new type of robotic companion which was developed
by MIT media Lab. This huggable robot was developed specially for use in healthcare, social
communication applications and education. These robots are designed in such a way that they are
fun interactive. These are made to work as team member which is necessary part of triadic
interaction. This huggable robot is helpful in enabling a richer and multi model interaction
(Backhaus, 2015). This also supports communication and it play through vision, touch, speech
and shared space.

A person centred care is way of thinking which sees people using HSC services as equal
partners in developing, planning and monitoring care for making sure that it meets need and
demand. According to me, the technologies discussed above will help me in providing more
good service to patients. This will also increase the level of satisfaction of service users. The
innovation of huggable robot will help me to reduce anxiety level of small children coming for
treatments. Robots at reception will provide a good and effective data record of patient and
individuals who visited the healthcare department.
Professional practise
Impact of role conflict on registered nurse
Role conflict occurs when an individual fails to perform his job role in an appropriate
manner. It is important for me to have clear and defined roles and responsibilities. Role conflict
has different effects on work life of an individual and on family of that person. Nurses who are
suffering from role conflict also had problem of performing well in their work. This creates a
great level of job satisfaction. The role conflict is directly proportional to the level of job
satisfaction of nurses. A nursing job is full of stress and this results in role strain, burnout and job
dissatisfaction among nurses. The quality of work of nurses decreased due to working under
stress. Role conflict also leads to discourage pursuit of administration. The main reason behind
conflict occurs when there are incompatible demands and needs placed upon an individual
relating to job or position. There are some common causes of role conflict which includes
unclear expectations, lack of jurisdiction, lack of communication and disagreements or
operational change or staff change. Nurses perform a vital role in providing quality services to
patients. There are different factors which influence performance in healthcare organisations that
focuses on worker factor and environment factors. Role conflict causes stress among registered
nurses.
Self care strategies
There are some self care strategies which helps in staying me as a nurse emotionally and
physically well. Two key self care strategies are awareness and addressing body, mind, spirit and
emotions. There are basically four aspects of an individual life such as emotional, mental,
physical and spiritual. As a nurse, at my workplace it is expected by me that I must have proper
knowledge about my work. Also I must have physical as well as mental skills to perform job

activities in an appropriate manner (Démeh & Rosengren, 2015). Another self care practise is
awareness and this includes becoming alert to an individual's mental, physical and emotional
reactions in various stressful situations. The nursing process starts with an assessment and the
first action is the conducting the assessment of how I can manage myself. The different activities
which I involve in must contribute to health and well-being of a person. According to me, I am
good at managing my daily activities and performing effectively as a registered nurse. I have
proper balance of my personal life as well as emotional life. This cannot affect my professional
work. I always try to stay positive during my whole day so that I can provide quality services.
One of the most essential self care strategy for me is being mindful. As a nurse it is important for
me to use meditation techniques like deep breathing and guided imagery. These help in relieving
stress and focusing on work. I have to keep making my mind refresh and full of energy so that I
will be able to provide quality services to nurses. Also I have to keep in touch with my family
and friends. The life of registered nurses is very busy as I have have to work in shifts. These on
call assignment and shift works sometimes create havoc in my life. But it is important for me to
maintain a balance between my work and personal life. I must invite my friends and go out with
my family members to make myself happy and satisfied.
Positive work place behaviours or attitudes
The job role of a nurse is very challenging and it is important for me to build positive
attitude or behaviour at workplace. This will help to do my job effectively and appropriately.
The first step for positive attitude is being optimistic and other is enjoying my work. If I am
optimistic then it will help me to manage stressful conditions easily. Also if I will enjoy my work
and give my full potential to complete my job responsibility then this will improve my
performance. Moreover a positive attitude will motivate me to do my work properly. Having
positive attitude will help in providing effective services to service users. This will help me to
develop my skills and abilities in nursing field. It is very important for me to have positive
attitude while working. In my profession, it is required that I have be patient and more friendly.
This helps me to know my patients well. Also a positive and refreshing mind keeps me energised
whole day. In this way I am able to provide good services and care to patients. A perfect nurse
must have positive attitude and behaviour towards her personal as well as professional life.
Positive attitude helps me to encourage and motivate myself to work well. The positive
behaviour of mine will help me to work effectively within team. There will be less conflicts and

fights with other members of team if am patient and listen to others. Also, a positive behaviour
will help me in developing good bonds and relationship with others. A good team management
will also be enhanced if I am positive thinker and collaborating with my team mates.
CONCLUSION
From the above discussion, it is concluded that nurse practitioners plays a vital role in
health care sector. They have to adopt new technologies so that service users are satisfied with
the service they are getting. Nurses must have good leadership skills to control and manage all
activities related to treatment of patient. Also it is important for nurses to have positive attitude
towards work as this will help in managing and controlling roles and responsibilities in an
appropriate manner. Moreover, nurse practitioners must perform their job in an appropriate
manner.

REFERENCES
Books and Journals
Backhaus, R., (2015). Future distinguishing competencies of baccalaureate-educated registered
nurses in nursing homes. Geriatric Nursing. 36(6). 438-444.
Bawafaa, E., Wong, C. A., & Laschinger, H. (2015). The influence of resonant leadership on
the structural empowerment and job satisfaction of registered nurses. Journal of
Research in Nursing. 20(7). 610-622.
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.
Endacott, R & et. al., (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.
Farrell, K., Payne, C., & Heye, M. (2015). Integrating interprofessional collaboration skills into
the advanced practice registered nurse socialization process. Journal of Professional
Nursing. 31(1). 5-10.
Laschinger, H. K. S & et. al., (2015). The effects of authentic leadership, six areas of worklife,
and occupational coping self-efficacy on new graduate nurses’ burnout and mental
health: A cross-sectional study. International journal of nursing studies. 52(6). 1080-
1089.
Paterson, K., Henderson, A., & Burmeister, E. (2015). The impact of a leadership development
programme on nurses' self‐perceived leadership capability. Journal of nursing
management. 23(8). 1086-1093.