Leadership at the bedside.

 

 The concept of a leader revolves around their ability and influence to lead. The operation of any organization is dependent on the leader’s ability to influence the workers to work hard and diligently. Generally, in nursing, the nurse leaders are the registered nurses that are assigned the role of leading in the nurses' operations. The leaders are required to possess the necessary skill that enables them to communicate with other nurses, delegate duties, to demonstrate conflict-resolving ability among other skills of a good leader (Blanchard, & Miller, 2019). In nursing, most of the nurse leaders demonstrate the skill of allowing them to influence the fellows that they can do it allowing them to work diligently in providing patient care. The lead nurses are responsible for overseeing their fellow nurses, setting the policy, while setting the vision for the patient care and relevant strategy of achieving the goals in the patient care.

Leader at the bedside.

Bedside nurses are the clinician in health care who are responsible for the provision of care to the patient in the hospital directly. They deal with the cases of patient assessment and diagnosis, cases of catheterization, and medication to the patient (Al-Dossary, 2017). The leader nurse at the bedside is responsible for the supervision of the fellow nurses in providing care to the patient who is bedridden in the hospital. They are thus the key in overseeing patient care while ensuring the safety of patient care through managing the provision of their services. The key aspect of the nurse leader at the bedside is the possession of skills. The leader nurse should ensure the nurses operate as a team; uses evidence-based practices in patient care, ensures the safety of the patient, and nurses in the practice.

The key to the delivery of quality services to the patient is a combination of teamwork among the leader and the nurses at the bedside. In the care, provision the clinician, therapists, and other specialists work together to ensure the provision of quality services to the patient. Teamwork is essential where good communication helps in promoting and patient outcomes and safety in the decision making (Murray, & Cope, 2021). Evidence-based practice is aimed at ensuring the improvement in the patient's care outcome through the provision of the most effective care. The practice allows the nurses to decide on the practice most applicable to the patient's condition while considering the validity of the practice, the impact of practice, and its applicability to the patient. This allows the patient care to be safe through detection of errors in the practice, a better understanding of the process for the leader nurse, and weakness in the system and leadership involved.

Literature review.

According to Franks-Meeks, (2019) leadership in nursing at all levels in the health care department is meant to improve the patients’ outcomes.  The accomplishment of this outcome is based on the leaders’ skill, knowledge, and attitude in the field, which is based on the role the nurse, partakes in the leadership. The competencies in the field include the cases of system thinking in the leaders, planning for the activities, and changes in the management that are based on the competencies that are expected from the nurses. Despite this professionalism among the nurses and the leaders involves accountability at the professional level. This includes the observation of the ethics in nursing allowing nursing to operate with patient safety and outcome in their mind allowing them to ensure the safety of the patients. The key competencies in nurse leadership include the possession of knowledge in the clinical practice, the economies in the healthcare as well as the evidence-based practice as a key aspect in nursing among other like patient care.

The study on nurse leadership indicates that the cases of clinical leadership are related to job satisfaction thus improvement in the quality of services provided to the patients. The key aspect being effective communication in health care to ensure that the quality of the services provided to the patient is improved. The inspiration in the nursing profession is enhanced through effective communication, teamwork where other health professions are included in the decision making while considering the patients' consent especially when the patient safety is at risk (Fennimore, 2019). Job satisfaction allows the nurses to operate under the policies and set procedures that are key to the improvement of quality of the patient care. The use of the clinical leaders’ behaviours in the practice allows the coordination of all the processes and operations in health care allows the nurses to demonstrate professionalism in the provision of high-quality services to the patients.

Planning for the leader at the bedside.

In the medical-surgical unit, evidence-based practice is a vital tool in ensuring patient outcomes. This is facilitated by the practice use of available research on the practice in question while involving other available shreds of evidence in developing procedures and policies in health care. The fact that the practice involves the concept of teamwork makes it essential in decision-making. It involves the clinician-asking question on the practice involved, for instance in surgery, questions on how the procedure will take place. The questions are answered based on the use of evidence where the evidence is considered critically to determine the effectiveness of the procedure. The members on the practice make the recommendation or other practice that can be applied to the patient where the clinician implements the recommendation and awaits the outcome on the patient.

A patient who has undergone surgery will require the presence of the patient care technician for the provision of services that help improve the patients’ outcome. The key services that are required for an operated patient include the observation of the patient's vital to ensure patient safety among other services. The services include delegation of duties for the patient care tech in the activity of the daily assistance in the provision of medicine and patient observation. In cases where the patient needs therapy services, a therapist is involved in the provision of the services to the patient as well as observing the patient's development from the therapies involved. After the patient is free from the observation of the patient care tech, they provide the relevant education to the patient and family members offering care to the patient on the ways to observe the patient ensure their safety.

Conclusion.

The concept of a leader at the bedside is vital to the patient conditions outcome. This nurse ensures that services are provided to the patient to facilitate their recovery. The key aspect in the leader at the bedside involves the safety of the patient, with the best practice for the patient treatment through the incorporation of evidence-based practice. Teamwork has been the best means to facilitate and ensure that the decision-making in health care is effective in improving the quality of the service to the patients. This is due to the collaboration of the various health care professionals ensuring the services provided are of high quality and in the patients’ interest. The incorporation of safety, evidence-based practice, and teamwork are the key aspects that the leaders' health care should consider due to their ability to provide high-quality services to the patient.

 

References.

 

 

Al-Dossary, R. N. (2017). Leadership in nursing. Contemporary Leadership Challenges, 251.

Blanchard, K., & Miller, M. (2019). DEFINING LEADERSHIP: WHAT IT TAKES TO LEAD TODAY. Rethinking Your Unit Council Structure, 59.

BOAMAH, S. A. Full title: Emergence of informal clinical leadership as a catalyst for improving patient care quality and job satisfaction.

Franks-Meeks, S. D. (2019). LEADER AT THE BEDSIDE: A MIXED METHODS STUDY ESTABLISHING CLINICAL STAFF NURSE LEADERSHIP COMPETENCIES.

Murray, M., & Cope, V. (2021). Leadership: Patient safety depends on it!. Collegian.