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It is it essential that nurse as managers possess the qualities of good leadership to effectively manage contemporary clinical nursing teams. Critically analyse this statement with emphasis on the impact good leadership has on the performance of clinical nursing teams and on patient care.

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Introduction

´╗┐This assignment will critically analyse the qualities that a nurse, as a leader must possess in order to effectively manage a contemporary nursing team. The assignment will focus on several areas and will include that of the role of the nurse as a leader and skills that the nurse requires as a professional practitioner. The assignment will go on to discuss the meaning of Clinical Governance and the components of this with regard to their involvement within the framework. Personal qualities of a nurse leader will be reflected upon throughout the assignment and the relevance in regards to communication, quality and leadership will be analysed. Finally the impact that effective leadership has on the performance of clinical nursing teams and on patient care will be discussed. The NHS Next Stage Review (DoH 2008) identified and described a future where the National Health Service (NHS) will deliver a high quality service to everyone and in addition this future will afford the staff the opportunity to focus on quality. To ensure that this is achieved, both existing and new staff will be in receipt of primary education and training in order that their current skills are supported and improved and new skills developed. The NHS affirm that their workforce operate on the most effective basis when they are reflecting the needs of the patients. However, we must consider the vast numbers of patients treated within the NHS on a daily basis and the effect these numbers may have on quality patient care (NHS 2012). It is for this reason to ensure that standards are met and upheld that a set of specific requirements have been outlined by the government and these are the benchmark to which nurses? work. These requirements are relevant both to those within the healthcare setting and to those whom are receiving care from Health and Social Services The government insist that all organisations must therefore have structures in place which are robust and discernible and that assist and facilitate the planning, delivery, monitoring and promotion of the safety of all, as well as the highest quality of patient care. ...read more.

Middle

Barr and Dowding (2008) state that ?effective leadership is crucial to the delivery of quality care by the NHS, particularly in the current economic climate?, this is stated as resources are stretched and budgets are restricted. On the other hand, the Healthcare Commission in 2009 have suggested that a lack of leadership can also contribute to poor quality and unsafe care. The Francis Report (Francis 2013) indicated this and as a result patients received poor quality care. The Francis Report (2013) continuously outlined that a lack of leadership was a vital factor that contributed to the poor care attributed to some of the wards. Turnbull (2011) outlines that there is a risk in ignoring the responsibility of the individual and goes on to suggest that by doing so, good practice may be destroyed by a single person who feels they do not have the capability to practice leadership or furthermore, who leaves a task undone or ignored as they believed someone else to be in charge. It is for this reason that Turnbull (2011) suggests a more collaborative approach and a less formal model to be implemented, one that will allow leadership to be practiced across all shifts. He goes on to suggest that this model could then be extended to management practices. This supports the point outlined by Baker et al (2012) who suggests that every member of a team of healthcare professionals has some reporting and management functions as part of their role and responsibilities. Baker et al (2012) suggests further that newly promoted nurse managers are rarely given formal training from which they will carry out their new role and often expected to carry out the role without their needs being identified or seen as a priority. It is therefore assumed that those in this role will gain the skills they require when working within the role. In order that this happens, good role model needs to be in place. ...read more.

Conclusion

It is also important for the leader to know their team when delegating tasks. Delegation is the means by which leaders share tasks with or transfer responsibilities to others in their team but still remain accountable and responsible for the task (NMC2008). When delegating the leader has a duty to consider the patient and make sure it is in the patients? interest. When nurses are under workload related pressure they must consider delegation within the team. When delegating the nurse must communicate clearly so the delegatee understands the instructions, has relevant training so they are able to carry out the procedure, and are aware of the outcomes to be able to report back to the nurse. This will therefore enhance the quality care to the patient as delegating tasks allows the nurse to develop the skills of others, boosts confidence of the team and frees up the more experienced nurse to attend more complex patient needs (Wheeler, 2007), therefore making delegation an essential task of management to achieve ?organisational effectiveness? (Wheeler 2007). In conclusion the nurse leader has a fundamental role within the health care environment in safeguarding that high quality care is given to patients from nursing teams. This role can be affected by way of positive leadership styles and qualities as well as working knowledge of those in their team alongside a continuous developing skill base where all members of the team are encouraged and supported by way of professional development. It must be recognised the pivotal role team work and effective communication plays in the delivery of a consistent and high quality standard of patient care, all the while considering the negative implications this may have should this process of common practice be ignored as noted within the Francis report. The guidelines outlined within Clinical Governance will continue to assist the nurse leader to adapt to the ever changing healthcare environment while at the same time being innovative regarding this change, thus producing a safe, effective and quality nursing environment. ...read more.

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