Nursing Leadership Assignment 10

Nursing is a dynamic but yet, a challenging profession. In fact, there is a need for inspiration from role model leaders in the practice to warrant success. In the contemporary world, the health sector experiences rapid changes within the working environment. Current trends stipulate that hospitals implement approaches guaranteeing a timely adaptation, leading to effective service delivery. According to Steinmo, Fuller, Stone, and Michie (2015), implementing change requires precise adherence to frameworks, to minimize catastrophic results. Evidently, nurses would achieve such fetes through exceptional leadership. Healthcare institutions ought to identify and nurture nurse leaders with appropriate identification and support from stakeholders. Nurse leaders ought to apply moral and ethical considerations in the process of maintaining order at workplaces. It is easy to identify an ethical leader through the manner of deliberating decisions. Despite the overwhelming challenges in the nursing profession, it is only imperative to adhere to the rules and regulations as stipulated by the professional codes of conduct Nursing Leadership Assignment 10

Conceptual Frameworks on Ethics and its Constructs in Nursing

The process of making the right decision in nursing matters demands nurse leaders to be sensitive. In a nursing environment where clinicians are exposed to diverse situations, ethical leaders ought to maintain sobriety by upholding acceptable behaviors to achieve their end goals. Notably, ethics entails principles and guidelines which help an individual make precise decisions when faced with a situation. According to Demirtas and Akdogan (2015), ethics helps a person differentiate between good and bad. In order for an action to possess an ethical meaning, it ought to be subject of human control. Ethics encompass socially accepted norms and behaviors, which ought to be implemented by professionals. Nursing Leadership Assignment 10

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Correspondingly, an agreement pertaining to human fulfillment and wellbeing should be considered. In the nursing profession, ethics entail maintaining serenity and a worthwhile environment for successful implementation of interventions which would improve patient quality (Kangasniemi, Pakkanen, & Korhonen, 2015). It entails engaging appropriately with fellow employees in upholding and practicing patient-centeredness. Nurse leaders can evaluate themselves using the Keirsey Temperament Sorter. The tool is one of the most widely personal assessment formulations by successful corporations in the world. The Keirsey Temperament Sorter is a configuration of observable personal characteristics, for instance, ability to communicate, personal attitudes, action patterns and talents (Mann-Salinas, Hayes, Robbins, Sabido, Feider, Allen, and Yoder (2014). The differences in temperament are based on the manner in which individuals say and do things.

Ethical Dilemma in Work Environment

Nursing institutions experience an array of predicaments in their processes to disseminate healthcare services. However, it is important to understand that challenges are normal, and is a sign of growth. I once worked at a local healthcare facility as an intern. The medical center was located in the rural parts, with the majority of the clients living in abject poverty. Additionally, the literacy levels of the community were considerably low, due to a poor development record. Based on this aspect, many patients lacked the basic reading skills, and would not comprehend directions within the healthcare premises. I encountered a patient who came with multiple fractures in the ribs and leg. He had a motorbike accident on his way to work that morning. Precisely, he was brought to the facility by well-wishers.

The patient was placed on carriers, with nurses administering first aid. However, I noticed that some nurses were reluctant in attending him, citing that they were entitled somewhere else. In fact, I was perturbed by their behaviors, owing to the fact that they were free at the time the injured patient arrived. However, I decided not to confront them, since one of the nurses was my supervisor, and in charge of affirming the validity of my internship report. Besides, I was aware the institution had just received and installed an X-ray machine, which was granted by the World Health Organization. I ensured the patient was taken for screening by a physician, to ascertain the state of his broken ribs and limbs. After completion of the screening procedures, the physician instructed me to elaborate in details the results to the patient. The task was challenging since I was required to ensure the patient was psychologically prepared for the news. Nursing Leadership Assignment 10

Moral, Ethical and Legal Implications in the Situation

The situation I faced in the process of revealing scan details to the injured patient is common in a healthcare setting. Generally, such positions test the integral and professional aspects of a clinician. However, Marquis and Huston (2017) proclaim that it is essential to uphold ethical practices at all times when handling patients. Despite the fact that some health information may bear detrimental effects to the psychological stability and eventual recovery of a patient, Woods (2014), emphasizes the application of utmost high professionalism for better results. Personally, I was aware of the complicated task in front of me. Besides, I understood the value of ethics in nursing and was aware of the importance of telling the truth to patients in a proficient manner.

Evidently, I understood the magnitude of the problem. Lying to the patient would lead to contravening his trust towards the institution. In fact, the action would lead to legal tussles and eventual closure of the medical facility. Additionally, the victim had to be enlightened of his situation in a clever but professional manner. Notably, I understood that I had to reveal the information to the patient without hurting his feeling. Indeed, Esmaelzadeh, Abbaszadeh, Borhani, and Peyrovi (2017) assert that it is a nurse’s personal predisposition to engage with patients while involving cognitive and mental aspects. The authors avow that ethical sensitivity requires clinicians to identify patient needs and behavior by interpreting their communication, and ascertaining their mental competences (Esmaelzadeh et al., 2017). Based on this fact, it was important for me to analyze his ability to comprehend and cope with the news, thereby, upholding the ethical and moral aspects of the profession. Nursing Leadership Assignment 10

Role as a Moral Agent in the Issue

Nurses ought to be aware that their actions bear direct effects to patients and their institutions in general. Marquis and Huston (2017) emphasize the importance of attaining human fulfillment in the quest to attain the set objectives. In my case, it is evident that I had to reveal the X-ray news to the patient. Notably, the victim had broken three lower ribs and a fragmented femur. It is evident that the information would lead to the development of mild mental disorders for the patient if handled unprofessionally. As a moral agent, I had to ascertain his overall wellbeing and social status. In fact, I sort to inquire about his financial abilities, since it was evident that his intended surgery would cost a significant amount of money. This way, I would deliberate on the most appropriate approach to reveal the news.

Additionally, I sort to explain to the patient on the importance of care during the treatment process. I elaborated in details on the monitoring processes and inquired of his relatives. Characteristically, this approach was meant to stabilize his psychological state, before revealing the news. According to Woods (2014), it is important to maintain patient wellness at all costs, including upholding mental aspects. Besides, the approach enabled me to develop a smooth-flowing communication with the client, an aspect that fostered confidentiality. In fact, the interactions allowed for further assessment of the patient’s life and allowed me to take his feelings into account.

Leadership Style

From the case scenario I encountered, I was compelled to apply my leadership skills with precision. Notably, I believe in democratic guidance in nursing, where patients’ demands are integrated with decision-making processes. Additionally, I decided to inquire from my fellow staff mates about the issue. Being four in our department, two of my workmates advised that I reveal the information to the patient professionally. However, one contrarily stated that I should advise the patient to seek medical help in another institution. Nursing Leadership Assignment 10

I decided to analyze my leadership competence using the Keirsey Temperament Sorter and discovered that my personality type was a guardian. According to the sorter, a guardian is committed to serving others. Guardians are dependable, protect their clients, and take cautious steps to warrant stability. Evidently, I was cautious, especially in the manner in which I would reveal the news to the patient. I took into consideration the fact that he would experience stress, and eventual psychological predicaments, if I did not engage him professionally. After analyzing my workmates’ sentiments, I was convinced that all of them supported the idea that I handle the patient skillfully. I decided to be sincere with my client and revealed about the X-ray news. I also advised him about the available care facilities in our institution and urged him to stay.

Conclusion

Nursing is a sensitive profession that requires high levels of professionalism to successfully accomplish tasks. Normally, nurses experience an array of challenges and are required to apply precise approaches to ensure stability. Nurse leaders ought to uphold ethical, moral and legal aspects when deliberating on important decisions. For instance, the patient in the case scenario was assessed, and his X-ray results obtained. It was important to review his capability to cope with the news and apply moral and ethical constructs when revealing the news. Through observing moral, ethical and legal facets, nurses execute their duties with diligence, leading to quicker patient recovery and a better reputation for the facility.

References

Demirtas, O., & Akdogan, A. A. (2014). The Effect of Ethical Leadership Behavior on Ethical Climate, Turnover Intention, and Affective Commitment. Journal of Business Ethics, 130(1), 59–67. doi:10.1007/s10551-014-2196-6.

Esmaelzadeh, F., Abbaszadeh, A., Borhani, F., & Peyrovi, H. (2017). Ethical sensitivity in nursing ethical leadership: a content analysis of Iranian nurses experiences. The open nursing journal, 11, 1. doi: 10.2174/1874434601711010001. Nursing Leadership Assignment 10

Kangasniemi, M., Pakkanen, P., & Korhonen, A. (2015). Professional ethics in nursing: an integrative review. Journal of advanced nursing, 71(8), 1744-1757. https://doi.org/10.1111/jan.12619

Mann-Salinas, E., Hayes, E., Robbins, J., Sabido, J., Feider, L., Allen, D., & Yoder, L. (2014). A systematic review of the literature to support an evidence-based precepting program. Burns, 40(3), 374-387. https://doi.org/10.1016/j.burns.2013.11.008

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 4, “Ethical Issues”

Martin, M. B. (2014). Transcultural Advocacy and Policy in the Workplace: Implications for Nurses in Professional Development. Journal for nurses in professional development, 30(1), 29–33. doi: 10.1097/NND.0000000000000027. Retrieved from the Walden Library databases.

Steinmo, S., Fuller, C., Stone, S. P., & Michie, S. (2015). Characterizing an implementation intervention in terms of behavior change techniques and theory: the ‘Sepsis Six’clinical care bundle. Implementation Science, 10(1), 111. Retrieved from https://implementationscience.biomedcentral.com/articles/10.1186/s13012-015-0300-7?report=reader

Woods, M. (2014). Beyond moral distress preserving the ethical integrity of nurses. Nursing Ethics, 21(2), 127–128. https://doi.org/10.1177/0969733013512741 Nursing Leadership Assignment 10

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