Introduction followed is a Registered Nurse (RN) employed

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Last updated: June 13, 2019

IntroductionAccording to anarticle by Villanova Universityaj1 ,a successful leader inspires others to do their best, and successfully createsgroup consensus through trust to buy into their vision and follow their lead(Villanova University, 2017aj2 ).The nurse that this writer followed is a Registered Nurse (RN) employed withLutheran Hospital. The nurse is the clinical coordinator for the palliativecare wing in the hospital and has been a nurse for a number of years, startingout in oncology and then moving to palliative care. The nurse has been in thisfield for the last six years. As the clinical coordinator, the nurse requiresaj3 a great amount of efficiency, organization, and critical thinking. Organizationand efficiency are important to ensure all of the patients that require careare seen. According toNurse Journal, criticalaj4  thinking skills are important,because “they are what you use to prioritize and make key decisions…” (NurseJournal, 2005-2017aj5 ).The clinical coordinator performs several tasks throughout the day to ensurepatient needs are being met.

Nursing RoleThe clinicalcoordinator has several roles and responsibilities. In this role, the nurseacts as a liaison between the hospital and Visiting Nurse and as a casemanager. Once a patient is referred for palliative, a consultation for VisitingNurse is put in and together the clinical coordinator and visiting nurse assistthe patient and the patient’s family in choosing the appropriate services. Thenurse coordinates family meetings that can take place in person or over thephone.

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These meetings allow the nurse to collaborate with the power of attorneyabout options for his/her family member. The nurse gives support and fills inloved ones on available options for services. If the patient or the patient’sfamily chooses hospice care, the nurse works with Visiting Nurse to help thepatient or family find an agency they would like to go through.       The clinical coordinator’s work also consistsof case management. Every patient referred or receiving services throughpalliative has an electronic medical record with diagnosis, age, and otherbackground information.

Each day, the nurse pulls a master list from thedatabase of the patients that need to be seen on a particular day. The nursethen rounds on these patients, inquiring about patient’s status, whether thatmay be a declination or progression. When finished with rounding, the nurseenters her notes in the database where other team members have access to theinformation. Nurse Supervision and CollaborationsThe clinicalcoordinator is a supervisor to the social worker and the other registerednurses working in the office. The nurse interviewed stated that the role ofsupervisor is more or less just another role that comes with the title asclinical coordinator. The nurse stated that although the role of clinicalcoordinator includes supervisor, the nurses on the floor know their job andthey do it well.

For this reason, the subordinates do not believe muchoversight is required. The nurse collaborates with Visiting Nurse’s attendingphysician, the social worker and registered nurse that work in the office, aswell as the health care teams that care for each of the patients under thenurse’s care. The nurse informs the physician about patient status changes andif a patient is in need of a new order. The physician will then put the orderin and the nurses working with that patient will follow those orders asappropriate. Collaboration is important in nursing and by doing so effectivelywill lead to improved quality outcomes, patient experience, patient safety, anduse of resources (ANA, 2016).

    Leadership Style            Theclinical coordinator is a laissez-faire leader. A laissez-faire leader is aleader that does not exercise direct control over employees and due to theemployees being highly experienced; do not need much supervision (ManagementStudy HQ, 2017). The nurse followed allows the employees being supervised towork primarily on their own. The nurse trusts that they know how to do theirjob and do not require constant supervision, and reviews and intervenes asnecessary.

All team members communicate and collaborate as needed to provide highquality patient care.Communication            Theclinical coordinator uses interpersonal communication, the most common form ofcommunication in nursing, which requires an exchange of information withanother individual (Henry, et al., 2016). When the nurse rounded on patients, informationwas exchanged regarding the patient’s current status and needs. Interpersonalcommunication, a form of therapeutic communication, was utilized with the patientsand patient’s families as well.

Therapeutic communication is the purposeful useof communication to build and maintain helping relationships with clients,families, and significant others (Henry, et al., 2016).  The nurse was respectful and used alight-hearted tone when communicating.

SummarizeI feel like Ilearned many useful things from this observation. I learned there are severalhats a nurse must wear to effectively do her job with being a team player andeffective communicator being two of the most important. I once read that”effective teamwork has been show to achieve team goals successfully andefficiently and with fewer errors” (National Center for BiotechnologyInformation, 2015). I really enjoyed watching the nurse navigate the hospitaland round on her patients. She was calm, cool, and collected; she was proactiveand a self-starter which are important traits to have as a nurse. In the futureduring my nursing career, I would like to be a participative leader. This typeof leader seeks to involve other people such as subordinates, peers, andsuperiors in the decision-making process (Changing Minds, 2012-16). This type ofleadership is the most appealing to me, because it allows for everyone regardlessof their status to have some say so in the decision-making process.

I believethat if you allow your co-workers to be involved in making some of thedecisions that will affect them and their work environment, you can foster a healthyworking environment. To develop the leadership skills I am seeking, I think themost important thing to do is to be open minded and eager to learn. Throughwatching and learning, I will be able to implement the traits essential for ademocratic leader into my nursing role.   aj1Addyear of reference: According to…Villanova University (2017),… aj2Thendelete this reference – by adding it above with the date, that is the APAcitation aj3Thenurse is required to possess a great amount of…  aj4Criticalthinking skills are important because they allow for prioritization and keydecisions (Sharples et al., 2017).

 aj5Changethis sentence and reference

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