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Leading, managing, and following are all important aspects of professional nursing. Regardless of position title, engaging in positive behaviors linked with these concepts has an impact on patient care and organizational outcomes. (Kerfoot, 2009) In clinical scenarios where no conventional solution exists, leadership is defined as the process of involved decision-making linked to actions made in the face of difficult, uncharted, or risky circumstances. Management is the active activity of guiding others via a set of deduced practices and procedures that are evidence-based and proven to meet pre-determined results in clinical scenarios. (Kerfoot, 2009) By contributing to problem identification, accomplishing tasks, and offering input for evaluation, followers engage with leading or managing individuals. (Kerfoot, 2009)The behaviors that show leadership, managing, and following each other complement each other. (Kerfoot, 2009) Every day, all interdisciplinary healthcare workers, including professional nurses, face situations that require
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them to lead, manage, and follow. (Kerfoot, 2009) To meet patient care and organizational requirements, some formal positions, such as charge nurse or nurse manager, require an advanced set of leading and managing skills to establish organizational goals and objectives, oversee human resources, provide staff with performance feedback, facilitate change, and manage conflict. (Kerfoot, 2009) An organization’s workflow is made up of the procedures it needs to complete, the people or other resources it has to complete those activities and the interactions between them. (Cain, Haque, 2008) It’s not just about increasing efficiency when it comes to designing an effective organizational workflow. Workflow processes are diagrams that show the care team how to achieve a specific goal. (Cain, Haque, 2008) A good workflow will aid in achieving those objectives promptly, resulting in care that is more consistent, dependable, safe, and compliant with industry standards. (Cain, Haque, 2008) I believe that these are positions that can be maneuvered by the nurse and are not fixed positions. For example, an RN can become a charge nurse through experience.
References:
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Cain C, Haque S. Organizational Workflow and Its Impact on Work Quality. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 31. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2638/
(Links to an external site.) Kerfoot, K.M. (2009). Leadership: Social identity and guiding from within. Dermatology Nursing, 21(1), 45-47.
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