Tranforming Nursing Leadership

Identify a leadership or practice issue. briefly outline the issue you have chosen to discuss
and justify your choice. Identify a journal that may be interested in publishing a literature
review about your chosen issue and provide a rationale for your choice of journal. Clearly



The nursing profession exposes the employee to a host of leadership and management
issues that they need to be aware of and take into consideration from time to time. Though the
nursing role is often protected from interference by persons in leadership positions, the minimal
aspects of human resource management such as performance evaluation and welfare issues call
for leadership in nursing practice. Every nurse often gets urgent calls that they are not prepared
for psychologically and at times the outcome of a medical trial or treatment does not turn out as
expected and as professionals, it is devastating (Brown, 2016). Leadership and management
ensure that the nurses are well taken care of and remunerated so that they can offer the optimal
results expected of them. However necessary the medical services are, a nurse needs to lead a
normal life so as to distinguish the mindset at work from the mindset at home.
Management and hospital leadership ensure that there are free transitions between
nursing shifts and that the nursing staff is indeed adequate. A lot can go wrong and indeed, a lot
does go wrong from time to time when shift management is not properly handled. It is often
nurses that bear the burden of responsibility when it comes to the care of patients. However, it is
often a concern when the health of these nurses is at risk. Managers and hospital leaders thus
need to guarantee that there are no circumstances that will inconvenience the nurse or the patient
in the course of their treatment (Anderson, Malone, Shanahan & Manning, 2015). It is the role of
management for instance to assess the psychological and physical state of nurses from time to
time to guarantee that their health status allows them to work. This is because; the care-giver role
that many nurses play hardly allows them to demonstrate any emotion, problem or weakness to
their patients. Management is aware of this and has to consistently ensure that the welfare of the

nurses is guaranteed. This paper is going to discuss the inefficiencies in nursing leadership and
their impact on the nursing working environment.
Inefficiencies in Nursing Leadership and management
Nursing leadership is not always effective. There are concerns about the ability of nursing
leaders to make accurate ethical and efficacy decisions from time to time. Such concerns arise
when trauma situations arise and a myriad of emergency cases are admitted at the hospital. The
ability of the nurse leader to maintain their composure and manage human resource in the wake
of potentially life-threatening situations is almost always realized among the most unnerved of
nurses. For instance, when emergency victims are rushed to the hospital institution, there are
concerns over the level of injury they are exposed to and the nature of care they require,
including aspects such as prepping for surgery and getting the right equipment and personnel at
the right time and place. Such issues at times mark the difference between life and death for the
nursing staff. Leadership must thus make very first and accurate decisions to save life, which is a
paramount duty in the medical profession.
Exposure to contamination is a concern in the nursing environment. Management in the
nursing profession needs to create an environment where nurses can freely treat patients without
risking being infected. The provision of safety equipment at all times must thus never be
compromised. Critical working equipment such as gloves and gas masks go a long way to protect
the medical staff in a hospital especially where contagious airborne diseases are diagnosed
(Malone, 2016). Contamination has been experienced in previous treatment trials such as the
SARS and Swine Flu viruses. The need for care by the treatment professionals often trounces the
risks they face at the working environment. Management and proper leadership of nurses thus

bridges the gap between the call to serve mankind and the exposure to risk. In the need to control
disease spread, nurses often expose themselves to hazards that are potentially lethal to their
health. Management needs to protect these employees from exposing themselves to such dangers
since this exposure to diseases is a concern they have to face every now and then.
Contaminated equipment is also another concern hospital leadership and management has
to deal with. In many countries across the world, there are very few hospitals and insufficient
medical personnel to handle patients. This is the reason why hospital beds are at times shared
and some of the basic equipment that needs to be applied by one patient ends up being used by
several. There may also be insufficient sanitary equipment to clean medical equipment after use.
Direct contact with patients in these circumstances is often inevitable rather than accidental.
Nurses end up contacting diseases and basically becoming exposed to harsh working conditions
as a result. For some of these professionals, working in these environments is not a matter of
choice but rather a duty and a necessary evil they have to endure. This is why it is necessary to
ensure that nurses are not exposed to such working conditions.
Regulations to minimize exposure
In many nations across the world, there is a regulatory mechanism or framework to
ensure that the medical professionals are in situations where they can perform at their optimal. It
is up to the hospital leadership and management to ensure that these regulations are followed and
met with optimal standard actualization. However demanding the assignment is; the hospital
leadership is required to offer them basic sanitary provisions to prevent exposure to
contamination and contracting infectious viruses from the patients. It is a basic concern that the
person offering the medical skills and services in an institution be protected from the medical

hazards within their environment (Andrew & Mansour, 2014). Regulation such as minimal
hygiene standards in a hospital is very critical in the event the hospital is facing health concerns
from their own sanitation concerns. It is important to ensure that hospitals that do not comply
with basic requirements are indicted so that they do not expose the rest of society to these health
issues. Hospitals need to be establishments where diseases are treated; not contracted.
The United States Department of Health works with the Occupational Safety and Health
Association (OSHA) to guarantee health standards within working environments and the safety
of nursing and other medical professionals. This makes it possible for nursing professionals
maintain a fairly healthy living style despite being in near-exposure situations every day. The
organization also runs periodic medical tests on the nurses to assess their psychological situation
from time to time. This is in order to guarantee the safety of the patients they treat from time to
time. It is vital that while there are measures to check whether the nurse is in their right state of
mind; more effort is made towards ensuring that they are given the right counseling and
encouragement as they perform their noble assignments (Barr & Welch, 2012).
Changes to improve nurse employee safety
Lack of proper leadership in a hospital environment can be very detrimental to medical
personnel. For instance, the recent Ebola virus spread in West Africa demonstrated how medical
conditions and the state of healthcare safety in some countries are very wanting. Due to lack of
proper leadership among local government health ministries, many nurses were infected with the
Ebola virus. Some even unfortunately succumbed to it. This is often the concern when
government cannot have proper management of medical agencies involved to guarantee proper
safety of the nurses. The government thus exposed most of these nurses to the health hazards

they faced due to their incompetent leadership (Kear & Ulrich, 2015). There are many other
situations where the exposure of nurses to medical risk situations is a need that the organizations
need to take care of yet fail to do so. There needs to be more standards and the guarantee of the
same to ensure that medical professionals are always guaranteed of their safety while at work.
Leaders in the nursing profession need to be at the forefront in realizing better ways to
improve common practices. Medical professionals can also give their input regarding the
necessary changes that can be done in order to guarantee better working environments. A lot of
research is done in the medical profession concerning how to treat new infections and curb the
spread of bacteria and viruses. However, little is done to confront the issue of occupational safety
(Coben & Weeks, 2014). It is vital that there be research units dedicated to the institution of
realizing better healthcare across the globe. Better healthcare can however be guaranteed if the
health of the healthcare giver; the nurse is not at risk. This is why research in such fields is a
concern that needs to be addressed from time to time and ensured where it lacks.
While technology has boosted medical practice extensively over the last few decades, the
issue of nursing leadership is still a concern. Medical professionals often face situations where
their health risk is a concern. Management need to be aware of these concerns and treat the
nurses like employees who deserve a lot of care since their contribution to society is indeed very
significant. There is need to have nurses and other persons in the profession protected from
contamination while at work. It is also necessary to protect the patients in hospitals from
unhygienic exposure (Kangasniemi, Vaismoradi, Jasper & Turunen, 2013). This can only be
done if the hospital leadership is aggressive in making the hospital environment better.

Organizations that handle healthcare regulation have to be on the forefront to guarantee that
health and safety in hospitals and other medical care facilities is guaranteed.



Anderson, J., Malone, L., Shanahan, K., & Manning, J. (2015). Nursing bedside clinical
handover – an integrated review of issues and tools. Journal Of Clinical Nursing, 24(5/6),
Andrew, S., & Mansour, M. (2014). Safeguarding in medication administration: understanding
pre-registration nursing students’ survey response to patient safety and peer reporting
issues. Journal Of Nursing Management, 22(3), 311-321. 
Barr, J., & Welch, A. (2012). Keeping nurse researchers safe: workplace health and safety
issues. Journal Of Advanced Nursing,68(7), 1538-1545.
Brown, G. (2016). Averting Malpractice Issues in Today’s Nursing Practice. ABNF
Journal, 27(2), 25-27.
Coben, D., & Weeks, K. (2014). Meeting the mathematical demands of the safety-critical
workplace: medication dosage calculation problem-solving for nursing. Educational
Studies In Mathematics, 86(2), 253-270.
Kangasniemi, M., Vaismoradi, M., Jasper, M., & Turunen, H. (2013). Ethical issues in patient
safety: Implications for nursing management. Nursing Ethics, 20(8), 904-916.
Kear, T., & Ulrich, B. (2015). Patient Safety and Patient Safety Culture in Nephrology Nurse
Practice Settings: Issues, Solutions, and Best Practices. Nephrology Nursing
Journal, 42(2), 113-123.
Malone, B. R. (2016). Professional Issues. Intimidating Behavior Among Healthcare Workers Is
Still Jeopardizing Medication Safety.Nephrology Nursing Journal, 43(2), 157-159.

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