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· Minimum of two references, not older than 2015.
.Reply both peers.
Peer #1:In the realm of clinical experiences, behaviors demonstrating authority and the acceptance of responsibility are pivotal to the operation of healthcare environments. One distinct observation of authority was noted in the behavior of a senior nurse overseeing the admission process of new patients. This individual’s demonstration of authority was characterized by clear communication, decisiveness, and the ability to delegate tasks effectively. The senior nurse provided direct instructions to junior nurses and healthcare assistants, ensuring that all necessary steps were taken for the patients’ admission, including documentation and initial health assessments. The clarity of instructions, coupled with a confident demeanor and the capability to make swift decisions, underscored the senior nurse’s authoritative role.
In contrast, a memorable instance of an RN (Registered Nurse) accepting responsibility occurred in a situation where there was a delay in administering medication to a patient due to a miscommunication. The RN, upon realizing the mistake, immediately acknowledged the oversight to the patient and their family. This acceptance of responsibility was done openly and sincerely, with the RN explaining the cause of the delay and the steps that would be taken to prevent such occurrences in the future. Additionally, the RN informed the supervisory staff about the incident and participated in a review of communication procedures within the team.
These observations highlight the importance of authoritative behavior and the acceptance of responsibility in clinical settings. The ability to command respect and ensure efficient workflow, as demonstrated by the senior nurse, is essential for maintaining order and ensuring patient care standards. Similarly, the willingness to accept responsibility, as shown by the RN, is crucial for building trust with patients and their families, as well as fostering a culture of accountability and continuous improvement within healthcare teams.
These reflections are based on direct observations during clinical rotations and underscore the significance of leadership qualities and professional accountability in nursing practice. Such behaviors not only influence the quality of patient care but also contribute to the professional development of nurses and the overall effectiveness of healthcare teams.
References:
Johnson, A., & Thompson, B. (2021). *Leadership in Nursing Practice: Understanding Authority and Responsibility*. Philadelphia, PA: Lippincott Williams & Wilkins.
Martinez, L. F., & Garcia, E. P. (2020). “Accountability in Nursing: A Review of Responsibility Acceptance in Clinical Incidents”. *Journal of Clinical Nursing Studies*, 8(3), 112-118. https://doi.org/10.1016/j.jcns.2020.05.003
Peer #2:In healthcare settings, nurses often exhibit leadership qualities without holding formal managerial positions. One such example could be found in emergency departments where experienced nurses take charge during crises. According to Marquis and Huston (2015), leadership is not solely determined by one’s position but also by their ability to influence and guide others toward achieving common goals. In this scenario, a senior nurse may effectively lead the nursing team by coordinating patient care, delegating tasks, and ensuring clear communication during critical situations (Marquis & Huston, 2015).
Conversely, instances may arise where nurse managers struggle to lead their teams effectively despite holding managerial roles. A study by Cummings et al. (2018) highlighted the importance of leadership skills in nurse managers, emphasizing their impact on staff engagement and patient outcomes. Nurse managers lacking effective leadership abilities may face challenges in motivating their teams, resulting in decreased morale and productivity. This disconnect between managerial authority and effective leadership can ultimately hinder the delivery of quality patient care (Cummings et al., 2018).
However, nurse managers can also successfully fulfill both managerial and leadership roles. By fostering a supportive work environment and promoting staff development, nurse managers contribute to improved patient outcomes and staff satisfaction (Marquis & Huston, 2015). Through continuous professional development and training, nurse managers can enhance their leadership skills, ultimately driving excellence in nursing practice and ensuring optimal patient care.
References
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application. Lippincott Williams & Wilkins.
Cummings, G. G., MacGregor, T., Davey, M., Lee, H., Wong, C. A., Lo, E., … & Stafford, E. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85, 19-60.
