Nursing Leadership And Management Discussion Topic Case Scen
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Nursing Leadership and Management Discussion Topic CASE SCENARIO Journey Toward American Nurses Credentialing Center’s Magnet Recognition Program® Situation One organization’s journey to achieve ANCC’s Magnet Recognition Program included a strategic plan for nurse leaders to engage nurses at all levels in establishing one nursing professional practice model (PPM) across a seven-hospital system (Holskey & Rivera, 2020). A PPM “describes how nurses practice, collaborate, communicate, and develop professionally to provide high quality care” (Holskey & Rivera, 2020, p. 468). With over 7,000 nurses across multiple hospitals that comprised the organization, nurse leaders needed to be transformational.
Although there are tools available to help nurses identify and make complex decisions on the road to formulating a system perspective for a PPM, many tools and processes are not effective in achieving goals and are less efficient, potentially wasting financial and people resources. Approach As defined by ANCC (2017), transformational leaders motivate and inspire others to achieve outcomes and simultaneously build their leadership capacity. In this initiative, nurse leaders transformed the structures and processes for learning and practicing nursing by breaking down siloes and incorporating effective strategies for engaging nurses that were inclusive and empowering. Nurse leaders examined the evidence and identified liberating structures (LSs) by Lipmanowicz and McCandless (2014) as innovative engagement strategies.
LSs are creative activities that can be used with large groups to share individual perspectives on the road to identifying system perspectives. Initially, nurse experts educated nurses about the value and expectations for a system PPM that represented all levels of nurses in all practice settings. They disseminated examples of PPMs from other organizations, introduced PPM definitions and language, and discussed evidence about the relationship of PPM for driving exemplary professional practice. After providing nurses with knowledge and evidence, the nurse experts inspired nurses to share their ideas, as they were exposed to diverse perspectives of their colleagues working in different units, specialties, and hospitals.
The visionary nurse leaders reinforced the shared goals of everyone—achieving excellence for patient-centered care. As LSs were leveraged to assist in identifying and prioritizing elements of a PPM, nurse leaders collaborated with clinical nurses as they considered best practices for communicating and coordinating feedback from nurses who were members of interprofessional teams. Outcome The structures and processes for learning and decision-making empowered nurses to share their voices and energized collaboration. Clinical nurses advocated for patients, themselves, and their profession as they were coached by nurse leaders to achieve a system perspective and consensus efficiently. The organization’s nurses designed a PPM which was adopted across the system as a guide for excellence in patient-centered care.
Overall, nurses at all levels established a successful environment conducive to systems thinking and stimulating new knowledge, innovations, and improvements for achieving organizational goals and outcomes.
Paper For Above instruction
Introduction
Nursing leadership plays a pivotal role in shaping organizational practices and guiding transformations toward excellence. The journey of an organization toward achieving the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program® exemplifies the importance of visionary leadership, strategic planning, and inclusive engagement of nurses at all levels. This case scenario underscores how transformational nurse leaders galvanized efforts to develop a unified professional practice model (PPM) across multiple hospitals, fostering a culture of collaboration, innovation, and professional development. The following discussion explores key competencies demonstrated in this scenario, the roles of nurse managers, essential leadership skills in the post-COVID era, and the strategic planning process critical to organizational success.
Demonstration of Nurse Executive Competencies
Two nurse executive competencies exemplified in this case are transformational leadership and system thinking. Transformational leadership is demonstrated through nurse leaders inspiring and motivating nurses across diverse settings to actively participate in creating a unified PPM. By breaking down siloes and leveraging innovative engagement strategies such as liberating structures, nurse leaders fostered a shared vision of excellence rooted in collaboration and empowerment (Holskey & Rivera, 2020). For example, nurse experts educated and inspired nurses to share ideas and perspectives, cultivating ownership and commitment to the organization’s goals. This approach aligns with the competency of enabling practitioners to lead change and influence outcomes.
System thinking is evident as nurse leaders engaged nurses from all practice areas to collaboratively develop a system-wide PPM, considering the perspectives of various units, specialties, and roles. This holistic approach ensures the model encapsulates the complexities of nursing practice in a large, diverse healthcare environment. Nurses’ advocacy for patient-centered care, supported by leadership-driven processes, reflects the strategic integration of systems perspective into practice improvement initiatives (Holskey & Rivera, 2020).
Nurse managers play a crucial role in executing these competencies at the clinical unit level. They facilitate communication of the organizational vision, oversee the implementation of new practices aligned with the PPM, and serve as change agents to sustain transformation. By translating strategic plans into actionable steps, nurse managers ensure frontline staff engagement, uphold standards, and monitor progress toward organizational excellence.
Essential Nursing Leadership Skills in a Post-COVID Era
In the aftermath of the COVID-19 pandemic, two vital nursing leadership skills are resilience and adaptive capacity. Resilience enables nurse leaders to manage ongoing stresses, support staff well-being, and sustain morale amidst unprecedented challenges. For instance, leaders can implement support programs, promote work-life balance, and recognize staff efforts to foster resilience (Chen et al., 2021). Adaptive capacity is equally critical, as leaders must pivot strategies rapidly in response to emerging healthcare needs, resources, and policies. This involves embracing innovation, leveraging technology, and fostering continuous learning environments (Dervis et al., 2020). These skills help organizations remain agile, responsive, and effective during turbulent times, ultimately improving patient outcomes and staff satisfaction.
The Strategic Planning Process and Leadership Role
Developing a successful strategic plan involves four key phases: situational analysis, strategy formulation, implementation, and evaluation. First, understanding the internal and external environment helps identify strengths, weaknesses, opportunities, and threats (SWOT analysis). Next, leaders set clear goals, define strategic priorities, and develop action plans aligned with organizational vision. Implementation requires effective communication, resource allocation, and stakeholder engagement. Continuous monitoring and evaluation facilitate adjustments, ensuring the plan remains relevant and effective.
Best practices in strategic planning include stakeholder involvement, data-driven decision-making, and fostering a culture of accountability and transparency (Bryson, 2018). Nurse leaders’ strengths—such as vision, communication skills, emotional intelligence, and change management—are essential in guiding the organization through the strategic process. Their ability to inspire trust, build consensus, and execute plans effectively positions them as key drivers of organizational growth and transformation.
Conclusion
The case scenario highlights the transformational role of nurse leaders in driving organizational excellence through collaborative, inclusive approaches such as liberating structures. Demonstrating competencies like transformational leadership and system thinking, nurse leaders foster environments that empower nurses and improve patient care. In the evolving healthcare landscape post-COVID, resilience and adaptability are invaluable skills. Effective strategic planning, underpinned by strong leadership, ensures organizations remain agile and aligned with their vision for excellence. As healthcare continues to grow in complexity, the critical role of nurse leaders in shaping future strategies and sustaining organizational success remains paramount.
References
Bryson, J. M. (2018). Strategic planning for public and nonprofit organizations (5th ed.). Jossey-Bass.
Chen, J. A., Hou, W., & Wang, Y. (2021). Building resilience in nurses during pandemic: A systematic review. Journal of Nursing Management, 29(7), 1474-1484.
Dervis, S., Powell, M., & Gough, B. (2020). Healthcare leadership in times of crisis: Developing adaptive capacity. Healthcare Administration Review, 45(4), 330-338.
Holskey, B. M., & Rivera, C. (2020). Transformational leadership and professional practice models. Journal of Nursing Administration, 50(10), 468-473.
Lipmanowicz, H., & McCandless, K. (2014). The surprising power of liberating structures. Liberating Structures.
National Association of Nurse Practitioners. (2017). Core competencies of nurse executives. Nurse Leader, 15(6), 434-439.