Advanced Practice: Leadership Paper

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The process of management and administration of organization is one of the most recent concerns not only in the corporate sector but also in medicine and health practitioners. Many firms are concerned with the process of improving outcomes that reveal quality relating to the expectations and visions of the respective organizations. For effective healthcare leadership is essential and important for the improvement of the patient outcomes as well as the general job satisfaction of the nurses and the clinicians. There is need to understand the scenarios and the possible mechanisms that will lead to efficient healthcare delivery to the required standards. Besides, the notion of ethical consideration is another factor that is of essence in leadership and management. In medical services, moral dilemmas affect the nature of the undertakings on the daily basis. Therefore, the cumulative techniques should be put in place to ensure that quality is maintained in all the facility units. The objective of this excerpt is to outline the concept of ethical dilemmas in healthcare delivery and propose a strategic approach to relationship-centered and patient-centered care attributes about organizational and leadership behaviors. The entire paper is meant to depict the advanced nursing practices.

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The practice of nursing revolves around the need for an excellent strategic leadership within the various setups since it is a sensitive sector, which determines the magnitude and the outcomes of the quality of life. There is the need for practitioners to be prepared to embrace the value of ethical conduct. Worth noting is how the ethics codes are based on the concept of formalism as well as the utilitarianism (Creel & Robinson, 2010). The moral obligations for professionals to do what is right are essential to creating a safe environment free from compromise and manipulations. Such aspects that outline the moral values while undertaking the daily duties in an organizational setup are defining the extent to which individuals portray their professional and personal behavior. The conducts are about ethical practices. However, the consideration of the complexities that arise from the errands of competence and need for quality among the patients, stakeholders, and the nurses are of the essence. Such scenario calls for the examination of the ethical dilemmas in the healthcare activities. The leadership strategy is nursing involves the process of unraveling the complexity of defining the gap in ethical dilemma associated with lack of a relative measure when determining what is right or unacceptable.

Leadership in medical services entails the process of identifying the shortcomings in the healthcare services within the selected facilities and make necessary changes meant for the mitigation of the challenges as well as improving the existing situation by considering quality and ethics. Strategies intended for social integration can be essential for the process of developing a more secure working environment in nursing for leaders and workers. Developing the practitioners regarding their skills and capabilities creates a scenario that favors quality development and value addition. Knowledge about the challenges faced in the professional field is essential because it helps in building mechanisms for the eradication of the cropping shortcomings. Whenever the process of offering care to patients with several health complications is subjected to changes according to the external factors that demand quality, then the facility will be bound to succeed. Reflective practices and incorporation of technology play a crucial role for the sole purpose of effective organizational leadership. For nurses, change is an evitable factor that should never be despised at all cost. However, understanding the ethical factors and dilemmas is equally challenging and vital. Therefore, the practitioners should consider valuing the information pertaining practical ethics.

Worth noting is the increased practices among nurses that are considered a lack of leadership and concern for acceptable behavior. Non-interprofessional behaviors are affecting the nature of care being delivered. The expected outcomes are eventually not matching the expectations of professionalism (Felblinger, 2009). It is critical to witness the changes in the moral considerations of healthcare workers that are against the ethical practices. As noted earlier, leadership plays a role in defining the behavior in a working environment. However, for health services, several character traits have been experienced at the exaggerated degree. The health practitioners are currently associated with practices considered unacceptable while on duty such as bullying, stalking, incivility, lateral violence, and mobbing among others. Such activities show that there is the complete disregard for the oath practice from the general picture portrayed by an outward analysis. However, a succinct investigation declares that there is an associating between the working environment that has contributed to the development of such vices and the prevalence of the ethical concerns raised in the sector. The immediate change calls for a strategic approach to the matter through a leadership scheme that encourages inter-professional establishment for the administrators and the nurses in all health care units.

For example, bullying is an approach meant to harass an individual and is majorly associated with the need to feel superior. The notion has been on top of the main timeline owing to the implications of such behaviors on the victims self-esteem. The psychological effects related to bullying forms are dangerous when they are extended over an extended period because they are not easily recognized whenever the victim is tolerating the vice. Incivility, on the other hand, involves the personal edification while disregarding the perception of others in a working environment. Practitioners are bound to increase their knowledge and experience based on their interaction with other and valuing their opinions. Besides, mobbing entails emotional abuse through practices meant to intimidate and individual. Cases of professionals intentionally being hostile when dealing with colleagues are on the rise, and it is traumatizing especially when the victims are attacked in public with prevalence in a learning environment for nurses (Ozturk, Sokmen, Yilmaz, & Cilingir, 2008). Stalking also has been witnessed whenever individuals follow the activities of their workmates without their consent to acquire information that may be considered as private in some circumstances. All the above behaviors limit possibility for growth and expertise in nursing since they a\encourage the formation of groups not meant for positive development.

However, it is important to recognize the advantages of conflict management during the prevalence of such practices. In a working environment, conflicts are bound to occur but what defines the impacts is when the management of such activities and the scenario is not strategic to offer a timely intervention. The desire for any organizational setting is to be in a position to settle all the matters that are affecting the integrations mechanisms meant for personal and professional growth. Such occurrences call for effective leadership that will allow the moral support as well as the setting example for the nurses to emulate. Conflict settlement entails the sole purpose of eliminating the current wrangles and establishing measures that will reduce the reoccurrence of such engagements. Sometimes the disagreement between workers may escalate to unmanageable levels; therefore, an appropriate approach to the matter is critical because it defines the extent to which the effects will be felt by parties involved, leadership, and stakeholders in nursing. Effective organizational leadership can easily recognize actions meant to intimidate others and necessary measures are taken to encourage healthy integration among nurses and clinicians. Therefore, a strategy that supports conflict resolution from a preventive point of view is the most efficient mechanisms for nursing leadership if amalgamated with reconciliation (Wright, 2008).

Moreover, the fundamental aspect of leadership in nursing is associated with the understanding of the ethical position of the respective duties. When solving the conflicts that arise due to the dilemma in ethics in is essential to recognize the Ethics of Care and the Ethics of Justice. The two facets of a dilemma in service delivery are worth noting before decisions are made because of the nature of each perspective (Sorbello, 2008). There is difficulty when defining what is right or wrong in an ethical dilemma; however, the way the practitioner respond to each factor in such a scenario will determine the extent of the consequences that will emanate from the activities and the actions of nurses and clinicians (Simola, Barling & Turner, 2010). When nurses and doctors esteem the holistic care of patients within their respective facility, they are bound to make decisions based on how they value the needs of other. The notion extends to the relationship amongst the caregivers and determines the prevalence of the non-interprofessional behavior. The context of each event will define the decision made; however, the baseline will always be unmerited.

Nevertheless, the nursing leadership should not ignore the element of ethics of justice. The decisions made during a crisis or dilemma should consider the purpose of justice in settling conflicts within a working environment. The sole reason for defining the effect of justice in ethics is that it assists in building the mechanisms necessary for creating confidence in policies and strategies. Besides, the incorporation of justice of ethical conduct in a dilemma will create a common decision base for subjects and objects. Conflicts in nursing resolved based on justice create safe future problem-solving processes as compared to the inclination towards the occurrence and needs of others in evaluating the nature of intervention to be applied. Therefore, compassionate approach to sensitive and complicated matters is essential; however, a judicial consideration is valuable if the two notions are amalgamated is resolving the dilemma. It is important to recognize also how power affects the understanding of the patients safety requirements (Beall, 2007). Therefore, the leadership should assist in setting up measures that will ensure that the mechanisms define the path to tread during a particular ethical consideration. However, whenever the professionalism of exercising power is not comprehensive, then the expected standards might be compromised.

Conversely, the challenges faced by the nurses and clinicians does not only emanate from poor strategies and behavior but also from the immediate working environment. The practitioners in several facilities around the globe are affected by the culture of the healthcare activities. Despite the fact that the competence levels may be in accordance with the set standards, the factor of the nurse to patient ratio is obligatory and should be considered amongst the necessary changes to be implemented. The effects of burnouts in nurses have affected the quality of services and the patient outcome; however, it is an external factor beyond the control of the practitioners. The organizational approach to external factors could have contributed to a reduced level of significance to the matter concerning the effects of non-interprofessional behavior as well as the establishment of an environment that encourages professional growth and development. Besides, the nature of working environment defines the extent to which nurses and clinicians achieve job satisfaction. However, if the mechan...

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