NUR 514 Topic 2 DQ 1 What Is The Difference Between Leadership And Management?
NUR 514 Topic 2 DQ 1 What Is The Difference Between Leadership And Management?
From your experience in the health care industry, What Is The Difference Between Leadership And Management? How can an advanced registered nurse both lead well and provide management? Think about interactions with patients, team members, daily tasks, and responsibilities as you formulate your response.
LeShionna
Re: Topic 2 DQ 1
Management and leadership are vital to the delivery of good health services. Both are similar in some aspecst but they may involve different types of outlook, skills, and behaviors. According to the World Health Organization (WHO), good managers should strive to be good leaders and good leaders, need management skills to be effective (World Health Organization, 2019). Leaders have a vision of what can be achieved and then communicate this to others. Leaders evolve strategies for actualizing the vision through motivating others and seeking out resources. Managers ensure that the available resources are well organized and applied to produce the best results (WHO, 2019).
Leadership is often viewed as an art, not science and management on the other hand, is often thought of as a science as it involves a series of logical steps that can be followed to implement whatever the role demands. In my experience in the health care field, leaders differ from managers in a variety of ways. Leaders are active in formulating goals and objectives for the employees who work for them and strive to seek out efficiency. Managers work to accomplish the tasks and usually will continue to do whatever is necessary to get the job done.
An Advanced Practice Registered Nurse (APRN) can both lead and provide management as they have an expert level of knowledge and complex decision-making skills and clinical competencies for expanded practice specific to the context in which they are credentialed to work (Lamb, Martin-Misener, Bryant-Lukosius, and Latimer, 2018). For example, APRNs can lead well to formulate goals related to patient care to help to reduce surgical site infections. An APRN can provide management to the staff on tasks the nurse can carry out to reduce infections such as proper skin prepping techniques and dressing application. APRNs are well versed on evidenced-based practice and can incorporate their knowledge into improving efficiency. An APRN in the role of a leader will strive to seek out efficiency through policy changes at the organization they are employed with. The APRN leader might identify equipment or staff training needs to accommodate high risk patient populations. The APRN manager would then continue this movement to ensure staff training is completed, that staff was familiar with policy updates, and that ultimately the process was rolled out completely. APRNs are an asset to organizations as they advanced education allots for an individual capable of both leading and managing the team.
References
Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., Latimer, M. (July 2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing Open, 5(3): 400-413.
World Health Organization (2019). Chapter 10: Leadership and Management. https://www.who.int/hiv/pub/imai/om_10_leadership_management.pdf
RESPOND HERE (150 W0RDS, 2 REFERENCES)
Hello LaShionna,
I do agree with you that nurse leaders should strive to be good leaders to be able to manage resources efficiently. Nurse leadership is a dynamic role which involves promoting change projects in the nursing practice and helping the newly registered nurses learn the best nursing practices (Growing Nurse Leaders: Their Perspectives on Nursing Leadership and Today’s Practice Environment, 2020). The role of managers in any organization is well cut out, they have to harness resources and set out plans to utilize the resources appropriately and realize the organization’s goals and objectives. Leaders have an obligation of providing direction, inspiring and motivating other workers towards the realization of the set goals. Therefore, the healthcare managers need to work with top level stakeholders such as the directors and the investors to attract the required material resources while the leaders need work with nurses and patients to streamline the daily operations of the healthcare organization and realize quality care (Sfantou et al., 2017). Advanced practice registered nurses training has been enhanced to ensure that they provide quality leadership and are incorporate EBP in nurse practice.
References
Growing Nurse Leaders: Their Perspectives on Nursing Leadership and Today’s Practice Environment. (2020). Nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No1-Jan-2016/Articles-Previous-Topics/Growing-Nurse-Leaders.html
Sfantou, D., Laliotis, A., Patelarou, A., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of Leadership Style towards Quality of Care Measures in Healthcare Settings: A Systematic Review. Healthcare, 5(4), 73. https://doi.org/10.3390/healthcare5040073
ELIZABETH
Re: Topic 2 DQ 1
According to Barker & Denisco (2016), “management is the coordination of resources to meet organizational goals, whereas leadership is built on relationships” (p. 136).
In my experience, management has to do with the day-to-day operations functions of an organization such as, managing patients’ care by delegating to others, budgeting, staffing, competencies being up to date, and making sure the organization is following rules and regulations. Leadership to me is leading by example and inspiring others to follow. I have seen my manager, lead by making sure the staff is doing well. If we are short staffed, the manager will do what it takes to make sure we get the help we need, will jump in, and help where needed. Our manager listens and asks for our opinions on how to make improvements for our patients and staff.
Those who manage have people under them, they provide direction from hierarchical order. Management produces order and consistency by planning, setting timetables, allocating resources, organizing staffing, hiring, establishing rules, controlling and problem solving, and taking corrective action (Porter-O’Grady & Malloch, 2018).
When a nurse influences member of the healthcare team, patient, or any part of the health organization, then the nurse is leading (Porter-O’Grady & Malloch, 2018). Anyone can be a leader; no title is needed. Leaders are intentional, committed, inspire, build trust, communicate goals, build teams, empower, encourage, and lead by example (Porter-O’Grady & Mallock, 2018).,
The advanced practice nurse (APN) can lead and provide management by using transformational leadership. “Transformational leadership empowers all team members to work together to achieve a shared goal; lead with a clear vision and use coaching, inspiring, and mentoring to transform themselves, followers, and organizations” (DeNisco & Barker, 2016, p136). The APN can also incorporate the APN Leadership Capabilities Model, which discusses the patient-focused leadership and organizational and system-focused leadership capability domains, which include:
“Patient‐focused leadership included the following four leadership capability domains: 1) managing patient‐centered care; 2) coaching and educating; 3) advocating and 4) initiating meaningful communication. “Organization and system‐focused leadership” included the following seven leadership capability domains: 1) improving the quality of care provided; 2) enhancing professional nursing practice; 3) being an expert clinician; 4) communicating effectively; 5) mentoring and coaching; 6) providing leadership on internal and external committees and 7) facilitating collaboration.” (Lamb et al., 2018, pp 402-403)
References
Denisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9789384323103
Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing open, 5(3), 400–413. https://doi.org/10.1002/nop2.150
Porter-O Grady, T., & Malloch, K. (2018). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284146530
RESPOND HERE (150 W0RDS, 2 REFERENCES)
Hello Elizabeth,
I do agree with your findings that management involves harnessing of resources to achieve organizational goals while leadership involves relationship building to inspire others. Healthcare organizations require effective leadership and management that enhances quality care and efficiency in resource utilization (Xu, 2017). I do agree with you that managers have the task of planning, staffing and scheduling of the programs at the facility to ensure that every activity goes as planned and the organization is able to meet its objectives. For the nurse leaders, they need to have proper interpersonal skills, that is built on effective communication skills. They have to engage every stakeholder, build stronger understanding and mobilize the other healthcare workers in promoting quality healthcare services. I do agree with you that the nurse leadership built on patient centered approach advocates for patients’ safety, initiates meaningful conversations and educational programs to improve the nurse practice. Advanced nurse training programs incorporates the key concepts of leadership to ensure nurses have the knowledge and skills to lead healthcare transformations (Ens et al., 2018).
References
Xu, J.-H. (2017). Leadership theory in clinical practice. Chinese Nursing Research, 4(4), 155–157. https://doi.org/10.1016/j.cnre.2017.10.001
Ens, B., Bazylewski, S., & Duchscher, J. B. (2018, June 30). Emerging Nursing Leadership Issues. Leadershipandinfluencingchangeinnursing.pressbooks.com; University of Regina Press. https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-16-emerging-nursing-leadership-issues/
CAMILLE
Re: Topic 2 DQ 1
In my experience management focuses on the personnel aspects of punctuality, performance evaluations, following administrative expectations, sharing information about the unit and new initiatives, attending meetings, and following up with personnel, patient, physician, unit, and safety issues. Leaders promote self-governance and unit governance. Employees should be in charge of setting up their own schedule to meet the demands of the unit, report to work in a timely manner, obtain continuing education, and any certifications necessary for their professional role. A leader reminds employees of their obligations and leaves the details to the employee without being punitive. The leader hears everyone and is fair in their actions as a role model for behaviors. Employees are allowed to solve their own problems with guidance and the appropriate tools. The leader embraces innovation and new ideas that benefit the employees, the unit, and the organization. A leader delegates daily tasks to the employees and bedside charge nurses to reduce their workload and allow time for activities that demand their attention. The leader instructs employees on what needs to be done, and they are expected to do so as professionals. The leader may then be able to round on employees and patients in a timely manner to achieve an optimal environment for all parties. Leaders attend meetings to collaborate with other disciplines and administration within the hospital to improve functioning, safety, and patient care that is disseminated to the units. One specific idea is to improve throughput from the recovery room to the inpatient units and the intensive care. Leaders have worked together with administration and unit representatives to improve safety so that patients receive proper care (early ambulation etc.) instead of waiting for a room in the PACU (postanesthesia care unit).
The nursing leader must be willing to share their authority with others to work as a team to include all disciplines or team members in a compassionate manner (Wood, 2021). I believe education, knowledge acquisition, and training are essential to leadership role development. Such a leader may function in a managerial role that models appropriate behavior and actions within the profession. It is necessary to engage personnel to be able to have a high-performing unit.
References
Wood, C. (2021). Leadership and management for nurses working at an advanced level. British Journal of Nursing, 30(5), 282–286. https://doi.org/10.12968/bjon.2021.30.5.282
RESPOND HERE (150 W0RDS, 2 REFERENCES)
Hello Camille,
I do agree with you that the nurse leaders can ensures employees take personal responsibility by delegating duties and allowing them to come up with their schedules and timelines (Little et al., 2018). Nurse leadership that inspires others creates opportunities for the other nurses to rise up the ranks and take up future leadership roles. A good leader is one who provides guidance and motivates the new recruits to work independently and explore their creativity and innovations in practice. Effective nurse leadership is associated with increased work morale and job satisfaction of other nurses, better service delivery and patient satisfaction. This is achieved through conducting supervisory roles to ensure that the RNs and APRNs follow all the safety standards and adhere to the nursing protocols. They have to incorporate proper communication channels in the healthcare systems and ensure that there is flow of information, which is timely and accurately delivered (Barton, 2018). The leaders themselves are called upon to be effective communicators.

NUR 514 Topic 2 DQ 1 What Is The Difference Between Leadership And Management
References
Barton, A. J. (2018). Leadership and Communication Competencies in Nursing: What Are We Missing? Journal of Nursing Education, 57(5), 259–260. https://doi.org/10.3928/01484834-20180420-01
Little, L., Wagner, J., & Anne Sutherland Boal. (2018, June 30). Responsibility and Authority of Nurse Leaders. Pressbooks.com; University of Regina Press. https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-12-responsibility-and-authority-of-nurse-leaders/
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