In the medical field, when we look to our leaders it is so that they can lead us to be able to provide and deliver safe quality care. To help us remove obstacle when identified, that may hinder set goal, which is, as mentioned to deliver safe and quality care. Within the profession of nursing, we may find ourselves thrown into the role of leadership at any given moment, the nurse must be prepared to take this role, embrace it and behave appropriately. Especially as an interdisciplinary healthcare worker, it is very important to communicate effectively while leading others to achieve a common goal.
Leadership Strategies; discuss two strategies that enable a nurse on an interdisciplinary team to exert leadership without occupying a formal leadership position. One of two strategies that enable a nurse on an interdisciplinary team to exert leadership without occupying a formal leadership position is the ability to take a leadership stance. Merriam-Webster dictionary defines a leader as a person who has commanding authority or influence, (Merriam-Webster , 2012), stance is defined as intellectual or emotional attitude, (Merriam-Webster , 2012).
Taking a leadership stance will be an attitude of someone who can take situation that requires a solution, be able to define the path towards that solution and lead others to it. A person with the ability to be a leader possesses the intellect to communicate effectively with the team, promote communication amongst team members and to seek guidance when needed while taking responsibility for self. The healthcare system is governed by policies and procedures, evidence and best practices standards and behaviors. Deviating from such a path can place the care we deliver at risk.
In the medical profession to effectively lead one must be knowledgeable of the institutions values and expectations. “To be successful, the leader often refers to the values as the foundation of action and continually placed the activities of the leader and organization within articulated values” (Cheroot, K. 2009). Being knowledgeable of the employer’s guidelines will provide the nurse with the proper tools and guide the nurse in making the correct decisions when it comes to leading others. It is up to the individual whether one wants to be a leader and what type of leader one can be.
The nurse does not need an official title to be able to lead. Usually all that is needed is the opportunity to arise. The attitude the nurse takes the knowledge the nurse possesses is just two of the many tools she or he will possess to make an effective leader. Active Involvement; justify why it is important for a nurse to be actively involved with an interdisciplinary team. As defined by Theresa J. K. Drink the Interdisciplinary Health Care Team (CHIT) as “a group of individuals with diverse training and backgrounds who work together as an identified unit or system.
Team members consistently collaborate to solve patient problems that are too complex to be solved by one discipline or many disciplines in sequence. In order to provide care as efficiently as possible, an CHIT creates “formal” and “informal” structures that encourage collaborative problem solving. Team members determine the team’s mission and common goals: work interdependently to define and treat patient problems; and learn to accept and capitalize on disciplinary differences, differential power and overlapping roles.
To accomplish these they share leadership that is appropriate to the presenting problem and promote the use of differences for confrontation and collaboration (Drink & Clark, 2000). Working as a nurse one just have a strong sense of team work, possessing the ability to know when to and how to effectively communicate with coworkers for the better of the patient. The profession of nursing is one that cannot function by itself; a nurse must recognize that the care of the patient is delivered by the interdisciplinary health care team.
An example of a medical setting in which communication is of utmost importance would be in an operating room. In this setting the task at hand is coordinated by a number of healthcare professionals that must communicate with each other throughout the procedure. The team may be conducting a reefing before a procedure for the necessary identification of the patient, or the ongoing communication that takes place between doctor and nurse as they exchange tools and inform of patient data such as fluctuating vital signs.
Another example can be a busy medical surgical floor, in which there are patients constantly going to and coming from exams, discharges and admissions, medical orders that are written and must be implemented, or changes in patient’s condition. Nurses in this environment must prepare to communicate with the unit secretary for the coming and going of patients, and the orders which he secretary may pick up. The nurse must involve the doctors if a patient’s condition changes, that nurse may have to communicate with the unit secretary to locate the appropriate doctor so that a report can be given.
In this scenario the nurse is and can be faced with having to communicate with any given person on staff to ensure appropriate quality care. Being part of the interdisciplinary healthcare team and learning how to communicate effectively within this team and encourage others to do the same is one of the many vital responsibilities that a nurse must be able to handle well. Effective collaboration between gestured nurses and physicians has been shown to reduce morbidity and mortality rates, cost of care, and medical errors and to improve job satisfaction and retention of nursing staff (Manson et al. 2011, p. 31). To be an active part of an interdisciplinary team will give the nurse the opportunity to be a part of a group of people that will and can make it better not only for the patient but for the medical system as a whole. The outcomes are positive in every way. Contributing Position; discuss two ways a nurse can take an active, contributing position within an interdisciplinary team. Using communication techniques that facilitate communication within the interdisciplinary team will make it possible for a nurse to take an active contributing position within the interdisciplinary team.
Such tools can be briefing, debriefing, SABA, and critical language. The nurse should be knowledgeable as to which tool the employer uses and become familiar with the tool and use it whenever necessary. SABA is a technique used for prompt and appropriate communication in the healthcare organizations. SABA is an acronym that stands for: Situation, Background, Assessment, Recommendation. It is modeled upon naval military procedures and was adapted to healthcare by Michael Leonard, Doug Bonham, and Suzanne Graham of Kaiser Permanent (“communication tool,” n. D. ).
By using a tool like SABA the nurse is empowering the team, by enabling the team to plan, prepare and provide the necessary care. The nurse should be able to determine when to use these tools to be an active participant in an interdisciplinary team that will provide safe and accurate care. Listening, listening is overlooked and usually underrated, when it should be looked upon as a skill. Without listening there is no communication. Aside of being able to voice concerns, opinions, ideas, the nurse must be able to stop and listen, it will make for a better team.
Many times a nurses assistance must communicate to a nurse any given data, but if the nurse does not stop and listen, that data will be useless and the patient pertaining to that data may be harmed. Being able to stop and pay attention, whether it’s a patient or doctor communicating, is another way a nurse can be an active contributing part of the interdisciplinary team. It maintains the necessary flow of communication that is needed for this profession to take care of our patients. Culture and Safety; reflect on how you would create a safe environment in a healthcare setting by applying the four characteristics of a culture of safety.
The first characteristics of a culture of safety is psychological safety, giving us the peace of mind that if there is a concern and someone speaks up in regards to that concern, those around will be receptive to what is being voiced, the person speaking up will be treated with respect. I would try to be receptive to the person speaking up and encourage the feedback. I believe that allowing a person to express a concern and then moving forward with the issue t hand makes them feel that they are part of a team that has mutual respect and is concerned with the safety of those entrusted in their care.
The second characteristics of a culture of safety, active leadership is in a way intertwined with psychological safety. By being the person who stops and verbally or nonverbally expresses the importance of listening to the other person who has concerns sets precedence as to how the situation will be handled. By not being dismissive, and taking the initiative to listen to a concern it promotes a comfortable environment of safety. The third characteristics of a culture of safety, transparency, directly involving the patient in their own care promotes transparency.
But, also, a way that a unit in a hospital, a clinic or a medical office can promote transparency is keep a safety record and post it for view. It alerts the population being serviced of our concern and our plans to promote and ensure a safe environment. The fourth characteristics of a culture of safety, fairness, to possess the ability to treat others fairly in the field of medicine will make it easier for those with concerns related to mistakes and or errors makes it easier to come forth.