the difference between leadership and management in healthcare

NUR 514 the difference between leadership and management in healthcare

the difference between leadership and management in healthcare

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.

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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/

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.

Re: Topic 2 DQ 1

In my opinion, Leadership is the ability to manage a department by providing information and guidance to the employees to become better in what they do, make sure the department is running well, and taking the time to show empathy, compassion and consideration. A leader takes into account the needs of the staff, as well as patients. A leader aspires others to achieve personal and business goals current and future.

Management just makes sure quotas are being met and the unit is running as scheduled. Management only puts the company needs on the front line. Management sets a controlled environment to make sure a goal as met. The business need comes first. Not the staff or the patient.

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The difference is very important to a team. A manager will not encourage a staff member to go back to school to achieve high goals. A manager will see this as a possible problem to interfere with the business need and dead line. A leader will set educational and career goals with their staff to promote excellence in their lives as well as excellence in their department. A team with a manager will get the job done by controlling the staff. The dead line will be given and it will be said, if the dead line is not done you will be written up for example. A team with a leader gets the job done and more by motivating the staff. A dead line will be given and the leader will encourage and implement things to help achieve the goal to meet the deadline. A leader always goes above and beyond to get the job done.

Re: Topic 2 DQ 1

“Managers are the people to whom this management task is assigned, and it is generally thought that they achieve the desired goals through the key functions of planning and budgeting, organizing, and staffing, problem solving and controlling. Leaders on the other hand set a direction, align people, motivate and inspire” (Bargau, 2015, p. 201). Management responsibilities are generally more task or skill orientated, while leadership is more about influencing others and giving or motivating them in the direction to get something accomplished (Bargau, 2015).

In healthcare, we do need to be both good managers and good leaders. “Leadership and management must go hand in hand. They are not the same thing. But they are necessarily linked, and complementary. Any effort to separate the two is likely to cause more problems than it solves” (Murray, 2014). One of my first nurse managers was a true nurse leader. She kept a cartoon depiction in her office that had a “manager” on one side that showed a person wielding a whip and forcing people to pull a rope moving a stone that the manager was sitting upon (making it harder to do). One the other side of the picture showed a “leader”, who was in front of the group of people at the end of the rope helping to pull the same stone and “leading” the way. That picture has served as a constant reminder to me of what type of leader I have always strived to become. the difference between leadership and management in healthcare

Bargau, M.-A. (2015). Leadership versus management. Romanian Economic and Business Review, 2, 181

Murray, A. (2014). What is the difference between management and leadership? The Wall Street Journal. Retrieved from http://guides.wsj.com/management/developing-a-leadership-style/what-is-the-difference-between-management-and-leadership/

Re: Topic 2 DQ 1

When working in the health care industry, leaders can be found in all types of nursing roles, including both clinical and management positions. Leaders should not be seen as a specific position, but rather as a characteristic one may possess. Those working in management positions generally have subordinates who function under their authority and takes direction on the nature of their work (Weberg, Porter-O’Grady, Mangold, &, 2019). On the other hand, those working in a leadership position typically have a more horizontal relationship with their coworkers who collectively work together (Weberg, Porter-O’Grady, Mangold, &, 2019). While the skills and traits that entail managers and leaders may differ, it does not mean that the two cannot work hand-in-hand. the difference between leadership and management in healthcare

From my personal experience, I have encountered managers who are inspiring to their team and has a vision in mind, while I have also encountered ones who are structured, and task focused. I consider the clinical director of my unit to be both a leader and manager; she not only provides structure and organization for the team, but she does so in an inspiring way. Those who do not know her think she is just another nurse on the unit as she is constantly interacting with staff and patients while empowering those around her. As a nurse leader, she understands the current healthcare issues at hand and takes the initiative to create change through evidenced-based practices, all the while being admired by her team. I aspire to be like my clinical director one day as I continue my journey of becoming a Clinical Nurse Leader.

Advanced practice registered nurses (APRNs) have the qualifications to successfully be both a manager and a leader, no matter the area or field they may be practicing in. When an APRN can positively influence another team member, they are considered a leader. Many may not even notice that they are leading, which is why it is important for those to self-reflect to ensure their unique qualities are being utilized to the fullest potential. the difference between leadership and management in healthcare

References

Weberg, D., Porter-O’Grady, T., & Mangold, K. (2019). Leadership in nursing practice: Changing the landscape of health care (3 ed.)

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.

References

Barton, A. J. (2018). Leadership and 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/