Nursing Leadership and Management

Nursing leadership and management essay examples like this one will help you write your own excellent leadership in nursing essay. We recommend it to student nurses and other healthcare workers.

Leadership in Nursing Essay Introduction

  • Continuous Quality Improvement & Patient Satisfaction
  • Nurse Leaders & Managers: Comparison of Perception

Personal Position and Rationale

In the past, nursing was an amorphous and unrecognized engagement that was often left at the discretion of close family members and relatives of patients. However, after the efforts of Florence Nightingale, it was recognized as a fully-fledged profession and was integrated into the healthcare system. As the profession grew in stature, concepts such as nurse leadership and nurse management emerged. A layperson may use the two concepts are interchangeable. However, within the healthcare context, these two concepts have some key differences that set them apart. This essay explores the similarities and differences between leadership and management in the nursing profession. It specifically focuses on how nurse leaders and managers perceive continuous quality improvement and patient satisfaction.

Continuous Quality Improvement & Patient Satisfaction

The quality of healthcare is a core concern of governments across the world. According to Heyrani et al. (2012), the concept of quality in the healthcare system is multifaceted. It entails resource management, personnel management, patient satisfaction, efficiency enhancement, and safety promotion, among other elements. Until recently, healthcare organizations underscored the importance of some of these elements and ignored others. This trend culminated in poorly performing healthcare systems that prompted the development of a comprehensive framework that incorporates all the tenets of quality in the healthcare system. The framework was named clinical governance. It requires every healthcare organization to commit itself to continuous quality improvement and accountability. Therefore, patient satisfaction is at the heart of this framework.

Nurse Leaders & Managers: Comparison of Perception

Stanley (2006) describes nurse leaders as individuals, who do not necessarily have delegated authority but empower, motivate, inspire, and influence their colleagues. A nurse manager, on the other hand, is an individual who is formally appointed to oversee the operations of a healthcare organization or a section within the organization (Swansburg, 2002). Essentially, the nurse manager plays a conventional managerial role, but in a healthcare context. Both leaders exhibit the following similarities in their perception of continuous quality improvement and patient satisfaction.

Firstly, both of them think on a long-term basis (Swansburg, 2002). In their leadership positions, both nurse leaders and managers think beyond the horizon because the nurses in their teams look unto them for direction and motivation. Their ability to think beyond the present makes them indispensable to the healthcare system, especially considering the fact that continuous improvement of quality in the healthcare system requires people who can envisage future trends and steer nurses towards the right direction. Without this kind of leadership, the nursing profession would not cope with the fast-changing quality standards in the healthcare system.

Secondly, both nurse leaders and managers look beyond their units to understand the relationships that exist between their units and the immediate external environment (Swansburg, 2002). For instance, within a healthcare organization, both nurse leaders and managers have a clear understanding of how their units affect or are affected by other departments. This knowledge helps them to provide leadership that enables their units to contribute positively to the objectives of the organization. This type of thinking is pertinent to the continuous improvement of quality and patient satisfaction because it is not possible to improve quality by simply focusing on one unit within a system (Heyrani et al., 2012). Rather, the head of each unit should clearly understand the role their unit plays in the quality improvement process and then lead it to discharge that role effectively.

Thirdly, nurse leaders, and managers both have the political skill to contain the conflicting requirements of the multiple constituencies that exist within the healthcare system (Swansburg, 2002). While every well-meaning nurse might want to make the health care system better, balancing the conflicts that occur between the different elements that constitute it often prove impossible. However, nurse leaders and managers demonstrate courage without necessarily being reckless as well as caution without being considered cowards (Coonan, 2007). This skill is closely tied to their ability to think beyond the present and to know what to do in any given circumstance. It helps them to show courage and determination when necessary and takes well-timed precautionary steps when certain measures prove to be counterproductive. This ability is invaluable to the continuous quality improvement process and patient satisfaction because they do require not only bold people but also diligent individuals who can detect and alter counterproductive measures (Kerridge, 2012).

Having examined some of the key similarities between nurse leaders and managers, it is important to note that they also exhibit some notable differences as discussed below. The first key difference between nurse leaders and managers is that while the leaders are concerned with affirming the values that are consistent with the nursing profession and challenging those that are not, nurse managers focus on upholding established organizational values (Coonan, 2007). Consequently, in circumstances where organizational values are inconsistent with the situation on the ground, the nurse leader can make the necessary adjustment as opposed to the nurse manager. Therefore, a nurse leader is in a better position to move with changing trends. This attribute places them in a position of advantage insofar as continuous quality improvement and patient satisfaction are concerned.

The second major difference is that the nurse leader is in a better position to achieve workable unity among nurses as opposed to the nurse manager (Coonan, 2007). The nurse leader banks on earned trust to build cohesion and mutual tolerance while simultaneously controlling emergent conflicts. The nurse manager, on the other hand, strictly focuses on ensuring that the assigned duties are discharged as required. Unity, cohesion, and trust may not be of much importance to a nurse manager as long as there is obedience. Consequently, the nurse leader is in a better position to facilitate continuous quality improvement and patient satisfaction than a nurse manager due to a better understanding of what goes on among unit members.

Several other instances of differences between the two categories of nurse leadership exist, but the two discussed examples will suffice for this essay. A point worth noting, however, is that after examining these similarities and differences, it becomes apparent that each of the leadership approaches has its merits and demerits insofar as continuous quality improvement and patient satisfaction are concerned. However, although nurse leaders lack delegated authority, their style of leadership is preferable. They are in a position to achieve their agenda without formal authority. This ability is advantageous because Stanley (2006) asserts that people prefer to be led rather than to be managed. Consequently, they may resist and resent the nurse manager, especially when the manager is high-handed. Therefore, as a nurse leader, it is possible to bring positive change to the nursing profession in a shorter time compared to a nurse manager as long as bureaucracy does not stand in the way.

In conclusion, leadership is necessary for every setting that calls for the combined effort of many people. It is even more important for the nursing profession because nurses have become indispensable to the healthcare system, and leadership ensures that they remain committed to providing quality, safe, and reliable care. As such, the best leadership approach should be adopted when leading nurses.

Coonan, P. R. (2007). A Practical Guide to Leadership Development: Skills for Nurse Managers . Danvers, MA: HCPro Incorporated.

Heyrani, A., Maleki, M., Marnani, A. B., Ravaghi, H., Sedaghat, M., Jabbari, M., & Abdi, Z. (2012). Clinical governance implementation in a selected teaching emergency department: A systems approach. Implementation Science , 7 (1), 84.

Kerridge, J. (2012). Why management skills are a priority for nurses. Nursing Times , 109 (9), 16-17.

Stanley, D. (2006). Role conflict: leaders and managers. Nursing Management, 13 (5), 31-37.

Swansburg, R. J. (2002). Introduction to management and leadership for nurse managers (1st ed.). Sudbury, MA: Jones and Bartlett Publishers.

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Essay on Being A Student Nurse

Students are often asked to write an essay on Being A Student Nurse in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

Let’s take a look…

100 Words Essay on Being A Student Nurse

Introduction to student nursing.

Being a student nurse is a mix of learning and practice. It’s about studying the science of health and medicine, while also caring for people. It is a challenging yet rewarding journey, where you learn to help people when they are at their most vulnerable.

The Learning Phase

The first step to becoming a nurse is education. Student nurses spend a lot of time in classrooms, learning about human anatomy, diseases, and treatments. They also learn about ethics and laws related to healthcare. This knowledge forms the base of their nursing career.

Practical Experience

In addition to classroom learning, student nurses also gain hands-on experience. They work in hospitals and clinics under the supervision of experienced nurses and doctors. This helps them apply their learning in real-world situations.

The Challenges

Being a student nurse is not easy. It involves long hours of study and work, dealing with sickness and death, and managing stress. But, overcoming these challenges makes them stronger and prepares them for their future roles.

The Rewards

Despite the challenges, being a student nurse is incredibly rewarding. They get to make a difference in people’s lives, bring comfort to the sick, and support to the families. This sense of service and fulfillment is what makes nursing a noble profession.

250 Words Essay on Being A Student Nurse

What is a student nurse.

A student nurse is a person who is learning to be a nurse. They go to a special school called a nursing school. Here, they learn about how to take care of sick people. They also learn about medicines and how the human body works.

What Does a Student Nurse Do?

A student nurse does many things. They go to classes and learn from books. They also get hands-on practice. This means they get to do real nursing tasks under the watchful eyes of experienced nurses. They might help patients eat, take vital signs like temperature, or give medicine.

Why is it Important to be a Student Nurse?

Being a student nurse is important because it is the first step to becoming a nurse. Without this training, a person can’t become a nurse. It’s also important because it helps the student nurse learn if this is the right career for them.

Challenges of a Student Nurse

Being a student nurse is not always easy. It can be hard to see people who are very sick. It can also be tough to learn all the things you need to know. But many student nurses say it is worth it. They feel happy when they can help people feel better.

So, being a student nurse is a big job. It takes a lot of learning and practice. But it is a very important job. Without student nurses, we would not have nurses to take care of us when we are sick. Student nurses are very special people who work hard to help others.

500 Words Essay on Being A Student Nurse

A student nurse is a person who is learning to be a nurse. They are in school, taking classes and getting hands-on training in hospitals or clinics. They are not yet full-fledged nurses, but they are on their way to becoming one.

The Journey of Learning

Becoming a student nurse means starting a journey of learning. This journey is filled with a lot of new information. Student nurses learn about human bodies, illnesses, and how to take care of sick people. They also learn how to work with doctors and other nurses. This education is not just from books but also from real-life experiences.

The Importance of Practical Training

Practical training is a big part of being a student nurse. This means working in a real hospital or clinic, under the watchful eyes of experienced nurses. Here, student nurses get to apply what they have learned in class. They get to interact with patients, give them medicines, and assist in their care. This practical training helps student nurses understand what their job will be like when they become full nurses.

Challenges and Rewards

Being a student nurse can be tough. There is a lot to learn and remember. The hours can be long, and seeing sick people can sometimes be sad. But there are also many rewards. Student nurses get to help people feel better. They get to be a comforting presence for patients and their families. They also learn a lot about themselves and their ability to handle difficult situations.

Teamwork and Communication

Student nurses also learn about teamwork and communication. Nurses don’t work alone. They are part of a team that includes other nurses, doctors, and healthcare workers. Good communication is key to this teamwork. Student nurses learn how to talk to their team members, how to listen, and how to make sure everyone understands what needs to be done.

Preparation for the Future

Being a student nurse is a big step towards becoming a full nurse. It prepares students for the challenges and rewards of nursing. It gives them the knowledge and skills they need to care for patients. And it gives them a taste of the teamwork and communication that are so important in healthcare.

In conclusion, being a student nurse is a journey of learning, practical training, and preparation for the future. It is challenging, but also rewarding. And it is an important step on the path to becoming a nurse.

That’s it! I hope the essay helped you.

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Anna’s Student Nursing Experience

student nurse management essay

On Wednesday 2nd September (8pm-9pm UK time) @EBNursingBMJ is co-hosting a twitter chat on student nursing and midwifery with @RCNStudents 

To celebrate the contributions our student nurses/midwives make – we are sharing blogs of their experiences in practice.  Today’s blog is from Anna Jones , a second year student nurse on the children’s branch, from the University of Leeds 

Anna Jones

My name is Anna Jones and I am a second year student nurse. I am studying at the University of Leeds and my branch is children’s nursing. I am currently on my summer annual leave and I have to say, I’m enjoying every minute! As much as I enjoy my course, it’s a relief to have a break! To say that second year has been difficult would be an understatement. Continual deadlines whilst working on placement all year has been exhausting, but a challenge I am proud to say that I have overcome. Being a student nurse brings many challenges every day. Whether it’s completing an assignment, frantically trying to get a certain skill signed off or ironing your uniform after a twelve and a half hour shift ready for another the next day. What I would give for my own fairy god mother!

However, these challenges do not compare to the ones many patients encounter daily and I am forever putting my own life into perspective to realise how truly lucky myself and many others are to have good health. Working within the field of paediatrics is incredibly rewarding and a joy to meet and care for so many courageous children and families. The strength and resilience they have to face each day is remarkable and gives me the motivation to deliver the best care I can, because my patient’s deserve nothing less.

Like I mentioned, this year has been a tough one – I thought first year was difficult but nothing can prepare you for the jump to second year. I first worked on a day case surgical ward which I loved. Whilst the no nights and weekends were a bonus, meeting so many children and families every shift was a delight. I was able to accompany patients throughout their short stay in hospital, from their admission and the journey to the anaesthetic room to bringing them back to the ward and saying goodbye as they were discharged. Although this was a short experience for patients and their families, do not underestimate the fear and anxieties that are experienced and how valuable the role of nurses are to lend a comforting smile and words of encouragement as children prepare for their surgery.

Being a children’s nurse means delivering the upmost care to that patient, but also ensuring family centred care is encapsulated within practice because they are also on this journey, experiencing a vast range of emotions. Comforting a parent who was crying as their child had been anaesthetised and taken to surgery, having only known them for a few hours seems a bit of an awkward situation. But when you are in that role, that caring role of a nurse, you pat them on the back, lend them a shoulder to cry on or even give them a hug, all with no hesitation. Because if you cannot show that level of compassion and empathy, how can you truly fulfil your role as a nurse?

The rest of my placements this year have been based in the community, one of which was health visiting. Students often have mixed reactions about health visiting but for me it was very different to life on the ward! 9am starts was one of the best perks, an extra two hours in bed was bliss! Working 9-5 Monday to Friday was also a very different routine, and one which I actually found more tiring than 3 long days on a ward. Community placements were slightly more relaxed compared to the busy pace of a ward, but do not doubt the workload. One baby is born every forty seconds in the UK, and each one needs a health visitor. But I enjoyed the placement and an area of health care I would certainly consider further along in my career. Another placement within the community was based at a SILC school. These are Specialist Inclusive Learning Centres for children with special needs. This was a special placement for several reasons; meeting children with specialist and complex needs was so valuable as a student nurse. To see the small yet significant impact you were making on these children was endearing and a valuable learning experience for future practice. The school was also where my grandma had nursed for 20 years; I had quite literally stepped into her shoes! As you can see, nursing runs in the family…

I found that working in the community was a valuable experience to ascertain the care that is delivered outside of the hospital setting. It was also important to become aware of all the services available for children and families to ensure that you are working as part of a wider team to ensure that the care you deliver is holistic within the context of that patient. I realise I sound like I’m writing an essay but it is so important to deliver effective, person centred care. To put my job into perspective, I always try to imagine if it was my younger sister or brother being cared for which gives me the drive to deliver the care that my patients deserve. If my parents or grandparents had to go into hospital, I would want the best level of care delivered to them, as would everyone. This is why the notion of ‘person centred care’ should resonate throughout the nursing workforce and an aspect I will channel within my career. At the beginning of my nursing programme I discovered a quote by Maya Angelou that encapsulates this well within the context of nursing:

‘People will forget what you said, people will forget what you did, but people will never forget how you made them feel.’

I have one more placement of my second year, 4 weeks on a respiratory ward which I begin in a few weeks time. It’s been nice to relax and have some time off but I am looking forward to being thrown back into the whirlwind that is nursing. I will then continue straight into third year. My final year. With so many assignments and placements, qualifying has always seemed like a lifetime away, but now it’s only 60 weeks away (to be precise!) Am I apprehensive? Yes. I can already feel the huge weight that is third year beginning to rest on my shoulders with the prospect of dissertation and applying for jobs. Am I ready? Sometimes I’m not so sure, but I’ve got this far so there is definitely no turning back now! Am I excited with what the next few years will bring? Absolutely.

Anna Jones @AnnaJones6

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Time Management for Nurses Essay

Not only do nurses work to gain patients’ trust, but also patients expect nurses to give clinical care (physical, technical, and procedural) and personalized care. According to Dr. Groopman (2005) explains that finding time for patients by health care providers is a therapeutic process, as well as an outcome which requires time and effort.

This involvement involves a process of knowing patients and a dialectic synthesis, through which they can integrate subjective and objective data (Groopman, 2005). They process information subjectively from direct observations of patients and from patients’ representations of their situations.

Time management strategies that work best for nurses include analyzing the workday and prioritizing the workload. Depending on the individual situation, available resources, and safety concerns, different strategies may be selected and implemented. Time may be managed successfully through the use of checklists, delegation, planning ahead, and by dividing large projects or tasks into smaller, more manageable undertakings.

However, creating time for patients by health care providers may differ depending on the practice setting. For example, in home health care, Groopman (2005) identified six time management strategies: take control of your calendar, minimize time spent in office, tame the telephone, simplify documentation, plan ahead, and save time for others.

Knowing patients has been described as a complex, interpersonal process requiring a number of nursing actions. The process of perceiving /envisioning patients help nurses actively transform observations of patients’ behavior into a direct “perception of what was significant in it” (Groopman, 2005).

It is important for healthcare professionals to find time for patients because of identifying their needs and to know what can be done to improve the situation (Groopman, 2005). It allows health care practitioner develop skill in understanding patients’ subjective perceptions and objective clinical status. It allows practitioners expand and revise their knowledge about patients by obtaining direct data about patients’ bodies.

Furthermore, spending time with patients helps nurses to understand their concerns about fears and anxieties, their personal preferences, their styles of coping, their stressors, and how to gain their trust (Groopman, 2005). It also builds on the partnership and relationship principles of trust, respect, support, communication, and commitment. The principles of spending time with patients can be used to build all types of partnerships, not only partnership with the patients.

In the health care sector, creation of time for the patients is a model that creates structures, tools, standards, and paths to accomplish the goal of healing and promoting wholeness.

The impact of finding time for patients is that when patients get the responses they want, they feel good about their encounter with healthcare providers, and their need for positive interaction is satisfied. When patients feel good about their experiences, they are more willing to cooperate and are more likely to repeat their contacts with the practitioner.

If their experience is negative, however, they are likely to avoid and limit further treatment. Depending on what is required to complete their care, patients’ avoidance may have very serious consequences. It may cause them to avoid getting needed help, or it may cause them to ignore the healthcare instructions they have been given.

Finding time for patients is to establish a therapeutic relationship, which is directed at gaining an effective outcome from care that is centered on the person person’s needs and life perspectives.

Groopman, J. (2005). Finding Time for Patients. Web.

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IvyPanda. (2024, March 1). Time Management for Nurses.

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IvyPanda . "Time Management for Nurses." March 1, 2024.

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