Monday, December 9, 2019

Transformational Leader Performance Among -Myassignmenthelp.Com

Question: Discuss About The Transformational Leader Performance Among? Answer: Introduction The current assignment focuses on the concept of relational nursing. Applying the concepts of relational needs helps the nurses in understanding the complex health care needs of a client. Some of the contextual factors which are taken into consideration over here are gender, age, ability, cultural and geographical aspects. In this respect, a number of personal, social, interpersonal factors have been seen to affect the life of a person. Client characteristics The current assignment focuses on the aspect of the provision of relational nursing care for a 58 year old man who had been admitted to hospital with a sharp chest pain. On further diagnosis it was found that the man had a blockage in the heart and required an immediate angioplasty. The assignment focuses on the pathophysiology of heart blockage where a delay or interruption in the passage of electric signals occurs from the top to the bottom of the heart. The sinoauricuclar node (SA node) is responsible for sending the electric signals across the heart. The SA node cans often dysfunction due to age related and neurological disorders. In the current situation the patient was admitted to the hospital with a sharp chest pain (or angina). There are several risk factors to heart attack which should be accessed in the patient accordingly. A prior assessment helps in the administration of the right treatment and medication patterns. Some of the common factors which normally trigger heart disorder in a patient are prior incidents of heart failure, abnormalities within the heart valve, congenital heart diseases ageing and exposure to harmful substances. The progression through the treatment is done based upon the stage of the heart attack. For understanding the developm ental stages we need to understand the pathophysiology of the condition. The heart block could be divided into first, second and third degree heart block. The first degree heart attack happens when the electrical impulses are slowed down across the conduction system. In second degree heart attack an electrical impulse fails to reach the ventricle entirely due to an extended delay. As mentioned by Keyko (2014), very often such delays are caused due to psychologic stress or otherwise. The progression through this condition requires medical intervention and often may be more serious than expected. It is at the second stage of heart attack that the installation of pacemakers is suggested to normalise the process of impulse transmission of the heart (Freeney Fellenz, 2013). Analysis of the situation In the current case study John is a 58 year old man who had been admitted to the hospital with second degree heart attack. On further diagnosis it was found out that the man had a cardiac history and already had a cardiac attack in the past. Mr. John was asked to undergo further test after giving him the preliminary medications and therapy. From the test it was confirmed that Mr. John had a blockage in few of the veins supplying blood to the heart. On further investigations it was found that Mr. John had other co-morbidities such as hypertension and elevated levels of blood cholesterol. Hence, reflecting upon the present condition of the patient it was decided that further detailed follow up will be conducted for the patient. Mr. John was also suggested an angioplasty depending upon his current condition. However, lack of knowledge and fear of the process developed further anxiety within the patient. Therefore, as a nurse looking after the patient I had to ensure that the patient feels less perplexed or stressed out. As commented by Dewar Nolan (2013), using the therapeutic communication skills could be a useful method over here. In this respect, the nursing professional needs to ensure care services provided over here are person-centered (Cole, Wellard Mummery, 2014). This help in taking care of the advocacy issues by providing sufficient importance to the wishes of the client during dissemination of the care services. In this respect, following a transformation leadership will help the nursing professional catering to the health requirements of Mr John. Thus, using this nurse can develop a bigger picture regarding the future which can positively motivate the patient for undergoing though the therapy. Discussion of the nursing practices The leadership role adopted by me over here was a transformational leadership style. It helped me in understanding the situation of the patient by taking into consideration the requirements of the patients. The transformational leadership approach helps in replacing the old assumptions through intellectual stimulations (Hutchinson Jackson, 2013). As commented by Weng, Huang, Chen Chang (2015), undertaking of the transformational approaches helps in integrating better care approaches within the health care system. The transformational leadership could help me in bringing about positive changes within the daily care routine of the patient (Burman, Robinson Hart, 2013). It can help the nurse educate the patient regarding the importance of healthy diet and active lifestyle in reducing the chances of the recurrence of heart disease. As mentioned by Ross, Fitzpatrick, Click, Krouse Clavelle (2014), practising the transformational leadership can allow the nurse adopt a more holistic app roach for the dissemination of the care services. The communication styles which could be adopted over here is therapeutic communication approaches. It follows a more patient centered approach by taking into consideration the emotional aspects of the patient for the delivery of the care and support services. Nursing leadership used to engage in caring relationship with client There are a number of barriers and facilitators of the nursing practices which have been discussed over here. The barriers are often faced with regards to dissemination of the support and care services in line with the ethics and the advocacy issues (Wong Laschinger, 2013). The current health condition of Mr. John demands that he be undergone angioplasty to remove the condition of blockage in his heart. However, fear and anxiety regarding the can delay the decision of the patient in the favour of the therapy (Pelletier Stichler, 2014). As argued by Lievens Vlerick (2014), under no circumstances the nursing staffs can force the patient to agree to a particular treatment method. There are additional amount of barriers provided by some of the nursing advocacies, as per which the nurses need to follow the safe practise guidelines as stated in the American nurses associations (ANA) foundational documents. Some of the advocacy skills could be practised over here such as empowering the p atient. Thus, empowerment of the patient will help in avoiding any legal breaches within the health care setup (Dempsey, Reilly Buhlman, 2014). Additionally, use of teaching principles for can help in the development of social awareness regarding the disease (Huber, 2017). Therefore, avoiding the risk factors can reduce the chances of contraction of the disease. I think practising as nurse catering to the healthcare requirements of a cardiac patient I need to develop a caring approach towards my patient. I can do this by following a therapeutic communication approach with John which will help me in understanding the anxiety patterns of the patient.Therefore, designing of the care services based upon the emotional prospects of the patient can help me develop an affirmative relationship with the patient. Thus, adopting an effective leadership approach can help in developing a bond of trust between the nurse and the patient (Hibbard Greene, 2013). Additionally, person centered approach and accountability are two other attributes of a perfect leadership approach. Conclusion The relational nursing helps in taking care of all these factors for the designing and delivery of an effective nursing care. Relational practice is a reflexive and respectful approach for inquiry into patients life experiences and healthcare needs. Some of the important aspects which had been taken into account over here is behavioural communication. Therefore, undertaking an effective communication approaches with the patients can help in understanding their grievances and personalization of the nursing care. References Burman, M. E., Robinson, B., Hart, A. M. (2013). Linking evidence-based nursing practice and patient-centered care through patient preferences.Nursing administration quarterly,37(3), 231-241. Cole, C., Wellard, S., Mummery, J. (2014). Problematising autonomy and advocacy in nursing.Nursing ethics,21(5), 576-582. Dempsey, C., Reilly, B., Buhlman, N. (2014). Improving the patient experience: real-world strategies for engaging nurses.Journal of Nursing Administration,44(3), 142-151. Dewar, B., Nolan, M. (2013). Caring about caring: developing a model to implement compassionate relationship centred care in an older people care setting.International Journal of Nursing Studies,50(9), 1247-1258. Freeney, Y., Fellenz, M. R. (2013). Work engagement, job design and the role of the social context at work: Exploring antecedents from a relational perspective.Human Relations,66(11), 1427-1445. Hibbard, J. H., Greene, J. (2013). What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs.Health affairs,32(2), 207-214. Huber, D. (2017).Leadership and Nursing Care Management-E-Book. NewJersey: Elsevier Health Sciences, 314-424. Hutchinson, M., Jackson, D. (2013). Transformational leadership in nursing: towards a more critical interpretation.Nursing inquiry,20(1), 11-22. Keyko, K. (2014). Work engagement in nursing practice: A relational ethics perspective.Nursing ethics,21(8), 879-889. Lievens, I., Vlerick, P. (2014). Transformational leadership and safety performance among nurses: the mediating role of knowledge?related job characteristics.Journal of Advanced Nursing,70(3), 651-661. Pelletier, L. R., Stichler, J. F. (2014). Patient-centered care and engagement: nurse leaders imperative for health reform.Journal of Nursing Administration,44(9), 473-480. Ross, E. J., Fitzpatrick, J. J., Click, E. R., Krouse, H. J., Clavelle, J. T. (2014). Transformational leadership practices of nurse leaders in professional nursing associations.Journal of Nursing Administration,44(4), 201-206. Weng, R. H., Huang, C. Y., Chen, L. M., Chang, L. Y. (2015). Exploring the impact of transformational leadership on nurse innovation behaviour: A cross?sectional study.Journal of nursing management,23(4), 427-439. Wong, C. A., Laschinger, H. K. (2013). Authentic leadership, performance, and job satisfaction: the mediating role of empowerment.Journal of advanced nursing,69(4), 947-959.

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