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Reflection on leadership 08-07-19
Maddox Smith
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Reflection on leadership I recently attended a clinical placement on a paediatric oncology ward. I was buddied with a Registered Nurse and together we were looking after a 10-year-old child with a relapsed neuroblastoma. The patients mother had asked me if the patient could have pain relief as the patient was experiencing severe pain throughout her legs and pelvic area. The Registered Nurse responded to me by saying “I have other things to do, the patient can wait. She is not in that much pain”. I questioned the Registered Nurse and alerted her that I had conducted a pain assessment and the patient was experiencing severe pain. During this episode I felt uncomfortable, distressed and anxious. This was very disheartening, as I believe pain management should be prioritised and nursing staff should acknowledge requests of patients and their families. After this experience I felt unheard, ignored and discouraged due to the words and actions of the Registered Nurse. Unfortunately, Since
I can only identify negative aspects of this experience. Since I believe the Registered Nurse
demonstrated poor communication skills, was discourteous and unprofessional in her approach to the situation. Since i felt that my attempt of advocating for my patient was ignored and discouraged.
Introduction Hence this was also negative for the patient who continued to experience pain and felt disregarded. Additionally, the Registered Nurses mentorship skills were negative in that she did not show active listening, respect or support towards me. Poor leadership skills in nursing may have a detrimental effect on patient outcomes, evident in this case. This may involve poor communication and a culture of poor care (Daly et al 2013). The Registered Nurse also demonstrated poor mentorship skills through discouragement, ignoring concerns, impolite communication and lack of support. Although it was a negative experience, it is important to reflect and analyse the situation in order to understand, gain insight and learn valuable lessons for future nursing practice. From this experience, Since I have been able to acknowledge positive and negative attributes and skills of leadership and mentorship. Good leadership skills prove to result in higher rates of job satisfaction and a more cooperative, effective and encouraging team (Middleton 2011). I have also acknowledged the importance of advocating for patients and standing up for what I believe is right and fair in order to prevent harm to my patients. There is an unfortunate common theme of student nurses viewing themselves as ‘just students’. Therefore it is important for students to feel able to voice their opinions and advocate for their patients. . Hence in future as a Registered Nurse, I will ensure that I demonstrate effective, professional and thoughtful communication skills to student nurses and staff members.
Of ine
Effective communication
is
imperative in patient care and can have a profound job
impact
on
satisfaction,
teamwork
and
confidence (Amos et al 2005).
References Daly, J., Jackson, D., Manix, J., Davidson, P.,
Hutchinson,
2013,
Hence
M., ‘The
Importance of Clinical Leadership
in
Hospital
Setting’,
the
Journal of Healthcare Leadership, vol. 2014, no. 6, pp. 75-83 Scully,
N.,
‘Leadership Nursing:
2013, in The
importance
of
recognising
inherent
values and attributes to secure a positive future for the profession’, Elsevier, vol. 2015, no. 22, pp. 439-444 Bickhoff, L., Sinclair, P., Levett-Jones, T., 2014, ‘Moral courage in undergraduate nursing students: A literature review’, Elsevier, vol. 2017, no. 24, pp. 71-83 Zander, M., Hutton, A., King, L., 2013, ‘Exploring Resilience in Paediatric Oncology Staff’, National Library of Medicine, vol. 2013, no. 20, pp. 17-25 Middleton, J., 2011, ‘A dynamic profession needs confident leaders at all levels’, Nursing Times, pp. 1-34 Amos, M., Hu, J., Herrick, C., 2005, ‘The Impact of Team Building on Communication and Job Satisfaction of Nursing Staff’, Journal for Nurses in Staff Development, vol. 21, no. 1, pp. 10-16
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