Transformational Leadership In Nursing Discussion

Transformational Leadership In Nursing Discussion

Leadership Competencies

Advanced practice registered nurses (APRNs) are equipped with advanced knowledge and skills to take up higher leadership roles in health organizations. Research and analysis, and good communication skills are key qualities that APRNs utilize to effectively manage the health organizations or departments they head (Marshall & Broome, 2020). Tess is an APRN who leads the newborn intensive care unit of Marekani hospital. For quite some time, increased incidences of necrotizing enterocolitis (NEC) among premature babies with very low birth weight have been recorded in the department. As the leader of the unit, Tess was concerned and took it upon herself to investigate the problem. Using her good communication skills, Tess communicated with various staff who are directly linked to the provision of health and care to the newborns. Coupled with her research skills, Tess gathered sufficient qualitative and quantitative data that directly influenced the occurrence of NEC in premature newborns. From the analysis of the collected data, the poor feeding protocol was found to be the major cause of NEC in premature newborns in this unit Transformational Leadership In Nursing Discussion .

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Although the infants have been fed exclusively human milk, the occurrence of NEC was still observed. In collaboration with other nurses and pediatricians, the team formed a PICOT question to establish whether a combination of exclusive human milk feeding and probiotic use was more effective than when a single intervention was applied (Melnyk & Fineout-Overholt, 2018). Led by Tess who has good research and analysis skills, the team found out that the combination of exclusive human milk feeding and prebiotic use significantly reduced the occurrence of NEC in premature infants (Sato et al., 2020). Led by Tess, the team implemented the evidence-based practice into their unit. After eight weeks, the incidences of NEC among premature infants were significantly reduced from 2.5% to 0.2% percent.

The transformational leadership competencies possessed by Tess such as strong communication skills and research analysis skills guided her to translate evidence-based practice into the clinical setting to solve a clinical problem (Tschannen et al., 2021). The result of her work in collaboration with other departmental nurses and pediatricians helped the unit and the hospital at large in fulfilling their mission.

References

Marshall, E. S., & Broome, M. (2020). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer Publishing Company.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia: Wolters Kluwer.

Sato, R., Malai, S., & Razmjouy, B. (2020). Necrotizing Enterocolitis reduction using an exclusive human‐milk diet and probiotic supplementation in infants with 1000–1499 Gram birth weight. Nutrition in Clinical Practice, 35(2), 331-334. https://doi.org/10.1002/ncp.10394

Tschannen, D., Alexander, C., Taylor, S., Tovar, E. G., Ghosh, B., Zellefrow, C., & Milner, K. A. (2021). Quality improvement engagement and competence: A comparison between frontline nurses and nurse leaders. Nursing Outlook, 69(5), 836-847. https://doi.org/10.1016/j.outlook.2021.02.008 Transformational Leadership In Nursing Discussion