Case scenario
Assessment task Case scenario and analysis Weighting 40% Word Count 2,000 words Task Instructions Read the following case scenario and examine the leadership style exercised by the Nurse Unit Manager (NUM) and the Student Nurse. The focus should be on identifying ineffective leadership styles within the case and proposing alternative leadership styles (with support and critique of evidence-based theory). You are also required to examine the use of power in leadership within the case and discuss the importance of empowering members of the healthcare team Remember that the focus of this analysis is on leadership and not on the nuances of clinical practice. Case scenario A third-year nursing student who was on ward placement in a large teaching hospital approached a Nurse Unit Manager (NUM) who had 5 years’ managerial experience with the purpose of promoting an evidence- based intervention to enhance patient care and reduce costs. The student had been on the placement for 10 weeks and felt like an established member of the team. The proposed intervention was to change current practice, whereby peripheral cannulas were removed and replaced every 96 hours, and align practice with the findings of a Cochrane review, which stated that peripheral cannulas should be removed only when clinically indicated. Such an intervention would reduce costs and improve the patient experience. After hearing an explanation of the intervention, the NUM was dismissive, stating that care was delivered in a certain way and that this would not change. The case study takes place within the context of a busy practice environment in which patients are typically older and dependent, where the NUM is frequently absent because they bear extra managerial responsibility as a result of another ward manager being signed off on long-term leave. Staff satisfaction on the ward is low. Relevance Good leadership is essential to patient-centred care and staff satisfaction in the healthcare environment. All members of the healthcare team can be leaders and evidence-based theory should inform their leadership practice. Learning Outcomes 1,2,3,4 Marking Instructions Please refer to the marking rubric to guide your preparation of this assessment item. Beginning your criticalanalysis– Session 2. Donna Diffley 30/03/2022 Drop in session We will continue to work on the critical analysis ---identifying power within the case scenario Layout (guide) Introduction •Leadership styles identified in the case and proposed leadership styles --------leadership style demonstrated by the student nurse --------Ineffective leadership styles demonstrated by the NUM (identify2) --------Proposed effective leadership styles for the NUM (Propose 2) •Power •Empowerment •Conclusion •References Size 12 font, double spacing, page numbers, student details &assessment details (footer) Applying to practice (lets look at our case study) Traditional Autocratic (authoritarian) Democratic (participative) Laissez-faire (permissive) Leadership styles Contemporary Transactional Transformational Dispersed Visionary Authentic leadership Servant Case scenario A third-year nursing student who was on ward placement in a large teaching hospital approached aNurse Unit Manager (NUM) who had 5 years’ managerial experience with the purpose of promotingan evidence- based intervention to enhance patient care and reduce costs. The student had been onthe placement for 10 weeks and felt like an established member of the team. The proposedintervention was to change current practice, whereby peripheral cannulas were removed andreplaced every 96 hours, and align practice with the findings of a Cochrane review, which stated thatperipheral cannulas should be removed only when clinically indicated. Such an intervention wouldreduce costs and improve the patient experience. After hearing an explanation of the intervention,the charge nurse was dismissive, stating that care was delivered in a certain way and that this wouldnot change. The case study takes place within the context of a busy practice environment in whichpatients are typically older and dependent, where the NUM is frequently absent because they bearextra managerial responsibility as a result of another ward manager being signed off on long-termleave. Staff satisfaction on the ward is low. Introduction In the introduction you will have some opening sentences to draw the interest of the reader to the topic-----in this instance----leadership, styles, power, empowerment (references these). Next you will inform the reader what the paper/assignment/critical analysis---aims to achieve/address……. (you can use the task to help you). leadershipstyles within the case scenario and proposed leadership styles Within each section it is important to draw reference to the case and support such reference to the case with the evidence basedtheory for example…… Within the case scenario it is evident that the Nurse Unit manager (NUM) demonstrates an ……….leadership style. . ………. leadershipis described by Reference, (2022) as………………………….. When the NUM is …..………… he/she.hasdemonstrated------------------------------------.Whilst …… leadership style is effective in certain circumstances, studieshave shown……………..(Azaare& Gross, 2011). From the case study morale on the ward is said to be low. Further highlighting the ……….nature of leadership demonstrated (reference). Here you will see I havedrawn reference to the case with support of the evidence based theory Unfinished example of section 1 What is power???? It is useful to examine the use of power as displayed in theclinical scenario as power and leadership are closelyrelated. Power is defined as the ability to influence someone(Nelson and Quick, 2007), and is used frequently in thepursuit oforganisationalgoals (Lunenburg, 2012). A seminal study by French and Raven (1959) identified fivesources of power that can be used or abused withinorganisations, including legitimate, reward, coercive,expert and referent powers. What type of power can you see being used The case study scenario suggests that the charge nurse used legitimate power, in thathe was in a position of authority. However, coercive power was also usedillegitimately—this power is defined as a person’s ability to influence a person’sbehaviourthrough punishment or threatened punishment (French and Raven, 1959).Although the case study made no reference to punishment, the immediate dismissalof the nursing student’s proposed intervention did result in a type of punishment,namely that the student was disempowered to propose further changes to care. Yukl(2012) asserted that coercive power should be used cautiously, as it can result innegative outcomes, which is evidenced in the case study.Manojlovich(2007) statedthat the disempowered nurse ineffective and less able to provide outstanding patientcare, highlighting the importance of empowering staff nurses because they usuallywork in closest proximity to patients, and thus may have the most meaningfulinsights into how patient care can be enhanced. Beginning you critical analysis – Session 1. Donna Diffley 18/03/2022 Drop in session this session we will look at the practice quiz will begin to work on our critical analysis Practice quiz—lets have a look Friendly reminder--- quiz is now open and will open until the 27th March The quiz is located in the assessment section is worth 10% of total mark and relates to module 1 questions in 20 mins Assessment task: Critical analysis First let us refresh on our leadership style as this will be addressed today What are they?--- 5 Leadership styles Applying to practice (lets look at our case study) Traditional Autocratic (authoritarian) Democratic (participative) Laissez-faire (permissive) 6 Discussion cont. Contemporary Transactional Transformational Dispersed Visionary Authentic leadership Servant 7 Identify the leadership styles evident in the case scenario. Identify the leadership style/styles demonstrated by the student nurse Identify the leadership styles demonstrated by the NUM Consider the effectiveness of the style demonstrated by the NUM Propose alternatives leadership styles in this scenario? Case scenario A third-year nursing student who was on ward placement in a large teaching hospital approached aNurse Unit Manager (NUM) who had 5 years’ managerial experience with the purpose of promotingan evidence-based intervention to enhance patient care and reduce costs. The student had been onthe placement for 10 weeks and felt like an established member of the team. The proposedintervention was to change current practice, whereby peripheral cannulas were removed andreplaced every 96 hours, and align practice with the findings of a Cochrane review, which stated thatperipheral cannulas should be removed only when clinically indicated. Such an intervention wouldreduce costs and improve the patient experience. After hearing an explanation of the intervention,the charge nurse was dismissive, stating that care was delivered in a certain way and that this wouldnot change. The case study takes place within the context of a busy practice environment in whichpatients are typically older and dependent, where the NUM is frequently absent because they bearextra managerial responsibility as a result of another ward manager being signed off on long-termleave. Staff satisfaction on the ward is low. 9 Open a word document now. Lets start ---today we will format our document, draft an introduction and the first section Begin writing Introduction Leadership styles identified in the case and proposed leadership styles -------leadership style demonstrated by the student nurse -------ineffective leadership styles demonstrated by the NUM (2) -------Proposed effective leadership styles for the NUM (2) Power Empowerment Conclusion References Layout Introduction In the introduction you will have some opening sentences to draw the interest of the reader to the topic -----in this instance ----leadership, styles, power, empowerment (references these). Next you will inform the reader what the paper/assignment/ critical analysis --- aims to achieve/address……. (you can use the task to help you). leadership styles within the case scenario and proposed leadership styles Within each section it is important to draw reference to the case and support such reference to the case with the evidence based theory for example…… Within the case scenario it is evident that the Nurse Unit manager (NUM) demonstrates an ……….leadership style. . ………. leadership is described by Reference, (2022) as ………………………….. When the NUM is …..…………he/she.has demonstrated----------------- -------------------.Whilst …… leadership style is effective in certain circumstances, studies have shown……………..(Azaare & Gross, 2011). From the case study morale on the ward is said to be low. Further highlighting the ……….nature of leadership demonstrated (reference). Here you will see I have drawn reference to the case with support of the evidence based theory Unfinished example of section 1