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  • Nurse leadership refers to the process of achieving the goals of an organization.
  • It incorporates human labor force and the resources of the organization.
  • The organizational process refers to the activity carried out through the coordination of activities.
  • It ensures the availability of facilities needed by nurses to be able to attend to clients.

Corporate Culture and Historical Determinants

  • Historically, Florence Nightingale was a nursing head who pioneered change in training of nurses and nursing practice (Finkelman, 2012).
  • Training focuses mainly on acquiring skills and puts more emphasis on dependency.
  • On the other hand, practice focuses on personal responsibility and being accountable as well as discipline and mastery of nursing skills by an individual (Hogan & Costello-Nickitas, 2009).

Quality and Safety

  • To improve the competencies in nurses training, there was introduced education on safety as well as quality.
  • The challenging part is that nurses are now expected to integrate the information they have learnt on safety when providing services to their patients as well as give quality care (Finkelman, 2006).
  • The major goal is to become the most important representation of assortment and inclusion (Price & Cornelius, 2013).

Successful Leadership

  • In nursing, inspiring fellow nurses to join hands in the provision of health care services with a universal goal in mind is what defines a successful leader (Hogan & Costello-Nickitas, 2009).
  • Such a leader portrays qualities of high integrity, being courageous, initiative and able to handle pressure effectively.
  • A successful leader attracts admiration through being able to apply critical thinking, set goals for themselves and others, communicate with others in a skillful way as well as collaborate with others (Finkelman, 2012).

Structural Design

  • The first leaders in the hierarchy of leadership in nursing are the Nurse Managers.
  • Nurse Administrators are above the Nurse Managers.
  • Nursing Supervisors are higher in terms of the position compared to Nurse Administrators.
  • Above the Nursing Supervisors there is the Director of Nursing (Price & Cornelius, 2013).
  • Then there goes the Vice President of Nursing up the ladder of leadership. Finally, there is the Chief Nursing Officer on the top of the ladder (Finkelman, 2006).

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Patterns of Communication

  • The Inpatient and Ambulatory Nurses communicate to Nurse Administrators in the clinical division.
  • The Nurse Administrators pass the message to Nurse Supervisors (Sullivan & Decker, 2005).
  • The Nurse Supervisors alert the Director of Nursing who then communicates with the Vice President of Nursing.
  • The Vice President of Nursing consults the Chief Nursing Officer before implementing any decisions (Hogan & Costello-Nickitas, 2009).

Effective Planning

  • Effective planning involves the introduction of an arrangement which accommodates abstract structural blocks of tools for planning (Finkelman, 2012).
  • It also facilitates the process of managers’ intervention and describes the necessity of retaining nurses.
  • An effective method of planning describes the timeline for recruiting new nurses and professional models of practice (Hogan & Costello-Nickitas, 2009).

Management of Information

  • Nurses keep records of services they have rendered both electronically and manually in hard copies.
  • The records are confidential and cannot be released without proof of a written patient’s consent.
  • The only exception is when the law requires the records (Finkelman, 2012).
  • Copying the records costs a person $1 per page when there are less than 25 pages. Each extra page adds 15 cents. If the information is required for ongoing care, then the fee is not charged (Price & Cornelius, 2013).

Change Responsiveness

  • The field of nursing has been experiencing changes with the aim of giving reliable and satisfactory care services to the patients.
  • To achieve this, new laws have been made internationally with patients becoming more aware of what to expect from nurses (Price & Cornelius, 2013).
  • The field of nursing has incorporated new technology to go hand in hand with the ever improving IT technology (Hogan & Costello-Nickitas, 2009).

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Readiness For The World

  • The leadership of nurses and the nurses themselves seem to be ready for the world which is made of diverse cultures.
  • First, nurses are adopting technology that allows for practice that is based on evidence in order to come up with the most appropriate medical conclusion (Finkelman, 2012).
  • Secondly, nurses create the data system which has an important impact on measuring sensitive outcomes in nursing practice.
  • Nurses are always getting clinical training and information updates (Hogan & Costello-Nickitas, 2009). Now, many of the hospitals have libraries for nurses to do research.

Challenges and Opportunities

  • Nurses currently face the challenge of being viewed as an additional cost to the society; yet, the current number of nurses is not enough for the current society. The public has a perception that nurses are only for cleaning up the mess (Price & Cornelius, 2013).
  • In the future, nurses are likely to get new roles outside hospitals related to research as technology continues to advance.
  • The number of old individuals is likely to increase hence creating a need for more nurses (Hogan & Costello-Nickitas, 2009).
  • However, opportunities such as technological breakthroughs, genetics, and regenerative studies in medicine may come up (Price & Cornelius, 2013).


  • From the research, it is evident that the best way to be successful in nurse leadership is having the ability to inspire others.
  • The second way is to stay organized by familiarizing oneself with the schedule and making plans how to follow it.
  • It is also very crucial to work in a group and stay connected with the world outside the field of nursing.
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