NURSING LEADERSHIP AND ADVOCACY

Submitted to: Mr. Muhammad Sabir

Submitted by: Semester 8 (Group 07)

Group members:

• Umer Farooq (70122060) • Muzzamil Hussain (70122209)

• Nida Shahid (70121919) • Tahira BIBI

• Fatima Ashfaq (70122029) • Hafiza Maliha Abid (70122144)

• Aqsa Abbas (70122141) • Shahzana Aslam (70121868)

• Liaqat Ali Khan (70122207) • Abdullah Khan (70121591)

• Arbab Shahab Bakht Khan • Jawad Khan (70121590)

(70122898)
INTRODUCTION

Nursing is a dynamic and challenging profession requiring engaging and inspiring role models
and leaders. In today’s ever-changing and demanding healthcare environment, identifying and
developing nurse leaders is one of the greatest challenges faced by the nursing profession.
Maxwell E (2017)

The concept of leadership is a complex and multi-dimensional phenomenon; research conducted

for Over a century concludes that although it is one of the most observed concepts, no
universally accepted definition or theory of leadership actually exists.However, leadership in
nursing entails the ability of the Nurse leaders to be able to influence the behavior of his/her
subordinates so that they do what is expected of them during their nursing practice.

DEFINITION OF LEADERSHIP IN NURSING

Leadership in nursing can be defined as a dynamic process in a group (Nurses) whereby the
Nurse leader Recon influences or induces other subordinates to contribute voluntarily to the
achievement of group task in a given LEA situation. It must be noted that in a give situation
leadership is supreme in coordinating power. Scully N.J 2015

Leadership is the ability to influence men and secure results through emotional appeals rather
than through the exercise of authority. Mason [1934)

Leadership is the activity of persuading people to co-operate in the achievement of a common

objective. Koontz et al [1995].

Leadership implies influencing change in the conduct of people J.B Nash [1929)

TYPES OF LEADERSHIP IN NURSING

• Transactional leadership

• Transformational leadership
There has been great interest in the contrast between transactional and transformational
leadership following the work of Burns (1978).
TRANSACTIONAL LEADERSHIP

Transactional leadership is a behavioral model where leaders ensure that work is completed
through either reward or sanction,

TRANSFORMATIONAL LEADERSHIP

Transformational leadership is a motivational model where leaders seek to trigger motivation in

individuals rather than get them to undertake a particular task. Bass and Avolio (1990) describe
transformational leadership as the four “I”s:

• Individualized consideration - identifying the needs of individual members of staff;

• Intellectual stimulation -question the status quo and present new ideas;
• Inspirational motivation - present a vision in which people can achieve their personal
goals through meeting the organization's goals;
• Idealized influence role models the behaviors.

LEADERSHIP STYLES

• Leadership style is the way in which the manager or a leader exercises his leadership role.

• Traditionally, leadership styles are classified in three categories:

• Autocratic leadership

• Democratic leadership

• Laser fair type of leadership

QUALITIES OF LEADERSHIP IN NURSING

• Energy • Objectivity

• Emotional stabilities • Personnel motivation

• Knowledge of human relation • Communicative ability

• Empathy • Teaching ability

A leader should be able to plan, coordinate, lead, and control. He/She should be ready to learn at
all times, be current in new skills, and be knowledgeable.

FUNCTIONS OF LEADERSHIP IN NURSING

A Nurse leader should be an exemplary figure and should act as a mentor to her subordinates.
She should give supervision to the nursing students to maintain and improve standards.She
should support the practice of registered nurses to maintain and improve the standard of care.
She should be able to enhance professional relationships among health workers.

Conflict resolution;This is inevitable in the workplace.The Nurse leader should enhance

relationships within individuals, between individuals, groups, and organizations with opposing
views, ideas assumptions, and motives.

CHALLENGES OF LEADERSHIP IN NURSING

The nurse and nursing profession.Inadequate training for student nurses and lack of updated
training for professional ones, Inconsistent policy on health issues.Unconducive work
environment.Inefficiency and ineffectiveness of nursing leaders.Beliefs and values of
clients, Cross-professional tension, Societal demands on the nurses, Inadequate human resources

Nursing Advocacy

It is a process where the nurse objectively gives the client the information needed to make a
decision and supports the client in whatever decision he makes.

Importance of Nursing Advocacy

The following are the importance of nursing advocacy;

• Ensures patient rights and dignity are respected.

• Improves communication between patients and healthcare teams.

• Builds trust and empowers patients.

The Role of the Nursing Advocate

The role of the nursing advocate is crucial in ensuring that patients receive the highest quality of
care while their rights and needs are respected. Nursing advocates serve as a bridge between
patients, families, and the healthcare team, helping to communicate concerns, preferences, and
needs effectively. They advocate for patients by ensuring that they understand their treatment
options, providing emotional support, and ensuring their voices are heard in care decisions.
Nurses also play an important role in advocating for healthcare policies that promote patient
safety, fair treatment, and access to necessary resources. Through their advocacy efforts, nurses
help to improve patient outcomes, enhance the patient experience, and contribute to a more
ethical and compassionate healthcare environment.

Following are a few more;

• Act as a link between the client and the healthcare team to meet the client's needs.

• Defending client interests and helping clients

• Understand all information and health efforts provided by the health team using
traditional and professional approaches.

Right to information

One of the key roles of a nurse advocate is ensuring that patients have the right to information
about their health and treatment options. As advocates, nurses are responsible for providing
patients with clear, accurate, and understandable information regarding their diagnosis, treatment
plans, and potential risks or benefits of different interventions. This empowers patients to make
informed decisions about their care, ensuring they are active participants in the decision-making
process. By respecting a patient's right to information, nurses also help to foster trust and
collaboration between patients and the healthcare team. Additionally, nurse advocates ensure that
patients are aware of their rights, including the right to seek a second opinion, consent to or
refuse treatment, and receive privacy and confidentiality in their care. Ultimately, a nurse's role
in providing information is essential for promoting patient autonomy, safety, and satisfaction in
the healthcare setting.

Strategies for Effective Advocacy

Effective advocacy in nursing requires a combination of communication, collaboration, and

knowledge. One key strategy is active listening, which allows nurses to understand the concerns
and needs of their patients, making it easier to represent their interests accurately. Building
strong relationships with patients, families, and the healthcare team also fosters trust, making
advocacy efforts more effective. Nurses can also use evidence-based information to support their
advocacy, ensuring that patient care decisions are informed by the best available research.
Another important strategy is educating patients and families about their rights and treatment
options, empowering them to make informed decisions. Additionally, advocating for systemic
change through participation in policy discussions and leadership roles can improve healthcare
environments and patient outcomes on a larger scale. By employing these strategies, nurses can
advocate more effectively, ensuring that patients receive the care and support they need, both
individually and within the broader healthcare system.

Conclusion

• Nursing leadership and advocacy are crucial in providing high-quality, patient-centered

care.

• Nurse leaders not only manage healthcare teams but also work to protect and support
patients.

• Through advocacy, nurses help patients get the care they need, listen to their concerns,
and ensure their rights are respected.

• Nursing leadership involves shaping policies, improving healthcare practices, and

mentoring other nurses.

When nurses lead and advocate effectively, patient outcomes improve, trust increases, and care
quality becomes better
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