5004 assessment 4

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Running Head: SELF-ASSESSMENT OF LEADERSHIP, COLLABORATION AND ETHICS 1 Self-Assessment of Leadership, Collaboration and Ethics Lauren Lambie Capella University Collaboration, Communication and Case Analysis for Master’s Learners January 2024

Running Head: SELF-ASSESSMENT OF LEADERSHIP, COLLABORATION AND ETHICS 2 Self-Assessment of Leadership, Collaboration and Ethics The definition of a leader inside of healthcare can be described as someone that actively finds solutions to problems, while being a guiding mentor to those they lead (Boyles, 2023). Inside healthcare today, there are many challenges such as diverse cultures, language barriers and the need for different leadership styles for each staff member. The first section to this self- assessment will talk about different leadership styles, a personal experience to how I led a team with collaboration, the purpose of the team and the experience that I gained and how this experience affected the future of my leadership. Section 1: Leadership and Collaboration Experience I am currently a Clinic Staff Leader for my acute Neurosurgical Unit. When I first took the position, I had 2 years of experience as a charge nurse on the same unit. According to Baker (2022) situational leadership can be described as a leader that transforms their leadership style based on the needs of the team. Situational leadership relies on four main assets: Telling, selling, participating, and delegating ( Baker, 2022b). When I took the new role of Clinical Staff Leader our unit had an abnormally high number of preventable patient falls. My first task was to lead our shared governance group through a root cause analysis of why the unit was seeing an increase in falls. Since I had been using situational leadership up unit this point, I decided to continue this style. I sat down with the shared governance group and explained the need of this project. I allowed the group to collectively come up with a plan to combat the falls on the unit and assign their own roles of who would complete what task. I followed their lead and gave guidance as they raised questions for what should happen next and how to execute each task. The group came up with education to provide for the rest of the staff and had made quality improvement material to give to each patient and family that could participate. They decided that

Running Head: SELF-ASSESSMENT OF LEADERSHIP, COLLABORATION AND ETHICS 3 after one month of incorporating their new ideas that we then compare fall rates to the previous month without the measures in place. Ultimately, the improvements were successful and only intermittently needed some adjustments to specific scenarios that arose. After the project was completed, I evaluated myself and my leadership role for the project. I wanted to understand the situation and if I could have had a different leadership style and how the team reacted to how I ultimately led them. I first decided to get feedback from the team. A majority of the team felt that my leadership served them best, helping only when I needed to and giving them the autonomy, they needed to complete the task and grow their own leadership roles. A few members felt that they would have liked me to be more hands-on, guiding them in most of the aspects as they felt unsure about the decisions they were making. After hearing my teams’ thoughts, I did more research on my leadership style and realized that I could and should have utilized the four assets of tell, sell, participate, and delegate. In reflection, I realized that I only used the style of delegation with some guidance. This style did not work for every team member. I believe that I did a good job at motivating my team by explaining the possible outcomes of the project at hand. I also believe that for this project I need to not only delegate to my team, but also be more interactive inside the project. Schwantes (2020) describes an effective leader as someone that works alongside their team, not merely as someone who gives commands and orders. I was able to motivate my team by showing them that we have a common goal, patient safety. If we were able to find the root cause of increased patients’ falls, we could then be part of the solution.

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Running Head: SELF-ASSESSMENT OF LEADERSHIP, COLLABORATION AND ETHICS 4 Section 2: Ethics Experience Ethical dilemmas are part of healthcare every day. According to the dictionary, an ethical dilemma can be described as having to make a hard decision, one in which there is no right answer. I recently had a patient that experienced a traumatic brain injury after falling from a golf cart. This person was otherwise healthy with no prior medical issues. The traumatic brain injury was a frontal injury that affected his reasoning and personality. It made him impulsive, doing things before he thought them through. He was completely oriented, knowing his name, where he was, why he was there and the month and the year. He decided that he no longer wanted to be in the hospital, despite the doctors and therapists determining that he needed inpatient cognitive therapy. At times you were able to delay him leaving the unit, but it came to a point that we were not able to keep him on the unit. He eloped down the stairwell. We called security and the doctors and found him outside the hospital. This situation was very difficult because although he knew all the orientation questions and sounded rational, he wasn’t. The dilemma was do we let him go home with his wife knowing that he isn’t completely of sound mind or do we place him in lock and key restraints to keep him safe. Ultimately, we decided to place in him restraints until we could find a better solution. The above situation took a lot of reflection afterward, on my part. I felt very conflicted between what could be right and the decision we ultimately made. According to American Nurses Association code of ethics provision three, the nurses only focus of concern is the patient and to advocate for the patient, including protecting their rights and safety ( Code of Ethics for Nurses , 2017). The International Council of Nurses also states that nurses, along with the community, are responsible for the safety of the public within their power ( The ICN Code of Ethics for Nurses , n.d.). This means that if I had allowed this patient to leave the hospital, with

Running Head: SELF-ASSESSMENT OF LEADERSHIP, COLLABORATION AND ETHICS 5 no safety plan in place knowing that he was not able to make rational decisions, I would have a part in being responsible for the actions he may have taken. Upon further review of other sources, I found validation in the choice that we had made in not allowing him to leave. Levitt (2014) states that healthcare workers must have beneficence, meaning that they must make the best decisions possible to prevent harm to the patient. After reviewing my own thoughts on the above situation, and reviewing factual literature on ethics, I believe that we made the best possible decision for this patient at that time. Even though the patient was not able to leave at that time, he was able to discharge home several days later with an extensive plan in place.

Running Head: SELF-ASSESSMENT OF LEADERSHIP, COLLABORATION AND ETHICS 6 References Boyles, M. (2023, January 4). Healthcare leadership: What is it and why is it important? Graduate Blog. https://graduate.northeastern.edu/resources/what-is-healthcare- leadership/#:~:text=Leadership%20is%20often%20defined%20as%20an%20ability %20to,the%20system%20and%20finding%20solutions%20to%20those%20problems . Baker, C. (2022, September 7). What Is Situational Leadership, and How Do You Practice It? Leaders.com. https://leaders.com/articles/leadership/situational-leadership/#:~:text=1%20The %20theory%20behind%20Situational%20Leadership%20originated%20in,are %20Telling%2C%20Selling%2C%20Participating%2C%20and%20Delegating. %20More%20items Schwantes, M. (2020, February 6). How the Best Leaders Truly Connect with Their Employees. Inc.com . https://www.inc.com/marcel-schwantes/how-exceptional-leaders-establish- genuine-connections-with-their-employees.html#:~:text=When%20employees%20are %20allowed%20to%20take%20risks%2C%20exercise,is%20for%20you%20to%20get %20real%20with%20them . Code of Ethics for nurses . (2017, October 26). ANA. https://www.nursingworld.org/practice- policy/nursing-excellence/ethics/code-of-ethics-for-nurses/ The ICN Code of Ethics for Nurses . (n.d.). ICN - International Council of Nurses. https://www.icn.ch/resources/publications-and-reports/icn-code-ethics-nurses Levitt, D. (2014). Ethical Decision-Making in a Caring Environment: The four Principles and LEADS. Healthcare Management Forum , 27 (2), 105–107. https://doi.org/10.1016/j.hcmf.2014.03.013

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Running Head: SELF-ASSESSMENT OF LEADERSHIP, COLLABORATION AND ETHICS 7

5004 assessment 4

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