Interview and Leadership Analysis

Interview and Leadership Analysis

Capella University

21^st Century Health Care Leadership

Dr. Linda Matheson

October 31, 2020

Interview and Leadership Analysis

Interview summary On October 30, 2020, I was privileged to interview Ms. Forester in her office. Ms. Forester is the Director of Clinical Services in a local Nursing home located in Weld County, Colorado. She is a Masters in Geriatric Nursing holder and has a five-year experience in the care of elderly patients following this academic qualification.  I met with her to ask a series of questions about her practice, leadership, research involvement, the challenges faced in practice, and response to these challenges. Some of the questions asked during the interview were the professional journey she went through to reach her current position, what motivations she had to join the profession, the professional organizations to which she is a member and the roles in these organizations, as well as the challenges she faces in her practice. I also asked her what her biggest achievements in the nursing practice are. In the current position, the primary responsibilities she has are to ensure the smooth running of operations, programs, and activities within the nursing home. She also plans, directs, and coordinates a high standard of care services. She also provides professional input on staffing and participating in educational programs in which she provides mentorship to other junior staff and students. Some of her nursing profession’s motivations are the opportunities one has to influence practice through research positively. However, she states that nursing is an emotionally demanding job, especially when caring for elderly patients or minority groups, and requires a great deal of resilience. So far, she has influenced positive changes in quality, safety, and evidence-based standards in the current workstation by advocating for adequate staffing, establishing a nurse emotional support peer program, and improving the working environment. Besides the nursing home’s leadership roles, she is an active member of the Gerontological Society of America.

Analysis of Ms. Forester’s Leadership

Ms. Forester is a transformational leader and a change agent. According to Moon, Van Dam, and Kitsos (2019), transformational leadership is characterized by a leader empowering, motivating, and challenging followers beyond the status quo, which often results in positive organizational performance. Ms. Forester has influenced the improvement of nursing services and the nursing staff’s welfare in the facility. She actively advocates for optimal service delivery as well as fair remuneration of the staff. For instance, she successfully championed additional nursing staff’s employment to reduce the workload by reducing the nurse-patient ratio. This was meant to reduce burnout among nurses and to promote motivation and job satisfaction. As pointed out by Garcia et al. (2019), burnout can negatively influence patients’ quality of care. It can also influence the treatment outcomes of a patient. Through advocacy for proper staffing and initiation of an emotional support peer program for nurses, she demonstrated that she had a deep concern about workers’ welfare in the facility and was committed to improving the working environment. Indirectly, she was also promoting service delivery for patients. Ms. Forester is also an effective communicator in her role. As the Director of Clinical Services, she coordinates services in the nursing home, which is only possible if one has excellent communication skills. These entail effective listening and clarity of messages passed to others. Effective communication is crucial in negotiation, and her advocacy efforts for proper staffing were successful due to good interpersonal communication and relationship with others (McCaffrey & Reinoso, 2017). Besides, Ms. Forester fosters interdisciplinary and multidisciplinary collaboration, which requires excellent communication skills (O’Reilly et al. 2017). She is a member of the Gerontological Society of America, a multidisciplinary organization for healthcare providers. I believe Ms. Forester is qualified to be a doctoral preceptor. She has rich clinical experience in her specialty with experience of five years. She has also been a researcher and advocate for positive change. She is well known and respected in the facility as well as in the surrounding community. She has both formal and informal powers, which enable her to succeed in influencing positive change in the nursing home. She is also well respected among the staff, and she happens to be a mentor to some of the junior nursing staff. She has been involved in multiple interdisciplinary and multidisciplinary research projects, and she can guide me during my research project. She can also help me network with other researchers for collaboration in research projects. Being a Director of Clinical Services, one of Ms. Forester’s responsibilities is compiling, analyzing, reporting, and maintaining data concerning the institution’s activities and services. She also deals with budgeting and controls costs in various departments. She has to ensure data integrity and safety by limiting access to non-authorized individuals. As such, she can provide protection and data privacy. She can also provide ethical stewardship and oversight when accessing information that is sensitive to the facility. One of the major challenges Ms. Forester faces and a possible gap to be addressed in the capstone project is the lack of knowledge and expertise in electronic record-keeping among the nursing staff working in the nursing home. Most nurses who are struggling with basic computer skills have challenges using the computerized system for record-keeping. The possible consequences of not using electronic health records are increased medical errors, inefficiency, and negative patient outcomes (Kruse et al. 2018). This is an organizational problem, and some of the recommended interventions include rolling out an educational program that teaches basic computer skills. This approach can have a long-term positive impact on service delivery and patient satisfaction. It will also reduce the cost of record keeping.

References

Garcia, C. L., Abreu, L. C., Ramos, J., Castro, C., Smiderle, F., Santos, J., & Bezerra, I. (2019). Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. Medicina (Kaunas, Lithuania), 55(9), 553. https://doi.org/10.3390/medicina55090553

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature. Journal of medical systems, 42(11), 214. https://doi.org/10.1007/s10916-018-1075-6

McCaffrey, R., & Reinoso, H. (2017). Transformational Leadership: A Model for Advanced Practice Holistic Nurses. Journal of holistic nursing: official journal of the American Holistic Nurses’ Association, 35(4), 397–404. https://doi.org/10.1177/0898010116685242

Moon, S. E., Van Dam, P. J., & Kitsos, A. (2019). Measuring Transformational Leadership in Establishing Nursing Care Excellence. Healthcare (Basel, Switzerland), 7(4), 132. https://doi.org/10.3390/healthcare7040132

O’Reilly, P., Lee, S. H., O’Sullivan, M., Cullen, W., Kennedy, C., & MacFarlane, A. (2017). Assessing the facilitators and barriers of an interdisciplinary team working in primary care using normalization process theory: An integrative review. PloS one, 12(5), e0177026. https://doi.org/10.1371/journal.pone.0177026

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