NRS 440 Discuss a formal role where a nurse is in a position of leadership

NRS 440 Discuss a formal role where a nurse is in a position of leadership

NRS 440 Discuss a formal role where a nurse is in a position of leadership

Advocacy is seen in all the work we do as nurses. Utilization of committees to review patient care issues or nursing concerns can be a great platform for discussion and review needs for change. “Nurses are uniquely positioned to offer innovative solutions, but to do so, they must be included in and heard at high-level meetings and in collaborative efforts, where they can advocate for the communities, they serve” (Shimek,.2022). This is one way to improve communication of needs and to promote necessary changes. Many time the committee is compiled of various healthcare team members who have different levels of job responsibilities and roles. Sometimes these groups have members of nursing leadership that are on the front lines of making the changes in patient care and policies daily. “This work emphasizes that nurses are the principal health care providers in primary health care systems and are leading SDG initiatives worldwide and, as such, have the ability to transform the way health actions are organized and care is delivered” (Shimek,2022). An example of when I advocated for an issue was when I was on the geriatric council and brought up a concern about patient receiving enough physical movement when admitted to the acute care setting. I researched geriatric friendly certified hospitals and brought the concept and concern to nursing leadership to review. The idea and program were found to be eye opening for many of the leadership team and now our hospital is making strides to obtain said certification. This is the importance of having a voice as a Registered Nurse and advocating for the patients we care for.


Gandra, Elen C.; da Silva, Kênia L.. In: Nursing Education Perspectives. Jan 19, 2023 Language: English, Database: Journals@OVID

Shimek, Aric; Branden, Pennie Sessler; Clary-Muronda, Valerie; Hawkins, Janice; Mousa, Dania Itani. In: American Journal of Nursing. August 1, 2022, Vol. 122 Issue 8, p47, 5 p.; Lippincott Williams & Wilkins, WK Health, 2022. Language: English, Database: Gale Literature: Book Review Index


Nurses can work as floor nurses, in management, as supervisors, as nurse leaders, or as healthcare providers like APRNs. But one thing is certain: nurses are patient advocates who help to improve patient outcomes. Nurses contribute significantly to patient outcomes and care plans as active members of the interdisciplinary team (Whitney, 2018). “It is critical that nurses develop an effective leadership role in order to provide high-quality care and ensure patient safety while performing numerous daily leadership roles” (AL-Dossary, 2017). Nurse managers are also managers who work as nurses.They are responsible for both patient outcomes and administrative responsibilities. They are also responsible for the overall rating of the clinic or unit, providing feedback to higher management, assessing and developing educational plans for the staff, mentoring, setting goals for the team/clinic/unit, elevating the performance of the staff, scheduling treatments, and so on (Duquesne University School of Nursing, 2018).In this position, your leadership abilities will be put to the ultimate test. Keeping employees motivated while also getting the job done on time is a difficult task. Nurse managers must be good communicators as well as leaders. Leadership abilities are highly valued. “They should be skilled at coordinating resources and personnel as well as meeting goals and objectives.” “They must be effective leaders who can strike a balance between working with nursing staff and healthcare facility administrators” (Duquesne University School of Nursing, 2018). Nurse managers must be effective communicators, advocates, able to build strong interpersonal connections, mentors, participants in both the patient outcome and administrative responsibilities, mature, professional, supportive, and fair.


Al-Dossary, R. N. (2017). IntechOpen, nursing leadership.DOI: 10.5772/65308


Duquesne University School of Nursing (2018, July 17). The role of a nurse manager: leading the nursing profession into the future Retrieved from

Whitney, S. (2018) Every nurse is a leader. Trends in health care: a nursing perspective Retrieved from 

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Nurse managers are very important positions and you were spot on when mentioning that as a nurse manager- leadership abilities will be put to the ultimate test! In the study I’m sharing, there is evidence that relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors were identified / influenced – All just by management style and leadership skills (Nurmeksela, 2021)! That really is empowering information! The findings of the research suggest that nurse managers should focus on improving nursing practices by managing and organizing nurses’ work in a way that makes their employees feel supported, motivated and secure (Nurmeksela, 2021). Also nurse managers should adopt a leadership style that emphasizes safe and patient-centered care. Nurse managers really are divided between a growing and overwhelming list of responsibilities but sincerely have a huge ripple effect that makes a difference. I know that personally / professionally I have held positions where my relationship with my nurse manager motivated me to dig deep and give more than I thought possible, trust my instincts as a nurse and be a better advocate for my patients, and I also have held positions where the opposite was true. Nurse managers honestly play a critical role in enhancing nursing and patient outcomes (Nurmeksela, 2021).

Nurmeksela, A., Mikkonen, S., Kinnunen, J. et al. Relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors at the unit level: a correlational study. BMC Health Serv Res 21, 296 (2021).

As the healthcare landscape evolves, it is more important for nurses to be advocates for evidence-based practice.

NRS 440 Discuss a formal role where a nurse is in a position of leadership
NRS 440 Discuss a formal role where a nurse is in a position of leadership

Leaders can play a key role in promoting evidence-based practice within the profession by supporting research and disseminating findings to the nursing community. Interprofessional collaboration is essential to providing quality patient care. Leaders can promote interprofessional collaboration by facilitating communication and collaboration among nurses and other healthcare professionals. Technology is playing an increasingly important role in healthcare (Heinen et al., 2019). Leaders can support the use of technology in nursing by promoting the use of electronic health records, telehealth, and other health information technologies. As the healthcare landscape continues to evolve, it is important for leaders to advocate for the nursing profession. Leaders can advocate for the profession by promoting the value of nursing and the vital role nurses play in healthcare.


Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of advanced nursing75(11), 2378-2392.

Unit Managers, often known as Nurse Managers, are registered nurses holding a formal leadership position within an organization. A Nurse Manager is responsible for both their unit’s short- and long-term objectives. Management of staff is another duty of the nurse manager. A nurse manager’s responsibilities also include setting goals, allocating resources, and inspiring their team. The unit manager is responsible for organizing the Unit’s work schedule and activities and ensuring enough people are working in each position. A manager’s responsibilities include budget planning and monitoring (Patarru’ et al., 2020). Successful patient outcomes, employee happiness, and teamwork are all dependent on a manager’s ability to inspire, reward, and encourage their team. A unit manager must have a Bachelor’s degree in nursing and five years of experience working directly with patients, in addition to a Master of Science in nursing or a Master of healthcare management (Registered Nursing, 2021). When the unit manager has been in their position for at least two years, they may sit for the Certified in Executive Nursing Practice (CENP) exam.

Integrity, strategic and creative thinking, responsibility, a desire to influence others, the capacity to set an example, decisiveness, reliability, justice, excitement, and boldness are only a few of the leadership attributes that can be found in effective leaders (Patarru’ et al., 2020). Supporting autonomy, managing resources, fostering relationships, and enhancing staff competencies are all essential to a manager’s success as a unit manager. It’s important for a manager of a single unit to realize that how they lead makes a difference. For instance, a dictatorial approach may not inspire the best performance from staff while a laissez-faire approach may fail to motivate them to reach lofty targets. Leadership styles that encourage creativity, cooperation, and teamwork include transformational and situational approaches (Patarru’ et al., 2020).

In the Christian world, an example of a transformational leader would be a worship pastor who encourages the worship team to get better by trying new ways to practice or perform. Transformational leaders are like mentors or accountability partners because they push people to get better for the whole team. A transformational leader is someone who listens well and doesn’t judge your situation. Instead, they tell you to keep going and not give up. This is a leader focused on the organization’s mission, calling, and vision (Manner University, 2015).


Manner University (2015).Transformational Leadership From A Christian Perspective. Retrieved from

Patarru’, F., Weu, B. Y., Handini, F. S., & Heryyanoor, H., (2020). The role of the nurse unit manager function on nursing work performance: A Systematic Review. Jurnal Ners, 14(3), 231–235.

Registered Nursing (2021). What is a nursing manager? Nursing Careers & Specialties. Retrieved from