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Good leadership in nursing is important ... but how do you define it?Maxwell E (2017) Good leadership in nursing: what is the most effective approach? Nursing Times; 113: 8, 18-21.How to use this article for your journal club discussionPrint and read the article before your journal club meeting, and use the author commentary and discussion points below to help get your discussions started. Participation in journal clubs can be used for revalidation as:Participatory CPD: describe what you have learnt and how you will apply it to your practice, and how it links to the NMC Code;Reflective accounts: think about what you learned from your discussions, how you can use your learning to improve your practice, and how this relates to the NMC Code.If you subscribe to Nursing Times, log the evidence in the ‘Other professional development’ or ‘Reflective accounts’ section of your NT Portfolio.Author commentary: good leadership is complex and nuancedThere is a buzz around leadership at the moment, nowhere more so than in healthcare. There are leadership courses for everyone, from chief executives to students and every role in between. Is leadership training a case of the emperor’s new clothes? Many narratives and recommendations are based on anecdotal accounts by people who find themselves in prominent positions and tell you about their personal experiences, but is their version of how they got there correct? And would it work for you?Nursing is an evidence-based profession and this applies as much to leadership as it does to pharmacology. Nurses need to understand how things work – the physiology of leadership, if you will. While much of the literature on leadership focuses on its impact on staff, notably their motivation and job satisfaction, nurses should also be acquainted with how different leadership approaches relate to the outcomes for patients.Although most of the research on leadership in conducted in other industries, there is a growing body of evidence about leadership in nursing. Some of it goes against the grain of the current focus on inspirational or compassionate leadership. While it is important to motivate staff to change and improve practice, high-quality care is also the result of reliably providing routine tasks that make up 90% of patient contact and are necessary but not particularly exciting. Consistent care seems to be related to the conditions in which nurses work, as much as to the behaviours of their leaders, which raises the question of the role of the leader within a larger system. Just how much influence can one individual have? Is it important that a leader advocates for their team and patients? What is clear is that good nurse leadership is complex and nuanced, and requires a deep understanding of the evidence as well as continuous reflection on practice.Author: Elaine Maxwell, associate professor in leadership, School of Health and Social Care, London South Bank University.To learn more about nurse leadership go to: Bit.ly/NTLeadershipEmergencyCareDiscussion pointsAre different leadership approaches suited to different job roles?What is the role of the follower?How do leaders create the right conditions for good nursing practice?Is having a vision important for a leader and if so, why?What is the leader’s role in relation to the wider organisation?Good leadership in nursing is important … but how do you define it?Maxwell E (2017) Good leadership in nursing: what is the most efficient approach? Nursing Times; 113: 8, 18-21.-63500165735Revalidation evidenceMake a note of how your journal club discussion relates to your own practice and the NMC Code, what you learnt from reading and discussing the article and how you will use this learning to change your practice. If you subscribe to Nursing Times, you can upload this article with your notes into your NT Portfolio as evidence of participatory CPD. You can also use it as the basis for a reflective account.0Revalidation evidenceMake a note of how your journal club discussion relates to your own practice and the NMC Code, what you learnt from reading and discussing the article and how you will use this learning to change your practice. If you subscribe to Nursing Times, you can upload this article with your notes into your NT Portfolio as evidence of participatory CPD. You can also use it as the basis for a reflective account.Your notes ................
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