Leadership values and nursing comfort theory integration
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Leadership and Its Core Values
My belief is that a leader ought to be committed, resilient, adaptable, trustworthy, confident, and fair. Scholars have recognized that what is required of leaders change with their position in the organization. The reason for this is pretty apparent: the nature of the job varies from position to position. There are differences in scope of responsibility, functional activity, complexity, and time horizon for the various jobs in an organization. Mumford, Campion and Morgeson (2007) recommended the Leadership Skills Strataplex of Leadership development. As per the model, higher level jobs require all the skills required by the lower level jobs. Nonetheless, as one moves up in the ladder, some skills are needed more, and grow in importance. Mumford et al. (2007) broadly categorized leadership skills into cognitive, strategic, business, and interpersonal categories (Meuse, Dai & Wu, 2011).
Value-Based Leadership: The values of honesty, integrity and loyalty are certainly expected of most leaders today. It is also expected that most organizations list these values as the values they expect of their employees. While the exact words may not be used, the phrases and words used to discuss such values often describe these values. Core values guide employees as they do their job. They provide the employees with the "how," just as the vision communicates the "why." Values are concerned with the daily behavior of employees, and help them make ethical decisions when they are faced with competing choices. Making the right choice when presented with an ethical dilemma is easier when the values of the organization are clear and well communicated. Not sticking to these values can lead to disastrous results as has been witnessed in corporate collapses in the past (Oedekoven, 2009).
Good leaders want to be perceived as people that stick to the organization's values. They desire their employees to know, comprehend and follow these values. They appreciate the importance of values in any organization and how they drive behavior and conduct. When such values are followed, good products are produced and customers are better served. It leads to effectiveness and efficiency (Oedekoven, 2009).
Comfort Theory
To aid better understanding of comfort theory, the description given shall be divided into three parts. Part 1 says that nurses consider the holistic (environmental, sociocultural, psychospiritual, and physical) patient's comfort needs in all situations. Further, nurses implement a number of interventions so as to accurately measure and meet the needs of patients' comfort levels both before and after the intervention. This part also describes negative and positive variables over which there is very little control, but that can greatly impact the interventions. Part 2 of the theory states that enhanced comfort strengthens the patients to subconsciously or consciously behave in a manner that moves them forward toward good health. Such behaviors are referred to as health-seeking behaviors. They provide a rationale for the implementation of comfort interventions. Such behaviors are associated to Part 3's institutional integrity. The definition applied to institutional integrity is the state or quality of health care organizations as far as being ethical, professional, upright, sound, and complete is concerned (Wilson & Kolcaba, 2004).
Fair
Being fair is one of the traits of leadership expected of nurses. All patients coming to a health facility should be treated fairly. There should be no prejudice whatsoever (Shahriari, Mohammadi, Abbaszadeh & Bahrami, 2013).
Confident
Being confident and being able to make independent decisions is one of the nursing ethical values. Nurses have viewed this as having the right direction in the making of decisions in the areas of administering and suggesting treatments, care or interventions. Being able to make these decisions is a show of confidence and helps the patients feel safer (Shahriari, Mohammadi, Abbaszadeh & Bahrami, 2013).
Trustworthy
Trust is also one of the ethical values in nursing, and is characterized by such traits as honesty in both action and words. Nurses should be able to earn the trust of all people involved during the patient's treatment. The earning of trust, as per the definition given here, arises when the parties involved view the nurse as an honest individual. His or her honesty allows them to view the nurse as someone they can trust to do the job well and who they can rely on for advice (Shahriari, Mohmmadi, Abbaszadeh & Bahrami, 2013).
Adaptable
Several countries of the world have altruism as one of the nursing values. The traits considered in these circumstances are self devotion, selflessness, and providing utmost care to the society, the client and their family (Shahriari, Mohammadi, Abbaszadeh & Bahrami, 2013).
Resilient
Responsibility and resilience are also considered as nursing ethical values. The traits that define them are commitment, responsibility, and respecting the rights of patients to make decisions. Nurses ought to be responsible and give evidence-based care, apply valid and applicable research, and be accountable for the decisions they make and actions they take (Shahriari, Mohammadi, Abbaszadeh & Bahrami, 2013).
Committed
Nurses are required to be committed in human relationships and be able to show respect, be trustworthy, and be people that can be relied upon. Communication of commitment can be done both verbally and non-verbally. The nurse needs to communicate that they are honest in both practice and words, are able to empathize with the client, and that they are friendly and courteous. Accurate and precise care has been shown as a nursing practice that helps build trust between the nurse and the patient. The care here is multidimensional, appropriate, safe, and precise. This is also thoughtful, given the clinical skills as well as the knowledge required by nurses, so that they can fulfill all the needs of clients, promote good health, and also relieve pain (Shahriari, Mohammadi, Abbaszadeh & Bahrami, 2013).
Diversity in healthcare as a leader
The world today requires diversity. However, diversity can take many shapes in the form of practice experiences, ideas, values, perspectives, viewpoints, human capacity, ability, talents, special attributes, religion, socio-economics, physical ability, age, gender, nationality, ethnicity, and race. The United States is very diverse right now and the diversity is increasing every day. This diversity should be captured in the nation's healthcare to some extent (AONE, 2007).
Unequal distribution of resources and power has characterized the American society for some time now. This is reflected in health care in the form of health disparities. The Institute of Medicine's Unequal Treatment confirms this reality. Data is being revealed of deep ethnic and racial disparities in healthcare. The United States (U.S.) health care is not serving historically marginalized groups as well as it serves the other groups. Groups that are not very educated or not adequately represented may have problems communicating their needs (AONE, 2007). Culture and diversity are not the same thing but are often confused. Culture is always considered as the lifestyle design of a certain group of people. Included here are particular idiosyncrasies as well as transmitted memory. There are biases in all groups of people. Therefore, practices that are attentive to culture require open mindedness, as well as active curiosity, as well as continuous self-assessments on the beliefs and assumptions one has. All parties in the nation's health care should not be discriminated against because of the background (AONE, 2007).
Affirmative action's focus as codified by Civil Rights legislation some 40 years ago was correcting discrimination, by having various organizations fill positions with people drawn from diverse backgrounds, be it socio-economic, cultural, ethnic, or racial backgrounds. The approach taken by these groups made the assumption that diversity would be assimilated with the passing of time; however there was not evidence of such diversity being an asset. As the organizations drew more people from varied backgrounds into the mix, they realized that their organizations benefited from the different perspectives and skills presented by these people. Besides bringing in people from various backgrounds, the nation's healthcare should look for ways to manage this diversity (Salisbury & Byrd, 2006).
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