Organizational Change and Transformational Leadership

Organizational Role as a Nurse Leader

A nurse leader is an individual engaged in direct patient care and who regularly enhances the care given to patients through influencing the treatment provision delivered by others. This implies that leadership is not merely a matter of skills but an attitude which informs behavior. This essay develops a detailed leader profile based on the transformational theory, as this is the most relevant theory for this leader. Moreover, the essay will analyze the leader's role and philosophy as a nurse administrator. The final section will present the role of nursing leadership.

Leader's Profile: Lee Moldowsky

Lee Moldowsky started off as a volunteer EMT in the early 70s since then nursing has struck interest. In 1983 he joined the army at age 25 and became a sergeant in charge of operating services. Moldowsky went to Farmingdale and also worked in a burn unit at Nassau University Medical Center. He worked in pediatric ICU from 1991 to 96. In 1996 to 2010 he became the assistant nurse manager of pediatric ICU. Moldowsky has had quite a journey in the peds ICU, which has led him to change. Some reasons at that time included workplace bullying. Also, he experienced a child falling out of the crib lots of their head that have been prevented which made him see an opportunity to teach others, and his father passing from a hospital-acquired condition.

For such reasons, Moldowsky decided to put his interest in nursing quality. He wanted to be a part of that quality of patient care quality of nurse leadership and create opportunities for staff to learn not only from mistakes but also from near misses. His job in sales a lot of data collection improvement project clinical quality programs, and upholding magnet recognition. One of the challenges of his job is getting buy-in from staff, helping them to understand that evidence-based practice always changing. Staff needs to understand that when there is an incident we need to see where we are causing harm to the patient. Sometimes it is hard to get an RN to realize that they have the power to impact improvement of care.

Winthrop-university Hospital Description

Winthrop-University Hospital is a 591-bed general medical and surgical facility with 31,237 admissions, according to recent reports. This educational facility offers medical research and a full complement of inpatient and outpatient services. Its sophisticated diagnostic and therapeutic care cover every specialty and subspecialty of medicine and surgery. Winthrop-University Hospital also offers surgery for various acute care diseases like cancer. The facility is ranked high-performing in four adult specialties. It carried out 20,428 outpatient and 8,482 annual inpatient surgeries in the recent year. At this time, the emergency room recorded 70,000 visits. Also, the facility attained the highest ranking possible in 2 conditions or procedures.

When founded in 1896, it was originally called Nassau Hospital before changing its name to Winthrop-University Hospital, Inc. in 1985. According to the current CEO and PresidentJohn F. Collins, Winthrop-University Hospital has over 7,000 employees, comprising 2000 nurses and 2,000 full-time and voluntary attending medical staff. The center primarily serves patients from Suffolk, Nassau and Queens counties on Long Island.

Philosophy

Concerning my leader's profile, Moldowsky's philosophy as a nurse administrator is to deliver holistic, compassionate and culturally sensitive care to patients and families. He views nursing as an occupation that consists professional persons who exhibit and express respect, compassion, integrity and dignity to their patients and colleagues.

Role within the organization

Usually, a nurse administrator is responsible for a set of departments within the hospital. Often, the nurse administrator reports to the chief executive officer in the hospital. Moldowsky encompasses the following competencies that make him an effective nurse leader;

Strong leadership skills

Learn ways to escalate and de-escalate issues

Communication skill within different staff

Ability to learn how to present/gather information to a board

Applying fairness

Utilizing resources within the organization

Prioritization

The role of nursing leadership

Various theories have been applied to evaluate the leadership models that leaders demonstrate. An effective and potent leader must exercise at least one or more theories of leadership. It seems transformational leadership applies to Moldowsky the most. This theory emphasizes that a leader must hold a vision and mission that surpass the interpersonal relationships or the compensation of a job perfectly done (Ledlow & Coppola, 2011). Moldowsky's philosophy in nursing is to offer a holistic, compassionate and culturally sensitive care to patients and families. This is supported by the fact that Moldowsky is primarily driven by a desire to do good to others and for humanity.

Under the transformational leadership design, Moldowsky treats all employees in an equal, friendly manner and with excellent communication skills acceptable to all (O'Brien, 2011). This enables him to build trusting relationships between him and the staff, especially the RN. It is hard to get an RN to realize that they have the power to impact improvement of care. Nonetheless, Moldowsky has been able to communicate the company vision, in a manner that reduces negativity and inspires commitment to staff (Ledlow & Coppola, 2011).