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Running head: PRACTICUM REFLECTION Leadership Theories and Principles in Nurse Executive Role 1 PRACTICUM REFLECTION 2 Leadership Theories and Principles in Nurse Executive Role Week 5 Reflection The practicum sessions and activities played an integral role in helping acquire and perfect various leadership competencies, which helped me to accomplish the core course objectives. The practicum sessions helped me to discover that exposure to real world application of learned leadership and nursing theory was the ideal approach for advancement of skills and knowledge. The practicum sessions helped me to recall course content as well as apply critical thinking to determine the most appropriate approach of applying knowledge and skills according to context. This report offers an evaluation of the ways through which I demonstrated executive nurse competencies in carrying out various tasks, programs, and activities during the practicum session. One of the activities I did during the practicum sessions was to chair a therapeutic session with the family members of a patient suffering from schizophrenia. As the family members brought their loved one to the mental health clinic, I noticed low moods, anxiety, sadness, and desperation evidently present among them. From the patient’s data regarding disease progression and the challenges the disease had brought on the family, I thought it wise to offer extensive guiding and counselling to the family to help them know how to handle their kin and help them towards healing. The family meeting helped me to gather that the family had endured many insults from neighbors due to the aggressive and noisy nature of the patient. I guided them on how to fight stigma, offer their patient support, and care to help them improve. I referred them to several support groups to help their patient and scheduled other family meetings to help guide the family throughout the period of disease progression. This experience helped me to display as well as build by competencies in communication and relationship building, professionalism, PRACTICUM REFLECTION 3 leadership, and knowledge in healthcare (Waxman et al., 2017). I demonstrated competency in communication and relationship building by developing trust and understanding with the family, as well as giving them hope. I also encouraged them to be strong in order to support their patient through the illness. I demonstrated leadership by offering the family guidance on the best treatment options for the patient. I demonstrated professionalism by offering professional insight on what the family ought to do to support their patient through the illness. These competencies definitely portray accomplishment of several course objectives including knowledge in the use of evidence based care approaches when offering healthcare services, use of leadership skills to teach and guide healthcare stakeholders, use of scientific principles, theories, and models to offer care, establish therapeutic relationships to negotiate patient centered care and many others. Apart from the experience, I also chaired a staff meeting for the weekly review of institutional performance and progression. Considering the wide scope of the activities, tasks, and patient population at the mental health facility, conducting weekly staff briefings was necessary in order to guarantee success in implementation of institutional activities and tasks. This was reached as the most appropriate approach in guaranteeing success of institutional goals and objectives. During the meeting, I tabled the issue of prevalent mental health issues within the community in the recent years and asked staff members for potential solutions. The staff members proposed that we conduct outreach education program, targeting to guide community members on how to maintain their health and limit risks of developing mental health problems. As the chair of the meeting, I discovered that staff members had invaluable knowledge and insight on how to improve healthcare processes and treatment outcomes. The experience helped me to determine that human resources was the most vital resource for the success of any business entity. The experience helped me to demonstrate several competencies as a nurse leader PRACTICUM REFLECTION 4 including leadership, communication and relationship building, professionalism, business skills, as well as knowledge of the healthcare environment (Waxman et al., 2017). The experience also helped me to demonstrate accomplishment of several course objectives including advocating for patient, family, and stakeholder needs, delivery of patient centered care, use of evidence-based data pertaining to disease prevention programs, use of ethical skills and principles, knowledge in economics and business, as well as development of therapeutic relationships that help in enhancing patient-centered care. Engagement in the public health health-advocacy and education program as proposed by staff members was another major experience during the session. The program helped me to engage with various groups of individuals in schools, churches, communities, and other public spaces where we shared with audiences’ ways to maintain great mental health as a preventive strategy for reducing mental health issues. The experience helped me to demonstrate various leadership traits and competencies. The core leadership traits I employed during the exercise include empathy, excellent communication, transparency, focus, commitment, risk-taking, accountability confidence, adaptability, and many others. Among the competencies that were demonstrated during the experience include communication and relationship building, leadership, professionalism, and mastery of clinical knowledge (Waxman et al., 2017). The experience helped me to demonstrate accomplishment of several course objectives including use of scientific knowledge and skills to enhance care delivery, championing for patient and healthcare stakeholder needs, leading groups to offer evidence-based care, as well as learning and teaching principles that guarantee better health. PRACTICUM REFLECTION 5 Week 6 Reflection During the past week, I developed and implemented two-day training and mentorship sessions to help three new staff members acquire skills on how to use the PHQ-9 tool to screen for depression among patients. For effective teaching, I developed a PowerPoint presentation for use when lecturing the trainees. I also exposed the trainees to online training resources to help them gain deeper insight on the use of PHQ-9 tool. We then conducted several role-play sessions to guide the trainees on best approaches when administering the test to patients. By the end of the training sessions, all three employees had gained exceptional skills on how to use the PHQ-9 tool. The activity was associated with several leadership traits including mentorship, selfawareness, influence, communication, courage, accountability, and respect. The core leadership competencies that were evident in the exercise include accountability, communication and relationship building, apply strategies to promote health and prevent illness, effective managerial and leadership skills, principles of quality improvement, safe working environment, and demonstration of understanding and knowledge. The experience helped me to demonstrate accomplishment of several course objectives including therapeutic relationships to negotiate patient-centered care, apply the best available evidence from nursing, Use leadership skills to teach, coach, and mentor other members, learning and teaching principles that guarantee better health, use of scientific knowledge and skills to enhance care delivery, championing for patient and healthcare stakeholder needs, and leading groups to offer evidence-based care. Apart from that, I also convened a staff meeting to address the issue of slow service delivery and delayed patient attendance. This was after collecting five complaint notes from the complaints box over a period of two weeks. In the meeting, I divided the staff members into PRACTICUM REFLECTION 6 three groups and formed focus groups. The groups helped in collecting data pertaining to the possible causes and solutions of the slowdown in delivery of services to patients, and delays in offering service to clients. The findings of the three focus groups revealed that there was need to increase the number of staff to meet patient needs as well as provision of digitized tools for use at the workplace. The experience helped me to display several leadership traits empathy, excellent communication, transparency, focus, commitment, risk-taking, accountability confidence, adaptability, and many others. Among the competencies that were demonstrated during the experience include communication and relationship building, leadership, professionalism, and mastery of clinical knowledge (Waxman et al., 2017). The experience helped me to demonstrate accomplishment of several course objectives including use of scientific knowledge and skills to enhance care delivery, championing for patient and healthcare stakeholder needs, leading groups to offer evidence-based care, as well as learning and teaching principles that guarantee better health. Another leadership activity I did over the practicum period is present to staff members a presentation on the importance of diversity and inclusion, and how to display traits affiliated with cultural competence and inclusivity. In addition to the above activities, I also participated in an inter-disciplinary team of professionals in treating a 12 years boy with Autism spectrum disorder. I was the head of a team of four other professionals including a physical therapist, clinical psychologist, social worker, and occupational therapist. I also conducted Saul Levin, the Chief Executive Officer and Medical Director of the American Psychiatric Association (APA) on email to advocate for increase in the health insurance of people suffering from mental health issues. PRACTICUM REFLECTION 7 Reference Waxman, K., Roussel, L., Herrin-Griffith, D., & D’Alfonso, J. (2017). The AONE Nurse Executive Competencies: 12 Years Later. Nurse Leader. doi:10.1016/j.mnl.2016.11.012
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