DNP 835 Nursing Leadership Interventions Discussion

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DNP 835 Nursing Leadership Interventions Discussion

DNP 835 Nursing Leadership Interventions Discussion


After reading the learning materials for this module develop
three challenges to healthcare and provide a short discussion of possible
nursing leadership interventions.


Discuss how the nursing leadership role is instrumental in
providing effective healthcare delivery.

An Ethic of Care and Nursing Leadership

Ethics can be either obligation-based or responsibility-based. While obligation-based ethics derive from such theories as utilitarianism and deontology, “in which the decision-maker determines what obligations he or she has and responds consequently,” in responsibility-based ethics, “the relationship with others is the starting point” (Lachman, 2012, p. 112).

Considering that along with responsibility, and effective caring model should comprise such elements as attentiveness, competence, and responsiveness of a care receiver (Lachman, 2012), leaders must aim to motivate nurses to develop the habits of care that meet caring responsibilities best and focus on the establishment of beneficial relationships with patients. It is possible to suggest that a transformative leadership strategy is the most conducive towards the achievement of these goals as two of the primary objectives of transformational leaders are communicating particular values and visions to employees and inspiring them to implement those values in practice.

As stated by Stetler, Ritchie, Rycroft-Malone, and Charns (2014), transformational behaviors imply promotion of a vision, communication, and action upon that vision and related values, the focus of particular practical concerns (e.g., ethics of care), as well as intellectual stimulation, development of internal motivation, and empowerment of subordinates. By applying this leadership strategy, a nurse leader can enforce compliance with the ethics of care model by aligning personal and organizational visions and values and inspiring nurses to act responsibly.

However, based on my advanced nursing practice experience, it is possible to say that the provision of holistic care and the establishment of trustful and meaningful relationships with patients, which are the intrinsic aspects of ethical caring, can be challenged due to ineffective work structures, e.g., scheduling models and workloads. Thus, as part of the transformational leadership strategy, a leader should advocate for the creation of a supportive environment in which ethical and high-quality performance can be facilitated.

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An Ethic of Care and the DNP-Prepared Nursing Leader

Transformational leadership is “a leadership approach that causes a change in individuals and social systems” (“Transformational leadership,” n.d., p. 1). The given strategy and style can be applied to resolve multiple types of issues of current concern, including the ethical ones. In clinical settings, ethical controversies are inevitable. According to Barkhordari-Sharifabad, Ashktorab, and Atashzadeh-Shoorideh (2017), ethical conflicts may arise when an individual (power and respect), professional (patient-oriented care), and organizational values (competition and efficiency) are in misbalance. A role of a transformational leader is thus to minimize the chance for the occurrence of conflicts between individual and organizational ethics by removing existing organizational constraints to ethical practice and motivating nurses to comply with high standards of care.

Based on the findings on the nature of ethical conflicts in hospitals, it is possible to suggest that a collaborative and holistic approach to change management is required to achieve positive results in eliminating ethical problems. A leader can work with his or her team directly and make them understand and implement ethical principles and standards, but favorable transformations of nursing practice at the hospital-wide level may be slowed down or halted without an appropriate environment.

During the DNP program, I have learned about the importance of advocacy and inter-professional collaboration. It seems apparent that these responsibilities of a DNP-prepared nurse can help foster the improvement of ethical performance in my hospital. After the completion of the program, I will aim to enhance the collaboration with professionals from different organizational levels to identify barriers to ethical care and develop an evidence-based approach to their elimination. Eventually, through this strategy, it will be possible to increase the nursing team’s ability to meet patient needs more efficiently.

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