been trained to see the bigger picture, the nurse leader can use her influence to encourage crucial conversations, with openness, honesty and effective communication. She can encourage accountability and always (respectfully) searching for a rationale. She can encourage buy-in and Page 6
Essentials of Advanced Nursing Practice faithfulness by choosing to work for the good of staff, client and the institution. If she finds that these needs are incompatible with one another, she will have the integrity to speak up or find a better match. The nurse leader interviewed here is leader of the oncology nursing units, both inpatient and outpatient, and manages the day-to-day operations, budgeting, scheduling, employee issues and patient experience. Her responsibilities are wide ranging in scope and “there is always something that comes up unexpectedly in a hospital” and that she is directly responsible for “monitoring and seeking for improvement in turnover, patient satisfaction, HAIs, HACs, contract labor, and EBDITA” on her unit (Shamarre, personal communication, February 7, 2019). The Essentials of Master's Education in Nursing defines how a nurse leader is to contribute to her field in a variety of ways. For both patients and systems, she should thoroughly assess the situation to prepare for making intelligent decisions. She trusts in the best available scientific evidence as the foundation for her practice, while being a powerful advocate from patients and communities, as well as for the healthcare team. She is trained to use information and communication technologies to advance patient education, enhance accessibility of care, analyze practice patterns, and improve health care outcomes, including nurse sensitive outcomes (Shamarre, personal communication, February 7, 2019). She also teaches, coaches, and mentors her colleagues and support staff and uses research to understand the health status of patient populations as well as the best interventions to promote and preserve health and healthy lifestyles. She uses her knowledge of illness and disease Page 7
Essentials of Advanced Nursing Practice management to create care plans for her client or community, competently navigating ethical issues as they arise (Shamarre, personal communication, February 7, 2019). She also uses knowledge and skills in economics, business principles, and systems in the design, delivery, and evaluation of care and uses evidence-based practice to guide the healthcare team in designing, coordinating, and evaluating care (Shamarre, personal communication, February 7, 2019). She said she focuses on educating her patient and community, establishing therapeutic relationships to negotiate patient-centered, culturally appropriate, evidence-based goals and modalities of care. She also takes practical steps to encourage other healthcare workers to be life- long learners, incorporating professional standards and accountability and continually evolving, and incorporate new knowledge into her nursing practice (Shamarre, 2019; American Association of Colleges of Nursing, 2011).
- Fall '18
- Nursing, Health care provider