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Discuss and analyse in more detail each discussion post topic bellow

and use contemporary literature for support. Building on your engagement from the 3 online forum posts in (my response assessment 2 bellow in italics), use sound written analytical communication skills to consider leadership in nursing and health care, and the expectations and opportunities in their professional role.
Read my responses in the italics for each post 1, 2 and 3 and please expand on each of them by discussing and analysing them in more detail, and provide a comprehensive critical analytical discussion in your response.


Post 1 - Modules 1 & 2. I don't see the relevance of learning about clinical leadership now, as a third year student about to course complete. My focus is really about getting a grad year first. Reflect and discuss this for your online post (ensure you support your point of view with the contemporary literature). please include reference on each post and intext-citation.


My response in post 1
Even as a staff nurse, or in any nursing position, clinical leadership is significant. One does not need a formal job title to practice leadership in the clinical setting. To begin with, leadership is an essential skill, and learning it allows healthcare providers, especially us, nurses, the ability to recognise situations that require clinical leadership and navigate the complex healthcare system; ensuring that we will be able to come up with solutions associated with certain issues (Daly, Jackson, Mannix, Davidson & Hutchinson, 2014).
As a 3rd year student, I am empowered by learning and understanding skills that are related to, for example, congruent leader, such as matching my actions with my values and beliefs to improving patient's health outcome (Stanley, 2019).
During duties, the nurse performs assessments and implements nursing care practices that may require decision-making, critical thinking, and advocacy (Nursing and Midwifery Board of Australia, 2016). The nurse also collaborates with the other members of the multidisciplinary healthcare team to ensure the holistic care of the assigned patient and that all needs are being met. He/she is also in-charge to influence the patient to initiate positive changes in health behaviours through performing health teaching. Within the nurses' scope of practice, nurses are required to exhibit clinical leadership skills through providing, facilitating, and promoting their absolute best to deliver quality care for their patients (Al-Dossary, 2017).


References
Al-Dossary, R. (2017). Leadership in Nursing. Contemporary Leadership Challenges. doi: 10.5772/65308
Daly, J., Jackson, D., Mannix, J., Davidson, P., & Hutchinson, M. (2014). The importance of clinical leadership in the hospital setting. Journal of Healthcare Leadership, 6, 75-83. doi: 10.2147/jhl.s46161
Nursing and Midwifery Board of Australia (NMBA), (2016). Registered nurse standards for practice. Retrieved from https://www.nursingmidwiferyboard.gov.au/
Stanley, D. (2019). Values-based leadership in Healthcare: Congruent leadership explored. London: SAGE.


Post 2 - Modules 3 & 4. Autonomy in nursing is not relevant as nurses do not make clinical decisions. Reflect and discuss this for your online post (ensure you support your point with the contemporary literature). please include reference on each post and intext-citation.


My response in post 2
Nursing is a profession. The characteristics of nursing as a profession include the following: the provision of formal education, theories, service, Code of Ethics, caring (as the basic element), and autonomy (Labrague, McEnroe-Petitte & Tsaras, 2019). Autonomy is the ability and the authority of the nurse to perform independent nursing care within his/her scope of practice (Oshodi et al., 2019). Autonomy is also upheld through critical thinking and decision-making which are all founded on nursing knowledge, skills, and experiences (Oshodi et al., 2019). Nurses make valuable and relevant clinical decisions that may heavily impact the patient's condition, especially because they are the ones responsible for monitoring them round the clock. For example, when the patient is assessed by the nurse to be pulseless and apnoeic, the following actions that the nurse shall undertake at that exact moment shall depend on his/her prerogative and not on the other healthcare personnel. In line with this, along with autonomy is a liability; as their freedom to act in accordance with their knowledge base entails that they should be advocates to ensure patient safety. For example, even though medication administration is a dependent nursing action, the nurse has a duty to double-check and/or validate questionable physician's orders (Zittel, Moss, O'Sullivan, & Siek, 2017) rather than just following blindly and being fully reliant. 
References 
Labrague, L., McEnroe-Petitte, D., & Tsaras, K. (2019). Predictors and outcomes of nurse professional autonomy: A cross-sectional study. International Journal of Nursing Practice, 25(1), e12711. doi: 10.1111/ijn.12711
Oshodi, T. O., Bruneau, B., Crockett, R., Kinchington, F., Nayar, S., & West, E. (2019). Registered nurses' perceptions and experiences of autonomy: a descriptive phenomenological study. BMC Nursing, 18(1), 51. https://doi.org/10.1186/s12912-019-0378-3
Zittel, B., Moss, E., O'Sullivan, A., & Siek, T. (2016). Registered Nurses as Professionals: Accountability for Education and Practice. Online Journal of Issues in Nursing, 21(3), 1-8.




Post 3 - Modules 5 & 6 As a grad, it is not expected that I contribute to innovation and change in the organisation where I am doing my grad program? Reflect and discuss this for your online post (ensure you support your point with the contemporary literature). please include reference on each post and intext-citation.


My response in Post 3
I disagree with this statement, because, in whatever institution or situation, all nurses, either as a grad or qualified nurse, are expected to adhere the same standards (NMBA, 2016). According to the NMBA standards, as a grad nurse, I am expected to contribute to innovation and be a catalyst for change. In initiating change, the first thing that I have to possess is the desire to do it. That desire shall be the source of the nurse's personal motivation to persuade and empower others to partake in the change. The nursing profession's underpinnings revolve around to what we know as the "nursing process". Once the nurse would be eager to begin change, he/she begins with an assessment, to see the things or circumstances that may need improvement. Once he/she identifies that issue or concern (diagnosis), he/she begins formulating a plan to address it (planning). Afterward, the nurse brings about that change with the help of support systems and networks (implementation) and determine if it indeed really caused a positive change and is sustainable in the long run (evaluation). Moreover, by reflecting and challenging if the NMBA standards are met, I can contribute to innovation and change (Cusson, Meehan, Bourgault & Kelley, 2020). Its therefore not only important to provide the best practice to my patients, but also to advocate as grad nurse for the innovation and change of the organisation.
References
 
Cusson, R., Meehan, C., Bourgault, A., & Kelley, T. (2020). Educating the next generation of nurses to be innovators and change agents. Journal of Professional Nursing, 36(2), 13-19. doi: 10.1016/j.profnurs.2019.07.004
Nursing and Midwifery Board of Australia (NMBA), (2016). Registered nurse standards for practice. Retrieved from https://www.nursingmidwiferyboard.gov.au/




Please use contemporary literature to support your view in responding to the topics/questions from my online posts.

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