Nursing as a Vital Component of Health Delivery System Essay

Nursing as a Vital Component of Health Delivery System Essay

Part Nursing is one of the most vital components of health delivery system. It provides the essential ingredient of health and medical area that facilitates faster recovery. Nurses, through personal care, compassion and positive attitude, provide the patients and their families with an inner strength to cope with the illnesses and ensure that their health related needs are taken care of with efficiency. The appropriate nursing approaches become highly relevant for patients like dementia, autism, dyslexia etc. who have no visible sign of disability and need to be integrated into the mainstream population.

I think that strength based approach of nursing is much better than deficient approach because it has optimistic outlook towards the sickness.Nursing as a Vital Component of Health Delivery System Essay.  It uses positive features of the patient and carer to help them to cope with the situation through improved understanding and acceptance so that they willingly use tools that facilitate better care or use tools for self help, as the case may be. Freely and Gottlieb have asserted that in a strength based approach, the nurse-client relationship is a ‘partnership’ that ensures and ‘honour(s) basic human rights in health care relationships’ (Freely and Gottlieb, 2000).

The most interesting fact is that the approach empowers patients and carer to seek ways and means for recovery. The approach is conducive for developing mutual trust and feeling of self worth which helps them to integrate with the mainstream population. The understanding and acceptance of the situation helps to create an understanding for the requisite physical and emotional support. The nursing guidelines also assert that ‘building a nurse-family partnership is central to strengthening and supporting families (Skemp Kelley et al., 2000. Ward-Griffin amp. McKeever, 2000 from RNAO). The emotional and moral support of the family goes a long way to inculcate confidence within the person. (297)



The student’s post has linked community health care with the family care which is very pertinent to the overall well-being of the patient. Community health promotes the concept of ‘prevention is better than care’ and through resources and strengths, the empowered community members maintain good health. In the same way, he has affirmed the importance of strength based approach in clinical care primarily because it also empowers the family members, carer and the patient with information that is critical to the wider understanding of the disease and apprehensions of the patients and family members alike. Nursing as a Vital Component of Health Delivery System Essay.

The student has talked about ‘effect change’ which is very valid, especially with reference to the assumptions of the understanding which the family may have vis-à-vis diseases, tools and resources that could be applied as intervention and wider scope of family support. These are integral part of strength based approach that encourage them to understand the various issues involved in the caring and use informed choices to meet the challenges of the situation. The student has also touched upon the reflective practices employed in the approach and says that sharing of mutual experiences with the caring of the patients helps expand the horizon of clinical interventions and improve and improvise caring inputs. (207)


Feeley, N. amp. Gottlieb, L.N. (2000). Nursing approaches for working with family strengths and resources. Journal of Family Nursing, 6 (1), 9 – 24.

Registered Nurses Association of Ontario (2006). Nursing best practice guideline: Supporting and strengthening families through expected and unexpected life events. Available from: . [25 September 2009].

What does it mean to be a leader. According to Forbes Magazine, a leader is someone that isnt afraid to take the initiative to act. A leader is not only there during good times, but also in times of need and hardship. Whenever there are big changes that must take place, a leader is never afraid and instead will look at this as an opportunity to improve the old ways. There are many challenges a leader must face, especially in healthcare. Being ready and having contingency plans for every possible situation is what can set apart a leader from the rest.

The Healthcare Delivery System

The health care delivery system or simply “health system” is a combination people, health care organizations, and all their resources that aim to deliver professional quality care to different target population (Hackbarth, 2009). According to the Institute of Medicine (IOM) on their consensus report, the health care delivery system will need to achieve better performance on the following six dimensions to be improved:

Safety – Avoid doing harm to patients.

Effectiveness – Use of evidenced-base practice instead of unproven methods.

Patient-centeredness – Respect and involve patients in their care.

Timeliness – Treatment given without delays.

Efficiency – Maximizing results with lowest required resources.

Equity – Equality of all people in receiving health care.

(, 2008)

The nurse leader can use the previous six dimensions defined by IOM as a guideline in times of change to reform the healthcare delivery system for the better. Nursing as a Vital Component of Health Delivery System Essay.

Leaders versus Managers

Managers can be leaders but not all leaders can be managers. A person can become a leader based on personality, knowledge, and expertise. A manager is often a position given by a higher authority. Since it is a position that is assigned, it is more stable while being a leader is often only temporary. The main concern of a manager is the goal of the company or the organization. The leader’s main concern is the satisfaction and goals of group members. A leader doesn’t need to have a managerial position to be able to act as a leader. In contrast, a manager often requires leadership traits to function as a good manager (Finkelman, 2011).

Transformational Leadership

The idea behind transformational leadership is to create a leader that can easily adapt to changes and also empower the staff at the same time. This type of leader goes beyond just teaching staff of their role within the organization, but also able to influence others to be independent of their own thinking on how to further improve the organization to the extent of even taking risks (Finkelman, 2011).

The Institute of Medicine (IOM) recommends five core health care profession competencies to use as a framework to focus on improving care. They are as follows:

Care is focused on the patient

Collaborate with other academic disciplines teams

Use of evidenced-based practice

Improve quality application

Use of informatics

(Finkelman, 2011)

With so many changes that need to take place on these five core health profession competencies to improve health care, a transformational leader will indeed be required since such a leader should have an easier time adapting to change. This leader will need to show exceptional knowledge in these areas and be able to apply that knowledge on his practice while empowering others.

Even a transformational leader has its flaws. If such a leader proves to be unsuccessful, it is usually due to one or more of the following errors:

Lack of sense of urgency

Lack of a guiding coalition

Lack of a vision

Lack of communication about the vision

Lack of removals of barriers to the vision

Lack of systematic planning

Declaring a victory to soon

Lack of recognition of organization culture

(Finkelman, 2011)

There are different ways a transformational leader can overcome these errors. For the lack of sense of urgency, a leader needs to have a strong determination to complete the tasks required to finish the job in time.Nursing as a Vital Component of Health Delivery System Essay.  It doesn’t matter how small a step must be taken as long as it leads to moving forward as soon as possible (Kotter, 2008). Lack of a guiding coalition can be resolved by acquiring more information that can be used to set the correct course of action. This can be done by the leader by gathering his team and discussing his findings and plans for the change. The leader should also prepare plans on how to handle communication barriers such as lack of vision, systematic planning, and communication. This plan can involve creating a focus group that will enable team members to voice their opinions and concerns as well as their achievements. This can also be an opportunity to share ideas on how to improve. Using questions that provoke honest answers that can also be used to evaluate how the team feels. No matter how sure a leader is, declaring a victory to soon should be shunned upon. It might raise the morale of the people but the aftereffects of failure or loss will be much more devastating compared to not declaring victory too early. A smart leader will be patient and will avoid making claims without backing it up. Finally, lack of recognition by the organization to its people or employees could cause feeling of un-appreciation-that no matter how much hard a person work, his achievements will never be recognized. One way to solve this by the leader is to form some sort of award system that will recognize employees that excelled in their field. This could be a monthly thing such as an “employee of the month” award or something especial like recognition award of how an employee excelled on something that benefited the organization. Whatever the case may be, it’s a good idea to reward employees that do well. This doesn’t only keep their morale high but also makes them feel appreciated and important which often result in more productivity at work (, 2011). Nursing as a Vital Component of Health Delivery System Essay.

Competencies of an Effective Leader

The two most important competencies I have selected for an effective leader are as follows:

Work in interdisciplinary teams

Utilizing Informatics

The other competencies are also important but both of the above are increasingly becoming more so in our current and most likely future health care system. The health field is composed of several interdisciplinary sciences that each having their own expertise. A kind of leader that doesn’t limit himself to one branch of health care and is willing to collaborate with other professionals is not only wise but puts the leader in a great advantage especially because of the information he can utilize in making good decisions. In my own opinion, being able to know where to get information on how to accomplish what is intended is usually a better trait than trying to shoulder it all.

Along with utilizing information is informatics-a field in science where information is processed, managed, and retrieved mostly by the use of computers. An example of this is the Health Information Technology (HIT) that will be critical in implementing this system of managing health care delivery (RWJ Foundation, 2011). With the advancement in technology for the past 10 years, it will be unwise for any leader not to learn and take advantage of information technology. Even nursing has a new field now called “nursing informatics” where nursing and computer science meets. Informatics has become relevant to nursing now more than ever. Almost every information known to man are now is being computerized and stored in big computer databases. Even in hospitals, from MARs to TARs, to patient records, discharge plans, care plans, etc. all are being automated and stored in computers. Hospitals everywhere and even other companies have a motto of going “paperless” in the future. It will be obvious to any effective and competent nurse leader that learning informatics is a necessity (Salsali, 2010).


There was a study done in Ireland to find out leadership development needs. The study is done on nurses’ and midwives back in 2009 using a random sample of over 2000 all across different departments and divisions.Nursing as a Vital Component of Health Delivery System Essay.  The purpose of the study is to describe the clinical leadership of these nurses. The leadership needs was measured using a questionnaire called CLAN-Q or Clinical Leadership Analysis of Need Questionnaire that was developed by the people conducting the research. According to CLAN-Q results, there are five main areas of clinical development needs for a leader and they are as follows:

Managing the clinical area

Managing patient care

Developing oneself as an individual

Developing the profession

Skills for clinical leadership

Obviously, a nurse leader needs to learn how to manage the clinical area. This can involve coordinating care and identifying care priorities. Being a patient advocate and protecting their privacy falls down to managing patient care. A nurse leader should also be aware of his/her limits by knowing his/her own strength and weaknesses developing into a better individual. Participating in professional gatherings or seminars relating to one’s own profession can also further develop it. Lastly, empowering others and learning how to adapt to changes are necessary skills for a leader (Casey, 2012).

I believe including the above five areas in manager and leadership development programs will prepare them better in becoming good managers and leaders.


Being a manager or a leader is not an easy task. Not only there are so many things a manager or leader should learn, but also there are a lot that they have to teach others. There are types of leaders that can be good in one department but not so much on others. There are also errors or mistakes a leader can make. But no matter what kind of leader or manager a person is, learning from past mistakes and pursuing for improvement are qualities not only ideal for leaders and managers, but also to an individual. Nursing as a Vital Component of Health Delivery System Essay.