Assessment task
Case scenario and analysis
Weighting
40%
Word Count
2,000 words
Task Instructions
Read the following case scenario and examine the leadership style
exercised by the Nurse Unit Manager (NUM) and the Student Nurse. The
focus should be on identifying ineffective leadership styles within the case
and proposing alternative leadership styles (with support and critique of
evidence-based theory). You are also required to examine the use of
power in leadership within the case and discuss the importance of
empowering members of the healthcare team
Remember that the focus of this analysis is on leadership and not on the
nuances of clinical practice.
Case scenario
A third-year nursing student who was on ward placement in a large
teaching hospital approached a Nurse Unit Manager (NUM) who had 5
years’ managerial experience with the purpose of promoting an evidence-
ased intervention to enhance patient care and reduce costs. The student
had been on the placement for 10 weeks and felt like an established
member of the team. The proposed intervention was to change cu
ent
practice, whereby peripheral cannulas were removed and replaced every
96 hours, and align practice with the findings of a Cochrane review, which
stated that peripheral cannulas should be removed only when clinically
indicated. Such an intervention would reduce costs and improve the
patient experience. After hearing an explanation of the intervention, the
NUM was dismissive, stating that care was delivered in a certain way and
that this would not change. The case study takes place within the context
of a busy practice environment in which patients are typically older and
dependent, where the NUM is frequently absent because they bear extra
managerial responsibility as a result of another ward manager being
signed off on long-term leave. Staff satisfaction on the ward is low.
Relevance
Good leadership is essential to patient-centred care and staff satisfaction
in the healthcare environment. All members of the healthcare team can be
leaders and evidence-based theory should inform their leadership
practice.
Learning Outcomes
1,2,3,4
Marking Instructions
Please refer to the marking ru
ic to guide your preparation of this
assessment item.
Beginning your criticalanalysis–
Session 2.
Donna Diffley
30/03/2022
Drop in session
We will continue to work on the critical analysis
---identifying power within the case scenario
Layout (guide)
Introduction
•Leadership styles identified in the case and proposed leadership styles
XXXXXXXXXXleadership style demonstrated by the student nurse
XXXXXXXXXXIneffective leadership styles demonstrated by the NUM
(identify2)
XXXXXXXXXXProposed effective leadership styles for the NUM (Propose 2)
•Powe
•Empowerment
•Conclusion
•References
Size 12 font, double spacing, page numbers, student details
&assessment details (footer)
Applying to practice (lets look at our case study)
Traditional
Autocratic (authoritarian)
Democratic (participative)
Laissez-faire (permissive)
Leadership styles
Contemporary
Transactional
Transformational
Dispersed
Visionary
Authentic leadership
Servant
Case scenario
A third-year nursing student who was on ward placement in a large
teaching hospital approached aNurse Unit Manager (NUM) who had 5
years’ managerial experience with the purpose of promotingan evidence-
ased intervention to enhance patient care and reduce costs. The student
had been onthe placement for 10 weeks and felt like an established
member of the team. The proposedintervention was to change cu
ent
practice, whereby peripheral cannulas were removed andreplaced every
96 hours, and align practice with the findings of a Cochrane review, which
stated thatperipheral cannulas should be removed only when clinically
indicated. Such an intervention wouldreduce costs and improve the
patient experience. After hearing an explanation of the intervention,the
charge nurse was dismissive, stating that care was delivered in a certain
way and that this wouldnot change. The case study takes place within the
context of a busy practice environment in whichpatients are typically olde
and dependent, where the NUM is frequently absent because they
earextra managerial responsibility as a result of another ward manage
eing signed off on long-termleave. Staff satisfaction on the ward is low.
Introduction
In the introduction you will have some opening sentences to draw the
interest of the reader to the topic-----in this instance----leadership,
styles, power, empowerment (references these). Next you will inform the
eader what the pape
assignment/critical analysis---aims to
achieve/address……. (you can use the task to help you).
leadershipstyles within the case scenario and proposed leadership styles
Within each section it is important to draw reference to the case and
support such reference to the case with the evidence basedtheory fo
example……
Within the case scenario it is evident that the Nurse Unit manager (NUM)
demonstrates an ……….leadership style. . ………. leadershipis described by
Reference, XXXXXXXXXXas………………………….. When the NUM is …..…………
he/she.hasdemonstrated----------------- XXXXXXXXXXWhilst ……
leadership style is effective in certain circumstances, studieshave
shown……………..(Azaare& Gross, XXXXXXXXXXFrom the case study morale on
the ward is said to be low. Further highlighting the ……….nature of
leadership demonstrated (reference).
Here you will see I havedrawn reference to the case with support of the
evidence based theory
Unfinished example of section 1
What is power????
It is useful to examine the use of power as displayed in theclinical
scenario as power and leadership are closelyrelated.
Power is defined as the ability to influence someone(Nelson and
Quick, 2007), and is used frequently in thepursuit
oforganisationalgoals (Lunenburg, 2012).
A seminal study by French and Raven XXXXXXXXXXidentified fivesources of
power that can be used or abused withinorganisations, including
legitimate, reward, coercive,expert and referent powers.
What type of power can you see being used
The case study scenario suggests that the charge nurse used
legitimate power, in thathe was in a position of authority. However,
coercive power was also usedillegitimately—this power is defined as
a person’s ability to influence a person’sbehaviourthrough
punishment or threatened punishment (French and Raven,
1959).Although the case study made no reference to punishment,
the immediate dismissalof the nursing student’s proposed
intervention did result in a type of punishment,namely that the
student was disempowered to propose further changes to care.
Yukl(2012) asserted that coercive power should be used cautiously,
as it can result innegative outcomes, which is evidenced in the case
study.Manojlovich(2007) statedthat the disempowered nurse
ineffective and less able to provide outstanding patientcare,
highlighting the importance of empowering staff nurses because they
usuallywork in closest proximity to patients, and thus may have the
most meaningfulinsights into how patient care can be enhanced.
Beginning you critical analysis –
Session 1.
Donna Diffley
18/03/2022
Drop in session
this session we will look at the practice quiz
will begin to work on our critical analysis
Practice quiz—lets have a look
Friendly reminder--- quiz is now open and will open until the 27th March
The quiz is located in the assessment section
is worth 10% of total mark and relates to module 1
questions in 20 mins
Assessment task: Critical analysis
First let us refresh on our leadership style as this will be addressed today
What are they?---
5
Leadership styles
Applying to practice (lets look at our case study)
Traditional
Autocratic (authoritarian)
Democratic (participative)
Laissez-faire (permissive)
6
Discussion cont.
Contemporary
Transactional
Transformational
Dispersed
Visionary
Authentic leadership
Servant
7
Identify the leadership styles evident in the case scenario.
Identify the leadership style/styles demonstrated by the student nurse
Identify the leadership styles demonstrated by the NUM
Consider the effectiveness of the style demonstrated by the NUM
Propose alternatives leadership styles in this scenario?
Case scenario
A third-year nursing student who was on ward placement in a large teaching hospital
approached aNurse Unit Manager (NUM) who had 5 years’ managerial experience with the
purpose of promotingan evidence-based intervention to enhance patient care and reduce
costs. The student had been onthe placement for 10 weeks and felt like an established
member of the team. The proposedintervention was to change cu
ent practice, whereby
peripheral cannulas were removed andreplaced every 96 hours, and align practice with the
findings of a Cochrane review, which stated thatperipheral cannulas should be removed only
when clinically indicated. Such an intervention wouldreduce costs and improve the patient
experience. After hearing an explanation of the intervention,the charge nurse was dismissive,
stating that care was delivered in a certain way and that this wouldnot change. The case study
takes place within the context of a busy practice environment in whichpatients are typically
older and dependent, where the NUM is frequently absent because they bearextra managerial
esponsibility as a result of another ward manager being signed off on long-termleave. Staff
satisfaction on the ward is low.
9
Open a word document now.
Lets start ---today we will format our document, draft an introduction and the first section
Begin writing
Introduction
Leadership styles identified in the case and proposed leadership styles
-------leadership style demonstrated by the student nurse
-------ineffective leadership styles demonstrated by the NUM (2)
-------Proposed effective leadership styles for the NUM (2)
Powe
Empowerment
Conclusion
References
Layout
Introduction
In the introduction you will have some opening sentences to draw the interest of the reader to
the topic -----in this instance ----leadership, styles, power, empowerment (references these).
Next you will inform the reader what the pape
assignment/ critical analysis --- aims to
achieve/address……. (you can use the task to help you).
leadership styles within the case scenario and proposed leadership styles
Within each section it is important to draw reference to the case and support such reference to
the case with the evidence based theory for example……
Within the case scenario it is evident that the Nurse Unit manager (NUM) demonstrates an
……….leadership style. . ………. leadership is described by Reference, XXXXXXXXXXas
………………………….. When the NUM is …..…………he/she.has demonstrated-----------------
XXXXXXXXXXWhilst …… leadership style is effective in certain circumstances, studies have
shown……………..(Azaare & Gross, XXXXXXXXXXFrom the case study morale on the ward is said to
e low. Further highlighting the ……….nature of leadership demonstrated (reference).
Here you will see I have drawn reference to the case with support of the evidence based
theory
Unfinished example of section 1