Self-Assessment of Leadership, Collaboration, and Ethics

Western Medical Enterprises Applicant Questionnaire

Directions: Please respond to the two sections below. The expectation is that each response is 1–2 pages in length (not including the information already present in this document which is approximately one page). You are expected to support your assertions, ideas, or opinions with at least two scholarly or professional resources where appropriate using current APA style and formatting.

Section 1: Leadership and Collaboration Experience

Briefly describe an instance where you were required to lead and motivate a team of professionals to collaborate. It does not need to be in a healthcare setting. If you have not led a team of professionals before, use a different example.

Next, analyze your approach to the challenge using specific examples. It is not important whether or not your efforts were successful. What is important is the approach you take to appraising your leadership and collaboration decisions and actions. Do the following:

  1. Analyze your leadership of the project. Consider the following:
    • What was the purpose or shared vision of the team?
    • The effectiveness of your leadership approach and style. Did you get “buy-in” from stakeholders?
    • Decision-making processes and outcomes? What were your good decisions? What would you have done differently?
    • How did you communicate your vision, values, decisions, information, et cetera?
  2. Analyze your approach to fostering collaboration and motivation among stakeholders. Consider:
    • How well you facilitated member or participant collaboration and engagement with one another? Did participants communicate effectively?
    • Actions you took to motivate people to realize your vision or tactics. Did the team or participants feel motivated and energized by you? Why or why not?

My instance leading a team of healthcare professionals involved care for a patient who had been admitted with a diagnosis of complicated diabetes mellitus. The patient, who lives alone in a rural environment, had developed foot ulcers as a result of uncontrolled diabetes. I was assigned this patient by the unit nurse manager, who mandated me with coordinating every aspect of care for this elderly patient (Anderson & Hewner, 2021). Therefore, I started planning for this patient’s care by organizing a team of healthcare professionals and relevant stakeholders. I included the physician, nutritionist, surgeon, counseling psychologist, and social worker in his care team. Even though this team didn’t meet at one particular time, I ensured that it worked together to meet the patient care needs in the short and long term.

This team’s shared goal was for Mrs. X to improve clinically and holistically. This team also aimed at improving the survival of Mrs. X outside the hospital in the community. The last goal was that Mrs. X spend the minimum time possible. Therefore, each team member could directly or indirectly contribute to these goals. My leadership approach was collaborative and required communicating and discussing patient care with all care stakeholders, including family caregivers. I think the team members bought this style because I achieved adequate cooperation from them and the patient subjectively reported good satisfaction.

My care decisions involved bringing in team stakeholders at different times during the care of the patient. I think that this delayed patient recovery and increased hospital stay. The decision to include a physician in the patient’s care team was made late because this patient’s diabetic wound seemed more like a surgical problem than a medical problem. However, it was later realized that the patient’s regimen was ineffective and required changing. Therefore, the physician prescribed a new regimen for the patient that improved glycemic control in the next week. Surgical management focused more on wound management and debridement in the ward but maintained the patient’s medical regimen.

My communication of goals and vision of the team was made individually to the new team members as they were recruited. I updated each team member on the patient’s care progress and pertinent information during the first physical meeting. This was my first experience with patient care coordination and I am delighted it worked successfully. Follow-up communications on patient care progress were made during phone consultations with each healthcare professional. When collaboration was needed, I could schedule both professionals to meet at the patient’s bedside for review and shared decision-making about new care plans and goals.

My approach to fostering collaboration was based on early planning because team members had different schedules that could not allow them to collaborate efficiently at a common time. This was the chief concern with my approach to collaboration. Therefore, I used their individual goals and timelines to schedule common meetings at the bedside if there was a need. Some members could only collaborate via phone calls, and surprisingly this was more efficient and successful. Timely communication and hearing overall team goals and plans seemed to motivate team members to adjust their interventions and goals to meet the common goal.

Section 2: Ethics Experience

Briefly describe an ethical dilemma that demonstrates your application of ethical principles in the health care setting. Next, analyze your response or actions (even if there were none) to the event against one of the reference points below. Were your inactions or choices supported by the chosen framework? Be specific and include two references citing one or more of the following.

  • Any workplace code of ethics (consider choosing one from a place you work or have worked).
  • The professional code of ethics for your profession.

AND one of the following:

This patient desired radical management of her diabetic foot and ulcers but the surgeon advised against it and preferred a conservative approach using debridement, wound care, and hypoglycemic agents. The patient reasoned that her leg might end up dead anyway and it would be God’s will if so happens. Therefore, she opted for amputation, which led to an ethical dilemma pitting the surgeon, physician, nurse (me), and family caregiver. In this situation, applying the Code of Ethics for Nurses by the American Nurses Association. This code of ethics had provisions with interpretive statements that guided my coordination of care. Even though the third provision of this code of ethics requires that the nurse’s primary commitment be to the patient, amputation would be a less safe strategy to improve the outcomes as the care team agreed. Therefore, I consulted a counseling psychologist who improved the patient’s perception of her condition and the best evidence-based outcomes. The eighth provision of the code requires that the nurse collaborates with other healthcare professionals to improve care outcomes (Brown & Finnell, 2015). This is the provision that helped in solving the ethical challenge in this patient’s case. The American College of Healthcare Executives codes requires that healthcare professionals should work to implement a process that would solve conflicts when patient interests differ from those of the healthcare professionals (American College of Healthcare Executives, 2022). My actions were supported by this framework.

References

American College of Healthcare Executives. (2022, December 5). Code of Ethics. Ache.org. https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics

Anderson, A., & Hewner, S. (2021). Care coordination: A concept analysis. The American Journal of Nursing121(12), 30–38. https://doi.org/10.1097/01.NAJ.0000803188.10432.e1

Brown, C. S., & Finnell, D. S. (2015). Provisions of the Code of Ethics for nurses: Interpretive statements for transplant nurses. Nephrology Nursing Journal: Journal of the American Nephrology Nurses’ Association, 42(1), 37–43; quiz 44. https://www.ncbi.nlm.nih.gov/pubmed/26290916

Need the best writers to help you with your nursing assignments? Worry no more, At online nursing paper writers we offer the best writing services with affordable prices. Contact us today for the best deals!