The staff nurse where I am currently having my clinical duty at Ilocos Training Regional Medical Center works well with the system existing at the surgical ward; despite existing problems involving the health care team which is undeniably stressful yet challenging. For a few days I have observed that it is not easy if I would imagine that there is no system because being a nurse is not focusing on how to be called as such but being entailed in a responsibility that deals with life situation and how to attack problems.
Of the seven theories of management, the nurse concerned utilizes one of the contemporary theories of management which is the contingency theory. Contingency theory asserts that when managers make a decision, they must take into account all aspects of current situation and act on those aspects that are keys to the situation at hand. This is the approach called, “it depends”.
The contingency theory is very much evident to the hospital setting that I am having my clinical duty because of the fact that acting out on problems “depend on the situation.” In a hospital wherein scarcity of resources is a health economic problem, there is a felt need to innovate ideas to deliver effectively patient responsibility.
This theory works well to us student nurses because it is evident that despite the existence of job rotation wherein one can shift from a previously assigned task to another, an autocratic style (contingency theory) exists. This is evidenced during assigning of patients and carrying out physician’s orders. This is also evidenced in endorsing laboratory requisitions and other diagnostic requisitions. Although already used to or a standard operating procedure, in obtaining consent for surgery, autocratic style still exists at a lighter phase because it is still being followed-up by the nurse concerned even when students are supervised already by clinical instructors.
In one of my readings about contingency theory, it says that “If one is leading a hospital, a more participative and facilitative leadership style is probably best.” I find this is true because the staff nurse does not sit when there are students around, she sees to it that she still does her functions and participates well in charting. Further, she asks questions and directs students if she or he made the appropriate decision in carrying out orders and nursing interventions. It is quite intimidating at some pointy, but the way the staff asks question becomes a negative motivation to students. Hence, they are forced to use critical thinking in their decision-making.
In addition, the staff encourages participative and facilitative leadership style because she calls for students to observe and listen when a certain procedure is being demonstrated. She also encourages the students to join trainings like Intravenous infusion.
Of the seven theories of management, the nurse concerned utilizes one of the contemporary theories of management which is the contingency theory. Contingency theory asserts that when managers make a decision, they must take into account all aspects of current situation and act on those aspects that are keys to the situation at hand. This is the approach called, “it depends”.
The contingency theory is very much evident to the hospital setting that I am having my clinical duty because of the fact that acting out on problems “depend on the situation.” In a hospital wherein scarcity of resources is a health economic problem, there is a felt need to innovate ideas to deliver effectively patient responsibility.
This theory works well to us student nurses because it is evident that despite the existence of job rotation wherein one can shift from a previously assigned task to another, an autocratic style (contingency theory) exists. This is evidenced during assigning of patients and carrying out physician’s orders. This is also evidenced in endorsing laboratory requisitions and other diagnostic requisitions. Although already used to or a standard operating procedure, in obtaining consent for surgery, autocratic style still exists at a lighter phase because it is still being followed-up by the nurse concerned even when students are supervised already by clinical instructors.
In one of my readings about contingency theory, it says that “If one is leading a hospital, a more participative and facilitative leadership style is probably best.” I find this is true because the staff nurse does not sit when there are students around, she sees to it that she still does her functions and participates well in charting. Further, she asks questions and directs students if she or he made the appropriate decision in carrying out orders and nursing interventions. It is quite intimidating at some pointy, but the way the staff asks question becomes a negative motivation to students. Hence, they are forced to use critical thinking in their decision-making.
In addition, the staff encourages participative and facilitative leadership style because she calls for students to observe and listen when a certain procedure is being demonstrated. She also encourages the students to join trainings like Intravenous infusion.
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