Organizational Analysis


The rapid revolution in technology world-over in recent decades, hasbrought with it an explosion of knowledge as well as an upsurge andcomplexities in healthcare demands, which in turn have contested thefamiliarity, technical aptitude, interpersonal expertise andcommitment of nurses. It is worth noting that modern dayorganizations have transformed majorly, such as in health facilitieswhere nurses have role in almost every level of the healthcarestructure although varied. This means that they are always inconstant contact with people, be it their patients or colleagues.Dealing with such vitality and level of obligation necessitatesnurses be knowledgeable and skillful in respect to management. It isobvious that leadership is becoming increasingly important to gettingduties done via people, thus essential for nurses to organize theirrespective professional performance. For an organization to functioneffectively, it has to have a hierarchy that comprises of managementfunctions, departments with staff and leaders among them to steerprocesses and policies in their respective stations. This paper willanalyze the nurse’s leader behavior and credentials with regard tomanaging, leading and communication in context of a college with 5practitioners.

Nurse leadership and management prove essential to informing thestrategic bearing of any health system as it plays a big role indriving the needed modifications within an organization. Nursingleaders and managers are stationed at every level of the healthcarestructure, from clinicians in wards to those who hold government orexecutive spots with regard to respective healthcare organizations.They are conversant with the patient-centered attitude ofcare-giving, as well as having an intricate understanding of themultifaceted tasks facing their occupation, not forgetting a robustknowledge-base as concerns the extensive health system. It isworthwhile noting that management and leadership are two separateconceptions, despite overlapping in practice. Generally, managementis primarily apprehensive of operational facets of scheduling,organizing and observing service conveyance in the sector. Incomparison, leadership is essentially concerned with crafting along-term strategic plan that inspires people to work towards change.

Nurse Manager

Management can trace its existence as far back as since human beingswere organized into communities. Fundamentally, managers are enrolledto guide organizations towards achieving their established goal[ CITATION Rou11 l 1033 ].All organizations arguably have a drive or objective that leads theiractivities and mangers are tasked with the obligation of exploitingavailable resources to ensure set targets are achieved. Managersattempt to: (1) inspire individual action towards organizationalgoals whilst discouraging that which can hinder this drive (2)ensuring set goals are clearly defined and changed appropriately.

Traditionally nurse managers are classified by level in thestructural hierarchy Top level like board of directors Middle levelincluding directors, and department heads and First line orregulatory management that include head nurses, and overall staffs.Irrespective of their level, all managers possess a number of similartraits they are: Legally selected into office responsible fordirecting and facilitating others in charge of respective resourcesand answerable to their respective superiors. They can however bedifferentiated by their use of definite skills such as: technicalhuman relations and conceptual.

The nurse at the college is tasked with the duty of assessing careneeds of students at the institution and subsequently establishingworking strategies to achieve them. There are four nurses under thehead nurse who are entitled to administer first aid, collaborate withother stakeholders, coordinate screenings, develop plans, maintainrecords, and follow-ups. To acquire this position, they have to bequalified in terms of: skills such as performing multiple andtechnical tasks knowledgeable on medical terms and techniques asholders of a diploma or degree in the field and have the ability towork under stressful conditions under minimum supervision. They areexposed to various medical books and journals at the medical facilityand attend various forums and conferences relevant to their field forcareer development.

Nurse Leader

Leadership,as reiterated earlier involves crafting a long-term strategic planthat is aimed at bringing efficiency through organizational changesand alterations[ CITATION Dal04 l 1033 ].It may be implementedin five independent styles: Laissez-faireTransformationalDemocratic Authoritarianor Autocratic and Servant Leadership. Servant Leadership isperhaps the most popular of the lot that has gained strength over theyears and essentially involves leaders who inspire and motivate theirpeers or subjects through personal relationships and focusing ondeveloping their member’s skills at an individual level. Theyensure that the needs of their members are taken into perspective. Inthis style, the whole team plays a significant role indecision-making with respect to organizational ethics and ideals.Their characteristics include: Listening Awareness AcceptanceCommitment to the growth of members Persuasion and Foresight

Similarly,Transformational Leadership ispegged on relationships and motivation of members focused on a mutualvision and goal. Typically these leaders’ possess a charm tocommunicate, confidence to act in a manner that enthuses others andare good at assisting people face their limitations throughencouragement and tribute. A DemocraticLeader on the other handemboldens open communication and involvement in decision-making.Nurses are expected to be responsible, accountable, and concernedabout their respective performance. Authoritarianor Autocratic Leadership isembodied in a leader who solely makes all verdicts without involvingtheir staff. They often make use of negative reinforcement andpenalties to enforce their way towards set goals Authoritarianleaders are in most case micro-managers. On the contrary,Laissez-faire Leadershipinvolves little or noinvolvement in decisions by the leader who favors a hands-offmethodology.

Thehealth facility has one overhead nurse leader who overseessubordinate nurse’s activities. Essentially, she usestransformative leadership style to govern the facility. This adds aless stressful working environment as she uses her charm to lightenup a rather tense and serious environment. This is a good andeffective attribute since both her staff and patients feelcomfortable and appreciated whenever she is around. She has beenknown to engage a collaborative approach in times of crisis andconflicts thus ensuring everything runs smoothly.


Responsible nursing neither involves effectively working around asequence of routine processes nor treating patients virtuously on acorporal level but is rather, a holistic progression of taking intodeliberation psychological, environmental, socio-cultural, andpolitico-economic aspects of an illness and its subsequent remedy[ CITATION Web11 l 1033 ].From a communication standpoint, there are a number of functions,stipulated by the NMC (Nursing Code of Practice): passing informationin a manner that they ate able to comprehend and need to knowrespecting confidentiality precise record keeping and underpin theimportance of effective communication skills in the toolkit of ananswerable nurse and thus an vital part of the field. The consequenceof effective communication include: amplified recovery levels senseof security and safety enhanced intensities of patientgratification and better observance of treatment options.

Similarly, communication with fellow professionals (peercommunication) in the healthcare sector necessitates a level ofproficiency when employing medical terminology. This includes:paralinguistic features of dialog such as nonverbal cues activelistening abilities Voice management such as precise pronunciationand Cultural awareness.

Nurses at the facility utilize both professional and informalcommunication at the facility depending with the situation at hand.It is difficult to discern the boss and lower level nurses in aninformal setting since they are all free with each other. Beyondtheir professional relationship, the five practitioners are friends,which not only improve provision of services but also make them moreefficient as a result of improved collaboration. The top level nurseis always available to her subordinates ensuring there is propercommunication between them. Despite having a healthy relationshipbetween them, the nurses should ensure they remain professional intheir work to prevent recklessness and subsequent inefficiencies.


It has been identified that leadership goes beyond just overseeingdaily operations, as is the perception of many people, andincorporates factors such as inter-personal interaction that callsfor effective communication, management and leadership that have beendiscussed. Further, there are a number of similarities anddifferences between nurse managers and leaders in terms of roles andtheir characteristics that have been identified. As a medicalpractitioner, these functions are essential in efficiency in thesector as well as proper service delivery.


Daly, J., Speedy, S., &amp Jackson, D. (2004). Nursing Leadership. Elsevier Health Sciences.

Roussel, L. (2011). Management and Leadership for Nurse Administrators. Jones &amp Bartlett Publishers.

Webb, L. (2011). Nursing: Communication Skills in Practice. OUP Oxford.