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Capella University Leadership Styles in Nursing Case Study Discussion

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  • Read a short, one-page case study scenario and identify three leadership styles that could be applied in that scenario. Then, write an analysis of those leadership styles, 3-5 pages in length, addressing their application to this scenario.Introduction
    Health care is a field that encourages, and typically mandates, continued professional education. Regardless of the health care setting, nurses who are in, or who are pursuing, leadership positions are challenged with staying up-to-date on current leadership principles, styles, and knowledge. The knowledge, skills, and judgment required in a leadership role are crucial to patient safety and positive outcomes.Leadership and management are closely integrated roles, yet there are those who are in leadership roles who are not good managers and vice versa. In order to be successful, the two roles must be closely integrated, as both sound management and leadership skills are essential in today’s health care organizations (Marquis & Huston, 2014).Nurse leaders are tasked with unexpected challenges and must be ready to effectively lead a team—even during uncomfortable times. Unexpected challenges may encompass a variety of circumstances, and regardless of the situation or issue, leaders are expected to lead the health care team in creating a safe workplace and optimal patient outcomes.This assessment provides an opportunity for you to analyze various leadership styles and their application in a particular situation.Note: Complete Assessments 1 and 2 before beginning Assessment 3.Reference
    Marquis, B. L., & Huston, C. J. (2014). Leadership roles and management functions in nursing: Theory and application (8th ed.). Lippincott, Williams & Wilkins.Preparation
    Nurses use multiple leadership styles to effectively manage the health care team. When assessing an appropriate leadership style, one must take into consideration personal style, key stakeholders, the practice environment, and professional or personal biases. With this in mind, research three leadership styles that could be applied to Sleeping on the Job: A Managerial Challenge Case Study Scenario, linked in the Required Resources. Focus your research on the scholarly and professional literature that can be found in the Capella library or on the Internet.Note: Remember that you can submit all, or a portion, of your draft analysis to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.Read Sleeping on the Job: Sleeping on the Job: A Managerial Challenge Case Study Scenario [DOCX]. Then consider the following questions pertaining to this scenario:

    • What are the facts of this case that make this issue worth exploring?
    • What is the nature of the organizational behavior problem identified in the scenario?
    • Who are the key stakeholders?
    • How could this problem affect patient care, safety, or quality?
    • What are the possible approaches and solutions for this issue? 
      • What challenges might you encounter in implementing the potential solutions you have identified?
    • If you were the leader in this situation, how would your actions compare to the supervisor who managed this issue?
    • Instructions
      Analyze the application of your three selected leadership styles to the Sleeping on the Job: A Managerial Challenge scenario.Supporting Evidence
      Cite at least three sources of credible scholarly or professional evidence to support your analysis.Leadership Styles Analysis
      Note: The requirements outlined below correspond to the grading criteria in the Leadership Styles Application Scoring Guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the scoring guide to better understand how each criterion will be assessed.
    • Describe the major tenets of the three leadership styles that you have identified as applicable in this situation. 
      • Your description of each style should be brief, about 3–5 sentences in length.
    • Explain why these leadership styles would be effective in this situation.
    • Identify one positive and one negative implication of applying each leadership style to this situation.
    • Write clearly and concisely, using correct grammar and mechanics. 
      • Express your main points and conclusions coherently.
      • Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.
    • Support your main points, claims, and conclusions with credible scholarly or professional evidence, correctly formatting citations and references using current APA style.
    • Additional Requirements
      Format your document using APA style.
    • Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your document. Be sure to include: 
      • A title page and reference page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
    • Your document should be 3–5 pages in length, not including the title page and references page.
    • Competencies Measured
      By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
    • Competency 1: Evaluate theories and practices of leadership and management for professional nursing practice. 
      • Describe the major tenets of leadership styles applicable in a particular situation.
      • Explain why particular leadership styles would be effective in a given situation.
    • Competency 3: Analyze the impact of health care policy, legal and regulatory, and quality control on health care delivery and patient outcomes. 
      • Identify positive and negative implications of applying particular leadership styles in a given situation.
    • Competency 4: Communicate effectively across disciplines, demonstrating respect for self and others. 

Here’s the case study

Sleeping on the Job: A Managerial Challenge

Marty is an African American nurse who has worked in a major university hospital for over six years, evaluating patients’ rehabilitation needs. She used to have an autonomous job making patient visits in area city hospitals; however, two years ago her role in the hospital changed, and she is now working Monday through Friday in an office. Three years ago Marty’s mother was diagnosed with dementia and is now dependent in every aspect of care. In view of the fact that the health of both of Marty’s parents has been declining, she decided to move them into a spare room in her home. She has hired caregivers to manage her parents’ needs during the work day, but has no additional help or relief after work hours or on weekends.

Marty’s officemates and supervisor have noticed that for well over a year now she has been coming into work late and leaving early every day. While she is “working” at her desk, her coworkers see she her sleeping and hear her snoring loudly multiple times daily. On multiple occasions the other nurses in the office have tried to speak with Marty to let her know that she is sleeping and that they are concerned for her health. She states that she had a sleep study done in the past, and was diagnosed with sleep apnea, and has a CPAP machine but does not like to use it. “It makes too much noise,” she says. A couple of the nurses in the office gossip behind Marty’s back, stating that they are tired of picking up the slack and doing her job while she is getting paid not to work.

The nurses perceive that Marty is lazy and taking advantage of her personal situation as her mother’s caregiver. “We all have a life, kids, family, and other obligations, and I am here doing my job!” they complain. In addition to sleeping at work, Marty’s supervisor has had multiple complaints from the hospital case managers asking for another nurse to assist them with discharges and patient placements, due to her lack of performance and communication.

There are other performance issues, as Marty calls in sick often, with one sick call lasting a week or more. Even though the hospital policy allows for three paid days, when her sister passed away, she took off three weeks for bereavement. To make matters worse, when she returned to work she did not even thank her coworkers for covering her assignment. Six months after her sister passed away, Marty went on disability for over 12 weeks for complaints of back pain, only to return to work wearing high heels.

Marty’s supervisor has been made aware multiple times that this negative behavior has created a hostile work environment but has not acted on complaints, as she understood that Marty had applied for available benefits as outlined in the Family Medical Leave Act.

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