Great Nurse = Great Leader???

Often times it seems that the unprepared are thrust into leadership roles without any preparation. Have you ever seen this happen in your workplace? Is it seen as a problem or "just the way it is?" What can be done as a remedy to the problem? Do nurses even view that a problem exists? Let me share what I have seen as a problem over the years and offer some encouragement to those that might want to effect solutions. Nurses General Nursing Article

  1. Nurses are routinely in leadership positions without preparation or training

    • 38
      Agree
    • 6
      Somewhat Agree
    • 0
      Neither Agree or Disagree
    • 0
      Somewhat Disagree
    • 1
      Disagree

22 members have participated

How many times have you experienced the ramifications of this perceived axiom? The nursing profession is replete with casualties of this faulty premise. An excellent nurse/clinician is thrust into leadership with the rationale that "you are such a great nurse you'll be a great leader!"

They are then thrust into the arena with little or no preparation, training, or support. When the ill-prepared house of cards falls there is utter dismay because it fell and the "great nurse" may even lose that title as well. The whispering "maybe so and so wasn't such a good nurse after all" fills the atmosphere of the organization. The search for another "great nurse" begins as the cycle continues to wreak havoc on work teams and projects.

Contrary to what most people seem to believe, leadership skills are taught more than they are caught. Like most skills, there is careful study, intentional preparation, and practical application involved in the development of a leader. Let's take a look at these three ideas and how they can help to develop leadership skills.

For me, personally speaking, you cannot go wrong by employing Biblical principles to anything in life that you are doing. Having said that, just a couple of principles come to mind:

1) The Golden Rule:

Treat people as you would like to be treated (Luke 6:31).

This is a great place to start no matter where you are or what you are doing. An excellent foundation for interaction with all humans no matter when, where or in what context is wrapped up in this principle.

2) The Servant Leader:

"If anyone desires to be first, he shall be last of all and servant of all." (Mark 9:35).

So much could be said about this principle! History is filled with examples of "Servant Leaders." Gerard Thom (c. 1040-1120), the founder of the Hospitallers, male nurse, the servant leader is one such example. Others include; James Derham (c. 1757-1802), the first African-American to practice medicine in the US. He bought his freedom working as a nurse! Study leadership and study leaders, both good and bad.

Intentional preparation is linked to a careful study by self-reflection: what you hope to accomplish as you serve others. Set aside time to prepare for your leadership development and be intentional.

A great friend and mentor to me over the years has been Dr. George Manning, psychology professor and author of, The Art of Leadership (ISBN-13: 978-0078029080). I highly recommend this text for anyone with leadership aspirations. A character study of good leaders that are around you or leaders that you have had is an excellent source of intentional preparation too. Remember that there are lessons to be learned from bad leaders too. Learn from their mistakes, even if they are sure that they have never made any. I have been influenced by and learned much from several excellent leaders over the past 30 years, but I have also seen many fail and fall hard because of the application of the premise that titles this article. Much is learned from these leaders as well.

Practical application is simply putting into practice the things that you are studying, learning and teaching about leadership as you go. No matter where you are in life you are leading others in some way or another. The issue is: are you doing it intentionally because of your study and practice of leadership or is it unintentional, just because you are a great nurse?

Nursing leaders

I have personally seen this "great nurse =great leader" model many times over the years and it is a sad disservice to unprepared leaders being developed by unprepared leaders. Years ago, a great nurse friend of mine was hired by our company as a flight nurse. She was an "excellent" critical care nurse. Before she could get her bearings as a flight nurse and how that all worked, she was put in charge as the base supervisor; the leader of seven highly autonomous clinicians that were experienced in critical care flight operations. It was an extremely difficult time for her because no one prepared her for the leadership aspects of her non-clinical duties. With some mentoring and coaching by several seasoned veterans and a willingness to learn and study leadership she weathered the storm and became successful, but there were times when she was almost written off as a nurse failure. This phenomenon happens way too often in healthcare in general and nursing in particular. We need to break this pattern. Intentional action is required.

Finally, let me encourage the new and the old, the novice and the expert: Lead right where you are! People are looking for leadership everywhere. Remember to serve others and you will lead others. It is also extremely helpful to be a good follower, but that is another article for another day. What has your experience shown you in these matters? Please feel free to share your personal insights with others; ask questions, share knowledge! Nurse on!

Gee, what a surprise -- yet another "article" by an OP who says in the article that s/he is encouraging others to share their views and ideas on the topic, but then, when s/he gets any responses that differ from her/his opinion, lashes out at anyone who dares to have a different perspective or not share her/his enthusiasm for ancient religious writings as a legitimate academic/scientific reference. (Helpful tip for OP: Getting nasty with people who don't happen to share your religious beliefs is not a great advertisement for Christianity.)

I never thought I'd say this, but I'm starting to have some grudging respect for the people who post here who state right up front that they don't want any responses that criticize or disagree with them ... At least they're honest ... :)

My post was ONLY to disagree that the bible is remotely a source of scientific knowledge. It is clearly not in my opinion. I celebrate and welcome other's beliefs as long as they do not impose on other's right to respectfully disagree. OP, lighten up, I'm not here to convince you of anything. PS- using the bible to prove the bible is accurate is not the best way to prove your point.

Specializes in Nursing Professional Development.
Gee, what a surprise -- yet another "article" by an OP who says in the article that s/he is encouraging others to share their views and ideas on the topic, but then, when s/he gets any responses that differ from her/his opinion, lashes out at anyone who dares to have a different perspective or not share her/his enthusiasm for ancient religious writings as a legitimate academic/scientific reference. (Helpful tip for OP: Getting nasty with people who don't happen to share your religious beliefs is not a great advertisement for Christianity.)

I never thought I'd say this, but I'm starting to have some grudging respect for the people who post here who state right up front that they don't want any responses that criticize or disagree with them ... At least they're honest ... :)

I thought this post was so good that it needed repeating.

Loved it!

I think a stipulation regarding what leadership is would be important here. Leadership isn't just for the outgoing, but can be rather "silent." Generally some of the best leaders are those who are quiet professionals doing there job really well and being a good example for others. They aren't leading from the top down or from the back of the back, they're leading out in the front lines, doing what they profess, rather than sending out orders. So much of nursing is just that, because a lot of us are the ones carrying out the tasks, the plan of care. Our interactions with others, listening and encouraging, are the bread and butter of leadership.

Slight enigma present, right after saying, "I was with you until you started quoting the Bible. I think your reference material should be a little more current." You state that you are not bashing! Wow! Seems like you started with the "anti-Christian crap."

There is no greater EBP than the Bible. Thanks for stopping by.

I am having a hard time believing your sincerity. It seems that you are purposely playing the part of the stereotypical viper church lady that sends members running from churches. The one that sends possible converts running far, far, away and that causes those who truly believe to turn away in shame.

I do not put up with kind of thing anymore. If you wanted to talk about leadership, you should stick with leadership. What have your last posts shown about you as a leader, or as a Christian? I'd like you to seriously think about that question.

How is it bashing to ask you to provide EBP?

The Bible is by no means EBP. There are no controlled studies, no peer review. It is a religious and historical text, not a scientific journal. Just saying so takes away your credibility and raises questions about the validity of your claims.

I really don't care what you believe. I do care that you keep your religious viewpoint out of nursing practice, which is not based on a particular belief system, but is about caring for ALL. Not just Christians. How would you feel if someone came on here and stated that leadership was basically the right for men to subjugate women and children, based on their religious texts? According to what you posted, leadership is the right to treat everyone the same way, negating their differences and individual needs. You can't be an effective patient advocate or leader by treating individuals that way.

I think that if you had wanted a religious discussion, you should have posted this in the Breakroom or on a Christian forum where you could get the specific viewpoint it seems you are looking for.

Specializes in Nursing Professional Development.

I think that if you had wanted a religious discussion, you should have posted this in the Breakroom or on a Christian forum where you could get the specific viewpoint it seems you are looking for.

After reviewing the OP and her initial response to my post, I think you have hit the nail on the head here, caninurse. The OP was looking for a religion discussion, not a leadership one. I purposely kept religion out of my response to the OP because I did NOT want a religious discussion. I wanted to talk about leadership. However, the OP immediately went to religion in response.

Specializes in psychiatric.

I just love allnurses....so many people that can read my mind and then write it out in a much better way than I ever could. Thanks for doing all the work!

Specializes in Family Nurse Practitioner.
I just love allnurses....so many people that can read my mind and then write it out in a much better way than I ever could. Thanks for doing all the work!

Lol me too but I'm a tad offended that not one of you gals gave me a heads up that this thread is one that shouldn't be missed!! :D

Specializes in hospice.

As far as "simple platitudes" goes, mine were spoken first by Jesus, yours, on the other hand......

This....right here.....is where this thread went all wrong.

As a practicing Catholic, I agree the Bible is a great source of wisdom and guidance. However, calling it EBP tries to force it to be something it isn't: a science book. It is not that, was never meant to be that, and using it as such leads to obvious and embarrassing errors like claiming the Earth is only 5000 years old.

We have professional scientists to make scientific inquiries, and if you truly believe God is the author of all, nothing they discover can be any threat to Him because it's merely His truth we discover.

I thought your first post was good, but then your bad attitude ruined it.

This....right here.....is where this thread went all wrong.

As a practicing Catholic, I agree the Bible is a great source of wisdom and guidance. However, calling it EBP tries to force it to be something it isn't: a science book. It is not that, was never meant to be that, and using it as such leads to obvious and embarrassing errors like claiming the Earth is only 5000 years old.

We have professional scientists to make scientific inquiries, and if you truly believe God is the author of all, nothing they discover can be any threat to Him because it's merely His truth we discover.

I thought your first post was good, but then your bad attitude ruined it.

I could not agree more...except for the Bible being a good source of guidance, we all know the book of Leviticus. In any event, I agree in that we ALL must remain open and respectful to all ideas.

Specializes in hospice.
I could not agree more...except for the Bible being a good source of guidance, we all know the book of Leviticus. In any event, I agree in that we ALL must remain open and respectful to all ideas.

You have to take it as a whole and see it for what it is, acknowledging the use of metaphor and parable alongside more literal statements and commands, and at least as a Christian, understand the progression of humanity's relationship with God and the radical paradigm shift that occurs in the New Testament. However, there are some truths that do not and never will change, and that's usually where those have a problem with the Bible get hung up. I agree about remaining respectful, which is where the OP failed. Those who find guidance in the Bible (Koran, Torah, Bhagavad Gita, etc...) should not be automatically dismissed out of hand by nonbelievers, just as those who do not should not be dismissed by believers. Look what happened with the Phoenix mosque protest last week. We can always open our minds and learn about and from each other.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

I was surprised to find this on the General Nursing Discussion forum. With all the biblical references, I don't think it belongs here. Please move it to the Spirituality thread where those of us who prefer our nursing discussion without the religion thrown in don't have to accidentally run across it.