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According to Giri, Aylott and Kilner (2017),the delivery of safer and high-quality patient care depends largely on excellent clinical leadership coupled with high-level knowledge, technical and variety of non-technical skills and behaviours for ensuring effective working together of teams. Ageing patient populations wanting active involvement in their healthcare decisions have increased complexities in the effective delivery of healthcare. Human factors according to Boak et al.(2015), impacting medical care and measures taken for comprehending, anticipating and minimizing them, over the last decade has seen a significant growth thus, making evident that strong leadership and effective team working has improved patient care. For analyzing the system and transformational change within healthcare,medical leadership is essential besides having necessary credibility in the medical leaders for steering experts for working on a common goal. According to Longest (2017),  in the clinical arena medical leadership is essential in the three modes of care namely repetitive, constrained and unconstrained, each requiring different approaches extending from reliable implementation of best practices to focus of choosing the best treatment option and cultivating an environment fostering study and quick finding of solutions. The key purpose of this report revolves around giving an account of an episode where was an important aspect of medical education.

Medical educators according to Andersson (2015),are involved in various activities such as teaching, facilitating learning, designing and developing curriculum, assessment, evaluation and teams, departments and programmes management.Leadership in some form, be it leading a project team, providing aright learning environment on a ward or in clinic or leading the development of a programme or curriculum,is required by all these activities.Leadership is often associated with senior management (deans, principals or others) however, researchers argue effective leaders to be peoples having followers, doingright things and achieving results, setting examples, are visible and take responsibility. Therefore, leadership can be found across all levels.Evidences from different sectors revealvitality of good leadership to ensure the success of organizations. According to MacPhail, Young and Ibrahim (2015), thereis an increased requirement of health professionals to engage in clinical leadership. Globally, doctors are encouraged for actively participating in the leading and managing clinical services to ensure that medical students during their undergraduate programmes ‘learn leadership’, requiring the educators in being more aware about the practice of leadership, plan and deliver education comprising the concepts and examples of  leadership, which is widely contemplated as to help other succeeding. Every leader is a teacher and vice versa applying disciplined and successful approaches in making decisions in complicated and uncertain environments, collaborating and coordinating across disciplinary, social, and organizational boundaries, balancing resilience for individual teaching and patient care with consistency throughout the system and assessing accountability and sustainability performances. According to Swensen et al.(2016),in 1950s and 1960s leadership theories were identified as transactional leadership, similar to a managerial approachwhere leaders and/or managers would mainly get involved in transactions with subordinatesand might offer rewards for a good job for motivating people or impose penalties for failures or non-compliance. Modern theory however, underlines that managerial skills are needed by successful leaders and vice versa.While various lists available on leadership qualities stress on the significance of vision, strategic thinking, setting direction and communication, in case of failures in translating vision into activities for bringing improvement in organization or learners performance, vision becomes an illusion. Effective leaders are aware of own strengths and weaknesses and form a team for delivering the shared vision.

In the face of modern healthcare challenges, according to MacCarrick (2014), organizations and professionalsdemand higherleadership capability in the physicians playing a leading role within the healthcare team heedless of their professional ethics or specialization eventually liable of patient cares overall outcome. For influencing view all over their careers, a macroscopic view of healthcare provision, resource allocation besides comprehending the political, economic, social, and technological drivers for change should be taken by the doctors. According to Davidson et al. (2012), developed systems, clear reports, lines of responsibility and organizational culture providing good information should support and promote them as means of performance improvement. Theassurance of high-quality patient care provisions requires leadership and management skillsand the dynamic engagement of clinicians seems to be benefitting besides finding decisive associationsamidst the doctors, clinical outcomes and overall performance. According to Fulop (2012),since clinical quality is largely dependent on inter-professional teamwork, leadership and management skills are needed across all levels.Healthcare systems across the globe are quicklychanging enterprises that face various challenges like financial constraints, increased demand for liability, growing regulation, and rise of in aging populations.In the developed world, health care systems is struggling with increased costs and demands for services further designing inefficiencies that includes outdated models of care contributing to unsustainable capitalization demands. A real example of this is the continued practice in hospital emergencies providing the essential primary health care services. Although significant progress and reforms have been achieved, the requirement of further changing the system for making them inexpensiveand appropriate in nearby future has been pointed by various experts.

According to Gotsis and Grimani (2016), a variety of functions such as hospital care requirement comprising of system performance, health reform objectives fulfillment, delivering timely care, integrity and efficiency of systemhave been linked with effective clinical leadership thus, making it an indispensable element of health care system. The costs of hospitals and diverse environments differing in size and complexity are identified by comprehensive role and function inside the bigger health care system. Mechanisms like government policies, population demographics, and service providers’ politics and power determine and drive the services individual hospitals provide. According to Paquin et al. (2018), no matter the differences, a critical role is played by their clinical areas in all health care organizations where clinicians have opportunities of fulfilling leadership roles. Health care consumers believe effective clinical leadership is essential for achieving optimal health outcomes and experiencing optimal hospital care.It is evident from the history of nursing profession that significant contributions to patient care have been made by countless nurses. There flexibleness, “can-do” attitude, seeing the bigger picture, and identifying the needed change not only motivate others but is a perfect example of leadership further describing the leading of a nurse at the bedside. Although,according to Chapman, Johnson and Kilner (2014),they do not perceive themselves as leaders, a direct influence of them can be seen on nosocomial infections, falls, pressure ulcer development, pain management, quality improvement and safety besides impacting staying duration, complications, mortality, patient satisfaction and restartingdaily living activities. Bedside nurses acting as leaders not only influence their patients’ outcomes but also the institution. Being associated with a healthcare organization there has been an episode where I had experienced that leadership was an important aspect of medical education. During one night shift suddenly the health of apatient in critical ward deterioratedand there was no senior doctor around neitherthe trainee nurses could wait for a doctor visit over a longerperiod, they all panicked and didn’t know what to go for help. Luckily the charge nurse who was in the same floor was informed and shedecided to handle the situation and guided and supported the team of new joinees in monitoring the patient, checking blood pressure level, providing oxygen and giving a shot to calm him down. She then asked one of the nurses to immediately report the concerned senior doctor about the process undertaken and stayed backed there throughout the night. Later on a meeting was called where she instructed the new joinees how to handle such stressful situations without getting overstressed and ensuring that they can call her anytime for help and guidance. In this episode the leadership of charge nurse was significant in offering timely and practical support to the team and was available to guide them throughout the period until the health of the patient was under control. Moreover, she was also compassionate in boosting the morale of the new joiners who were visibly scared from the sudden situation. Promoting participation and involvement was also evident from her leadership strategy besides ensuring that everyone was clear of what they need to be doing in such unforeseen situations and seek for learningopportunities.

Conclusion

From the above study it can be concluded that one can associateeffectual clinical leadership with optimal hospital performance and is affiliated with awide range of hospital functions and hence, is an essentialelement of the global health care system. It is of critical importance that clinical leadership skills are developed amongst hospital nurses and other professionals working within the healthcare industry. Although the significance of effective clinical leadershipto patient outcomes is recognized universally, ample numbers of barriers do revolve aroundones   participation in clinical leadership. Hence, it is important that future strategiesplace their focus on effectively addressing these barriers for enhancing the clinical leadership’s quality in hospital care. With the ever growing focus on the performances of institutions operating within the healthcare sector, there has been a relative increase in improving the efficiencies andquality of leadership.

References

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