Democratic leadership is an approach where the leader focuses on listening to the employees and at the same time building processes that will improve operations in the organization. The leader participates in all the activities with the followers as a way of creating inspiration. Working as teams help to come up with creative ideas on how improvements will be made. In healthcare, democratic leadership is successful through feedback (Giltinane, 2013). In the first scenario, as a leader, the first thing is determining the reasons why the nurses have been sending the patients to the emergency department in the hospital, yet the nursing home is providing both Medicare and Medicaid services. As a leader, determining the root cause of the issue being experienced will help establish the best solution.
After establishing the problem why most patients are being sent to the emergency department, we will work in improving our services at the nursing home. Effective communication will be used to address the issue. I will listen to the problems the nurses have to present on reasons they cannot handle patients at the nursing home and have to send them to the hospital. The issues that will be raised will be used determine a solution to the problem. If the number of nurses is too low to take care of patients in the nursing home, I will negotiate with nurses to work receive overtime and extra payment before I find ways of getting more nurses for the nursing home (Donnelly, 2017). The extra payment will motivate the nurses to take care of patients without sending them to the hospital.
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The other solution I will use as a democratic leader is building skills for my team with varying experience. The nurses may be sending patients to the hospital due to lack of experience with outpatient dialysis, VNA and using a fully-integrated network. The training will be used to equip the nurses with skills and knowledge they need when dealing with Alzheimer patients (McKeown & Carey, 2015). In that way, the providers will be able to assess the patients and conduct all necessary tests required without referring the patients to the emergency department.
References
Donnelly, T. (2017). Leadership: briefing and debriefing in the operating room. Journal of perioperative practice, 27(7-8), 154-158.
Giltinane, C. L. (2013). Leadership styles and theories. Nursing Standard, 27(41).
McKeown, M., & Carey, L. (2015). Democratic leadership: a charming solution for nursing’s legitimacy crisis. Journal of clinical nursing, 24(3-4), 315-317.