Nursing Leadership and a Culture of Safety

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KOT1 Task1: Nursing Leadership and a Culture of Safety Shelley Callahan Western Governors University Informal Leadership There is really only one over-arching strategy for exercising leadership, whether formal or informal, and that is effective communication. On an interdisciplinary team, there are two different approaches a nurse can take to using effective communication to exercise leadership, even without a position of authority, a focused approach, and a general approach. The focused approach, when there is a specific plan the nurse wishes to promote, is to convince a person with authority of the plan, say the administrator serving as team lead, and let them move the plan forward. The second approach is, in all team interactions, to motivate, inspire, and facilitate constructive communication. These are not mutually exclusive, but can and should be used together when appropriate. These are not mutually exclusive, but can and should be used together when appropriate. To convince a person in authority of her plan, the nurse uses the three types of persuasive argument, ethos, pathos and logos, delineated by Aristotle in the fourth century BCE, and still considered valid today. (Cline, 2002) Ethos is an appeal to authority. Explaining how the nurse's plan dovetails with the latest memo from the CEO about quality improvement, and the latest guidance paper from the IOM about error prevention, is an example of this sort of argument. Pathos is an appeal to emotions. Telling the story of a patient, whose suffering could have been prevented if the plan had been in practice, is this sort of argument. The term logos lives today in the word 'logic', and what most people mean by a 'logical' argument. Using logos means explaining the step-by-step reasoning, and associated data, behind the plan.
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