Leadership and Management


Leadershipand Management

Leadershipand Management

Thesuccess of an outreach program in a health facility is dependent onwhether the nursing leader is able to communicate the shared visionwith all stakeholders. The nursing leader has the responsibility ofcommunication repeatedly and clearly the visions of the program. Thiswill help the stakeholders to understand what they need to do to makethe program a success. The success of the program is dependent onhow well each stakeholder understands his or her part in theimplementation process (Ngwainmbi, 2014). There are severalmethodologies that can be used to share the vision. The first step incommunication a shared vision is identifying the targeted audiencewith their characteristics. The nature of the targeted stakeholderswill have a huge influence on the methodologies adopted.Additionally, the methodology selected should give appropriatechannels for two way communication to ensure that the inputs of thestakeholders reach the nursing leader.

Thereare two broad categories of communication methodologies that can beused by the nursing leader. The first methodology is the use offormal or official methods of communication. The most common officialmethod of communication is formal meeting. The leader can call ameeting of at least two people, depending on the nature of theaudience and the agenda. For example, the nursing leader can call aseries of meeting of all outreach nurses who will be directly orindirectly involved in the program. The main advantage of a meetingis the fact that the nursing leader can structure the meeting to aiddialogue rather than monologue. This is as opposed to newsletters,emails and posters which aid one way communication (Dwyer, 2014).Therefore, the second official method that can be used is writtencommunication such as emails, posters, newsletters and memos.Although they are one way communication, there are more appropriatedepending on the audience. For example, some of the most importantstakeholders in an outreach program are the members of the community.The use of newsletters and posters is an effective way ofcommunication the visions of the program. The knowledge about theexistence of the program to the community is critical in gatheringsupport for the outreach program. Another important formal method ofcommunicating the visions is the use of conferences. Although it ismore costly and consumes time, conferences promote a deeper dialogueamong the stakeholders (Dwyer, 2014). For example, a conference mayinvolve all stakeholders such as medical workers involved andrepresentative from the community. The nursing leader can alsoexploit informal channels of communication to reach the stakeholders.This includes impromptu communication such as hallway communication,lunch hour or tea break casual meeting and community events such assporting activities. Other methodologies that can be used includeboth social media and the mass media. These communicationmethodologies have the ability to reach a wide range of stakeholders(Conrad &amp Poole, 2011). As a nursing leader I would use as manymethodologies as possibly to popularize the shared vision of theoutreach program.

Populationssuch as the elderly, minority and users of intravenous drugs requireconstant access medical care services. To reach these special needpatients, outreach programs are necessary. Strategic management willensure that the visions of the outreach program become a reality.Strategic management includes activities and processes that are aimedat ensuring that the set goals and objectives of the organization aremet. In the outreach program strategic management will ensure thatall the resources and activities are aligned towards the achievementof the set objectives.

Oneof the most important elements of strategic management of the projectis a strategic analysis. This will analyze the internal and externalfactors that are likely to affect the delivery of the outreachservices. This is essential in strategic planning. For example, thenursing manager should be able to choose between different choicesand priorities the organization in order to achieve the objectives ofthe program. The choices are dependent on finding of the internal andexternal analysis of the organization. Internal and external analysisinvolves the identification of all stakeholders as well as SWOTanalysis. SWOT analysis is essential in identifying the strengths,weaknesses, opportunities and threats in the organization. Analysisof the external environment may include five porters’ analysis,value chain analysis and societal expectation from the organizationand the program. For example, social and cultural factors can havedirect impacts on how the communities receive the outreach program(Ginter et al, 2002). This analysis will be followed by strategyformulation and documented. The most important steps in the strategicmanagement are strategy execution and evaluation. Execution refers tothe implementation of the strategy where the planned items aretranslated into actions. For example, engaging outreach nurses toreach the targeted clients in the community. Evaluation is themanagement phase of the program which monitors the sustainability andability of the organization to reach the intended goals. Theevaluation aspect of the outreach program looks at the effects of theprogram in increasing access to health care services, expanding thewillingness to use services, and awareness about the available healthcare services (Ginter et al, 2002).


Conrad,C. &amp Poole, M. (2011). StrategicOrganizational Communication in a Global Economy.New York, NY John Wiley &amp Sons.

Dwyer,J. (2012). Communicationfor Business and the Professions: Strategies s and Skills,Pearson Higher Education AU, ISBN 1442550554.

GinterP. M. &amp Swayne L.E. &amp Duncan W. J. (2002). Strategicmanagement of healthcare organizations.4th ed. Boston: Blackwell.

Ngwainmbi,E. (2014). Healthcaremanagement strategy, communication, and development challenges andsolutions in developing countries.Lanham: Lexington Books.



Theclassmates make correct and valid arguments. He starts by noting theelements of effective communication. He also acknowledges thatalthough communication can be verbal or non verbal, nonverbalcommunication are imperative. The classmate also mentions how hewould use strategic management in implementing an outreach program.For example, analyzing the strengths and weaknesses as well asformulating a plan.


Inthe first paragraph, the classmate talks about the importance ofcommunicating effectively with stakeholders. The classmate identifiesformal and informal methods of communication. In the secondparagraph, the classmate talks about strategic management and therole it plays in managing change in an organization. Although thelast paragraph talks about nurse leader, it does not effectively linkthe concepts to an outreach program.


Inthe first paragraph, the classmate talks about how he can applyHumanizing Nursing Communication Theory (HNCT) in communicatingshared vision with stakeholders. He outlines how he would incorporateall the four elements of the theory, which includes “trust,self-disclosure, feedback and listening”. He starts the second partof the paper by defining strategic management and discussing thebasic steps of strategic management. The last paragraph links bothconcepts to the implementation of a nursing program.