Understanding Leadership in Nursing

Clinical Leadership, Autonomy, and Accountability

Clinical leadership remains an integral element in enhancing the quality of healthcare service delivery (Cherry, 2019). From this viewpoint, hospitals can use decision-making to define the thin line between success and failure in nursing and healthcare delivery. Clinical leadership requires effective communication, critical thinking skills, pattern recognition, and evidence-based approaches (Alexander, 2017). Relatively, autonomy and accountability empower nurses to make the right decisions and boost patient safety. Hospitals can actualise autonomy in the nursing profession through clarification of expectations and enhancing competence in practice. Healthcare organisations can achieve accountability in nursing through developing clear metrics and standards, clarifying job responsibilities, and building a robust culture of accountability (Garon, 2018). For example, hospitals can include policy statements that highlight relevant clinical standards. While clinical leadership has long been a preserve of professional health managers, expanded organisational structures have prompted nurses’ leadership skills. Nurses need to possess clinical skills and are also expected to understand the scope systems of care and make appropriate decisions. In this paper, the focus is directed towards expanding the scope of two main areas: autonomy and accountability and clinical leadership. The paper responds to two peer posts to expand the analysis conducted on the two topics. The first post includes the central role occupied by clinical leadership and its benefits in the healthcare system. The post also applies participative leadership theory to healthcare settings. The second post focuses on the role of accountability and autonomy in nursing. In this context, the benefits of the two concepts are analysed comprehensively.



Clinical Leadership

Clinical leadership can be defined as the process through which healthcare professionals such as nurses perform leadership roles and utilise their clinical skills and experience to meet patients’ needs. Clinical leadership is an important consideration for a graduate RN as its essence lies in improving confidence and clinical skills (Stanley, 2019). Healthcare organisations require graduate RNs to serve in committees and supervise assistive personnel such as nurse aides. Performing such duties and offering directions can give me the confidence to take on bigger challenges and succeed in projects being implemented by hospitals. Clinical leadership can allow me to reconnect with my strongest talents and take pride in myself. As a graduate RN, clinical leadership can help me in sharpening my clinical skills. In this regard, clinical leadership can allow me to lead assistive personnel in implementing effective solutions. Clinical leadership can improve my critical thinking, diagnosis, reliance on patient history to make decisions, and clinical reasoning (Stanley, 2019). Therefore, clinical leadership can help a graduate RN exercise a practical approach to clinical skills acquired from medical school.

As a graduate RN, I can utilise leadership theories in improving my confidence and clinical skills. One of such theories is the participative leadership theory. In this theory, a democratic approach ensures that people are independently empowered to make the right decisions (Hariri, 2021). Such an approach can ensure that nurses and other healthcare professionals are motivated to work efficiently. For instance, the participative leadership approach can ensure that graduate RNs opinions on supervised personnel are integrated into decision-making by senior healthcare personnel. If nurses offer directions on improving patient safety, healthcare organisations can empower them to implement the stipulated recommendations. From this perspective, it is evident that healthcare organisations can apply participative leadership theory in using resources efficiently, implementing change, and boosting the morale of employees involved. Healthcare organisations should also invest in training programs that ensure that nurses and other healthcare professionals are aware of contemporary issues influencing clinical leadership (Noure-Elahi, 2018). Such issues include privacy, data security, government funding, national healthcare policy and current industry standards.

Autonomy and Accountability

Autonomy is linked to nurses’ abilities to make decisions independently based on their experience and research. Accountability in the nursing profession is anchored on remaining conscious of consequences of decisions, fidelity to ethical conduct code and standards. Accountability empowers RNs in their practice. In this context, RNs get the opportunity to practise nursing standards and perform their duties based on applicable laws. RNs are expected to answer to their patients, employers and regulatory authority. By understanding the responsibilities and implications of their actions, RNs grasp the scope of their authority and the need to utilise the command chain and appropriate communication channels (Nowicki, 2019). RNs realise that accountability cannot be delegated and thus work towards high-quality service delivery.

RNs and their practice in healthcare organisations are facilitated by autonomy. The concept of autonomy is anchored on the entirety of the patient and the need to make independent, informed decisions (Harnett & Greany, 2018). Autonomy among RNs is utilised in optimising care as it facilitates swift decision making without necessarily waiting for someone at the top to approve life-saving medical interventions. For instance, if a patient has been transferred to post-op care, they may require a treatment plan and pain medication. Autonomy comes into play in such a scenario by giving RNs the power to intervene without waiting for approval. Therefore, autonomy is utilised by RNs in saving money, time and other resources that organisations would have needed in a top-down leadership model (Nowicki, 2019). Autonomy also empowers RNs to offer care in home environments and thus improving clinical outcomes.

Reply to Post 1

From your perspective, the concept of healthcare leadership is not fully understood by many healthcare professionals. Such observation is agreeable considering that healthcare leadership is increasingly becoming a vital element in determining the quality of services offered by healthcare organisations. Therefore, there is a need to expand your perspective by including the concept of accountability in healthcare. For example, nurses should be aware of the legal implications of medical errors. From this standpoint, the argument you have presented in the post can be expanded by a scholarly approach by indicating that the last decade has been characterised by enhanced visibility on patient’s experiences. Therefore, it has become fundamental for nurses to exhibit a sense of accountability in leadership. Additionally, the shallow grasp of leadership can be attributed to rapid and complex decision-making processes in organisations.

The use of the top-down model in command control appears obsolete in healthcare. From this viewpoint, it is important to understand that there is a need for the programs you have proposed in your argument to include a distributed leadership approach. In this regard, nurses and clinicians should be empowered by healthcare organisations to make decisions based on healthcare organisations’ mission and vision statements. For instance, nurses can implement life-saving treatment plans without waiting for approval as long as such plans are in line with applicable standards. While your argument emphasises the role of confidence and leadership skills among graduate RNs, the post has not included the model that healthcare organisations should embrace in actualising your perspective. In this context, you should have proposed personal development and leadership short courses. Healthcare organisations should offer such courses once they have recruited graduate RNs in various departments. From this viewpoint, clinical leadership training should be regarded as a continuous process considering that the healthcare sector is dynamic and rapidly changing (Hill & Brocklehurst, 2015). Hospitals should continuously review programs introduced by the Australian government and private stakeholders to ensure that graduate RNs are acquainted with up-to-date clinical leadership skills.

Reply to Post 2

Your argument has illustrated the integral role played by autonomy and accountability in the nursing profession. It is agreeable that nursing is the most trusted profession due to ethical standards and honesty (Beyers, 2019). A deeper perspective can expand your argument by analysing shortcomings that healthcare organisations should address for sustenance. For instance, the Nursing and Midwifery Board of Australia has standards to enhance accountability and autonomy in the nursing profession (Weberg, 2018). The seventh standard requires evaluating outcomes based on knowledge possessed by nurses (Scott, 2019). Healthcare organisations can sustain such an approach by clarifying expectations. In this context, healthcare organisations should work towards clear job descriptions (Stanley, 2017). The thin line between independent and inter-dependent clinical decisions can be important in achieving the desired patient outcome.

While responding to the prompt, you should have addressed the differences in accountability between RNs and RPNs. For instance, RNs should not be held accountable for RPNs’ actions. When interdependence is integrated into healthcare organisations, accountability becomes a shared element. In this context, patients’ safety becomes the responsibility of every healthcare professionals involved in the process (Huber, 2018). While your argument emphasised the role of supporting nurses for efficiency, autonomy and accountability, you failed to indicate how much can be done. For instance, shared decision-making is one of the approaches through which autonomy can be actualised, giving nurses a voice in the entire healthcare process.


Alexander, S. (2017). Leadership in Nursing.Clinical Nurse Specialist,31(6), 309-310.

Beyers, M. (2019). About Increased Nursing Accountability.Nursing Management (Springhouse),30(7), 56. https://doi.org/10.1097/00006247-199907000-00011

Cherry, B. (2019). Nursing Leadership and Management. In B. Cherry & R. Jacob,Contemporary Nursing: Issues, Trends, & Management(8th ed., pp. 208-308). Elsevier.

Garon, M. (2018). Change and innovation – Leadership & Nursing Care Management. In D. Huber,Leadership & Nursing Care Management(6th ed., pp. 32-48). Elsevier.

Hariri, H. (2021). Participative Leadership Practice in Asia Context: A Literature Review.International Journal Of Current Science Research And Review,04(8), 102-115.

Harnett, P., &Greany, A. (2018). Operationalising autonomy: solutions for mental health nursing practice.Journal Of Psychiatric And Mental Health Nursing,15(1), 2-9.

Hill, H., & Brocklehurst, P. (2015). Leadership in dentistry: findings from new tool to measure clinical leadership.Journal Of Healthcare Leadership,2(3), 13-21.

Huber, D. (2018). Leadership and Management Principles – Leadership & Nursing Care Management. In D. Huber,Leadership & Nursing Care Management(6th ed., pp. 32-48). Elsevier.

Noure-Elahi, M. (2018). Participative Decision-Making in Management and Leadership.SSRN Electronic Journal,2(3), 89-102.

Nowicki, C. (2019). Nursing Autonomy And Accountability.Plastic Surgical Nursing,8(2), 40-41.

Scott, G. (2019). Accountability for Service Excellence.Journal Of Healthcare Management,46(3), 152-155.

Stanley, D. (2017).Clinical leadership in Nursing and Healthcare: Values into Action(2nd ed.). Wiley.

Stanley, D. (2019).Values-Based Leadership in Healthcare.: Congruent Leadership Explored. SAGE.

Weberg, D. (2018). Complexity Leadership: A Healthcare Imperative.Nursing Forum,47(4), 268-277.


Are you in need of assignment help?

Are you a high school, college, or university student pursuing a diploma, bachelors, master’s, or Ph.D. degree? Sometimes, assignments and life can overwhelm you.

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

That is where we step in. Whichever your reason may is, it is valid! With our student assignment help service, you can submit all your assignment on time and score superb grades. You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Our academic writers are graduates with bachelor’s, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an academic writer with our assignment help service is to have a college bachelors degree. When assigning your order, we match the paper subject with the writers area of specialization.

What subjects does your online assignment help service help with?

We offer student assignment help on various subjects. These include:

  • Nursing
  • Psychology
  • Sociology
  • Business
  • Statistics
  • Finance
  • Literature
  • Law
  • Finance
  • Computer science

Why should you use our assignment help service?

  • You get unique plagiarism-free papers
  • We ensure timely delivery of all assignments
  • Papers are of unmatchable quality
  • We can handle assignments of any deadline
  • We have a pool of skilled, experienced native English writers
  • The minimum requirement to be a writer with our company is to have a bachelors degree
  • Writers go through rigorous tests and mentorship
  • You get a subject-relevant academic writer
  • We ensure strict adherence to paper instructions
  • We can handle tackle bulk assignments
  • We charge fair and reasonable prices
  • We offer awesome discounts to our clients
  • Our customer support is available 24/7
  • You get superb grades consistently
  • We guarantee 100% privacy and confidentiality
  • We are 100% legit
  • Customer satisfaction is our core priority
  • You can communicate directly with the writer
  • Our quality assurance department ensures your papers quality is top-notch
  • We have secure payment methods

How does our student assignment help service work?

1. Place an order

You fill all the paper instructions in the order form. Make sure you include all helpful materials so that our academic writers can deliver a perfect paper. It will also help to avoid unnecessary revisions. At this point, you can attach files that are provided for the assignment. We usually insist a lot on the client uploading the grading rubric if it is available. The writers adhere to the highest level of the rubric to ensure that you get a perfect grade.

2. Pay for the order

Proceed to securely pay for the paper so that we can assign the paper to one of our expert academic writers. The paper subject is matched with the writers area of specialization.

3. Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer.

4. Download the paper

The paper is uploaded to your personal account and sent to your email. You also get a plagiarism report attached to your paper.

Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

Online Academic Help With Different Subjects


Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.


Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!


While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.


Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.


In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.


Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.


We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!


We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.


Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment  Help Service Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essay PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

order custom essay paper