Trait last time and trying it that

theories have a way of considering who is a leader and who needs a little help
to become a leader. With trait theory, everyone has the opportunity to be a
leader, even if they need a little extra knowledge and skills. Within
behavioral theories, there are three styles: autocratic, democratic, and
laissez-Faire. Between these two, as of right now, the similarity is between
trait theory and autocratic leadership. These two styles work within themselves
and create a strong leader with little freedom. Situational theory is one where
there is a give and take. The leader is there to make sure the job gets done
but is also able to hear input from other people. Situations can change every
day and a leader must be prepared for whatever is thrown their way. The
situational theory almost marries a democratic style of leadership in such a
way that a democratic leader must be flexible to be able to increase motivation
and creativity. “Involving team members…brings out the best in them and makes
them more productive, not less.” (Weiss, 2015) I would follow a situational
theory style of leadership because you always have to be ready for change.
There comes a time when just because it worked this way does not mean it will
always work that way for everything. One must always be prepared for whatever
is thrown your way. It may seem like an impossible task to keep changing ways
of doing something, but I would rather change something and make it work for
one patient or one situation than to go around trying to figure out what went
on the last time and trying it that way and having it not work. Then the
situation may have become worse because of time wasted and searching for a plan
B or C.

There is a peer assistance program
for substance abuse in Florida named the Intervention Project for Nurses. It is
available for nurses who admit there is a problem and they need help to reach a
solution. The program is voluntary and nurses do not even attend or search for
such a program until they become investigated by state boards because of a tip
from a concerned individual. (Vernarec, 2001) Nurses must adhere to the time
limit of the program which is anywhere from 2 to 5 years. They must be an
active participant in the program, so it is not easy. The Florida success rate
for their program in around 75% or more, at their last reported statistic. “A
nurse entering a program undergoes an extensive interview and evaluation and
signs an agreement that contains specific terms and conditions tailored to her
impairment. It is legally binding. Nurses
must also agree not to use nonprescribed mood-altering substances including
drugs and alcohol. Failure to comply can mean expulsion from the program and
immediate disciplinary action.” (Vernarec, 2001) This program helps a nurse by
maintaining confidentiality, though not complete, while the participant
attends. It also helps to protect the patients by having close supervision
while on the job. Most states have a program for nurses, but those that do not
should have nursing organizations working to start one.

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            The nursing term autonomy means
acting independently. I can be autonomous when doing an assessment on a
patient. Beneficence is doing what is right for the patient. I want to be
beneficent when I take care of a patient. I do not want to do something that
may be wrong. Confidentiality is keeping a patient’s information private. In
any healthcare setting, HIPPA is the main way to keep everything confidential.
You do not want your patient’s information to be exposed to anyone other than
the healthcare team. Fidelity is keeping a promise. I want to maintain fidelity
when I talk to a patient. If I say I am going to do something, I will do it for
them. “Justice is fairness. Nurses must be fair when they distribute care…
Care must be fairly, justly, and equitably distributed among a group of
patients.” (, 2018) Values is a person’s standard of behavior.
My values may be different from someone else’s but that should not keep me from
giving proper care. Veracity is being truthful. You want to be as truthful as
you can to your patient and not steer them thinking in the wrong direction. If
they are seriously ill, you do not want to give them false hope when you know
there may not be a chance. Nonmaleficence is doing no harm. You do not want to
harm the patient you are taking care of. It may be intentional or unintentional
but a goal as a nurse to cause no unnecessary harm (ie injections). Ethical
dilemma is when you must choose between doing two things. One way is what you
think is right and the other way is what the “norm” would be. You are caught trying
to determine what is the right way without causing harm to the situation.