Sample Nursing Paper on Leadership and Management

Institutional administration includes harnessing available resources to ensure achievement of organizational goals and objectives. For effective communication and institutional governance, a hierarchy of leadership has to be instituted. In the healthcare setup portfolio is created depending on the magnitude of responsibility of the individual. For simplicity and reduced bureaucracy, most health care institutions utilize the vertical leadership structure (Coben & Cesta, 2004). At the lowest level is the bedside nurse, the nurse in charge, the nurse manager/nurse case manager, the director of nursing, the chief nursing officer (Zander, 1988).

Case management in nursing entails apportioning, supervising and coordinating activities within a healthcare setting. Proper management guarantees productivity in the team of nurses towards realization of set objectives. The nurse case managers otherwise referred to, as healthcare executives are senior health administrators mandated to coordinate, plan and direct medical services. Coben appreciates their magnitude and indicates that they are a key link between healthcare service provision and society (Coben E. , 1991). They ensure that services extended at healthcare facilities meet the needs of the patients. Often they handle patients with extended care plans. Patients in such cases suffer from health complications that are chronic and persistent in nature including; diabetes, obesity, hypertension etcetera.  They achieve these by bridging the gap between health providers, patients and their families.

To be able to command authority in society and in the healthcare setting, nurse case managers undergo rigorous management training. In the course of their training they appreciate the modalities of hierarchy or chain of command at their designations. In spite of providing direct healthcare service to the patients their portfolio also calls for patient and staff auditing. They should therefore have the requisite nursing training and advanced management training. Such training ensures that case management nurses have some general knowledge on hospital policies and additional knowledge on society and staff administration. It also ensures better case assessment and communication practicum.


Coben, E. (1991). Nursing case management. Does it pay? The Journal of nursing            administration , 21 (4), 20-25.

Coben, E., & Cesta, T. (2004). Nursing case management: From essentials to advanced   practice applications (Vol. 1). Denver, Colorado: Elsevier health Sciences.

Zander, K. (1988). Nursing case management: strategic management of cost and quality   outcomes. The Journal of nursing administration , 18 (5), 23-30.