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The use of contract employees in nursing may comprise of such roles and duties as case of registry and travel nurses. Nursing leaders should oversee the duties of the contracted employees as provided by the clinical managers.  The clinical mangers are responsible for establishing guidelines and rules for them to follow, and the healthcare institution is responsible for these contract employees.  The clinical managers are also in charge of setting the remuneration package for the employees. Managers must ensure that the nursing institution acquires the duty of paying the absolute cost of training and benefits to the employees. The nursing leaders, on the other hand, must enforce the guidelines dictated by their managers and ensure that they perform their tasks as required. Nursing leaders must make sure that the contracted employees form part of the day to day running of the nursing institution and should know where to report in case of anything.

During the hiring process, managers should focus on consistency. The contracted employees should show ability of organizing the daily requirements in a consistent manner. The nursing profession is a very sensitive area when it comes to patients’ privacy and confidential matters.  Effectiveness must be enhanced by educating the contracted employees about the organization layout and the mode of operation in the organization. Generally, nurse leaders and managers play very important roles in developing environment that guarantees quality work in of staff members and quality care offered to the patients, in addition to the organizational efficiency and effectiveness (Finkelman, 2006). These are the major advantages of effective leadership that can positively influence nursing. Contracted employees need to be satisfied with the job conditions, because this will translate into better services to the patient.

Clinical supervision for nursing leaders and managers is a dynamically focused encounter that is facilitated for nursing students to enhance their proficiency and enhancement of therapeutic interventions (Cutcliffe et al., 2001). Clinical supervision offers a chance for both the practitioner and the supervisee to develop learning and teaching styles, self actualization and the advance of nursing interventions/skills, and further enforces to professional practice in a supervised and safe environment. Additionally, it teaches about the importance of confidentiality, personal development and accountability. The pursuit here is the objective of improving standard care and enhancement health and the best interests of a patient/client. It is very important to know that, in a period of radical reforms in education, prominence was offered to concepts like preceptor-ship, clinical supervision and mentorship. Through organization and management of clinical supervision and oversight, standards of health care and its quality improvement can be better comprehended (Whitehead et al., 2007).

Clinical supervision is a tool by which professional and knowledgeable supervisors can offer particular direction on working with clients, case notes, evaluation and conceptualization of cases. Managers can, thus, assign contracted employees and trainees with homework to continue practicing their skills. It is essential for a clinical supervision contract to express commitment based on mutual trust, and its clinical personnel to look at clinical practice in a constructive and challenging manner. This is done in order to increasing the competence and confidence of the staff with the basic aim of enhancing the quality of service offered to the patients. In the nursing practice, when handling clinical supervision procedures, a more focused effort on a particular group meeting is involved with the presence of the supervisee, supervisor and the practitioner. A procedure is then conducted where a written contract should be discussed that gives details about the significance of confidentiality of records, clients, roles, responsibilities, administrative arrangements, learning goals and the development needs of the practitioner (Cutcliffe et al., 2001). A written contract is a procedure which offers information concerning the others, intuitively and verbally. There is a level of negotiation, clarification, safety and trust expected in such an association to guarantee an appropriate working environment.

Separating the roles of the nurse leader and manager and focusing entirely on the patient best fits my personal and professional philosophy of nursing. This approach is suited to my personal leadership style, because it avoids any confusion that would later translate into inconsistency and poor service delivery. An approach that entirely focuses on the patient considers a person’s emotional, socio-cultural, spiritual, physical and intellectual background in exercising control over illness and health (Barker et al., 2006). The contracting of employees would be very useful in ensuring there is adequate staff to handle the needs of the patient. This philosophy centers on interactions and relationships between sections of the entire organization and the mental and physical aspects of living.

My foundational philosophy of nursing looks at the patient as an individual with distinct and personal needs, as well as circumstances surrounding him or her. It further demonstrates a need for tailored provision of healthcare and support. This approach, therefore, integrates the commitment of the nurse, other professional caretakers and the contracted non-professional caretakers generally, to the effort of providing effective healthcare to the clients. The nurse leader is, therefore, expected to have respect for the patient as a person. That is why confidentiality of the patient’s documents is paramount. The body, mind and the spiritual self of the patient should be taken as elements forming the patient; the basis of this kind of a philosophy. This approach guides and steers professionals into identifying more than the mere physical reason the client is in a healthcare institution. This is meant to encourage professionals to consider the way the client feels, what is crucial to the patient and their close relatives together with their way of living.

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