When the night shift, you don’t know what is

a leader possesses the ability to effectively manage difficult situations they
are better equipped to handle the changing healthcare landscape.  Having crucial conversations and managing
conflict in a way that leads to a positive outcome will reduce errors and
larger problems.  As healthcare demands
change, the ability to manage the issues and difficult situations will prevent
a facility from falling into chaos.  An
example is the lack of leadership that allowed the Phoenix Veterans Hospital to
fall into disorder.  The leadership at
the Phoenix Veterans Hospital not only failed to meet the needs of the
veterans, they failed to prevent further damage to the reputation of the
Veteran Affairs department.  Leaders must
be able to manage and change not only the reality of the problem, but the perception
of the problem as well.

 Many leaders are unable to change perception
because they lack situational awareness. 
Situational awareness requires a leader to have a clear perception of
the environment, comprehension of the situation, and a projection of the
perceived outcomes (Fore & Sculli, 2013).  Many leaders are so focused on what is going
in their own area that the fail to see what is going on around them.  This lack of situational awareness keeps an individual
from seeing the big picture and how their decisions are impacting the results.  A nurse manager once told me, “if you don’t
know what is happening on the night shift, you don’t know what is happening in
your hospital.”  Leaders should not be
the last person to know. 

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leaders can inspire others to follow their vision and change, even what initially
may seem to others to be the impossible. 
Historical leaders such as Martin Luther King, Mahatma Gandhi, and John
F. Kennedy are remembered as some of the best leaders in the world because of
their vision.  They inspired millions to
change deep-rooted problems in society.  It
was their level of commitment to the cause and determination that inspired
millions of people to follow them.