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Nursing Care Management

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Each core of the mental health profession, including nurses, is challenged to play a leadership role that supports the widespread implementation of collaborative care models in the primary health care setting (Feldman 2008). Nurses are considered key workers who work with the service user and carer to assess needs, develop and implement a care plan with the primary aim to improve the delivery of care to people with severe mental illness (Forster 2001). Figure 1 illustrates several imperatives critical for all nurse leaders. Daly et al. (2003) argued that it is important for organizations to clearly understand and evaluate both their internal and external social, economic, political, technological and professional environments— because of the pace and complexity of change experienced by health organizations, these issues raise critical question for nurse leaders and managers with respect to the deployment of scarce resources, and the recruitment and retention of competent staff. Building shared vision is about making an assessment of the current reality, determining what the desired state would be, and managing the resultant tension between these two states in a manner that is constructive and productive (Yoder-Wise 1999, cited in Daly et al.

2003); and to be able to conceptualise a vision and to communicate it to others is a critical issue for nurses. Being able to foster nurses’ attitude, reputation, organization, and service will be an important part of creating and maintaining system-wide continuity of quality care in the face of significant challenges (Daly et al. 2003). The creation and maintenance of a positive work environment provide meaning for employees and still significant to nurses because, amongst other things, this concept requires respect and professionalism towards co-workers for a better healthcare system. The capacity to foster creativity and innovation encompasses the ability to see relationships between unrelated parts or, in other words, relevance and fit between things that have not yet previously been connected together— to see the big picture and analyze how things work from a systems perspective (Daly et al.


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