Reflective Essay: The Leadership Behaviours and Challenges




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Table of Contents

Introduction. 3

Leadership Behaviour and Challenges. 3

Conclusion. 4

References. 5





                I work with a community MDT as a nurse. Community based MDT (multidisciplinary team) health care indeed has a complex work atmosphere with its own challenges aimed at curing registered patients. Many diverse health care professionals act as a team so as to address the different issues in respect of patients’ different psychological, social, pathological and emotional problems that cannot be handled by a single physician (DOH, 2014). I have seen different professionals, such as health trainer, dieticians, exercise professional, occupational therapists, systemic therapists, media therapists, clinical psychologists, nurses and so on working together to achieve person-centred coordinated care efficiently (TEIK, Goh et al., 2009). However, working with a community MDT as a nurse, I found a few challenges in this care model and recommended two changes. This paper will reflect my view on applied changes and leadership behaviours and challenges I encountered during these improvements.

Leadership Behaviour and Challenges

For example, team leaders, service managers, or residential wardens or volunteers or other agencies often miss giving care or maintaining the patient care in good time. Social workers also forget one or two patients, to whom they should assist with eating, dressing, monitoring health status, helping with miscellaneous services and so on. Hence, upon noticing, I felt that the said issue by social workers should be fixed. Therefore, I advised and helped the team to make an everyday list of patients so that they cannot miss any patients. Nevertheless, due to care domain, it’s difficult to maintain the list as most of the patients need social care to a certain degree. However, I had instructed them to prepare two lists. One for only patients, who need critical care practice and the other is for the patients, who need the integration approach for the health care. I find this approach useful in improving coherence in the MDT practice for social care. 

The second change I brought to the community MDT workplace is related to the introduction of a mobile phone voicemail service to leave times / mins of visits at the end of the day. In my view, when I introduced this system, it helped us determine the care given by the specific professionals together with time. Previously, there was no system regarding recording, who visited the registered patients for the specific time. Now, I find voice mail service yielding huge rewards when it comes to evaluating the given care by whomsoever professionals on the particular day. Nonetheless, a few team members were not ready to leave a voicemail as they find it inefficient.  I had to convince them by communicating with them. Moreover, for a few days, I had to keep requesting them to leave the voicemail regarding the service. After so many requests, now, all staff members ring in at the end of their shift.


Really, the changes I introduce in the community MDT as a nurse help a lot to all staff members and patients to streamline the care operation in an efficient manner. In fact, in my view, changes regarding the voice mail service and making the list of care seeking patients indeed facilitate on the subject of treatment, follow-up, and on-going care needs.          









DOH. 2014. Transforming Primary Care: Safe proactive personalised care for those who need it most. Redditch: NHS England.

TEIK, Goh, Eccles MARTIN, and Steen NICK. 2009. Factors predicting team climate, and its relationship with quality of care in general practice. BMC Health Serv Res. 9, pp.1-11.



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