Global Healthcare Leadership

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Running head: NURSING LEADERSHIP

NURSING LEADERSHIP 2

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Hello Dr. Myers and Class

Nurse Ratched in One’s Flew over the Cuckoo’s Nest is a perfect representation of what nurses should not be. She is a symbol of the dehumanizing and oppressive nature of service providers. She is nicknamed "Big Nurse" to show her oppressive and authoritative features. She treats her patients with contempt and a lack of sympathy. When she enters the ward, she is described to enter "with a gust of cold (Darbyshire, 1995).” As a leader, she is motivated and well aware of her emotions. Her motivation is to dominate and oppress her patients. The name ‘Ratched’ is reminiscent of a mechanical tool. She has conditioned herself to operate in a certain mechanistic and oppressive manner. However, Nurse Ratched has complete control of her emotions. In the first few pages of the novel, the nurse is wretched to Bromden. Nonetheless, she is able to shift to her "doll-like composure" without being noticed by any patients. This nurse controls her evil nature by showing a docile side. Nonetheless, she lacks empathy, and self-regulation (Darbyshire, 1995). She mistreats her patients by shaming them to fully submit to her. She is self-aware of her power and authority but does not know how to regulate herself. Her actions make everybody around her weak and subsumed.

A nurse leader is critical in influencing better health outcomes. This applies to both the patient and health practitioner. In this case, a nurse leader would apply the change agent characteristics to influence Nurse Ratched. The nurse is portrayed as an intelligent individual who is oppressive and well aware of her emotions. She operates like a machine where she uses her power to dominate patients and reduce them to docile beings. She lacks good social skills since her interaction with other characters is oppressive and dehumanizing. However, she not entirely mechanical and heartless (Mahoney, 2011). Her physical appearance in the ward gives her a mother-like characteristic which prompts her to act as "an angel of mercy." As a nurse leader, I would influence her to be accountable and honest to her patients. Honesty should be seen through empathy and a focus to inspire change. Ratched has a façade of compassion which can be converted to real empathy. I would often compliment her for showing empathy to a patient. Nurse Ratched yearns to dominate over patients and thus the best way to inspire her to change is to make her feel complete control through her actions.

Chaos theory is a complex hypothesis that suggests that some dynamic systems in the universe are not what they used to be understood to represent. Chaos theory suggests that complex systems can be what they seem to be today but their future is unpredictable. Therefore, the theory suggests that every system is subject to changes (Cathro & Blackmon, 2021). Given the suitable conditions, even the human brain can experience changes. In this case, chaos theory opposes the judging of Nurse Ratched based on past events. She has oppressed and subsumed every person around her. However, those are past events that cannot be used to predict her future. Given the optimum conditions, Nurse Ratched can reform and show empathy and compassion to her nurses. Chaos theory places a glimpse of hope amid difficult situations. Therefore, Nurse Ratched has the potential of gaining positive characteristics given that her brain is a complex and unpredictable system.

References Cathro, H., & Blackmon, E. (2021). Nurse Leaders' Experiences and Learnings Navigating Through the Chaos of a Pandemic. The Journal of Nursing, 63-66. Darbyshire, P. (1995). Reclaiming 'Big Nurse': a feminist critique of Ken Kesey's portrayal of Nurse Ratched in One Flew Over the Cuckoo's Nest. Nursing Inquiry, 198-202. Mahoney, J. (2011). Leadership skills for the 21st century. Journal of nursing management, 269-271.