Leadership: The lessons learnt from the Heart of Mental Health Student Nurse

Rachel Jukes

Leadership in nursing encompasses more than just clinical expertise; it requires a dedication to advocacy, teamwork, and ongoing personal development. My experience as a mental health nursing student, especially through my collaboration with the Deputy Welsh Government Gillian Knight, has significantly influenced my perspective on leadership. In this blog, I will reflect on my experiences, the transformative impact of my mentor, and how these insights have shaped my aspirations in perinatal nursing and health visiting involving mental health (Rolfe et al., 2001/2020).

(The Compelled Educator, 2023)

At first, I was slightly apprehensive to be involved in such a programme and I knew it would take me out of my comfort zone as I am not the type of individual to put myself forward. Even with my peers within the class environment I clam up and have no self-confidence. It was not until another student encouraged me to sign up for the programme and I for one did not expect to be accepted, the questions I answered I had to sell myself and my experiences.

  I was a mature student who had taken herself back to education, while juggling three beautiful children and holding down a job within healthcare, with all these factors upon me it could demonstrate my life was stressful enough without adding more to it.

 When I found out I had been accepted I was hit by all kinds of emotions, happy, anxious, disbelief and excitement, as I told my fellow peers who encouraged me that this was a good turning point within my nursing career as it would potentially open doors, I accepted that this was fate, it was my time to start thinking about myself and putting my career forward.

During the first day at leadership, I remember butterflies as I was walking from the car, stepping into the room and looking for my name tag. Then it hit me that this situation was not something I was used to and if I would even enjoy it. In the room there was various professional backgrounds, including Occupational Therapists, Adult Nurses, Child Nurses, Mental Health and spokespeople from different fields of nursing and employment status. The event took place for over the two days, it was well structured and planned, featuring guest speakers and engagement activities designed to strengthen our professional bonds.

After the two days was over where new friendships and bonds were made, we were assigned a mentor, and Gillian played a significant role in my leadership journey. Throughout the next few months, we both planned meetings, via zoom calls, where Gillian provided me with guidance, explained protocols within nursing, her current job role and how she herself managed her career throughout the years. Gillian took a genuine interest in my background, and my journey to becoming a mature student. With Gillian sharing her own personal experiences and her progression within her career, I found this very inspiring to listen too. Additionally, during the various planned meetings we explored fundamental nursing concepts, policies and leadership models such as the GROW model (Marshall & Broome, 2021).

 Gillian tried to understand my personal interests and career aspirations, helping me connect with influential professionals, from this led me to opportunities where I engaged with nursing specialising in mental health, broadening my knowledge and understanding of various nursing disciplines.

Reflection on feelings

Initially, I felt both excited and slightly apprehensive around participating in the leadership programme, as I was unsure of what to expect. However, as the sessions progressed, I found the structured activities and mentorship to be incredibly valuable. Gillian’s genuine interest in my journey made me feel supported and motivated.

 Engaging with professionals from diverse backgrounds gave me a sense of belonging and confidence in my abilities. It was particularly rewarding to see how my experiences and perspectives as a mature student were acknowledged and appreciated by Gillan. The exposure to different areas of nursing and leadership models left me feeling encouraged and eager to apply the knowledge gained in my professional journey as a mental health student nurse.

Evaluation

My leadership experience was highly positive, with the structure of the program, the presence of experienced guest speakers and the hands-on mentorship were beneficial on my journey. My mentor’s approach, that balanced professionalism with a personal connection and provided a significant impact on my confidence and understanding of a leader and how to become a true leader.

 Discussing key strengths within this experience was the opportunity to engage with mental health professionals, widened my perspective on nursing and leadership in different aspects of life. Additionally, exploring leadership models such as Grow model that provides me with a structured framework that I can apply in future leadership roles.

 This experience highlighted the importance of mentorship in leadership development, with my mentors personalised approach demonstrated how effective leaders not only provide guidance however also take interest in the personal growth of their mentees (Garrity, 2013). Gillians willingness to share her own experiences made the learning process more relatable and engaging. Furthermore, the exposure to different nursing policies and leadership models reinforced the significance of structured frameworks in decision-making and problem-solving. The GROW model, for instance, provided a clear structure for setting goals and taking forward steps to achieving them.

 The leadership experience highlighted the importance of interdisciplinary collaboration. Professional working from various fields broadened my understanding of teamwork and the role of leadership in fostering cohesive healthcare environment (Garrity, 2013).

Conclusion

The leadership programme was a transformative experience that enhanced my understanding of leadership principles, nursing policies and interdisciplinary collaboration. Gillian played a pivotal role in my growth, providing both professional guidance and personal support throughout. The opportunity to interact with mental health professionals further depended on my knowledge and interest in this field.

 How I plan on moving forward and adapting leadership within placement, University and life, to apply leadership models, particularly grow model to set achievable career goals. To continue to keep in contact with Gillian and seek mentorship opportunities within my role as a student nurse. In future whilst being at Swansea University, would like to engage further in professional networking to expand my knowledge in mental health nursing and the capability to reflect on my experiences throughout the course and life in general, to which this would improve my leadership abilities to grow.

Leadership experience for me, has reinforced my passion for mental health nursing and I will continue to implement any form of information I have learnt throughout this experience as I further progress my career.

Reference

Garrity, M. K. (2013). Developing nursing leadership skills through reflective journaling: a nursing professor’s personal reflection. Reflective Practice, 14(1), 118–130. https://doi.org/10.1080/14623943.2012.732940

Marshall, E. S., & Broome, M. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer Publishing Company, Llc.

Rolfe, G., Jasper, M., & Freshwater, D. (2020). Critical Reflection in Practice: Generating Knowledge for Care (2nd ed.). Palgrave Macmillan. (Original work published 2001)

The Compelled Educator. (2023). 5 Inspiring Leadership Quotes – Motivation Monday #37 {September 15, 2014}. https://www.thecompellededucator.com/2014/09/5-inspiring-leadership-quotes.html

“Being a Dream Catcher”

By Jessica Bain

I remember sitting in the sunshine one day reading one of my favourite books “The Language of Kindness: A Nurse’s Story” by Christie Watson. My grandmother had given me the book after I received the news that I had been successful in gaining a place on the BSc Mental Health Nursing course at Swansea, and whilst reading it I came across a quote which I have held onto ever since.

“A mental health nurse is a dream-catcher in a desperate window.”

This analogy is something that has stuck with me throughout my training and is something I think of often. I’ve always had a passion for mental health and how our minds, as humans, work. I have always been told from a young age that I am emotionally intelligent and very empathetic. These are some of the attributes that I would later learn are vital in leadership.

Because of my interest in the mind, I pursued psychology from GCSE level all the way through to completing my BSc in Psychology at Cardiff University.

During my psychology degree, I was diagnosed with Crohn’s Disease. I didn’t realise at the time how important this journey would be for my future career. Being a regular patient in the healthcare system opened my eyes to whole new perspective that I hadn’t seen before. It gave me so much insight into the patient experience: what worked well, and what didn’t.

Although nursing had always been on my mind, it was my diagnosis, and experience with my illness, that really drove me to want to enter a healthcare profession. When I was first diagnosed with Crohn’s Disease, I remember being in an appointment and being told that my prognosis wasn’t great and that I’d need further surgery in the future. The bedside manner of this particular consultant was to be questioned. It drained me of hope. And yet, not long after, I was sat in an appointment with a different consultant, who, despite facts remaining the same, made me feel as though my prognosis was different, she gave my hope back. And it was all down to her kindness and empathy.

This brings me back to the quote I included at the start of this blog. We, as healthcare students and future staff, should strive to take the worry and distress away from our patients. We should strive to be the dreamcatcher who ‘holds’ their distress for them, until they can do it themselves. We can, with kindness, give them the power of knowledge, education and medicine that allows the patient to take matters back into their own hands. The consultant I saw was a dreamcatcher for me. She altered my entire outlook on my disease, with kindness and a listening ear. Our attitude can make the world of difference to our patients.

Fast forward to starting mental health nursing at Swansea. In the early weeks of the course, we had a talk regarding the Swansea Leadership Academy (SLA). Needless to say, I went home that day and started my application. I was thrilled to hear I had been accepted to be part of 2023 SLA cohort.

The conference days as part of SLA were so interesting, and I remember feeling like, for the first time, I had met people who had the same ideas and passions as me. Through SLA, we were encouraged to apply for the Council of Deans of Health’s Student Leadership Programme (150 Leaders). After hearing about the programme, from which SLA is based on, I knew I had to explore it.

Ironically, I was in hospital just before the deadline for the 150 Leaders application, finishing my application from a hospital bed. I was sure I wouldn’t be chosen to attend due to not giving it the same effort as I usually could. As you can imagine, I was extremely shocked to find out that I had been successful in gaining a place out of hundreds of applicants.

During my time on the 150 Leaders Programme, what stood out to me was how similar all the attendees were, despite coming from all parts of the UK, doing different degrees, working in rural and inner-city areas. We all shared the passion to want to make healthcare better for our patients and staff. We want to lead with compassion and empathy – I was sitting in a room full of potential future NHS leaders.

Through both leadership programmes that I have been lucky to be a part of, I have had coaching from some welcoming and inspiring people who have allowed me to express my passions, take part in conferences, and discuss ideas. The opportunities I have been a part of since the leadership programmes have been outstanding for my learning experience. I have really enjoyed speaking to leaders in their field and will carry their knowledge with me throughout my career.

I believe that my life experience has led me to where I am today. Being innately passionate about the care of others, and now being able to put that into practice has been overwhelming in the best way.

The leadership programmes have taught me that being a good leader is not just about skill and experience, but also about being compassionate, emotionally intelligent and a good listener, who takes actions based off what their staff/patients are saying. If you heart is in the right place, the rest will follow.

I have taken my learning to the classroom and have taken steps amongst my classmates to act on their behalf and speak up for them. By being a student rep for my class, I strive to be that person who acts when situations occur that require my cohort to speak up. I enjoy being that person people can come to and feel confident that I will listen and take steps to help.

Being part of the SLA has given me a lot of confidence to do things I maybe wouldn’t have done with such ease before. SLA unlocked a part of me that was always there, I just didn’t realise it. I didn’t realise that my innate attributes were the recipe of a good leader. Kindness is the driving force to all good things, but taking steps to act is what sets you apart.

I strive to always be that dreamcatcher for my patients. I promise to hold as much worry as I can for them, and to use that to take action in ensuring that they get the best care they can. I promise to be there for my colleagues and to always show compassion in everything I do.

Jessica Bain, Mental Health Nursing Student S22.

How to Communicate the Right Way by Carys Hughes

My journey began when I was sat in the Vivian Tower awaiting a lecture when Beryl Mansel approached our group of eagerly awaiting midwifery students. She introduced “The Student Leadership Academy” – I had no idea what this would entail. I was intrigued to find out more and so applied via submitting written work on why I should be offered a place. Having had previous exposure to opportunities of leadership, such as being chairman for my local Young Farmers Club, I thought that leadership was self-explanatory: practising public speaking, organisational skills and representing the organisation. I did however understand the importance of leadership in developing you as a person; but I wanted to enhance this by being more confident and assertive in every day life and I hoped my enthusiasm would be portrayed in my application.

            On Monday 25th March 2019 my leadership journey came to a fork in the road. The two-day welcome event full of guest speakers from different walks of the healthcare profession addressing different aspects of leadership inspired me to take my direction. The path that I followed was influenced by Beryl and her lecture on “Developing Your Leadership Persona”. She highlighted that an authentic leader is one that wants to make a positive impact through trust, vulnerability and passion (Wright, 2015): three attributes in which I imagined to carry throughout my midwifery career. I knew that the key element for thriving with these attributes within midwifery would be self-confidence. Self-confidence and a person who others have confidence in are closely related and is associated with positive outcomes and success through optimism and efficacy (Bedwell, 2012), and that was where I felt that I required improvement.  

Then came the next challenge, the three-month coaching programme. I met with the truly motivational Dr Julia Terry, my coach, and associate professor and academic lead for public and patient involvement in health programmes in the College of Human and Health Sciences at Swansea University. My goal was to improve my self-confidence through communication and assertiveness. Through three meetings my self-confidence flourished. The initial meeting took place at Dr Terry’s office and through conversation we got to know each other well, where Dr Terry highlighted skills in which I didn’t know that I had: already improving my self-confidence. She then considered a development plan for myself, being aware of the obstacles in my path and my future goals. She also provided me with a challenge before my next meeting: to put myself in three unfamiliar, compromising situations; putting myself out there and facing my fears: making a conversation with three different people. Our next meeting took place in a coffee shop on campus, where my challenges were reviewed, focusing on the improvements that I had made and the positive points. A new, more impressive, challenge was given to me: to make a conversation with someone who I felt was more powerful than me. The third and final meeting consisted of a walk around the beautiful campus gardens. To conclude my journey, we focused on where I was as a person now. Dr Terry urged me to foster and hold on to my innate attributes and also those in which I had gained, to flourish and strive for my goals to become an aspiring future leader.

“The best way to gain self-confidence is to do what you are afraid to do” Anonymous.

For me, the issue of overcoming my increasing fear of comfortably making conversation with individuals and groups of people on a personal level within practice was of great significance when building comforting and trusting relationships with women and their families through what can be a worrying time for some. I need to be able to give the best care throughout my midwifery career and so, self-confidence was the first challenge I needed to face to improve my behaviour. Through the journey guided by Dr Terry, I learnt that resilience builds self-confidence and is essential within the healthcare environment. To be able take the hit but to come back fighting and stronger as a result will give you emotional intelligence to be aware of your emotions. This reminded me that I already possessed the strongest and most important virtue required to augment self-confidence: compassion.  

Having reflected on the importance of self-confidence within healthcare, I now realise the root from which self-confidence challenges arise. Equality and diversity are words that some people can tend to forget, thus building a hierarchy within society. Self-confidence is essential to break down these barriers and I realised that I must challenge this on my leadership journey. In the words of Dr Alys Einion (2019), “the first step in recognising equality and diversity is knowledge, awareness and challenging our perceptions”.

Leadership is a skill that is apparent throughout every profession, society and in day to day routine; and I believe that our generation requires the ability to be able to put this skill into practice to give yourself the greatest potential of succeeding.  I am excited to continue my leadership journey and to create new goals.  Self-confidence is one skill that I am now more aware of, it is one stepping stone that I have completed on my journey.  I am now eagerly awaiting the next! 

#futureleaders #arweinyddydyfodol

Carys Hughes 

1st year Midwifery student – Swansea University 

References:

Bedwell, C. (2012). An analysis of the meaning of confidence in midwives undertaking intrapartum care (Doctoral dissertation, University of Manchester).

Wright, R. (2015). It’s messy being authentic – lessons learned on the road to becoming an authentic leader. Strategic HR Review, 14(3), 79-84. doi:http://dx.doi.org/10.1108/SHR-03-2015-0024