Question: Comment 1:

Nurse managers and leader's role in reengineering health care is by being advocates for patients and staff, as well as making sure the hospital's environment is calm and functioning smoothly. "Advocacy is a process used to facilitate growth in others. Common methods of advocacy are: 1) providing others with information that empowers them to make their own decisions, and 2) acting on behalf of others who do not have the ability or power to advocate for themselves" (Reengineering, 2011). It is important for the nurse managers and leaders to create a hospital facility environment where patients are respected, and are empowered by educating them on their health and condition to enable them to make decisions about their treatment and care. It is also important for managers/leaders to continually check on their staff's patient care feedback and any concerns they may have. It is also important for them to listen to their staff and patient. "Leaders must listen to the sounds of change. Leaders must help people work through the grieving process and conflicts experienced during time of change. Because the pace of change in health care is so rapid, leaders must be prepared to deal with the chaos and uncertainty through calm communication" (Reengineering, 2011).

Comment 2:

Health care requirements need to adapt to changes based on the needs and demands of the community being served. Therefore reengineering is necessary to maintain safety in practice, improve processes and increase efficiency in care delivery while saving costs. A manager plays an important role in advancing and keeping the healthcare system in progress. The nurse manager initiates and coordinates the health care team in delivering high quality patient care services. For these managers or leaders to achieve this goal, several principles have to take place. These include ethical decision making and adhering to professional codes. "Ethical decision making like any other decision making requires the manager to gather information, identify the problem, generate alternatives or select an alternative to implement and evaluate results. Ethical decision making depends on the identification of the ethical principles that guide the selection and expectations of the outcome" (Grand Canyon University, 2013). Professionally, nurse managers should keep up to date with legal aspects in the health care system in order to protect patients, staff and the interests of the organization.