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nursing leadership theory and practice
nursing leadership theory and practice
the role of nurse leaders
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Aim
Nursing management is faced with employing and maintaining employees in the midst of high turnover rates and increased vacancies. Studies show that successful leadership strategies are “demonstrated to be an integral component of retention and should be an important part of any multidimensional recruitment and retention strategy” (Kleinman, 2004, p. 3). The aim of this essay is to explore the association between nurse leadership training as it relates to staff satisfaction and retention rates. Using a systematic search of literature, this essay will attempt to establish how the applications of nursing leadership programs have positive outcomes on nursing job satisfaction and retention rates.
Background/Key Issues:
As nursing turnover remains
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Databases utilized include PubMed, Cochrane Database of Systemic Reviews (CDS, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). This search was limited to full text with abstracts available, English language, and publication dates from 2005 to 2016. This search was not limited to the United States. Keyword searches involved the following phrases: nurse leadership development, nurse leadership training, nurse leadership satisfaction, and nurse leadership retention. After critically appraising the literature found, 4 individual reviews and 2 systemic reviews were used for final analysis. Levels of evidence ranged from Level I to Level V. Each study examined the effects of nurse leadership programs, however, no two studies used identical …show more content…
Shortage of nurses combined with high turnover rates results in increased healthcare costs and reduced quality of care. High turnover is also linked with dissatisfaction with nurses in the workplace (Erenstein & McCaffrey, 2007). Nurse leaders have an accountability to foster positive working environments as well as empower their employees. Participation in leadership programs that promote the development of leadership skills has proven to produce improved work conditions and increased staff participation. Kleinman (2004) describes how leadership programs “should be focused, specific, and targeted to required competencies” (p.4). The growth and development of nurse leaders can improve quality health care in addition to promote healthy work
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Roussel, L., & Swansburg, R.C. (2009). Management and leadership for nurse administrators. Sudbury, MA: Jones & Bartlett Publishers.
The authors in this article aimed to discover nurse manager leadership styles and their outcomes. Nurses from hospitals in the Northeastern part of the United States were asked questions. The data was collected in a locked room, alone, so no one would influence the answers of someone else. The results were put into a software program and displayed for analysis. Results showed when choosing a nurse for a managerial leadership role, one should choose someone if they have the basic components of transformational leadership, not transactional leadership. The authors show that transformational leadership had revealed positive patient outcomes, retention, and satisfaction in the nursing staff. Those nurse leaders who have qualities of transformational leadership are encouraged to build on those skills constantly.
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
...ieks, V. (2002). What constitutes successful nurse leadership?: A qualitative approach utilizing Kanter’s theory of organizational behavior. JONA: The Journal of Nursing Administration. 32(12) 622-632 Retrieved from http://ovidsp.tx.ovid.com.library.capella.edu/ or Accession: 00005110-200212000-00007
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
Hospital administrators will charge nurse leaders with ensuring that patient positive outcomes prevail while also controlling overhead. Nurse leaders are specially trained just for this task. Clinical Nurse Leaders are the experts that America’s patients will rely on to keep them safe and healthy in hospital settings.
If there is not strong leadership in nursing, I believe the profession will continue to lose exceptional nurses, since leadership in the workplace influences nurses intent to stay (Cowden et al., 2011, p. 462). Leadership is the process whereby the leader attempts to motivate individuals to achieve a collective goal (Cowden et al., 2011, p. 462). Transformational leaders are focused on achieving a common goal by fostering growth and change. This type of leadership decreases power imbalances as it strives to empower all members of the group. A transformational leader is one who encourages intrinsic reward amongst individuals (Nielsen, 2013, p.128). Grossman and Valiga (2013) comment on the power of transformational leadership and state: “this motivation energizes people to perform beyond expectations by creating a sense of ownership in reaching the vision” (p.
Huber, D. (2010). Leadership and Nursing Care Management (4th ed.). Maryland Heights, MO: Saunders Elsevier.
Sullivan, E. J., & Decker, P. J. (2009). Effective leadership and management in nursing (7th ed.).
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
One of the problems that faces most health care facilities are being able to recruit and retain their nurses. Nursing shortage and turnover are a complex issue that is affecting healthcare delivery. Nurses form the majority in healthcare and mostly direct caregivers, its deficit poses a dangerous effect on the care of the sick and the disabled. Curbing the nursing shortage and turnover is important for facilities to hire and train their leaders and managers. A good leader or manager should be creative, effective, committed, initiative, motivated, and can handle stress (Huber,
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.
Sherman, R. & Pross, E. (2010). Growing future nurse leaders to build and sustain healthy work
These characteristics of a nurse manager show how their leadership plays a role in their position in the nursing field. Without this position in the nursing structure, it would be very difficult to produce positive results in providing optimal patient ca...