Health care organizations and the way patient care is delivered is rapidly changing. The ability to manage, promote, and facilitate change is one of the most important skills that nursing leaders need to be successful. Influencing change requires effective communication skills, and the ability to help others see the vision (Curtis, De Vries, & Sheerin, 2011). Nursing leadership can no longer take a top down approach when leading change. During periods of organizational change there is great uncertainty. Nurse leaders are responsible for influencing change by creating an atmosphere where information is shared, there is a reshaping of ideas, and a vision is created (Samela, Eriksson, & Fagerstrom, 2011). Effective communication is an essential …show more content…
Change Theory for Nursing Leaders
a. Transformational Leadership and Electronic Health Record Adoption
Adoption of new technology is affected by the perception of benefit, compatibility with workflow, ease of use, leadership presence and their support to gain buy in from end-users. In an unsuccessful adoption of new technology there is an underappreciation of the impact for the organization, the number resources required, and leaderships inability to communicate transformational change. In cases where technology adoption was successful staff were engaged early on by leadership as key users (Gagnon et al., 2012).
b. Organizational Change
Change requires the reshaping of ideas and the ability to communicate the vision. Influencing others and the ability to develop relations ships is essential. Nurse leaders successfully manage change by directing, guiding, motivating and supporting staff. They communicative and inspire trust (Samela et al., 2011). Since leadership is a skill that is learned over time, education at all levels of nursing within an organization is essential. Nursing leaders within an organization are encouraged to move away from the traditional nursing service models and move to shared and distributed leadership models. An example of distributed leadership model would be shared governance, where bed-side nurses have the opportunity to have input regarding organizational change (MacLeod,
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Internal reputations, authentic leadership, and transparent communication in an organization are all related. Employees who are managed by fair and authentic leaders described their organization more favorably. A positive internal reputation projects more credibility for the organization. Transparent communication helps employees have a better relationship with leaders and in turn, the organization has a better brand and are more trusted by the public (Men, 2014).
b. Accountability and Authentic Leadership
The ability to facilitate change through the use of authentic leadership is an essential competency for nurse leaders. The ability to be a visionary and inspire others, and set expectations during times of change will be essential as a leader in the future (Huston, 2008). Accountably and goals start with the Chief Nursing Officer (CNO) and flows down through the nursing leadership to the shared governance staff level.
V. Multiculturalism and Diversity the Impact on Leadership
a. Cultural
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.
Even though leadership can be an essential place for development, if certainly not of greater importance, is the desire to create your conditions, which service and boost new models of leadership. Another dimension regarding consideration inside the implementation regarding clinical governance as well as leadership would be the disempowerment from the nursing profession. Hitchcock (2013) supported this view, asserting that yesterday’s methods do not work in the permanent white-water world, where managers traditionally manage within the system and focus on doing things according to the rules.
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.
The article I chose to discuss for this week’s discussion is by Doody, C. & Doody, O. (2012). This article focuses on transformational leadership and its use in nursing/health care. This article draws attention to the many changes that have taken place in nursing/healthcare and how nursing theories and nursing frameworks must continue to evolve as changes are made. As nursing theories and nursing frameworks continue to advance and change, leadership styles must also continue to evolve as time progresses and as changes are made in the healthcare field. This article points out current healthcare issues and the need for strong leaders to overcome obstacles and challenges. Also, background information and a definition of transformational leadership
The ever changing health care field call for leaders that are dynamic, and innovative and incorporate critical thinking to match the demands of the health care industry. A successful nurse leader would be the one that is open to new ideas from others by way of research findings to simple ways to execute a task in the clinical arena. The doctorally prepared nurses are the future leaders of nursing and as such their education (DNP curriculum) should gear towards preparing these future leaders to be transformational leaders. Transformational Leadership was originally developed by Burns who describes it as “... a process whereby leaders and followers raise one another to higher levels of morality and motivation” (Karen Drenkard, 2012). These leaders
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.
Leadership is described as the behavior of an individual when directing the activity of a group towards a common goal (Al- Sawai, 2013). Healthcare system involves multiple related, interconnected relations with other departments and health care professionals from various cultural backgrounds; therefore, the understanding of individuals’ behavior and group dynamics within the healthcare organization is imperative for a leader and or organization to be successful (Bukowski, 2009). A transformative leader has the attributes that are necessary for twenty- first century leader to have to be an effective leader in a changing nursing service organization and the healthcare system. A transformative leader is a type of leader that collaborates, encourages, and motivates people adapt to changes with charisma (University of Kent, n.d). Study shows that some leaders fail because of
Nursing is an ever changing profession, making strong leadership a crucial aspect. “Nursing leaders play a significant role in creating positive work environments for nurses” (Young – Ritchie, Laschinger, & Wong, 2007, para 1). This paper will define the concept of leadership in nursing. Many qualities are required to be a successful nursing leader. Some of the qualities discussed in this paper are: supporting and empowering team members, being well organized, remaining consistent with their expectations, and being able to effectively communicate with their team. Furthermore, this paper will identify the relationship between leadership qualities and role of the Practical Nurse.
Within the nursing environment one thing that is certain is the constant changes in policies and procedures. It is imperative for the nurses to receive a certain level of support from their nurse leaders (Mullarkey et al., 2011). Establishing and creating human relationships is key in a well-balanced nurse leader. The transformational nurse leader is a perfect example of trustworthiness. This leadership style brings her staff together to work as a team while keeping them on track to reach the finish line (Mullarkey et al., 2011). The transformational leader honors good relationships while leading by example (Mullarkey et al., 2011). This gives staff in any healthcare setting the opportunity to trust in their nurse manager and work as a well-rounded employee (Mullarkey et al., 2011).
In closing, as the healthcare climate consistently changes across the United States, it is imperative that registered nurses understand the demand for superior knowledge and lifelong commitment to nursing. As nursing theory and practice expand, our role as leaders is to place a high priority on our commitment to educate and guide nurses, thus improving the lives of their patients through the support of transformational leadership. The Institute of Medicine’s recent report, The Future of Nursing – Leading Change, Advancing Health, specifically calls for nurses to advance and embrace leadership roles on all levels and fronts – from collaborative improvement to positive identification of areas facing challenges within the healthcare setting.
Nursing provides critical contributions to the healthcare system. With the increases in global health challenges, expanding technologies, increased diversity and the increasingly complex health problems of patients it is detrimental to equip nurses with the valuable knowledge and skills to lead change, promote health and evaluate levels of care in multiple settings through Master’s level nursing education (American Association of Colleges of Nursing, AACN, 2011). Master’s level nurses are capable to build and lead collaborative interprofessional teams and recognize the need to promote high quality and safe patient care guided by organizational and systems leadership (AACN,2011). The use of transformational leadership could effectively promote
...h and Garneau (2011) it is more flexible to adapt the changing roles of nursing if the NM apply democratic styles in management and leadership to change the organization. They will feel worthy and valued in an organization if the NM is able to empower the staffs in making decision or share their power to promote a positive attitude and work environment (Kane-Urrabazao 2006). Therefore it is very important for the organization or the hospital to have a NM with good leadership skills which can influence people and make changes.
Doody, O., & Doody, C. (2012). Transformational leadership in nursing practice. British Journal of Nursing, 21(20). Retrieved from http://web.b.ebscohost.com.proxy.library.ohiou.edu/ehost/pdfviewer/pdfviewer?sid=3655bc92-b9ec-4a08-84d8-f5d3098ddfdf%40sessionmgr120&vid=17&hid=116
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.