...Transformational leadership in nursing practice Owen Doody and Catriona M Doody Traditionally, nurses have been over-managed and led inadequately, yet today they face unprecedented challenges and opportunities. Organisations constantly face changes that require an increasingly adaptive and flexible leadership. This type of adaptive leadership is referred to as ‘transformational’; under it, environments of shared responsibilities that influence new ways of knowing are created. Transformational leadership motivates followers by appealing to higher ideas and moral values, where the leader has a deep set of internal values and ideas. This leads to followers acting to sustain the greater good, rather than their own interests, and supportive environments where responsibility is shared. This article focuses on transformational leadership and its application to nursing through the four components of transformational leadership. These are: idealised influence; inspirational motivation; intellectual stimulation; and individual consideration. Key words: Transformational leadership n Nursing n Motivation n Staff support n Personal qualities ffectivenursingleadershipisavehiclethroughwhich healthcare delivery and consumer demands can be fulfilled. Traditionally, nurses were over-managed andinadequatelyled;theynowfaceunprecedented challengesandopportunities(BowlesandBowles,2000). Thenotionofleadershipisconstantlychanging,withmany theoriesandframeworksavailable...
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...Transformational leadership in nursing practice Owen Doody and Catriona M Doody Traditionally, nurses have been over-managed and led inadequately, yet today they face unprecedented challenges and opportunities. Organisations constantly face changes that require an increasingly adaptive and flexible leadership. This type of adaptive leadership is referred to as ‘transformational’; under it, environments of shared responsibilities that influence new ways of knowing are created. Transformational leadership motivates followers by appealing to higher ideas and moral values, where the leader has a deep set of internal values and ideas. This leads to followers acting to sustain the greater good, rather than their own interests, and supportive environments where responsibility is shared. This article focuses on transformational leadership and its application to nursing through the four components of transformational leadership. These are: idealised influence; inspirational motivation; intellectual stimulation; and individual consideration. Key words: Transformational leadership n Nursing n Motivation n Staff support n Personal qualities ffectivenursingleadershipisavehiclethroughwhich healthcare delivery and consumer demands can be fulfilled. Traditionally, nurses were over-managed andinadequatelyled;theynowfaceunprecedented challengesandopportunities(BowlesandBowles,2000). Thenotionofleadershipisconstantlychanging,withmany theoriesandframeworksavailable...
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...Leadership Styles in Professional Nursing Nursing 351 November 20, 2010 Transitions to Professional Nursing Leadership Styles in Professional Nursing Leadership is a very important aspect within the realm of Nursing. With constantly evolving technology, poor economics leading to major hospital cutbacks, and healthcare reforms, strong nursing leadership has never been more important or necessary. Hood (2010) defines leadership as a process of influencing others to attain mutually agreed upon goals. We will discuss the differences between leadership and management. In addition, we will examine 2 types of leadership styles: Transactional and Transformational and address the effectiveness of both styles in achieving high quality of nursing performance. Leadership vs. Management Many people think of management and leadership as interchangeable. However, there is a stark difference between the two. In defining leadership and management, the one crucial difference is that a person with leadership has the ability to persuade/influence others into following their vision and putting the needs of a group ahead of an individual’s own personal needs (McGuire & Kinnerley, 2006). Leaders have this ability to inspire by employing enthusiasm, hope, optimism, and innovative methods. Leadership does entail having some management characteristics, but lacks the positional power to bring their visions to life. Management is usually an appointed position within a company (Hood, 2010)...
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...Running head: LEADERSHIP STYLE AND TODAY'S NURSING LEADERS Leadership Style and Today's Nursing Leaders Trends and Issues NRS 440V Leadership Style and Today's Nursing Leaders Nursing leadership in health care today is a fast-paced, demanding and very challenging with shifting and competing priorities. Nursing leaders are receiving more scrutiny than ever as the performance expectations continue to rise at all levels of leadership in an effort to move health care organizations forward. Moreover, a managers’ success will largely depend upon their ability compare and contrast leadership styles, identify a leadership style that best fits their philosophy, in addition to that of the organization represented. Although there are at least fifteen different defined management styles, ranging from the very classic to the very creative, it has been determined that no one style is neither right nor wrong, only that different styles are needed for different situations (Marquis & Huston, 2008). The classic styles of management include autocratic, bureaucratic, laissez-faire and democratic. These are often considered the most basic of leadership styles. The article featured in Nursing Management focuses on Transformational leadership. Transformational leadership is a more creative, non-traditional management style (Raup, 2008) fits the writers leadership style and philosophy. The article further describes transformational leadership as a dynamic process...
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...head: LEADERSHIP STYLE AND TODAY'S NURSING LEADERS Leadership Style and Today's Nursing Leaders Trends and Issues NRS 440V Kowanda Robinson Leadership Style and Today's Nursing Leaders Nursing leadership in health care today is a fast-paced, demanding and very challenging with shifting and competing priorities. Nursing leaders are receiving more scrutiny than ever as the performance expectations continue to rise at all levels of leadership in an effort to move health care organizations forward. Moreover, a managers’ success will largely depend upon their ability compare and contrast leadership styles, identify a leadership style that best fits their philosophy, in addition to that of the organization represented. Although there are at least fifteen different defined management styles, ranging from the very classic to the very creative, it has been determined that no one style is neither right nor wrong, only that different styles are needed for different situations (Marquis & Huston, 2008). The classic styles of management include autocratic, bureaucratic, laissez-faire and democratic. These are often considered the most basic of leadership styles. The article featured in Nursing Management focuses on Transformational leadership. Transformational leadership is a more creative, non-traditional management style (Raup, 2008) fits the writers leadership style and philosophy. The article further describes transformational leadership as a dynamic...
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...TOPIC: LEADERSHIP STYLES CONTENts page INTRODUCTION 3 UNDERSTANDING ON LEADERSHIP STYLES 3-9 DISCUSSION ON LEADERSHIP STYLE OF A LEADER 10-11 THAT IS APPARENT IN THE EFFECTIVE PROVISION OF HEALTHCARE DISCUSSION ON LEADERSHIP STYLE OF A LEADER 11-12 THAT FACILITATES POSITIVE STAFF DEVELOPMENT CONCLUSION 12-13 INTRODUCTION in today ever rapid changing and challenging healthcare environment, nurses are required to develop their leadership skills where effective leadership styles they choose to deliver high quality care with improved patient safety outcome (Treguno et al, 2009); healthy work environments (Shirey, 2009): job satisfaction (Heller et al, 2004; Sellgren et al, 2007); lower turnover rates (Gelinas and Bohen, 2000); and positive outcome for organization and patients (Wong and Cummings, 2007) and healthcare providers (Cummings et al, 2005). It must be emphasized that leadership should not be viewed as an optional role or function for nurses. Nurse leaders nowadays confronting challenges like new roles, new technology, financial constraints, greater participation...
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...AN ANALYSIS OF THE RELATIONSHIP BETWEEN SUPERVISOR LEADERSHIP STYLE AND SUBORDINATE JOB SATISFACTION by James D. Long A Dissertation Presented in Partial Fulfillment Of the Requirements for the Degree Doctor of Philosophy Capella University October 2004 UMI Number: 3147190 UMI Microform 3147190 Copyright 2005 by ProQuest Information and Learning Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest Information and Learning Company 300 North Zeeb Road P.O. Box 1346 Ann Arbor, MI 48106-1346 © James Long, 2004 Abstract Within the healthcare industry, there is an issue of major significance that may result in inadequate levels of staffing to meet patient demand. It has been estimated that at the current rate, hospitals will be forced to function with a nursing vacancy rate of 20 % in the not-toodistant future. The purpose of this study is to determine the effect that leadership style has on the job satisfaction level of nurses. It has been indicated that job satisfaction levels negatively correlate with employee attrition rates (Vandenberghe, Stordeur, & D'hoore, 2002). Using the Multifactor Leadership Questionnaire (MLQ) 5X Short (revised) and the Abridged Job Descriptive Index/Abridged Job in General (AJDI/AJIG) psychometric assessments, nurses job satisfaction levels were compared to the leadership classification of their immediate supervisors. The...
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...h Nursing Leadership Theoretical Perspectives of Change The question of leadership in nursing education is one that has been examined extensively in the past literatures. In this paper, various dimensions and aspects related to change in nursing leadership will be discussed in the following assignment. After the discussion of principles related to change, it will be then followed with an analysis of actions and strategies used in a capacity building project aimed at developing novice nurse academics' research skills. Theories of transformational leadership, and contingency theory of leadership, highlighted, in relation to the processes used, thus illustrating the application of theory to the practice of nursing leadership in the academy. Kurt Lewin was one of the first social psychologists who developed a way to observe the change that has proven skilled for managers and action-oriented employees. His approach was called Force Field Analysis, and, said that any situation can be considered in a state of equilibrium resulting from the balance of force that pushes each other constantly. To initiate change someone has to act to change the existing balance of forces which are: 1. To increase the force for change 2. By reducing the intensity of the forces that resists and total removal of them becomes necessary. 3. With the change in the direction of a force that transforms a resistance to pressure for change (Courtney, 2004). Strategies used...
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...Leadership and Nurse Productivity Leadership and Nurse Productivity This paper will review an article by Elizabeth Curtis and Rhona O’Connell in Nurse Management-UK. “Essential leadership skills for motivating and developing staff” reviews the importance of leadership skill and empowering staff (Curtis & O'Connell, 2011). This article discusses the effect manager has on the staff they supervise, and how a negative attitude can produce negative results; whereby a positive and supportive environment can produce staff Nursing Leadership and Developing Staff Productivity. In the article, Curtis and O’Connell discuss the difference between transactional and transformational leadership. Transactional leadership is based on working on an agreed level of performance for a reward. Managers only intervene when something goes wrong. It is a reactionary type of managing. Transformational leadership, on the other hand, is supportive of the employee. Transformational leadership results in higher employee performance, positive relationships and greater employee satisfaction. When employees have job satisfaction is leads to increased productivity and retention. Data Analysis In reviewing and analyzing this article, the transformational leader has four main elements. These elements are charismatic leadership, inspirational motivation, intellectual stimulation and individual consideration (Curtis & O'Connell, 2011). This leadership style is important in...
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...IMPORTANCE OF LEADERSHIP AND MANAGEMENT IN PUBLIC HEALTH 1.1 INTRODUCTION: When it comes to the topic of leadership and management, there are questions regarding if there is any difference between leadership and management, many writers and authors have found it useful to distinguish between management and leadership; although there is some overlap, differentiating between these two key terms helps to explain some of the assumptions made and expectations of people working in complex integrated care settings. An appropriate definition can help differentiate between these key terms; management can be defined as working with and through individuals and groups and other sources to accomplish organisational goals (Hersey and Blanchard, 1988) while leadership is an influence relationship among leaders and followers who intend real changes and outcomes that reflect their shared purpose (Rost and Barker, 2000); to further clarify the polemics about the difference between the terms, a look into another definition; according to Drucker (1999), management is a social discipline that deals with the behaviour of people and human institutions, while according to Jones and Jenkins (2006), leadership is a set of initiatives and responses between the people for the purpose of achieving mutual objectives intended to result in collective effectiveness and personal enrichment over time. From both definitions, it is obvious there is robust difference between both terms, although it has being deduced...
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...Relationship between Nursing Leadership and Nurse Turnover Fred James August 21, 2011 Relationship between Nursing Leadership and Nurse Turnover Nursing leadership sets the social climate of an institution. The relationship between nursing leadership and nursing retention will be discussed utilizing a relevant article. The findings will be illuminated upon and ideas will be brought forth to the governance body to support strong nurse leadership. There is a direct correlation between effective nursing leadership and nursing retention (Force, 2005). In addition, Force (2005, p. 336) concludes that the “Two key issues that are affecting healthcare organizations are nursing retention and recruitment." Therefore, nurse managers are an essential part of recruiting and retaining staff. At a time when the economy is bad and nursing cost the hospitals a great deal of time, effort and money it is important to try to retain nurses. In the operating room, it takes about six months to a year to train a nurse, whether it is a new graduate nurse or a nurse from the floors. According to Grohar-Murray and Langan (2011) “One of the most serious of the issues facing healthcare delivery is in nursing shortage. There are some signs this problem is abating, but currently the United States is experiencing a critical nursing shortage that is expected to intensify it is estimated the current shortage of registered nurses will be 340,000 by the year 2020” (p. 10). The cost...
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...HS 3001 LEADERSHIP AND CHANGE Critically analyse the effectiveness of leadership in the NHS Summary This essay will discuss and critically analyse the effectiveness of leadership role of senior nurses in the NHS. The essay will examine the definition of leadership, different theories of leaderships and how it can be implicated to nursing practice including changes that should be made to make nursing leaders more effective in NHS health care settings. Leadership is an important topic that is highly looked at in NHS. Policy makers approves that nurses have a leadership responsibility in clinical and managerial aspects of things in health care settings. Introduction There are so many different definition of leadership. According to Alimo-metcalfe and Lawler (2001) which stated ‘there is no single, robust definition of leadership available within UK organisations today’. Also according to Huber (2006) ‘leader use their power to bring teams together, spark innovation, create positive communication and drive forward toward group goals’ However, the most common definition that is used is by Northouse (2004), This defined leadership as ‘a process whereby an individual influences a group of individual to achieve a common goal’. This definition confines the fundamental nature of leadership but at the same time it has acknowledged that due to wild ranges of leadership perspective, there will be many definitions of what leadership means depending on the importance of personal...
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...or that a challenge is needed. All healthcare organizations experience transformational change. In the end, transformational change is an approach to better the organization and can create an evolving pathway in learning. In this paper I will discuss two studies of how transformational changes can create learning in organizations. In the first study with the “Transformational Leadership and Shared Governance” article, the problems that lead to the need for change was that the new healthcare reform disempowered the nurses position within the organization. This was caused by the use of the economic model. In this model, nurses were purchased as a product to be purchased rather than a service to be provided (Bamford-Wade, A., et al 2010). The various stakeholders that were affected were the nurses, other employees, patients, hospitals and providers. This process took six years to complete. Some financial resources that were allocated during the change were that most of the money was spent on the unnecessary needs. Since the nurses were unhappy with their jobs, a lot of money was spent on trainings for new nurse managers. This caused the staff nurses to work in an unstable environment. Also with the new market/economic model this caused a gap in understanding between the business staff and the medical staff. Nurses began to have to report to both business managers and the medical managers. The transformational change was completed by using the 4 I’s which are: idealization and influence;...
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...PMC3413924 The relationship between managers' leadership styles and emergency medical technicians' job satisfaction Azimeh Ghorbanian,1 Mohammadkarim Bahadori,2* and Mostafa Nejati3 1. School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran 2. Health Management Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran 3. School of Management, Universiti Sains Malaysia (USM), Malaysia Corresponding Author: Mohammadkarim Bahadori Health Management Research Centre, Baqiyatallah University of medical Sciences Tehran Iran Email: moc.liamg@htlaehirodahab Author information ► Copyright and License information ► Copyright © Australasian Medical Journal This article has been cited by other articles in PMC. Go to: ------------------------------------------------- Abstract Background/Aims Leadership plays a crucial role in many professions, especially in challenging positions such as emergency medical service jobs. The purpose of this study was to explore the relationship between managers' leadership styles and emergency medical technicians' job satisfaction. Method This is a descriptive and cross-sectional study that was carried out in 2010. The research population included 21 managers and 87 emergency medical technicians working in 23 stations in Isfahan city, Iran. The main tools used for data accumulation were the Multiple Leadership Questionnaire for evaluating leadership styles and the Job Descriptive Index for...
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...Invictus, directed by Clint Eastwood, is the true story based on the life of Nelson Mandela during the first year of his term as President of South Africa in 1995. This essay will focus on Invictus and critically analyse leadership knowledge, skills and behaviours displayed within the movie. The essay will use the transformational leadership theory to relate to these qualities and outline how they can influence culture within an organization. Further, the essay will highlight how the elements of leadership, including emotional intelligence, teamwork, communication, patient centered care, and education, impact on nurses and on patient outcomes. Invictus focuses on the captain of the Springboks South African rugby team, Francois Pienaar, and Nelson Mandela, who after serving a prison sentence from 1964-1990, was released from prison due to the fall of Apartheid, which eventually resulted in his election to the Presidency in 1994 (von Tunzelmann 2013). Apartheid, meaning ‘the state of being apart’, was a system of racial segregation in South Africa, enforced through legislation by the National Party governments, under which the rights, associations, and movements of the majority black natives were limited and Afrikaner minority rule was maintained (Merriam-Webster 2014). As the new President, it was evident that Mandela yearned for the people of South Africa to unite, rather than being divided into two groups, the Afrikaners and the black natives. Mandela believed that the country...
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