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Leadership theory in nursing practice
Impact of leadership in nursing
Leadership theory in nursing practice
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Recommended: Leadership theory in nursing practice
Leadership for Nurse Administrators
The health care field is growing increasingly complex, and many nurse leaders will soon retire. These and other factors combine to make leadership in nursing of growing importance. [1] Historically, the medical field has felt little effect from the ebb and flow of labor demands. However, this has changed relatively recently. Primarily, the baby boomer generation in conjunction with changing dynamics in the United States health care marketplace have congealed to place a heavy burden on care provider facilities attempting maintain sufficient organizational leadership.
As result many nurse administrators may experience apprehension from being thrust into leadership roles earlier in their careers than expected.
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The framework builds on the 2004 Healthcare Leadership Alliance Model, which lays the foundation for leaders in health care.
The following four highlights give a brief overview of some of the AONE competencies.
1. Organizational Communication
Effective nurse leaders manage relationships by creating an air of trust in the workplace, keeping commitments with peers and charges, and establishing processes that ensure follow up on professional commitments. They fostering a work environment that promotes diversity in gender, age, race, and religion. Additionally, nurse executives ensure that practitioners are culturally competent.
Nurse leaders build relationships within their organizations by maintaining open two-way lines of communication.
They also reinforce policies designed to improve organizational performance. Such mechanisms create ample opportunities for physicians and nurse practitioners to work together to meet organizational objectives.
Medical Body of
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Awareness of one’s own leadership style – transformational, cross-cultural, or any combination of styles, for example – in addition to how their own beliefs, skills and experiences contribute how they make professional choices. During their careers, nursing executives learn from their successes and failures. Along the way, they develop their executive toolkit drawing the latest problem-solving and decision-making best practices endorsed by professional peers. The high-level executives adapt and change along within organizational circumstances.
Workplace Professional and Personal Accountability
Nurse leaders hold themselves and their charges accountable for mutually held professional responsibilities. Within the context of the nursing community, nurse leaders contribute to the advancement of their profession and relevant associations. They also encourage nurse practice to participate in appropriate health care associations.
Ethic are another important factor related to professional and personal accountability. Finally, nurse leader advocate for the population heath interests, especially underserved
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Huber, D. (2010). Leadership and Nursing Care Management (4th ed.). Maryland Heights, MO: Saunders Elsevier.
Roussel, L., & Swansburg, R.C. (2009). Management and leadership for nurse administrators. Sudbury, MA: Jones & Bartlett Publishers.
Lorber, M., Treven, S., & Mumel, D. (2016). The Examination of Factors Relating to the Leadership Style of Nursing Leaders in Hospitals. Our Economy (Nase Gospodarstvo), 62(1), 27-36. doi:10.1515/ngoe-2016-0003
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.
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. (7th ed.). Philadelphia: Lippincott, Williams & Wilkins.
Personal and Professional Accountability Leadership and accountability go hand in hand. The American Nurses Association’ Code of Ethics defines accountability, “to be answerable to oneself and others for one’s own choices, decisions, and actions” (American Nurses Association [ANA], 2016, p. 38). In assessing her accountability, the author feels she actively seeks opportunities for personal growth and development. Furthermore, she would like to bring some of the tools from the Healthy Workplace Bill (Healthy Workplace Bill [HWB], 2016) to the nurse practice counsel, shared governance committees, and organizational leaders.
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).
During my interview with Regina Martinez, BS RN and currently an Assistant Director of a home health agency, I discovered her leadership style matched the above quote. Martinez had extensive experience in management prior to joining the medical field. As a single working mother, she worked her way up from waitress to manger of a popular seafood restaurant. However, her dream had always been to become a nurse and she began her medical career as a certified nurse’s aide (CNA), while working through college. She graduated from nursing school with a Bachelor’s degree in Science and has been a Registered Nurse (RN) for more than two decades. She quickly earned the respect of doctors and fellow nurses, becoming a Charge Nurse on the floors she worked. She has worked as Medical Surgery nurse, emergency room, and as Director of Nursing for home health and long-term care facilities where she was responsible for over 150 employees.
Marquis describes a leader as the motivation and the leading of the performance. Leader’s uniqueness and abilities are what make others to need to take after his or her way (2009 p.32). First, a leader must understand the self and others as the beginning in leading. As Kouzes and Posner stated “self-discovery and self-awareness are critical to developing the capacity to lead. And personal reflection and analysis of one’s own leadership behaviors are core components in that process” (2011, p. 13). In health care, the nursing leaders hold a vital role in inspiring, empowering, coaching, and supporting the nursing profession to engage with today 's changes in the healthcare. Importantly, the nursing leader’s priority is to advocate for the patients’ care by role modeling to the team on delivering a safe and quality care. Nursing leader who strives effectiveness in responding to challenges, will assess personal leadership style, personality traits and leadership competencies. Thus, self-reflection on leadership is the base for the
Spinks, N., & Moore, C. (2007). Nursing Leadership. The Changing Workforce, Workplace and Nature of Work: Implications for Health Human Resource Management, 20(3), 26-41.
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins
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.