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Essays transformational leadership in health care
Transformational leadership and its challenges
Transformational leadership and its challenges
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PURPOSE This written work should serve as an article summary critique on the article, “Transformational Leadership in Health Care Today” written by Beverly Robbins, RN, BSN and Ruth Davidhizar, RN, DNS, ARNP, BC, FAAN for “The Health Care Manager” Volume 26, Number 3, pp. 234 – 239. The article was written with todays’ nursing leadership style in mind but, focused on the future as well. The intended audience for this article is nurses, leaders and those in or interested in management. The purpose of this article was to document the current change processes in nursing leadership and management. The article provided insight on Robbins & Davidhizar consider “effective leadership”, how nurses are rating work satisfaction and lastly how effective …show more content…
Transformational leaders focus on motivating and empowering staff whereas transactional leaders do not. When staff feel they are appreciated and valued they are more apt to provide better patient care. When patients are satisfied then outcomes are positive. This is one of the main reasons why Davidhizar & Robbins feel that transformational leadership should be the new wave in healthcare today. If organizations realized how much can change by simply implementing change from the inside out then the mission, vision and values of the organization can be …show more content…
The reason I preferred the transformational leader is because I felt valued and appreciated. I saw the change and direction that the unit was going in and it was a positive outcome. While working under a transactional leader I felt as if I had to do something to get something. I felt like I was bargaining to be able to have the work schedule that I needed and that the manager was doing me a favor by complying with my request. On the contrary, when working under a transformational leader I saw visible change. Ezziane stated, “Transformational leaders who move followers toward new values and a new vision and generate exceptional performance through influence, stimulation and motivation, as well as having high standards of morals and values (Ezziane, 2012)”. During this experience I learned about self-scheduling and visibly saw the change in morale, decreasing callouts and increase patient satisfaction because the patient complaints
Transformational leaders exhibit personal and professional qualities that other want to emulate and follow. These leaders advance the mission in combative environments. Transformational leaders propel the growth of the team through communication. Finally, transformational leaders leave a legacy that instills pride, moral, and determination for future success.
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
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.
Also, incorporate the aspect of taking risk in changing a current practice to see if a new one works more efficiently (Judge & Piccolo, 2004). A transformational leader should foster creativity in their team members and show that even though there may be a designated leader, the team members or followers still have a voice that matters. In terms of importance, transformational leadership within my future career will be essential. I hope to be working in the field of Therapeutic Recreation as a Certified Therapeutic Recreation Specialist (CTRS), which is an emerging profession in healthcare. Advocating for change and taking risks will be key as I will need to show other health professions my benefits.
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.
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.
Why now? Why are we focusing on transformational leadership? Healthcare costs are continuing to rise. Some of the critical problems and active debates prevalent in many hospital organizations include the rapidly intensifying healthcare costs, funding and reimbursement cutbacks, and concern regarding the overall quality and safety of health care. “Healthcare systems have come under pressure to improve performance and manage productivity” (Botting, 2011). To be successful in the 21st century, there is a demand on healthcare systems to have a vision and executive and clinical leadership to inspire the change process and make the difference between success and failure in change.
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
Trott, M. C. & Windsor, K. (1999). Leadership effectiveness: How do you measure up? Nursing Economics, 17(3), 127–130.
A manager’s leadership style must influence staff and others to take them seriously. A manager sets the tempo for the employees’ work ethic. Effective leadership from healthcare managers is important to the modern healthcare reform (Kumar, 2013). Leadership engagement in healthcare explains how a problem could affect a healthcare organization. Managers that hold leadership roles must adopt a certain style that can be functional for his or her initial organization to be successful. Performance improvement can be a very serious aspect of leadership engagement (Croxton, 2011). Healthcare managers need to have people from all areas involved to work effectively. Without the consistency of getting all staff and physicians involved, the organization may suffer greatly.
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.
Initially, transactional and transformational leadership are different in terms of implementation and its outcomes. However, transformational leadership was developed from transactional leadership (Downton, 1973). Bass (1985) defined transactional leadership as an exchange activity that leaders execute to motivate subordinates in order to achieve their tasks by giving out reward or punishment correspond with their performance. Additionally, active and passive management by exception are taken into account when it comes to misconception and faults. Bass (1985) stated that transformational leadership emphasizes the value of subordinates, encourages them to perform extra effort, and assures their comprehension on organization’s goals and objectives. Besides, idealised influence, inspirational motivation, intellectual stimulatio...
). Burke et al (2006) suggested that transactional leadership, based on contingent rewards, can have a positive effect on followers' satisfaction and performance. However, a transactional leader focuses on management tasks, and will not identify shared values of a team. By contrast, transformational leaders inspire others with their vision and work together with their team to identify common values (Marquis and Huston 2009). The transactional approach is task-orientated and can be effective when meeting deadlines, or in emergencies such as when dealing with a cardiac arrest. This approach can lead to non-holistic patient care, because nurses focus on the task they need to complete, rather than the patient as a whole (Bach and Ellis 2011).
Transformational leadership is an extension of transactional leadership. Organization should maintain base of transactional leadership while moving their organizational culture towards one of Transformational qualities.
Transformational leaders are needed to transform low performing organizations to acceptable to high performance. At other times, the leader is expected to move an organization from a crisis. In order to accomplish these tasks, the leader must overhaul the organization culture or subculture. This task is accomplished by nine ways of transforming others: 1. Raise others awareness. The leader makes others aware of the rewards and how to achieve them, i.e. pride in the job or financial incentives. 2. Help others look beyond self-interest. The transformational leader helps others to look at the “big picture” by describing an entire scenario, i.e. if we hire more employees to do x, we will have to make cuts in other areas. 3. Help people find self-fulfillment. The leader helps others not to focus on minor satisfactions, i.e. getting a job done before the deadline ...