Leadership in Nursing Practice
What do you think of when you hear the word leadership? I think of someone who is in a position of power and is leading everyone to a better future. That could be considered a little idealistic, but it is a pleasant thought. Now we all know a leader is someone who leads people to complete sets of common goals and tasks. Leaders are everywhere. They are doing everyday things and seeing everyday people, but they are leaders in their profession, and that includes nursing. You could say that nursing is a profession that runs on leaders, and these leaders have different styles of moving about and getting things done. There are different types of leaders, different theories regarding those leaders, and what traits those individuals need to exhibit to be a good, or even exceptional leader.
Building Blocks of Leaders
Authority and Power Leadership requires something known as power and authority. These are needed to motivate their coworkers and colleagues to act in a certain way. Authority can be given to a person by the organization they work for in the form of a position, which for instance, could be a nurse manager. This authority is the right to give orders to others and direct them on what to do. The difference between power and authority is that power is the ability, not the granted right, to motivate people, like their coworkers, to get things done that needed to be done. (Cherry and Jacob, 2014)
Sources of Power There are many known sources of
Nurse leaders are the background to the nursing care. Effective nurse leaders can promote a positive workforce and a healthy work place for other nurses. Workplace dynamics is an essential part of how each nurse functions. Nurses, being mentally and physically stressed, need to have support and guidance from a nurse leader to feel confident about performance. The impact of nursing leaders can be a positive and guiding force for the younger or more inexperienced nurse. Having strong relationships with solid leaders can instill values in the beginning stages of a newer nurses’ career. Gaining insight and core concepts from a more experienced leader can make a world of difference in the way a new nurse performs, provides patient care, and sets future goals for themselves. A newer nurse with a positive role model and nurse leader can model themselves to become a leader for future nurses.
Leadership is encountered in every occupation and in everyday life. In nursing, leadership is not only prevalent; it is crucial to patient care and employee satisfaction. The nurse leader that was interviewed was a nurse at the Newport Hospital in Newport, Washington. This is a small hospital in a rural community. She is a charge nurse in the acute care unit, as well as in charge of leading infection control in the hospital. With these roles comes a lot of responsibility, and tasks that must be completed in a timely manner to create a workflow for the rest of the staff. There is a lot of juggling and balancing everything that is included in all of those positions.
Leadership is defined by the Merriam-Webster dictionary as “the power or ability to lead other people” (Merriam-Webster, 2017). A leader may also be thought of as a guide or a director. Our sixth president, John Quincy Adams quoted that "If your actions inspire others to dream more, learn more, do more and become more, you are a leader" (GovLeaders.org, 2017). But what makes a nursing leader? In the book “Leadership & Nursing Care Management”, Huber defines a nursing leader “…as the ability to inspire confidence and support among followers, especially in organizations in which competence and commitment produce performance” (Huber, 2014, p. 4).
Every day, a set team of nurses and nursing managers set out to ensure the health and well-being of their patients. To achieve this goal, a nurse manager must adhere to a specific style of nursing leadership. There are many different styles of leadership in the healthcare field. Bass and Barnes (1985) stated that the two most common are transformational and transactional (as cited in Frankel, 2008, p.24). This paper will define leadership, the two different styles, how each are executed, as well as pros and cons of each.
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
Good leadership is demonstrated through educating future nurses, leading within the workplace, and being part of a nursing groups and organizations. Nurses should be working together to improve the care for all patients.
Effective nurse leaders are often flexible and are able to change style of leadership to suit changing circumstances. They ensure that their people are regularly being challenged to grow and learn. Nurses show leadership by giving feedback and empowering others to bring out their best and the opportunity to grow. I believe that good leaders help people to see that what they do makes a difference. Nurse further their education to expand and gain knowledge so they can render excellent quality care that patients deserve. Also, the leaders would also help other nurses to work as a team to help the facility run to deliver high-quality care. A leader, “should think and talk about future trends that will affect the team's work, and make sure you communicate your vision to your team regularly” (Pearce, 2007, p. 25). I vision a leader as someone who can move others in achieving their goals and mission. For instance, our nurse supervisor addresses the
First let’s start with the meaning of leadership. Leadership is the ability of an individual to influence the behavior of others (ATI leadership pg. 2). As a leader it is important to form goals and to follow through with them. As a nurse you are a part of a team and it is
Nursing leaders play a major role in shaping the nursing profession and maintaining the health system. They can be either chief executives, middle wives, administrators, senior managers, professional
Not all nurses go into the profession with leadership ideas. The nursing profession must produce leaders throughout the health care system. Leaders must function as workers, and administrators with leadership qualities, while still meeting their budgets and running effective units with high functioning and happy staff members. They need to trouble shoot necessary and work with the medical faculty while pleasing their staff and the administers.
Nurse leaders inspire others to work together in quest of a shared goal, for instance, improved patient care. The nurse leader is a critical thinker, sets goals, uses effective communication, and recognizes the emotional needs of others (Roskoski, 2012). Nurse leaders carry out any changes that are to be made that have been implemented by management.
Leadership may mean different things to different people, the consensus opinion of experts in this field is that leadership is using power to direct and influence activities of people to achieve set goals or targets. Nursing leadership is all about every nurse providing, facilitating and promoting the best healthcare services to client and to the public. Leadership is a shared responsibility. (CNO 2012). The nursing profession need leaders that can build the capacity of nurses through mentoring, coaching, supporting, developing the expertise and management skills of nurses to make a difference to the quality of patient care at all levels of the profession ( McIntyre & McDonald, 2014 ). At the core of every leadership either political or managerial is power and how the leader uses it. While it is practically impossible to lead without power, how the nurse leader uses this power not only determine the leadership style but also the results or outcomes of what is achieved through the process.
Leadership does not always come with a title or prestige. Every nurse has within themselves qualities that make them a great leader. Leadership by definition, “is a combination of intrinsic personality traits, learned leadership skills, and characteristics of the situation (Cherry& Jacob (2013 p. 335). A leader is one who has the capacity and skills to direct or encourage others in efforts to achieve an outcome. I recently completed a self-assessment on my perceived leadership abilities. The survey was called the Nurse Manager Skills Inventory (Nurse Manager Leadership Partnership, 2008). It consists of four content areas of which I will address and identify my strengths and weaknesses.
The Professional Performance Standard of leadership by the American Nurses Association 's Standards of Professional Nursing Practice (2010) states, “the nurse professional demonstrates leadership in the professional practice setting and the profession" (ANA, 2010). The definition of leadership in relation to the nursing profession is defined as; “Leadership refers to the ability to guide, motivate, and inspire, and to instill vision and purpose” (Ellis & Hartley, 2012). The application of leadership in the profession of nursing involves the ability for the nurse leader to “influence the beliefs, opinions, or behaviors of others and to persuade others to follow your direction” (Ellis & Hartley, 2012).
Nursing is a very complex career that at many times requires one to be a leader. Nurses can be leaders in formal roles and also on the unit during any given shift. Nursing is a career that truly tests the character and attributes of those who choose to enter this career. Leadership in nursing is vital in creating a successful environment for patients. According to Stichler (2006), “effective leadership is essential to transforming organizations into environments that are safe for both patients and staff” (p. 422). Therefore, it is vital that as new nurses start out his or her careers that they learn from great leaders who are already in the profession. There are several great leaders working in the field who have a plethora of