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 nice 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 lead 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 going about getting things done. There are different types of leaders, different theories on those leaders, and what traits those leaders need to
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Reward power is basically described in its own name, the rewarding of others for complying, such as the acknowledging of people’s accomplishments, or even money. Coercive power is the fear of being punished for not complying, such as being terminated from their job. Legitimate power is basically the position the leader is in, such as a nurse manager. Referent power comes from being admired and respected. This power gives the leader the ability to influence people just because the others want to be like them. Expert power is the type of power someone can have if they keep up with the current knowledge and keep their skills up to date. This gains enough respect from others to be able to influence them. Information power is having information that others want or need. Connection power is the kind of power someone has when they are in a relationship with or affiliated with people who are perceived as powerful. By understanding the sources of power and the authority in having a position, the leader is better able to be influential in getting people to accomplish their common goals. (Cherry and Jacob, 2014)
Leadership Theory There is an assumption in the leadership theory that is based off of a statement that leaders were born with certain leadership characteristics. These characteristics are intelligence, alertness, dependability, energy, drive, enthusiasm, ambition,
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 at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
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
Leadership, one of the seven professional standards outlined by the College of Nurses of Ontario (CNO), discusses how nurses are to be leaders in the workplace and with patients. This includes teaching health practices as well as promoting good health.
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
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.
Leadership is the ability of a person to influence people toward the attainment of a particular goal. Leadership is a people activity, not like administrative paper shuffling or problem solving. It is a dynamic force and involves the use of power. Out of the forces of leadership come four powerful characteristics: supportive, directive, participative, and achievement-oriented leadership. Although these types of characteristics are not considered ingrained personality traits, they reflect types of behavior every leader is able to adopt depending on the situation.
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).
Leadership is a very broad topic; I never knew just how many different traits and skills that it takes to become an effective leader. Some of which I was familiar with, and others that I was not aware of, but now from taking this course, they all seem to be necessary for the role of leadership. The attached paper, will explain of some of the important theories and concepts that I thought were most important to be able to become and effective leader.
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
This theory is based on the premise that there are certain personality characteristics that are essential for a person to possess in order to be a leader. The main emphasis is on what the person is in terms of a constellation of personality traits. This theory searches for that set of universal leadership traits that will assure success. Numerous traits have been suggested: courage, integrity, loyalty, charisma, ambition, intelligence, honesty, clairvoyance, persistence, arrogance, health, political skill, confidence and vision.