Nursing Leadership and Management in 2021

Nursing leadership has been praised for transferring information and creating an acceptable environment for the patients. Nursing leadership is the significant factor to maintain safety and quality of care as well as improvement in nursing field. Nursing leaders are not only responsible for the members but also they have accepted responsibilities about the whole organization, which assists them to make better decisions. Nursing leaders should improve Nursing practice, Nursing education as well as Nursing management.

There are several approaches of Nursing leadership. According to Center for Nursing Leadership and Management, nursing divisions will be: Nursing administration, nursing informatics, nursing operations and clinical nursing. Each approach has its own different theories and approaches. For instance, it is identified in nursing division that the nursing administration, nursing education, nursing informatics, nursing management, nursing research, nursing service and nursing technology are the parts of nursing leadership.

Nursing Leadership

In this article, emphasis is given on Nursing administration as a part of Nursing leadership. The importance of Nursing administration can be explained as follows.

1-Nursing administration provides safe and effective care to patients, practices consistently with the Nursing theory, Nursing policies and Nursing procedures of the organization.

2-Nursing administration provides support to Nursing informatics that helps Nursing Division to make proper assessments, nursing evaluations, nursing plans and nursing recommendation.

3-Nursing administration plays a critical role in the development and implementation of Nursing education strategies to meet the needs of Nursing staff, Nursing leaders and Nursing members.

4-Nursing administration should maintain nursing operations that helps nursing division to plan, implement and evaluate nursing care process as well as nursing leadership.

5-In nursing division, nursing management is important in assisting nursing division to meet the needs of patient, community and other stakeholders through nursing services.

Nursing Leadership Responsibilities

There are several qualities of nursing leadership, which helps administrators to make better decisions. Some of the Nursing leadership responsibilities include:

1-Disciplining and maintaining ethics in nursing practices.

2-Ensure that Nursing divisions’ policies and Nursing procedures are implemented properly throughout the organization.

3-Develop a Nursing system which is in line with the vision of the organization.

4-Improve Nursing Division to meet the objectives of nursing services as well as nursing care process.

5-Identfying needs and problems, analyze them as well as choose a Nursing solution.

6-Promoting the development of new ideas as well as achieving objectives in line with patient needs.

7-Making important decision for example choosing the appropriate Nursing diagnosis, Nursing care plan and Nursing interventions.

8-Nursing administration should work with Nursing division and Nursing management to ensure that the nursing division as well as Nursing organization meets all legal requirements.

9-Nursing leader’s responsibilities are not only limited to Nursing members; they also have social responsibilities.

Nursing Leadership

Importance of Nursing Leadership

Nursing leadership helps in coming up with proper nursing interventions which ensures that the patients are safe from harm and receive proper care.

Nursing leadership also provides a means for leaders to have involvement with other professionals,

In addition, nursing leadership also provides great opportunities for Nursing leaders to improve the quality of Nursing service delivery in line with patient needs.

One of the most important roles of Nursing leadership is that it provides a background for general nursing care process and Nursing diagnosis.

Nursing leadership also helps Nursing members to stay up-to-date with current trends, thereby enabling them learn better ways of providing care to patients as well as make a positive difference in the community.

Nursing Leadership Styles

The Nursing leadership styles are:

1-Directive Approach:

This approach involves the leader telling people what they need to do and how to do it. The leader in this case, does not involve any participation from the followers. This type of leadership is effective when there is a clear direction about what needs to be done and also, the leader has all the Nursing skills required for nursing care.

2-Participative Approach:

This leadership style involves both leaders and followers in deciding what actions should be taken to provide better nursing care. The leader in this case provides an open forum where Nurses can freely interact on their verge of providing the right nursing care.

3-Supportive Approach:

This type of leadership involves the leader’s role in supporting nurses in carrying out their duties, planning and decision-making activities. This approach is effective especially when there are a lot of changes or upcoming changes in operations.

4-Inductive Approach:

This leadership style involves the leader to continuously develop skills and abilities of nurses through supportive counseling, guidance and encouragement. This approach is effective especially when there are opportunities for professional growth in the nursing organization. The leader also helps in encouraging Nurses to learn.

5-Participative-Inductive Approach:

This leadership style combines both the participative and inductive approaches. This approach is effective especially when there are opportunities for professional growth in the nursing organization. The leader also helps in encouraging Nurses to learn new skills.

6-Laissez-Faire Approach:

This type of leadership style involves the leader to allow Nurses to decide on their own actions and activities without any interference. This approach is effective especially when there are no directions or goals specified by the leaders in a nursing organization.

7-Charismatic Approach:

This style of leadership involves one leader to lead the organization while inspiring and motivating people. This type of leadership is effective especially when there are new opportunities that needs exploring in a nursing organization.

Nursing Leadership

The Characteristics of a Good Nursing Leader.

A good nursing leader need to have the following characteristics:

a) An effective nursing leader has decision-making skills:

This is a very important characteristic that the nursing leaders must have because this will guide them in making decisions.

b) An effective leader is a good listener:

A nursing leader who can listen to others is always ready to hear what others say about work in general. This character will give him or her the chance of solving work problems before they arise.

c) The effective nurse leader works with an open mind.

He or she is not afraid of new ideas and innovations. He or she is not afraid to try new things out in order to find the best solutions for all. This kind of nursing leadership will help him or her to attract a better workforce.

d) The effective nurse leader knows the importance of collaboration.

This type of leadership is aware that by collaborating with other, it gives room for more innovative ideas to be used in work and this mean more solutions to problems. It is also good that he or she establishes a good relationship with his or her employees.

Importance of Communication in Nursing Leadership

One of the most important qualities to lead a group is communication. Having knowledge and using it with other people effectively makes them feel good, respected, understood and valued as a person. That’s why effective communication skills are vital for success in every job position. It does not matter whether you are a parent supervisor, a nurse or a CEO of the company. Every person should be able to express his thoughts and share his knowledge in an effective manner for receiving positive feedback. After all, good communication skills are the key to success in any field.

Communication is also important while dealing with employees because it leads to better understanding of one another and helps to solve problems. It means that if you want to lead others, there is a need for you to listen and establish effective communication channels with them. That’s why the best way to influence other people is through the positive feedback received after telling your thoughts in an effective manner.

A nurse leads by communicating, providing guidance, and offering support. Communication is a vital tool in nursing leadership. Nurses can communicate with doctors, pharmacists, and other staff members when managing patient care. Effective communication also acts as a way to build relationships with patients and families that may improve their health outcomes.

Nursing Leadership

The Qualities of an Effective Nurse Leader:

1). An excellent communicator.

2). Resourceful.

3). A good listener.

4). Motivator (inspire and empower employees).

5). Works effectively in team effort.

6). An organized person.

7). Ability to establish an open environment

8). A Team Player

10). Ability to build excellent relationship in the workplace.

11). A man of discipline:

Types of Nursing Leadership

Different types of nurses are present in any organization and it is important that a good leader will be able to manage them. Some kinds of nursing leadership include among others:

Informational Leadership in Nursing

Informational leadership is a concept of leadership that emphasizes leaders being an “information source” to subordinates for guidance, knowledge, wisdom and experience needed to perform their jobs well. Informational Leadership is described as one of several leadership styles that are appropriate in the nursing field.

Informational Leadership occurs when the leadership goals cannot be achieved by one individual alone, but instead require cooperation among several subordinates to produce results. Therefore, leaders must assume a role as an information source and mentor for their subordinates so that they can accomplish their work more effectively. This strategy is appropriate in nursing situations where there are many tasks to be accomplished, the leader and subordinates have limited time to accomplish them, there is little previous experience or knowledge on which to draw for performing the tasks, and performance criteria are unclear.

Charismatic Leadership in Nursing

This is where the nursing leader has lot of influence on others and he or she also expects a lot from his team members. Charismatic leadership is a form of inspirational leadership. The charismatic leader’s power and influence comes from the devotion of those who follow him or her. Charismatic leaders embody the values of their organizations and when they are absent, followers suffer in many ways. Charismatic leaders provide a sense of identity to those who follow them. Charismatic leaders are seen as strong, capable, selfless, visionary and honest.

Charismatic leadership is often thought of in terms of being a leader who sets and maintains an agenda, guides his or her followers in a particular direction and helps them achieve goals.

Nursing Leadership

Transactional Leadership in Nursing.

In this, the Nursing leaders work with his team members as if they are in a business transaction. He gives benefits to them (his followers) when they do what is expected of them and he lets them know that if they do not perform or submit their work on time, the benefits (money, promotion or any other) will be withdrawn from them.

Transactional leadership is working from the micro level to focus on accomplishing and maintaining task-related goals and objectives to meet the needs of followers through their rewards. This type of leadership tends to be more directive in terms of providing clear direction and goals, utilizing a line-and-box model.

A nursing leader who uses this style might delegate tasks and responsibilities to others while holding the main goal of the organization in his or her mind (i.e., cognitive map). This type of leadership tends to be more structured; however, it can also be very limited and therefore is less likely to be effective over time.

Transactional leadership in nursing can be appropriate when the leader is able to establish a clear understanding of what followers want and need as well as their expectations for the leader’s contributions, rewards and risks.

Transformational Leaderships in Nursing.

The use of transformational leadership (TL) styles has grown significantly over the past two decades. According to a sample of recent research, many hospitals are now using some form of TL in their efforts to develop leaders at all levels and for all purposes. In terms of style, transformational leadership is often described as directive, individualized, image-building, and encouraging of change with the goal of inspiring followers to want to put forth extra effort.

As a process, it is described as involving the mobilization of nursing leaders’ skills and efforts at all levels in order to inspire and encourage followers. In terms of outcome, transformational leadership is indicative of visionary thinking that often results in significant or breakthrough performance. Transformational leaders, according to the definitions of their leadership style, are those rare individuals who can inspire others to follow and who are committed to getting results in an organization.

Transformational leadership has been shown to be effective in nursing because it tends to create a powerful dynamic that helps the leader gain commitment from followers. In this way, transformational leadership is often described as a process of acquiring followers, while transactional leadership is a process of obtaining compliance. Transformational leaders are seen by their followers as more complex than transactional leaders because they can offer vision and create change.

Participative Leadership in Nursing.

Participative leadership can be defined as a style where decisions are made together by all levels of management; where input from every level is encouraged and valued; where motivation, morale, and participation are high; and where all participants feel they have an equal stake in the outcome.

Participative leadership in nursing is effective only if members of a team want to make decisions that have meaning to them.” This means that “participation must be voluntary rather than mandatory or coerced.” Participative leaders in nursing must ensure that the team members are involved in a way that will help them contribute their ideas and skills.

Laissez-Faire Leadership in Nursing.

Laissez-faire leadership in nursing is an approach to leadership in which followers are given considerable freedom and autonomy, within prescribed limits, to complete work tasks as they see fit. Laissez-faire leadership is the opposite of dictatorial leadership. It has also been defined as a noninvasive type of influencing that allows others to make their own decisions without forcing them to do so.

The concept of laissez-faire leadership was first introduced in the early 1900s by Mary Parker Follett, an American management consultant and social theorist. In her work “Constructive Conflict”, she writes, “… leaders do not need to carry through anything; they need only to point out clearly where their followers see opportunities for themselves, and then get out of the way.

Nursing Leadership

How to Become and Effective Nurse Leader

Nursing, like any other profession out there, has its own characteristics and becoming a great leader is one of it. But for you to become an effective nurse leader first you need to possess certain qualities that will help you lead your team in the right direction. Some of these qualities include among others:

A Good Communicator.

To be a good Nursing leader, you must have excellent communication skills. You will need to converse with everyone in your workplace as well as with colleagues of yours and the people outside your organization. It is also important that you listen carefully to what others has to say so that when it is time for you to speak up, everything will flow smoothly.

An Effective Decision Maker.

A good leader does not want to use people as pawns and this is why he or she will never make any decisions without first consulting others.

Someone Who Cares for His/her Team Members.

To be an effective Nursing leader, you must always act as a concerned person in your organization because when you do this your team members will always feel valued and they will also want to work hard for you.

A Man of Integrity.

You should be someone with high level of trust in the people around him or her because when you are like this, people will never doubt you and everything you make known always conveys.


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