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Courtney Moore
Nursing Leadership
NUR 400
LEADERSHIP PHILOSOPHY PAPER 2
Leadership conjures many different images such as; a manager, CEO, the President even.
Leaders and Managers are different. You may have a manager be a leader, but a leader might not
be a manager. Managers are focused on the day to day operations such as budget, schedules, etc.
(Finkelman, 2016, p. 15) Leaders influence others around them to effective change, and
productivity. Leaders motivate, take risks, and help other to improve. Managers may be stuck in
a very rigid routine and may not be able to except change as readily. When a manager has
developed strong leadership skills, they will be more equipped to handle “non-routine
situations”. (Finkelman, 2016, p. 17) Because a manager holds an official position this is where
their authority come from and have expected responsibilities based on what position and the type
of organization they are involved in. Leaders are committed to learning which plays a role in
effecting change, evidence based practice is a common term but effecting change from this and
helping to teach others allows for the implementation of change. Leaders set an example and act
17) Sometimes it may simply be that some people are born leaders, but this does not mean that
other cannot learn leadership skills. Transformational leadership theory is the theory that during
reading this author felt matched the leadership style that best fits this author. Transformational
search for changes, systematic analysis, and the capacity to move resources from areas of lesser
to greater productivity to bring about strategic transformation” (Luzinski, 2011, p. 502) Because
this style combines elements from many other theories, this aspect of the theory resonates with
this author. This author has never really fit into one “box”, so in reading the different theories bit
and pieces from a few seemed to match, but transformational fit the best. Transformational
LEADERSHIP PHILOSOPHY PAPER 3
leaders “embrace change, and guide staff in understanding their roles”. (Finkelman, 2016, p. 13)
Although this nurse has no desire to be in a management position, a non official leadership role
may fit this author perfectly. Transformational leaders face change head on and help others in the
organization to accept and help this change moving forward. They have a vision for the future,
with this they are able to look for ways to improve. These leaders tend to be self-confident, have
self-direction, honest, loyalty, and commitment. (Finkelman, 2016, p. 14) This author when in
the right setting has passion for improvement and commitment to seeing it through. A vision of
what the best possible future, and will spend time figuring out how change can be implemented
in a way that leads to that vision becoming reality. Being a leader also means staying current on
research, evidence based practice helps to lead nursing forward by growing and learning from
the newest research. A leader must always be willing to stay up to date on research and be ready
Transformational leaders tend to focus more on quality improvement and less on the
mistakes of the individual. (Frandson, 2014, p. 2) Building up staff and motivating them can help
them to achieve and strive for better outcomes. These leaders are focused on imparting their
vision unto others, and be doing so inspire them to achieve as opposed to tearing them down for
one mistake which leads staff to be less likely to contribute to change. It’s not enough to say you
are a transformational leader, these leaders take risks because they know the reward that come
with risks. They communicate what their staff wants to those that can help effect change. (Onwe,
2014, p. 203) With communication between other staff and this leader the communication goes
both ways, there is emphasis on “we” and not “you” or “I”. (Mitchell, 2013, p. 34) This allows
for open dialog that can help to uplift staff, they feel heard which can improve morale.
LEADERSHIP PHILOSOPHY PAPER 4
As a transformational leader this author hopes to feel confident enough in this whole to
really effect change. For some leadership must be learned others they are born leaders. So in
order for this author to become a better leader they must embrace working as cohesively with
their cohorts. Learning to lead by example, they are the driving force in change when it occurs,
but they must also listen to those that are their subordinates for them to be an effective leader.
When they experience a failure they should take these as something to learn from in order to
move forward, not to be deterred by it but to grow. (Onwe, 2014, p. 205) “Leadership in nursing
should be fostered throughout their education, not just at the end when they make the transition
to practice.” (Curtis, Vries, & Sheerin, 2011, p. 309) This statement really embodies leadership
in nursing. Nurses must stay current on education with continuing education, they must also
continue in learning with leadership. Leadership is not cut and dry, people and circumstances
will change and this author will have to be prepared for that if they are in a leadership position.
Having the skills to understand people, how to rise up and stand up for staff or even a patient.
This can be a very hard thing to do and harder to learn. This will take time and at first it may not
work out as planned and through these times will this author truly learn how to become an
effective leader.
In leadership with nurses some may not think this involves the patients directly, but just
as staff need someone to step up and help address their grievances the same goes for patients.
Sometimes the only person that is advocating for them is the nurse, because nurses spend the
bulk of the time with these patients. So being an effective patient advocate and even standing
behind another nurse who is advocating what is in the best interest for a patient is part of
leadership. Patients depend on their nurses, and some of these patients for example; medically
fragile children do not always have a voice or a parent to stand up for them. A nurse needs to be
LEADERSHIP PHILOSOPHY PAPER 5
able to put aside any fears they may have and be that voice, which ultimately leads to better
outcomes for the patient. Staying current on evidence based practice is a great place to start
because then the nurses voice is backed up by facts and not just opinion. One way this gets
accomplished is when all those involved on the care team have regular meetings in regards to the
care plan of a patient, this is best done for those that require long term care. Although it could
also be used in an outpatient setting, but this is not always the case. This author hopes to use
leadership in helping to effect change that can and will help those that I care for.
Leadership can be difficult to learn, but the benefits of a strong leadership base are very
rewarding. Transformational leadership helps a leader follow through a shared vision with
others. It allows for change to be a smoother process, instead of telling others “this is how it is”.
This leadership theory has the leader communicate with the staff to hear what they may or may
not like about a topic and have an open discussion to alleviate fears, and to address other
concerns. Ultimately this leader is trying to bring their cohorts into the vision they have for the
organization and help them to see that change happens but it doesn’t have to be scary or abrasive.
Change can move smoothly and if done right can make for higher morale and better patient
outcomes. This author has much to learn in the way of leadership, but with the time it can be
achieved by hearing others and responding to them in a constructive way to helps to foster
communicate and inspiration even. Sometimes the greatest ideas may come from an unlikely
source. Evidence based practice starts with an idea, and that idea leads to someone effecting a
change to see if that idea has merit. The same goes for leadership, it starts with an idea and
grows from there, if you don’t succeed at your first attempt that does not mean you quit it means
References
Curtis, E. A., Vries, J. D., & Sheerin, F. K. (2011). Developing leadership in nursing: exploring
www.nurse2nurse.ie/upload/na6873leadership.pdf
Finkelman, A. (2016). Leadership and Management for Nurses (3rd ed.). USA: Pearson.
501-502. https://doi.org/10.1097/NNA.0b013e3182378a71
Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing
Onwe, S. N. (2014, December 26). Transformational leadership in nursing: The case of Ebonyi