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5 Different Nursing Leadership Styles And Their Impact On Patient Outcomes

5 Different Nursing Leadership Styles And Their Impact On Patient Outcomes

The world’s population is aging. This aging population is also living a lot longer. In fact, by 2050 16% of the world’s population will be 65 years of age and older. The number of people aged 85 and over will also increase by 351% while the number of people aged 65 and over will increase by 188%.

Many of the increased elderly will inevitably suffer from chronic diseases. Currently 4 out of 5 elderly people in the United States have multiple chronic medical conditions and 60% of people aged 67 or older have 3 or more chronic illnesses.

This aging population, and the increase of chronic illnesses, will increase the need for professional and high quality nurses. This is why 1.12 million nurses are anticipated to be needed for new jobs or replacement between 2012 and 2022. These nurses will need to be highly skilled and able to work in a variety of potential settings.

Changing View of Nurses

In the past nurses have typically been viewed as subordinates without a need for leadership skills or capabilities. They were not expected to be leaders in the healthcare field and this lowered the respect and expectations associated with the position.

Luckily times have changed. In today’s world nurses are viewed as important healthcare partners and are increasingly involved in the leadership of dynamic healthcare teams. They are being required to take on new responsibilities, and also remain up to date with the advancements in medical technology and the constantly evolving healthcare trends. They are expected to be extremely competent and participate in a high level of education like the cutting edge programs being offered. Most importantly the next generation of nurses will be expected to take a hands-on role as competent leaders in the healthcare field.

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Nursing Leadership Styles

Nurses have the unique opportunity to apply leadership styles in a way that can also affect patient outcomes. Here are some of the leadership styles and traits that every nurse should know:

1. Transactional Leadership

Transactional leaders ensure staff compliance through a system of punishments and rewards. Every interaction is based on a transaction. When a person follows instructions and obtains an objective, they receive a reward. When they fail to follow an instruction or meet an objective, they are disciplined.

When practicing this style of leadership there is a high priority on supervision. This can be a very effective style for managing a crisis or ensuring that projects are completed with a high level of detail.

2. Transformational Leadership

Transformational leaders tend to lead by example. When followers see this example, they are inspired to change or do better. Transformational leaders also demonstrate that they truly care about their followers and their best interests. They accomplish this by putting the needs and priorities of the organization above their own.

They have a clear vision and they use that vision to motivate their staff members. Innovation is embraced and people are encouraged to generate new ideas. This can be a very effective style for managing teams that need to implement a significant change.

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3. Democratic Leadership

These leaders encourage everyone on the team to have a voice in the decision making process. There is a focus on open communication and ensuring that everyone feels like they are heard. There is a lot of focus on processes and the best way to influence situations.

Staff members are empowered with responsibilities and held accountable for meeting goals. This style requires a lot of feedback and can be very effective when the quality of organizational systems or processes need to be improved.

4. Authoritarian Leadership

This can best be described as the opposite of democratic leadership. With this style the leader makes all of the decisions which results in a much faster decision making process. The power is retained at the top and that is also where the knowledge and information is kept.

Staff members are often made an example of, if they make a mistake and are punished in front of their peers. Issues are always assumed to be the fault of the individual staff member and never the system or process. This style can be effective in emergencies where immediate decisions need to be made.

5. Laissez-faire Leadership

When this style is practiced there is very little supervision. There is a very hands-off approach. People are trusted to do well on their own with very little guidance. Independent thinking is promoted, but it can stall the decision making process and result in few changes being made in the workplace.

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There is little attention to quality improvement. This style can be effective when you are dealing with an experienced team who require little direction. However, it is commonly practiced by inexperienced leaders and leaders who are just waiting to transition.

How Leadership Styles Impact Patient Outcomes

There have been many studies that have evaluated how the leadership styles of nurses affect patient outcomes. For example, studies have found that the practice of transformational leadership by nurses is associated with reduced medication errors. This is believed to be because people are more careful when being led with this approach. Studies have also shown that this style produces lower patient mortality rates due to a better quality of care and treatment.

Studies continue to prove that relational types of leadership, styles which include transformation and collaboration, result in a higher level of patient satisfaction. In other words, patients report that they are happier when nurses practice these styles. This reduces the need for restraint and increases the level of patient cooperation.

How Leadership Styles Impact Hospital Staff

Studies have also shown that transformational leadership plays an important role in creating a safe and happy work environment. Hospitals that practice this style of leadership have a lower level of turnover when compared to other hospitals.

 When a laissez-faire style of leadership is used on the other hand, studies have shown that it negatively impacts teamwork and socialization. This creates a culture where blame is prevalent and stress in increased. Turnover is ultimately increased.

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Nurses are also able to easily tell the difference between transactional and transformational leadership. They are overwhelmingly in favor of the transformational style. They cite intrinsic motivation and improved job satisfaction as the main reasons behind this choice.

Conclusion

The world is changing and a new generation of nurses is needed to help meet the demand of the evolving healthcare community. These nurses are expected to take on a leadership role within the hospital making their knowledge of effective leadership styles critical.

They should know the strengths and weaknesses of the styles and when is the best time to implement each one. This should be based on their knowledge of the situation and each style’s effect on patient outcomes. This will help to ensure that all patients receive the optimal level of care as we continue to confront the challenges of our new healthcare realities.

Featured photo credit: i.huffpost.com via i.huffpost.com

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Last Updated on August 20, 2018

Quit Your Job If You Don’t Like It, No Matter What

Quit Your Job If You Don’t Like It, No Matter What

Do you know that feeling? The one where you have to wake up to go to your boring 9-5 job to work with the same boring colleagues who don’t appreciate what you do.

I do, and that’s why I’ve decided to quit my job and follow my passion. This, however, requires a solid plan and some guts.

The one who perseveres doesn’t always win. Sometimes life has more to offer when you quit your current job. Yes, I know. It’s overwhelming and scary.

People who quit are often seen as ‘losers’. They say: “You should finish what you’ve started”.

I know like no other that quitting your job can be very stressful. A dozen questions come up when you’re thinking about quitting your job, most starting with: What if?

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“What if I don’t find a job I love and regret quitting my current job?”
“What if I can’t find another job and I get in debt because I can’t pay my bills?”
“What if my family and friends judge me and disapprove of the decisions I make?”
“What if I quit my job to pursue my dream, but I fail?

After all, if you admit to the truth of your surroundings, you’re forced to acknowledge that you’ve made a wrong decision by choosing your current job. But don’t forget that quitting certain things in life can be the path to your success!

One of my favorite quotes by Henry Ford:

If you always do what you’ve always done, you’ll always get what you’ve always got.

Everything takes energy

Everything you do in life takes energy. It takes energy to participate in your weekly activities. It takes energy to commute to work every day. It takes energy to organize your sister’s big wedding.

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Each of the responsibilities we have take a little bit of our energy. We only have a certain amount of energy a day, so we have to spend it wisely.  Same goes for our time. The only things we can’t buy in this world are time and energy. Yes, you could buy an energy drink, but will it feel the same as eight hours of sleep? Will it be as healthy?

The more stress there is in your life, the less focus you have. This will weaken your results.

Find something that is worth doing

Do you have to quit every time the going gets touch? Absolutely not! You should quit when you’ve put everything you’ve got into something, but don’t see a bright future in it.

When you do something you love and that has purpose in your life, you should push through and give everything you have.

I find star athletes very inspiring. They don’t quit till they step on that stage to receive their hard earned gold medal. From the start, they know how much work its going to take and what they have to sacrifice.

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When you do something you’re really passionate about, you’re not in a downward spiral. Before you even start you can already see the finish line. The more focus you have for something, the faster you’ll reach the finish.

It is definitely possible to spend your valuable time on something you love and earn money doing it. You just have to find out how — by doing enough research.

Other excuses I often hear are:

“But I have my wife and kids, who is going to pay the bills?”
“I don’t have time for that, I’m too busy with… stuff” (Like watching TV for 2 hours every day.)
“At least I get the same paycheck every month if I work for a boss.”
“Quitting my job is too much risk with this crisis.”

I understand those points. But if you’ve never tried it, you’ll never know how it could be. The fear of failure keeps people from stepping out of their comfort zone.

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I’ve heard many people say, “I work to let my children make their dream come true”. I think they should rephrase that sentence to: “I pursue my dreams — to inspire and show my children anything is possible.” 

Conclusion

Think carefully about what you spend your time on. Don’t waste it on things that don’t brighten your future. Instead, search for opportunities. And come up with a solid plan before you take any impulsive actions.

Only good things happen outside of your comfort zone.

Do you dare to quit your job for more success in life?

Featured photo credit: Unsplash via unsplash.com

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