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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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Zak Mustapha

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Last Updated on July 2, 2020

13 Common Life Problems And How To Fix Them

13 Common Life Problems And How To Fix Them

In life, we encounter problems as we breathe. But it doesn’t get to us until we feel a major impact, and that’s when it becomes a source of concern, hurt, or sorrow.

Life problems, depending on their magnitude, can be clogs in the wheel of progress, and we may not be able to attain our full potential if we don’t learn to place our problems in the proper perspectives as suggested in Robert Schuller’s Tough Times Never Last.

In this article, I have identified some common areas where you will most likely face problems as you make progress towards reaching your full life potential. I have also suggested practical approaches in handling, managing, and solving such problems.

1. Financial Crisis

We live in an uncertain world and a financial crisis may come at different stages of life. While you should always anticipate and prepare for a financial crisis, it may still catch you off guard or the magnitude may be far more than any preparation you have made over the years.

It could be that you lost your job or a major investment, got slammed with a lawsuit that threatens your savings, or have your livelihood be affected by a major disaster. So what do you do when you are in a financial mess?

Solution

To overcome a financial crisis, you will have to come to terms with the crisis. Acknowledge and accept the situation and begin recovery by setting your financial priorities right.

The next thing to do is to identify the cause of the crisis. If it’s due to a job loss, then your effort should be directed at getting a new job. If it is having multiple debts, look for ways to consolidate your debt so that your monthly debt repayment can be consolidated into one instead of being burdened with multiple payments.

You can also sell some of your assets to raise money to save the situation, or look for a better job if you are earning less at your current job. Don’t hesitate to ask for help from family and friends if you need to.

2. Health Crisis

Another major problem that might come up in your life is a health crisis. This is not far-fetched because our body systems work round-the-clock, even when we are sleeping. As a result of this, and if you don’t maintain routine health habits, health deterioration might begin to set in. Things might even get serious if you don’t attend to it early.

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Solution

When you are facing a major health crisis, the first thing to do is to consider lifestyle changes. This includes cutting down on junks, eating healthy diets, exercising, breathing fresh air, taking some sun, etc.

Apart from the lifestyle changes, you have to seek quality medical help and make sure you get different opinions about the state of your health so you can get the best affordable care.

3. Relationship, Marriage, and Family

There may not be anything as sweet as love and family life, but it can also be the source of pain for some. Human imperfections in a relationship can cause a major crisis in life. This has been a stumbling block to many on their path to fulfillment.

Solution

The best thing to do is to prevent relationship problems from happening, but if they do happen, you need to face reality and begin to take steps towards addressing them. Do your best to keep the lines of communication open as this can help in strengthening your struggling relationship. Talk about the challenges with your partner and look for common grounds.

You can also arrange to see a counselor together or read books that address the specific challenges you are facing. The worst thing you can do is to end a relationship and that’s only when you have exhausted all other options.

4. Workplace

The workplace is supposed to be a place where we dutifully render the services for which we’ve been hired.

However, it is not impossible to face animosity at work—dealing with toxic people who would rather not see any good in what you do. It might be caused by differences in background, attitudes, and unhealthy competition that can result in personal conflicts. This can create undue stress and reduce productivity.

Solution

Be as professional as possible when dealing with toxic people. Be kind and show understanding, and try to avoid personal confrontation.

You can even try to reach out to the persons and invite them over for a coffee and get to understand their worldview. This can help you to connect with them at their level so that you can avoid unnecessary stress for yourself.

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5. Career Pressure

In your quest to become more successful, you will likely encounter work-related pressure. Such can come when trying to stabilize your career or climb the career ladder. It can also come as a result of overworking and having no life. Career pressure is one of the most common life problems.

Sometimes, it may be that the promotion you are working hard to get is not coming or positions you are qualified for are being offered to others. The pressure can get more intense when you find that most of your colleagues are moving ahead of you.

Solution

Check to find if you have personal or attitudinal problems. Some attitudinal problems can put you at a disadvantaged end. It may be poor communication, poor personal grooming, or poor relationship and networking skills. If it is any of these problems, then work on improving yourself in those areas.

You can also observe your colleagues who are succeeding and take note of what they are doing differently.

6. Unfair Treatment

We are in a world where some people often think they have some privileges over others and may want to exercise this thinking and treat others unfairly. If you find yourself in an environment where you are being oppressed or treated badly because of your race, gender, or current status, this can make you feel really bad and can also affect your psyche and productivity.

Solution

There is the temptation to decry your treatment, defend yourself, and demand a change immediately, but you should really wait for the right opportunity to do that.

When the time is right, reach out directly to the person or authority involved, and make it private. Meanwhile, you should be factual about the instances of your unfair treatments. Don’t just say it that you are being treated badly; give several undeniable instances.

Once you’ve made your grievances known politely, keep being you. If things don’t change, you can cocoon yourself in that environment. If you have an option to leave, you can do so as well.

7. Emptiness and Boredom

When you are in a rut, everything becomes normal, dull, unproductive, and yet difficult to change. This can lead to feelings of emptiness and boredom. This may not seem like a serious life problem, but it can have a great impact on your life.

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Solution

To overcome boredom and emptiness, break out of your routines, and deliberately create a new experience for yourself. If you can’t leave your job to find a new one, start doing other things that reflect your true passion. Sometimes, the things that give us the needed drive in life are not our day jobs.

8. Confusion

Confusion is described as a change in mental status in which a person is not able to think with their usual level of clarity.[1]. It is inherent in forgetfulness and lack of concentration.

It can be caused by different things including medical and environmental factors. It can also be due to the experience of a loss, a heartbreak, or abuse.

Solution

Don’t allow the situation to deteriorate into something more serious. Try to snap out of whatever experiences you have had that is causing confusion. Seek medical help if necessary or talk to a psychologist.

9. Friendship Problems

We need friends in our lives to rob minds and hang out together and even help us when we run into trouble. But many people have found themselves in serious trouble as a result of the company of friends they keep. They’ve experienced jealousy, backstabbing, and betrayal of trust. Some friends have even used the information freely provided in times of friendship to betray trust.

Solution

Don’t open up on everything to friends. Keep some information only to yourself. If you notice that a friend is working against you, confront them with the truth. Limit your interaction with them or get rid of such toxic friends completely.

10. Haunting Past

We all have pasts, and we might have done some crazy stuff in the past before we begin to live a more civilized and decent life. But sometimes, the past comes back haunting. It’s even worse when life problems of the past haunt you back and become problems of the present.

It may be that what you have done is now striking your conscience, keeping you awake at night. Or someone who knows about it is trying to use it against you, and it is standing in the way of your progress.

Solution

Be true to yourself and forgive yourself. If it is an issue with another person, you can reach out to the person to settle with them. If it is a secret that is now being leaked out, own up to it, take responsibility, and move on.

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11. Safety and Security

You may find yourself in an environment where there have been unexplained murder, gun violence, police brutality, insurgencies, and other life-threatening situations. This can make you feel like you might be the next victim. What should you do in this situation?

Solution

Ensure that you watch where you go and keep your home secure. You can also get involved in a neighborhood community watch to collectively find solutions to the threat. If the situation persists, you can move to a more secure location.

12. Failure

Failure can bring disappointment and can also slow the pace of progress. But failure is also part of life, and we have to learn to deal with it. But what do you do when an experience of failure weighs you down?

Solution

You can read a book or biography to get inspired by other people’s success stories.

13. Grief

No one loves to grief but we can’t totally shield ourselves from it. The loss of a loved one is painful and, if not properly handled, can lead to an emotional breakdown.

Solution

Take your time to express emotions. You can also pen an emotional tribute to the individual. Writing can help us bring out the feelings that cannot be expressed otherwise, and it helps us breathe a sigh of relief.

You can also cope with your grief by helping them to realize some of their unfulfilled dreams or do something in their honor. Lastly, while you think about your loss, you will still have to move on, accepting the fact that life is transient.

The Bottom Line

Problems are what make life worth living. They help us adapt to become tougher as we adapt to different situations. Always remember that whatever problem you are facing has a solution or, at least, a manageable approach.

Therefore, never allow your challenges to stop you from fulfilling your true potentials in life.

More Tips to Help You Get Unstuck

Featured photo credit: Danka & Peter via unsplash.com

Reference

[1] Medicinet: Confusion: Symptoms & Signs

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