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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 October 16, 2019

How to Bounce Back Gracefully After Getting Fired

How to Bounce Back Gracefully After Getting Fired

Whether you saw it coming or not, getting fired is a real shock and its impact is daunting. What did you do wrong? What are you supposed to do next? When will you stop feeling so angry?

But there are ways to deal with a layoff.

The most important thing is to remain calm and see it as an opportunity to reflect, change and improve. This is a great time to consider what happened, look again at your needs and desires and start afresh on a stronger, more constructive basis.

Let’s take a look at how you can bounce back gracefully after getting fired.

1. Deal with the Shock of Getting Fired

To lose your job is to lose your identity as a worker and as a person. Debbie Mandel, author of Addicted to Stress, states that 7 out of 10 of us define ourselves by our job titles, since work is where we spend the majority of our time and energy.

Being laid off affronts your sense of self-worth—it implies that you simply are not good enough. It’s no wonder you feel confused and emotional.

The first thing, then, is to take some time to digest what happened and deal with the overflow of sensations. People who quickly recover from the pain of a job loss tend to do two things very well:

First, they accept their feelings of sadness, anger, fear and shame as a part of the natural healing process.

Second, they do their complaining to a friend.

Never call out your boss in the office or on social media. It’s a bad form to speak ill of the company you work for. Stay stylish, and your employer will speak better of you when you need a reference.

2. Stay Away from the Drama Queens

Mass layoffs are, unfortunately, very common. If this is your situation, then you may be surrounded by a lot of angry people, ruminating and lamenting their fate.

“It’s not fair!” they say. “After everything we did for this company! We don’t deserve this!”

You’ve lost your job and that’s tough. But please resist the urge to join in the negativity. Positivity is by far the most important attitude to apply right now. If staying upbeat means you have to limit your exposure to the Negative Nellies, then that’s what you have to do.

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Remember, life is not harder for you than it is for other people on this planet. You live in a democracy, you have freedom of choice and you enjoy a certain material abundance.

Stay positive and focus on what’s going well in your life and the exciting future opportunities available to you. Getting fired is only a temporary setback.

Staying positing could be challenging in a difficult situation, so these tips can help:

10 Questions To Ask Yourself To Stay Positive When Facing Difficulties

3. Take a Break and Let the Dust Settle

Instead of running straight into another job that may not be the right one either, take a short break to recover from the job loss. You need a week or two to de-stress and meditate on the next step.

Be attentive to your need for self-care during this interlude. Everything goes so fast these days that we often do not stop to think or give ourselves the permission to do a little mourning.

Getting fired is a big shock: you need time to refocus and take stock of the new reality. Do not make things harder for yourself!

What you need is to pause a while and do some self reflection:

How Self-Reflection Gives You a Happier and More Successful Life

4. Be Anchored in the Present

Since you no longer have a hold on the past, but have not yet designed your future, try to build yourself up with the present. What do we mean by that?

We mean that right now is the only time you have any control over. Focus on that instead of losing yourself in memories or reliving the awful day you got fired over and over in your head.

Get up at 7 a.m. each day, whatever happens. The body needs rhythm and habits. You will feel much more energized if you keep a consistent routine. Maintain a healthy lifestyle, revisit your budget, play sports, volunteer. Take care of the practical stuff like claiming unemployment. Enjoy the small pleasures of everyday life.

When you’re busy, there’s no room for the inner critic to raise up and derail you. Keep active, and you will gain more of the precious energy you need so much to move forward.

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Try these things to help you live in the moment:

34 Ways To Live in the Moment And Grow in the Moment

5. Understand the “Why”

There are lots of reasons why people are fired. Sometimes the mistake is yours and it’s embarrassing to admit you backed yourself into this corner.

Other times, it’s not your fault. Businesses change direction all the time—maybe yours is going through a major transition or merger and your job is disappearing.

Either way, to give the situation some closure, you need to understand why you were dismissed. What slipped? What could you have done differently? Was your boss really out to get you or did you do something to put your job in jeopardy?

Be honest with yourself. It’s not easy to admit that you might have dropped the ball but it’s the only way to turn the situation into a learning experience. Ask yourself:

What skills do you need to improve?

Is there training you can access, or learning you can do?

In the end, did this job suit you that much? Were you happy there?

Reflecting on these questions can help you put things into perspective. What lessons can you learn to avoid reproducing the same pattern in your next job?

6. Find out If You Were the Right Fit

Hiring decisions ultimately come down to personality. You can study for an interview all you like, but every candidate who is chosen for interview has the right credentials for the job.

The final decision comes down to personality. Who does the recruiter like the best? Who is a better fit for the company culture? That’s the person who strikes it lucky.

Firing decisions are based on personality, too. Slacking off, insubordination and playing fast and loose with the company rules—these are the official reasons why people are getting fired.

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But all of these reasons boil down to one thing: personality. Specifically, they signal a personality clash between an employee and a manager, or an employee’s fit with the company’s culture.

Here’s an example:

Suppose you were fired for “not being a team player.” Some people, namely introverts, lose energy when they are surrounded by other people and gain energy when they are on their own. Forcing an introvert to continuously work on a busy, noisy team without any solitary rest periods means the job is a mission impossible. This employee will never perform at her best.

Or how about the time the Kansas City Star newspaper fired Walt Disney for a perceived lack of imagination? Talk about a clash of personalities![1]

Getting fired can be a signal to turn inward and do some self-reflection so you can better understand your personality and how it might fit in with corporate culture.

In particular, personality assessments based on Isabel Briggs Myers’ sixteen personality types can help you to understand your own work style and how you can find a job and workplace that better match who you truly are.

In many cases, it is totally liberating to realize that all the crap you had to deal with was just down to a clash of work styles and not something you did wrong!

7. Rediscover Your Strengths and Talents

A personality test can also give you clear insights into your strengths, weaknesses, motivations and work potential. Do you have leadership abilities? How do you communicate and manage conflict? What benefits do you add to an organization?

Identifying your working style should be your top priority right now, otherwise you risk accepting a new position that has all the same problems as before. The last thing you want is to reproduce the same old dramas the next time around.

When you become aware of your potential, you will have the confidence to search and find the type of work you love.

For example, getting fired from your banking job may have knocked you sideways. But you have some stellar home decorating skills, and a personality test shows that you are curious, flexible, rational and resilient—all the traits of successful entrepreneurs. Maybe this dismissal is an opportunity to launch the business you’ve always dreamed of but never dared to admit to yourself?

By considering all your special skills and talents, you increase your chances of finding a job you would really enjoy, and not just the one you can do.

8. Get the Word Out

At this point, you should be ready to take action and move forward with your job search. Let’s not sugarcoat the situation: getting a new job is tough. It helps to have a clear idea of the direction you want to go in, a list of all your crossover skills and a freshly polished resume.

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Look around for inspiration. Talk to recruiters in your sector to establish what they consider to be your most valuable skills. Use all the resources at your disposal: job search agencies, headhunters, work coaches, careers websites and so on. These resources can help you match your qualifications to the job requirements and ensure you have the right keywords on your resume.

Don’t hold back on marshaling your networks. Put friends and family to work to pop up leads, and don’t be afraid to ask for referrals. Sometimes the simple act of getting the word out to the people who know you is the surest way to find work fast.

9. Anticipate Questions and Know How to Answer Them

Even if it wasn’t your fault, getting fired can hurt you if you don’t know how to explain why you were let go. You have to be honest here and tell recruiters the truth. Even if a would-be employer does not specifically ask why you left your previous job, it is better to clarify the situation upfront before it comes out in your references.

The best approach is to take your share of responsibility and show that you want to go forward and that you understand the lesson.

For example, suppose you got fired for asking the difficult questions that no one wanted to answer and your candidness set people on edge. Acknowledge that some people perceive your communication style as abrupt and explain how you’re taking steps to increase your diplomacy skills.

A recruiter can be seduced by someone who knows how to evolve and who shows a great energy for personal development.

10. Adapt and Persist

Throughout this journey, you inevitably will go through moments of self-doubt and disappointment. There are undulations in every road, and these are the normal steps for regaining self-confidence after getting fired.

Stay tough! Don’t conclude that your future is hopeless just because the dream job doesn’t land straightaway. You open a positive path when you maintain focus. Have the confidence to know that the perfect job for you is out there.

Remember, you are not alone. Many people walked this road and they would urge you to keep the momentum. Stay open-minded and go where the opportunities take you: it will bring you closer to the job you really want.

Coming Out on Top

While getting fired isn’t the ideal situation, it isn’t the end of the world either. Even if feels like a doozy right now, you will get through it and emerge happier on the other side.

Be clear on what you want, have courage and believe in yourself. In the end, you may decide that getting fired was the best thing that ever happened to you. It can be the catalyst for a powerful, career-fulfilling change.

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Featured photo credit: Jesus Kiteque via unsplash.com

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