The twenty-first century has required organizations to utilize different management styles in order to remain competitive and retain employees. Leadership has important effects on health care organizations and its employees. Leaders influence others to work together to accomplish goals that are in uniform with the mission, values, and purpose of the health care organization. Leaders have to influence and motivate others to fulfill the organization’s objective with certain characteristics.

The current nursing shortage is a serious problem on all levels of nursing. Even now, more than ever, nursing needs effervescent and dedicated leaders. Nurses are now at an advantage to influence healthcare legislation and policy, yet our supply of leaders to pave the way has greatly diminished. The reason for this leadership shortage is smaller number of people are entering the profession and we are not developing leadership characteristics as we develop clinical nursing practice. Once nursing students graduate from nursing school they are taught how to care for patients at bedside and are trained on the latest technology; leaving little time to develop their leadership capabilities.

If you are in a BSN program, the nursing school may require that you take a nursing leadership class. This class will discuss three leadership styles such as autocratic leadership, transformational leadership, bureaucratic leadership, democratic leadership, and laissez-faire leadership which will explain what each style entails and how it can be integrated into the practice of entry-level nurses. Other subjects such as the stages of change and staffing and delegation will be covered. Be prepared to write a few papers on these subjects, create a poster and work in groups whenever possible. You will be glad to be free from writing care plans but there are still essay papers to complete. Your professor may ask you to come up with your own subject to write about or they may give you a list. Some good examples could be the leadership styles listed above and including multi-generational leadership, trans-theoretical model of change, and hospital staffing models. Delegation is a very important part of leadership class, being that the NCLEX has some delegation questions.

The nurse leader’s role is important to achieve outcomes of achieving the organizations goal, retaining and motivating staff. This is done by obtaining a leadership style and learning how to delegate properly. The nurse leader in an acute hospital setting builds the trust and respect of staff in all levels of management. Inspirational motivation explains that people will follow a leader who inspires them. Individualized consideration holds that a leader can attain great things, but must maintain personal integrity and motivation.


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