Transactional Leadership is based on the principles of the social exchange theory, in which an individual would expect to give and receive benefits or rewards when engaging in a social interaction (Sullivan, 2012). The interaction will cease if one or both person decides that the exchange of benefits and rewards are no longer worthwhile. Transactional Leadership theory also focus on the task that need to be carried out and makes sure they are done the right way as compared to Transformational Leadership theory which focus on staff empowerment (Marquis and Huston, 2015). A nurse manger in a department or ward is a good example of Transactional Leadership theory. The nurse manager is committed to the job and focus on day-to-day operational …show more content…
Using SWOT analysis, the “Strength” would be to motivate and engage registered nurses who are supportive of the management and leadership of the nurse managers. Using eIMR has the potential of reducing healthcare cost and medication error; which can enhance patient safety (Spratt and Dickson, 2088). It can also promote positive attitude of nurses towards computerisation (Kipturgo et al., 2014). “Weakness” in SWOT analysis would be the time and resources required to train the nursing staff in using the eIMR system. Extra budget is needed for training the nursing staff and a new IT support teams is needed for the new system. There is a lack of support from physicians as a separate medication ordering system will be used, creating an increased in workload and reduction in patient interaction time (Park et al., …show more content…
Unlike Lippitt’s change theory, Lewin emphasised on teams or work groups to bring about change. The reason being people in an organisation work in groups, and that individual behaviour will have to be conformed to the groups’ norms and fundamental practices (Burnes, 2009). “Unfreezing” is the stage to destabilize the current equilibrium so as to initiate change. According to Kurt Lewin’s Force Field Analysis (Lewin 1951), behaviour is a force in equilibrium and change will only occur when there is a disequilibrium in the force. The most important step for this stage is to identify the change focus, which in this case is the implementation of eIMR in the ED. The change agent will be the nurse manager in the department, and the task at this stage will be to make others see the need for change, and also to assess the readiness for change within the
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Change agents are aware of the needs of the environment, need to upgrading nursing practice, and recognizing that change comes hard for people. Change agents are nurse leaders that inspire nurses to incorporate clinical change into their work environment through communication and education (Laureate Education, Inc., 2012e). Therefore, nursing, IT is not the only change taking place, but a change in clinical changes occurring at the same time. For example, Roy Simpson discusses that there are many 1000 of nomenclature that describe diseases, medication dosages, colors of infectious blood, mucus and tissue.
Implementing a change can create anxiety or fear of failure in nurses, which may lead to a resistance to change practice. “Changes to a system may be anticipated and planned, or they may be sudden and unexpected” (Yoder-Wise, 2015). The reimbursement
Interestingly, the findings from the review of literature shed light to the challenges nurses encounter with the implementation of electronic health records and identify areas for improvement that could be made in an effort to achieve the goals of the HITECH act. Based on the review of literature, overall, the electronic health record is seen as a positive aspect to assisting nurses in providing positive outcomes for patients. However, challenges still exist with the daily utilization of the EHR, with communication among healthcare providers and interdisciplinary teams. These challenges present nurses with great difficulty as they attempt to provide care to their patients. Because some nurses continue to struggle with utilizing the electronic
Transformational leadership is a nursing leadership theory most suited to solving communication issues that can result in increased nurse retention rates, team unity, and decreased morbidity and mortality. Collectively nurses can advocate for improved health care policies to make a difference in practice and patient care
Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).
HCIS 725 Leadership in Healthcare Practice Kirsten Blatchford Contrasting Leadership Models Leadership models are developing to adapt to the changing needs of people and the surrounding environment (Dye, 2017). It is important for leaders to be flexible and take part in change to guide their teams and organizations to success. Over time, the theories of leadership have grown and taken different forms. The great man theory and trait theory were the initial concepts used to explain leadership. Situational leadership theories and transactional theories then emerged to help shape our understanding of leadership.
In addition, an individualized leadership development plan, including a goal will be discussed. Literature Review To achieve transformational leadership one must achieve these key 5 practices (Ajanaku & Lubbe, 2021). The first competent transformational leadership, modelling the way, can be achieved through setting the example for those around you. In order for this to be effective, the nurse should develop trust and respect, with those around them. Building trust as a leader can influence those around you to have confidence in one's abilities to lead and be more inclined to follow.
Acting as a liaison between the nursing staff and other members of the administrative staff, they are often in high-level management roles. Though not in a direct patient contact role, they are often involved in the policy making within an organization affecting patient care (Ferguson-Pare, 2003). The nurse administrator meets the same competencies in the nine essential areas, but have additional competencies in organizational and system leadership, communication and relationship management, knowledge of health care environment, as well as business skills and principles (AONE,
Transformational Leadership in Nursing Introduction Transformational Leadership is the moral ability of a person to make sound judgment and wise decision to influence and inspire others to perform the best outcome even in the critical situation. It is the ability to guide others not just in words, but also by example. Nurses are able to cultivate trust and harmony and establish good relationship with their patients and co-workers through effective and constant communication and intervention. They respond to the basic needs and expectation (Rousel, 2011), they set aside their personal interest for the benefit of their patients and the organization.
The term "transactional" refers to the fact that this type of leader essentially motivates subordinates by exchanging rewards for performance. A transactional leader generally does not look ahead in strategically guiding an organization to a position of market leadership; instead, these managers are solely concerned with making sure everything flows smoothly today. Advantages As stated above both leadership styles are needed for guiding an organization to success, and it was thanks to that approach that Fight Club was such a successful organization.
Specifically, 1) We explain and analyze how well Barbara Norris done in her first month as a nurse manager and describe her management control approach to performance improvement. 2) We more specifically, evaluate the adequacy of changes Barbara Norris is trying to make. 3) We recommend an action plan for Barbara Noriss to improve staff 's performance.
He or she needs to learn to take control of issues and handle them as a good leader should instead to reporting all issues to the leader in charge. He or she assist the employees and protect them from being molested by both internal and external forces. They help to prevent unnecessary retrenchment of staff but rather redistribute them to other departments where their services are more useful. The nurse manager helps to motivate the workers by rewarding them financially and non-financially. He also inspire the nurses to provide a better patients care and become more productive and satisfied in their
The program can proceed if all agents pivotal to the success of the change are engaged and a clear and concise vision for the future has been developed. Once the change model is in place, it is time to define the structure of change. Senior leaders should provide a clear path for communications and responsibility at each level. At this point I have realised that Change management is not an alternative to project management.
K., & Espevik, R. (2014). Daily transactional and transformational leadership and daily employee engagement. Journal of Occupational Psychology, 87, 138-157. http://dx.doi.org/10.1111/joop.12041 Dartey-Baah, K. (2015). Resilient leadership: A transformational-transactional leadership mix.