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Leadership Foundation of Nurse Executives

Running head: LEADERSHIP FOUNDATION OF NURSE EXECUTIVES 1
Leadership Foundation of Nurse Executives
Student’s Name
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LEADERSHIP FOUNDATION OF NURSE EXECUTIVES 2
Leadership Foundation of Nurse Executives
Leadership plays a key role in a hospital setting. It influences the decision making
process and practices (Jennifer, 2016). Perhaps, this explains the value of following sound
leadership principles. However, the inconsistency in the leadership practices and style
accounts for the lack of work-life balance and stress. This essay critically assesses the
leadership foundations of a nurse manager and a chief nursing officer in a hospital and the
impact of organizational design on their desired leadership practices.
The chief nursing officer aspires to be a transformational leader. He believes that this
leadership style will allow him to transform the organization and ultimately improve patient
outcomes (Germano, 2010). He considers a transformational leader as visionary, motivating,
and empowering. On the other hand, the nurse manager hopes to become a democratic leader.
He believes that the hospital setting has employees with varied skills and from different
backgrounds. Thus, their contribution and participation are critical in the decision-making
process. Over and above, the nurse manager aspires to exercise democratic leadership.
The two leaders have high hopes as leaders. The chief nursing officer aims to
motivate, empower, and influence nurses towards a shared vision. He desires to motivate the
nurses to work beyond the expectations to improve patient care (Germano, 2010). He also
aspires to support training and development programs by providing the necessary resources
and leadership. Conversely, the nurse manager aspires to create a work environment that
values participation and involvement of all nurses in the decision-making process. He desires
to make nurses feel valued and respected.
The leadership perspectives of the two leaders compare and contrast in several
respects. The chief nursing officer considers leadership as one that aims to empower,
transform, and motivate employees to work towards a shared vision (Marques, 2007). He sees
LEADERSHIP FOUNDATION OF NURSE EXECUTIVES 3
leadership as proactive and one that aims to alter and improve on the organizational culture.
The officer believes that leaders should use their expertise, knowledge, and vision to
transform both the followers and the organization. He believes that leaders in a hospital
setting influence employees to work beyond the expectations. On the other hand, the nurse
manager values democratic leadership. He considers leadership as one that encourages
participation of the subordinates (Germano, 2010). The nurse manager believes that the
hospital has employees with varied skills, and backgrounds, and knowledge. Thus, they
should be involved in the decision-making process.
Organizational design and related aspects limit the leader’s desired practices (Beeson,
2014). The hospital has a hierarchical structure with clear communication channels. The top
management makes critical and strategic decisions and communicates them down to the
bottom level-staff. This structure limits the ability of the nurse manager and chief nursing
officer to encourage participative leadership in which low-level staff is involved in the
decision-making process. As a result, the leaders find it difficult to foster their leadership
practices of collaboration and participation. The vision of the organization further constrains
the ability of leaders to exercise their desired practices. For instance, the nurse manager and
chief nursing officer may find obstacles in demonstrating their leadership styles if the
organization does not provide support for these practices (Beeson, 2014).
In summary, leadership is an important aspect in a hospital setting. Nurse executives
occupy important positions and influence key decisions and practices. However, they may
have different leadership styles and perspectives that ultimately impact the hospital setting. It
is imperative that the top nursing executives adopt leadership principles that allow them to
improve the work environment and ensure that the organization achieves its mission and
vision. Although leadership styles vary, successful leaders share one thing. They influence
the followers or those around them towards a shared goal.
LEADERSHIP FOUNDATION OF NURSE EXECUTIVES 4
References
Beeson, J. (2014). Five questions every leader should ask about organizational design.
Harvard Business Review. Retrieved from: //hbr.org/2014/01/five-questions-every-
leader-should-ask-about-organizational-design
Germano, M.A. (2010). Leadership style and organizational impact. Retrieved from: //ala-
apa.org/newsletter/2010/06/08/spotlight/.
Jennifer, M. (2016). The influence of nurse manager leadership style on staff nurse work
engagement. Journal of Nursing Administration, 46 (9), 438-443.
Marques, J.F. (2007). On impassioned leadership: A comparison between leaders from
divergent walks of life. The International Journal of Leadership Studies, 3 (1), 98-
125.

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