Theories and Concepts in Leadership and Management Week 2

Theories and Concepts in Leadership and Management Week 2

Theories and Concepts in Leadership and Management Week 2

Essential Questions

· What qualities should a good leader have?

· Who are leaders in health care?

· What is the difference between a leader and a manager?

· What types of leadership styles are observed in the workplace?


Nurse leaders are at the forefront of health care and set the standards for nursing practice in terms of delivering safe and efficient patient care. This chapter will review the need for both nursing leadership and nursing management and examine a broad range of theoretical viewpoints and concepts associated with each. Applying the skills necessary for leading and managing staff will be discussed. The process of becoming an effective leader-manager includes developing personal leadership and management preferences, styles, and characteristics. The integration of both leadership and management skills is vital to the long-term success of all health care organizations.

Leadership in Health Care 

The Health Care System


Nurses have been challenged over time to adapt to the ever-changing health care system. Because of recent events, such as health care reform, decreased government funding, and a growing number of patients to serve, the need for quality patient care that is safe and effective has never been greater. Strong nurse leaders and managers are needed to meet challenges today, throughout the next decade, and beyond. As the nation continues to adjust to health care changes under the Affordable Care Act, nurse leaders must advocate for their patients and influence change in the health care system (Fackler, Chambers, & Bourbonniere, 2015).

The American Organization of Nurse Executives (AONE) has identified the knowledge, skills, and abilities that nurse leaders will need to guide their practice within the health care system today and in the future. Collectively, these competencies include professionalism, communication, relationship management, knowledge of the health care environment, and business skills and principles (American Organization of Nurse Executives [AONE], 2015). Furthermore, AONE outlines knowledge and skills required to meet each competency effectively (see Table 1.1).

Figure 1.1 

Nursing Leadership Competencies

Note. Adapted from AONE Nurse Executive Competencies, by the American Organization of Nurse Executives, 2015, p. 3.

Table 1.1 

Leadership Competencies Identified by American Organization of Nurse Executives

Communication and Relationship Management Professionalism Knowledge of Health Care Environment Business Skills and Principles
Effective Communication Personal and Professional Accountability Clinical Practice Knowledge Financial Management
Relationship Management Career Planning Delivery Models – Work Design Human Resource Management
Influencing Behaviors Ethics Health Care Economics and Policy Strategic Management
Diversity Advocacy Governance Information Management and Technology

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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