Module 3, Exam 1
Be sure to read all assigned work (text and course lecture), as well as Chapter 1 in
the ATI Nursing Leadership and Management v. 6.0 book.
1. Know the different styles of Leadership and the difference between
Management, Leading, & Following, and what is the difference between
transactional, transformative, and complexity leadership.
Styles of leadership:
Authoritative: These leaders make decisions for the group. They tend to motivate
by coercion, with communication occurring down a chain of command. Staff work
output is usually high, and this makes it a great style to have in crisis situations.
Democratic: These leaders include the group when decisions are made. They tend
to motivate by supporting achievements made by group members and they
communicate both up and down the chain of command. Their staff's work output is
usually good because cooperation is valued.
Laissez-faire (a French phrase meaning "leave it alone"): These leaders make few
decisions, do very little planning, and rely on their staff's motivation to get jobs
accomplished. Communication goes both ways, but work output may be low unless
an informal leader emerges from within the group. However, this style may be
effective with professional employees who have personal integrity and
accountability.
Management- on the other hand, is the process of "guiding others through a set of
derived practices and procedures." These processes will be evidence based and
may be routine; however, they are becoming more complex with additional
responsibilities being given to nurse- managers. Managers are generally appointed,
, hired, or otherwise given the responsibility, whereas leaders emerge from
situations. Managing can also refer to control of one's own individual work and
energies.
Leading- is "engaged decision making" connected to the actions used in clinical
situations "for which no standardized solution exists" (p.5) With that in mind,
realize that any nurse may, in fact, be a leader. Nurses make decisions and
problem-solve issues at all levels and in all health care venues. Using one's
individual traits and personal influence to interact constructively in resolving
problems is a good definition of nursing leadership.
Following- is being part of the group that is being led or managed. We are all
followers at given times, but an effective follower not only contributes to the good
of the team, but provides feedback to the manager or leader in order to identify
problems and find solutions to them. Following is just as accountable as leading or
managing.
Transactional Leadership- leaders focus on immediate problems, maintaining the
status quo and using rewards to motivate followers.
Transformative Leadership- leaders empower followers to assume responsibility
for a shared goal or vision, and personal development is a secondary outcome.
Complexity Leadership- “Leaders must engage in the behavior and work of
complexity leadership with an understanding that interconnectedness and change
are normal operating conditions.” To lead effectively, the leader must be in a
relationship with the team, a relationship that fosters trust and promotes openness.
2. Know key traits of leading, managing, following in nursing.
Effective leaders and managers must have these attributes:
Focused energy and stamina
Critical thinking skills
Responsibility and follow up, personal accountability
People skills
Trustworthiness