Transformational Leadership In Nursing

Introduction In this era of sophisticated and advanced technologies, healthcare is changing rapidly and becoming more complex. Leadership is important in the healthcare setting as the healthcare system itself is diversity. According to the Institute of Medicine (2010), a recent report titled “The Future of Nursing: Leading Change, Advancing Health” emphasizes the nurses’ essential roles as leader in the healthcare system. Nursing is not only a scientifically based profession but the value of ‘caring’ is at its core. The quality of being able to care makes nursing equals to leadership, which means that every nurse is a leader (McBride, 2011). The roles of the nurse as a leader acts not only as a caregiver but as a teacher, counselor and change

In this paper, PESTEL analysis is chosen to evaluate the external factors which affect the incidents of HAP. And, Kotter’s 8 Steps Change Model is chosen to generate ideas to reduce the incidents of HAP. Both PESTEL analysis and Kotter’s 8 Steps Change Model yields data about HAP, however, appropriate leadership style is also essential to make things happen. Transformational leadership theory is included in the discussion to highlight how the “encourage adaptations to change” characteristics of the theory could reduce the incidents of HAP (Smith,

The characteristics of a leader include but not limited to doing the right thing, future oriented, good time and stress management, high emotional intelligence, good communication skills, critical thinking skills, decision making skills, challenged by change and etc. However, to be an effective leader, the leader must have a vision, able to make things come true, able to identify, attract and keep talents, put efforts in building others and always engage in learning (Ulrich, 2014). In Malaysia, most of the hospital management practices transactional leadership instead of transformational leadership. According to Ahmad et. al. (2013), Malaysia nurses favor to transformational leadership as it increase the job satisfaction. Transformational leadership motivates the morale and performance through the four elements: individualized consideration, intellectual stimulation, inspirational motivation and idealized influence (Cherry, no date). While transactional leadership concentrates on managing performance and abiding to norms through payment for actions (Boundless, no