Concept about Leadership in Nursing – This book covers the entire syllabus of “Leadership & Management” prescribed by the BNMC for Diploma in Nursing Science & Midwifery Students.
We tried to accommodate latest information and topics. This book is examination friendly setup according to the teachers’ lectures and examination’s questions. At the end of the book previous university questions are given. We hope in touch with the pook students’ knowledge will be upgraded and flourished. The unique way of presentation may make your reading of the book a pleasurable experience.
Concept about Leadership in Nursing
Healthcare systems worldwide are facing number of complex and multifaceted challenges in providing high quality, safe, and cost-effective care into the future. The ever-evolving systems, increased patients’ disease acuity, technology innovation, and the increase in the costs of health care are some of the problems that need to be addressed.
Therefore, it is a priority to sustain and improve the quality of care provided, which in turn may lead to a shift in healthcare delivery, an alteration in healthcare models, and the role that all healthcare members play. Being a leader in the healthcare professions is crucial in the continuum of care era. Leaders are challenged on a daily base with problems that need to be solved utilizing critical thinking.
Leaders make key decisions that may have consequences, which can impact patient lives. Specifically, leadership in health care is a fundamental skill that allows healthcare providers navigate the complex and ever- changing healthcare system effectively in solving problems and making decisions related to issues from cost to quality healthcare services and access. Hence, it is essential that leaders are well equipped and trained to make the appropriate decisions at the right time.
The concept of leadership is significant to the nursing profession. There is no dearth of literature that discusses leadership in nursing. It is crucial that nurses develop an effective leadership role to deliver high-quality care and, therefore, ensure patient safety, while engaging in numerous daily leadership roles. Although, the phenomenon of nursing leadership was studied in the past six decades of the twentieth century, it continues to be current and of crucial importance.
Oliver stated that “the word ‘leader’ has developed from the root meaning of a path, road or course of a ship at sea. According to Adair it is a ‘journey word’. In addition, an integrative literature review stated that the current research in the leadership field is taking a more holistic view of leadership, examining the occurrence of the process of leadership and examining leadership in numerous ways.
This chapter presents some of the basic definitions of leadership, nursing leadership, nursing clinical leadership, and leadership at the bedside. It will also discuss the impact of nursing clinical leadership, characteristics of an effective nurse clinical leader, and the factors that contribute to nursing clinical leadership. Furthermore, this chapter provides an overview of nurses that must be equipped with leadership skills in order to be able to lead the delivery of patient care and improve patient safety. In addition, it discusses methods of preparing nursing leaders.
Definition of Leader:
Leader is “a person who influences a group of people towards the achievement of a goal”..
Or,
A person or thing that holds a dominant or superior position within its field, and is able to exercise a high degree of control or influence over others.

Definition of Leadership:
According to Lansdale:
“Leadership is the ability to influence other people”.
According to Alford and Beatty:
“Leadership is the ability to secure desirable actions from a group of followers voluntarily, without the use of coercion”.
Or,
“Leadership is the interpersonal influence, exercised in situations and directed through the communication process towards the attainment of a specified goal or goals”.
According to Ordway Tead:
“Leadership is the name for that combination of qualities in possession of which a person is able to get something done by others chiefly because they become willing to do it”.
According to Hodge and Johnson:
“Leadership is the ability to shape the attitudes and behavior of others whether in formal or informal situations”.
According to L.R. Bittel:
“Leadership is the knack of getting other people to follow you and to do willingly the things you want them to do”.
According to Chester Barnard:
“Leadership is the quality of behavior of individuals whereby they guide people or their activities in an organized effort”.
Leadership in Nursing:
Leadership has been illustrated in the nursing literature as a difficult and multifaceted process. It includes providing direction and support, motivating, coordinating, collaboration, effective communication, and advocating for patients to achieve optimal patient outcomes.
Or,
Leadership in nursing involves an environment that has a clear vision, and where staff are motivated and empowered.
Or,
According to Cook and Holt, nursing leadership is about having a vision and empowering staff. They also added that nurse leaders must have skills, such as self-confidence, valuing others, and being able to build teams effectively.
Or,
According to Patrick, clinical leadership is defined as “staff nurse behaviors that provide direction and support to clients and the healthcare team in the delivery of patient care. A clinical leader is a registered nurse who influences and coordinates patients, families and health care teams for the purpose of integrating the care they provide to achieve positive patient outcomes”
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