NUR-674: Leadership in HealthCare Systems Practicum.


NUR-674: Leadership in healthcare systems practicum course provides learners the opportunity to integrate what they have learned in the program in a practicum experience related to nursing leadership. Learners are expected to integrate nursing knowledge and advanced critical-thinking and problem-solving skills in the development of a comprehensive project grounded in contemporary nursing leadership theory and practice. Moreover, learners also develop projects based on their interests and practicum placement that can incorporate a range of leadership issues, such as quality and performance improvement, mentorship and coaching, interdisciplinary relationships and collaboration, and staff development.

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What is leadership in healthcare?

Leadership is the behavior of an individual when directing the activities of a group toward a shared goal. In nursing, leadership refers to influencing others to improve the quality of care along with direct participation in clinical care.

Types of Leadership.

1.      Autocratic leadership

Typically, autocratic leaders have all the power, authority, and responsibility in a healthcare organization. Therefore, there is rarely any input or decision-making on the part of team members. Instead, team members implement the leader’s decisions and choices.

2.      Charismatic leadership

Charismatic leadership can change attitudes and beliefs in employees and others. These leaders have the power to impact and inspire people, and the goals of the healthcare organization largely reflect their vision.

Characteristics of charismatic leaders.

  • The high degree of confidence and lack of internal conflict
  • High energy and enthusiasm
  • Good communication skills
  • Good image and role model

3.      Transformational leadership

Transformational leaders inspire others. Nevertheless, unlike the charismatic leadership style, this style does not need the leader to be present to effect change. This is because the leader initiates transformation through the healthcare organization and motivates employees to work or perform better.

This leadership style demands a high level of productivity and involvement from employees. However, these leaders risk setting too-high or unrealistic expectations for the employees.

4.      Laissez-faire leadership

Employees under laissez-faire leaders have a high degree of independence. This leadership style mainly involves the individual/leader maintaining a hands-off approach to managing workers, providing them with the tools they need to do their job without being directly involved in decision-making processes, daily tasks, and responsibilities. Nevertheless, these leaders still have the duty for the organization’s decisions, even though the power to make these decisions rests in the hands of the employees.

This leadership style can be successful if workers are competent in their work and motivated to succeed and do their jobs well. Moreover, employees enjoy independence, which may be appealing to many employees. However, it may face drawbacks such as when the leader is uninvolved with employees who need more guidance. Additionally, it can lead to a lack of unity and cohesion in a team which may cause projects to fall off track without strong oversight.

5.      Transactional leadership

This type of leadership works by the notion that when a worker accepts a job, her/she agrees to “obey” the leader and complete the tasks and duties as assigned, and will be compensated in exchange for their efforts. In short, workers are rewarded or punished based on their performance.

The major drawbacks of transactional leadership include not allowing for much innovation or creativity in employees Moreover, it also establishes a rigid structure that may not cope well with change.

6.      Supportive leadership

Supportive leaders delegate and assign tasks to workers, but also provide employees with the skills needed to complete the task. These leaders work through problems and issues with employees and offer a high degree of attention and coaching on an as-needed basis. However, their workers maintain autonomy, but the supportive leader will step in and work through issues and problems with the employee as they arise.

The main benefit of this leadership style is that supportive leaders tend to have compassion and are respectful to their employees. Thus, employees feel valued and empowered.

7.      Democratic leadership

Participative leadership or democratic leadership involves group members being able to partake in decision-making processes. Democratic leaders highlight equality and encourage discussion and a flow of ideas.

Some of the benefits of this leadership style include encouraging creativity, emphasizing fairness, and values intelligence and honesty.

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