Transformational leadership to promote nurse practitioner practice in primary care

Poghosyan, Lusine; Bernhardt, Jean M.

doi:10.1111/jonm.12636

Cited by 15 publications

(16 citation statements)

References 31 publications

(39 reference statements)

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“…This was particularly evident in the reported use of passive‐avoidant styles. Other studies reported similar findings (Al Fadhalah & Elamir, 2019 ; Poghosyan & Bernhardt, 2018 ). Subsequently, an affirmative answer emerges for the first question, indicating that nursing leadership in the present study displayed more negative leadership characteristics, as measured by the MLQ 5X.…”

Section: Discussionsupporting

confidence: 74%

“…Motivating language facilitates the second characteristic, inspirational motivation (IM). Poghosyan and Bernhardt ( 2018 ) state that IM occurs when the leader's message is clear, and collective group contributions are seen as more valuable than individual contributions. IM is essential in goal achievement for nurse supervisors and organizations.…”

Section: Introductionmentioning

confidence: 99%

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The impact of COVID‐19 on nurse leadership characteristics

Fowler

Robbins

2022

Worldviews Ev Based Nurs

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Background Nurse leaders are vital for improving nursing efficiencies and the quality of care that they provide during a crisis and its aftermath. The value of positive leadership characteristics has never been more critical than during the COVID‐19 pandemic. Functioning in a crisis mode required nurse leaders to demonstrate the necessary skills for clear communication and solid leadership. Therefore, nursing leadership, especially in emergencies such as the COVID‐19 pandemic, needs to be transformative in the sense that leaders are informational, motivating, and able to advance the organization, notwithstanding a global pandemic. Timely leadership research during and after COVID‐19 is crucial for filling the literature gap resulting from the unique changes in the nursing profession in the post‐pandemic period. Objective This study aimed to investigate leadership characteristics shown by nurse leaders during the COVID‐19 pandemic, and investigate nurses' perceptions of nurse leader effectiveness based on leaders' work roles. Methods An exploratory, quantitative study was conducted 18 months after the declaration of the COVID‐19 pandemic (June–August 2021). The Multifactor Leadership Questionnaire (MLQ 5X) was sent to registered nurses (RNs) in Texas using the State Board's listing of active RNs. In total, 70 practicing RNs participated in the study. Data were analyzed using descriptive statistics and multivariate correlational analysis. Results Perceived leadership characteristics remained primarily transformational. Nurse directors and executives reported positive leadership characteristics more frequently than did staff and charge nurses. Linking Evidence to Action Specific tactics and strategies must be adopted to support nurses and nursing leadership during ongoing healthcare challenges. Close monitoring of leadership characteristics will enable organizations to support and provide educational opportunities for ongoing organizational success.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

The impact of COVID‐19 on nurse leadership characteristics

Fowler

Robbins

2022

Worldviews Ev Based Nurs

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“…Cleary et al (2010) state that, in a psychiatric context, transformative leadership fits well in a changing environment since it inspires and motivates and, furthermore, encourages innovative thinking and promotes a supportive climate for an individual's developmental needs (Jambawo, 2018). To maximize the performance and results of both staff teams and individuals, thereby enhancing health and recovery for patients, transformative leadership is described as effective (Poghosyan & Bernhardt, 2018). Promoting safety as a leader, for other healthcare members as well as patients, is another imperative in the mental healthcare setting.…”

Section: Introductionmentioning

confidence: 99%

Nurses' leadership in psychiatric care—A qualitative interview study of nurses' experience of leadership in an adult psychiatric inpatient care setting

Sundberg

Vistrand

Sjöström

et al. 2021

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? Previous studies on leadership in psychiatric care have focussed on a diversity of staff and on different healthcare settings. Nurses in both Sweden and internationally, working with patients newly diagnosed with psychosis and addiction, describe an overwhelming workload. Existing research points out that experience and leadership training are the most important factors to exert a good nursing leadership. In Sweden, requirements for leadership exists already from the first day of a nurse's career. The relationship and communication between nurses in psychiatric care and members of the staff is decisive for whether the leadership will work. What the paper adds to existing knowledge The study adds knowledge regarding the challenges leading the nursing care for patients diagnosed with psychosis and addiction. Ambivalence in the leadership role is prominent among nurses in psychiatric care and feelings of responsibility and meaningfulness are mixed with feelings of powerlessness and uncertainty. Swedish psychiatric nurses lack mandate to lead psychiatric nursing care. This may increase the feelings of uncertainty in their leadership role. What are the implications for practice? A mandate to lead as well as a leadership guidance in communication and teambuilding will enhance the leadership, especially among newly graduated nurses. Heightened awareness within the healthcare organization about nurse's experience of difficulties in leading the psychiatric nursing care of the most severe psychiatric illnesses could increase the right prerequisites for leadership. Abstract IntroductionResearch shows that psychiatric nursing care puts additional demands on the nurse as a leader due to the psychological complexity of care. Experience and leadership training are most important to exert leadership. In Sweden, demands for leadership exist already at the beginning of a nursing career, and in psychiatry, it may lead to an overwhelming workload. Aim/QuestionThe aim of the present study is to highlight nurses' experiences of leading the psychiatric nursing care in an adult psychiatric context. MethodA qualitative interview study of eleven registered nurses within psychiatric inpatient care. Content analysis was used for analysis. ResultsLeading with combined feelings of both meaningfulness and uncertainty were the theme arising from the result. DiscussionFindings from Swedish and international studies stress special demands on leadership in psychiatric care. The result shows that nurses perceived an ambivalence of their leadership in terms of both meaningfulness and uncertainty. Implications for PracticeAn official mandate to lead as well as leadership guidance in communication and teambuilding will enhance leadership, especially among newly graduated nurses. Heightened awareness within healthcare organizations about difficulties in leading psychiatric nursing care could increase the possibility to create right prerequisites for leadership.

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“…Leadership is also essential for developing advanced and specialized nursing roles (i.e. APNs/AMPs) (Poghosyan & Bernhardt, 2018;Van Hecke et al, 2019), improving direct clinical care (e.g. safe medication management) (Vaismoradi, Griffiths, Turunen, & Jordan, 2016), implementing evidence-based nursing practice (Bianchi et al, 2018;Castiglione, 2020;Cheng, Feng, Hu, & Broome, 2018) and improving the current image of nursing by showing nurses as influential leaders who deliver, manage and administer health care services (Brand, Help, & Brand, 2020).…”

Section: The Imp Ortan Ce Of Le Ader S Hip For Nur S Ingmentioning

confidence: 99%

Leadership for professional advancement and evidence‐based practice in UAE: Now more than ever

et al. 2021

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Transformational leadership to promote nurse practitioner practice in primary care

Abstract: Leaders in primary care practices should consider applying transformational leadership principles to promote nurse practitioner practice.

Cited by 15 publications

References 31 publications

The impact of COVID‐19 on nurse leadership characteristics

The impact of COVID‐19 on nurse leadership characteristics

Nurses' leadership in psychiatric care—A qualitative interview study of nurses' experience of leadership in an adult psychiatric inpatient care setting

Leadership for professional advancement and evidence‐based practice in UAE: Now more than ever

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