LEADERSHIP

Nursing Leadership
style or process whereby a person is called by a nurse leader were influence of group of
people called his followers for the purpose of attaining only one goal/objective.
Principle for Effective Leadership
Unity of Command one group given by one leader
Unity of Direction one group should always have one objective
Subordination of your personal to your general interest patient first policy
o R rescue your patient
o A alert the fire alarm
o C confine the fire in one area
o E extinguisher application
o Esprit d corp/team spirit - Fault of one is the fault of all
Respondeat Superior/Command responsibility
o let the master or the superior answer for the negligence of his subordinates in
half of his patient who suffer from injury or death.
o you can delegate responsibility but not the accountability
Theories of Nursing Leadership
Great-Man theory born as a leader
Trait theory develop characteristics or born with the characteristics
o 3 traits of a leader
P personality (adaptability, independence, creative/assertive,
advocate) ability to adjust to the need of the pt
I intelligence (proper judgment, proper decision making, proper
communication)
A ability (influence others, respect others, participate and cooperate)
Proper way to influence is thru health teaching
Charismatic theory becomes a leader because of the charm
Situational theory/case to case basis
o a person can be a leader in one situation but only a follower in another situation.
(eg. becomes a leader in where he specializes)
Leadership styles
Authocratic/Authoritarian/dictatorial/hard leader
o unilateral style of leadership. Only the leader here performs the decision making
without getting the inputs from his members.
o One sided style of leadership Behavior :
A apathy insensitive to others
B Boisterous speech
C consistency
D Dominating
E Exploitative behavior
F ferocious behavior, to coerce or compel the group to follow him

not a good style of leadership but only best style during emergency or intensive
crisis
Permissive, ultra-liberal, laissez faire, free-rein
o Loose style of nursing leadership.
o Giving excess freedom or liberality towards your subordinates if to lenient in your
subordinates, there will be control and power = negligence
Democratic/participative
o best style of leadership. Mutual style of nursing leadership
o

5 Power of a Good Leader

Legitimate/ Formal/ exclusive Power
o Exercise because you are appointed to a higher position
Expert Power
o You acquire extra ordinary skills, talent or ability
Referent Power
o Charisma and charm
Reward Power
o + power for the part of the leader
o gives rewards, bonus, promotion, compensation
Coercive Power
o power on the part of the leader
o reprimand, suspend, terminate