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RUNNING HEAD: Transformational Leadership in Nursing 1

Leadership in Nursing- The Transformational Way

Delaware Technical Community College

Lindsay O’Hara

Nur 400- 2W1

February 21, 2019

Leadership in Nursing- The Transformational Way 2

Leadership in Nursing

Leaders come in many different forms. In order for a leader to be effective, they must

possess certain qualities. Qualities such as collaboration with others, positive attitude and most

importantly, the ability to influence and encourage others. In nursing, leaders can be formal or

informal. Nursing leadership can come from the director of nursing, or from the bedside nurse.

The most effective nurse leaders are the ones who lead by example and empower other nurses.

These leaders are trusted and respected. This is the transformational nurse leader. The

transformational nurse leader provides a great example for other nurses to follow. They also are

encouraging while providing support to those around them. As a fairly new nurse, I have flocked

to other nurses who were encouraging and supportive. These nurses have made a great impact on

my education, and job experience. My goal is to become a transformational leader and be

positive driving force for other nurses.

Developing Leadership Skills

As a newer nurse, my leadership skills may not be fully developed yet. Becoming a

transformational leader, I understand will take time and practice. Kreipa et al., (2018) states “An

individual can be trained to become a transformational leader provided he/she is trained to

recognize the characteristics of this type of leader, to develop awareness of the creative intensity

and of the factors that limit the achievement of goals and the realization of a vision.” My plan is

to observe transformational leaders that I interact with on a daily basis, and try to emulate some

other their practices into my routine. As time goes by, I will adopt my own way of leading others

around me. In my previous position as a floor nurse on a medical floor, I was surrounded by

leadership that were only leaders by their title. Nurse managers and clinical supervisors who
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were not encouraging or helpful. This provided me an example of exactly what I don’t want to

become. Within the same unit, I also had very supportive floor nurses, one of which was my

preceptor, who were quite knowledgeable and well respected. I hope to adopt the behaviors I was

shown by these nurses into my leadership skills. Learning is a lifelong lesson and nursing is

evolving constantly. Through transformational leadership, I hope to provide a positive and

encouraging way to impact others around me.

Patient Advocacy

One of the most important roles a nurse takes on is the role of patient advocacy. It is the

job of the nurse to make sure that the patient is being heard and properly being taken care of. “As

caregivers, RNs are engaged as advocates on behalf of the patients, families, and communities

they serve to positively influence the systems in which care is provided” (Williams, et al., 2016).

A transformational leader can use their positive force to encourage their patients to make their

own decisions and help make sure their input is being heard by the healthcare team. It’s also

important for a leader to use their influence to make sure that the best evidenced practices are

being used to ensure patient safety. Encouraging other nurses to employ the safest policies and

procedures where their patients are concerned is the best way a nurse can advocate for their


Transforming Bedside Nursing

The bedside nurse is the person who spends the most time with patients. We always have

to know what’s going on with the patient. “Registered nurses at the bedside are accountable for

and oversee completion of patient care as well as directly leading and managing the provision of

safe patient care” (Larrson &Sahlsten, 2016). With all this time spent with the patients, we would

know which policies and procedures work the best. Bedside nurse driven research could really be
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beneficial for the patients and the facilities. Being proactive and taking the risk, speaking up for

the patients are all qualities of a good leader. Envisioning policy change and rallying co-workers

to help push policy through is a great example of the transformational leader I would like to be.

Collaboration and Communication

Communication and collaboration are vital components of a nurse’s day. Nurses must

collaborate with other members of the heath care team regarding the patient’s care. In order to

collaborate, communication is key. “Nurses communicate every day, the whole day. Different

communication techniques are used. Verbal communication takes place with patients during care

provision and education, and with team members during handovers and rounds” (Goosen, 2015,

p.18). As a leader, it is important to communicate all vital information to everyone involved

with the patient’s care. The Charge nurse and physician should be informed if there are any

abnormal labs or assessments that differ from the previous shift. It is important to set a good

example for the other nurses and nursing assistants by being an excellent communicator. Aside

from patient care, it is also important to let management know if there are employee issues on the

floor that could affect the work day. As a transformational leader, I would like to be an excellent

communicator, collaborating with the entire health care team. Working hand in hand with

management to ensure employee satisfaction.


Becoming a leader in nursing is a journey that I started when I began working as a

registered nurse. I didn’t know it then, but I was a leader, even as a new graduate nurse. “A true

leader needs the skill to encourage communication, teamwork, and professional collaboration to
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help personnel deal with the health care industry’s daily challenges and its future changes and

uncertainties” (Tinkham, 2013, p.186). As my career has advanced, I have learned so much from

different nurses around me, including formal and informal leaders. I hope to stay encouraging,

positive to those around me. I will continue to be a patient advocate and maybe be on a council

that helps write policies for nurses. I know that I want to be visionary, and help transform those

around me.
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Goosen, S. (2015). Communication among nurses. Professional Nursing Today, 19(1), 18- 20.

Retrieved from


Krepia, V., Katsaragakis, S., Kaitelidou, D., & Prezerakos, P. (2018). Transformational

leadership and its evolution in nursing. Progress in Health Sciences, 8 (1), 189–194.

Larsson, I. E., & Sahlsten, M. J. M. (2016). The Staff Nurse Clinical Leader at the Bedside:

Swedish Registered Nurses’ Perceptions. Nursing Research & Practice, 1–8.

Tinkham, M. R. (2013). The Road to Magnet: Encouraging Transformational Leadership. AORN

Journal, 98(2), 186–188.

Williams, T. E., Baker, K., Evans, L., Lucatorto, M. A., Moss, E., O’Sullivan, A., Seifert, P. C.,

Siek, T., Thomas, T. W., & Zittel, B. (2016). Registered Nurses as Professionals,

Advocates, Innovators, and Collaborative Leaders: Executive Summary. OJIN: The

Online Journal of Issues in Nursing, 21. DOI: 10.3912/OJIN.Vol21No03Man05