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Nursing Leadership & Management Overview

Aug 14, 2025

Overview

This lecture introduces key concepts of nursing leadership and management, focusing on definitions, major leadership theories, types of leadership, and sources of power for nurse leaders.

Leadership vs. Management

  • Leadership is the process of motivating people to achieve goals.
  • Management is a set of interrelated processes to achieve organizational objectives.
  • Leaders motivate followers to do the right things; managers ensure things are done right.
  • Leaders are change agents, focus on the future, and ask "why"; managers maintain stability, focus on the present, and ask "who," "what," and "how."
  • Leaders value potential and expertise; managers value performance in assigned roles.

Major Theories of Leadership

  • Great Man Theory (Aristotle): Leaders are born, not made; leadership is innate.
  • Trait Theory (J.M. Burns): Leadership traits can be inherited but must be developed through learning.
  • Charismatic Theory: Leaders inspire emotional commitment from followers through personal charisma.
  • Situational Theory (Mary Parker Follett, Hershey & Blanchard): Leadership styles must adapt to specific situations; no single best style.
  • Contingency Theory (Fred Fiedler): Effectiveness of leadership depends on the situation.
  • Path-Goal Theory (House): Leaders remove obstacles to goals and reward followers appropriately.
  • Transactional Theory (Burns): Leadership is based on mutual agreements and contingent rewards.
  • Transformational Theory (Heinrich von Preyer): Leaders focus on intellectual and personal development of followers.
  • Servant Leadership (Greenleaf): Leaders model the behaviors they expect from followers.
  • Result-Based Leadership (Jack Welch): Leaders simplify and improve practices based on results.

Types of Leadership

  • Autocratic (Dictatorial): Leader makes decisions alone; best in emergencies.
  • Democratic (Participative): Leader facilitates group decision-making; everyone’s input is valued.
  • Laissez-Faire (Free Reign): No specific leader; everyone is a follower, often leading to confusion.
  • Multicratic (Situational): Leader adapts style based on the situation, combining multiple methods.

Sources of Power for Leaders

  • Connection Power (Referent): Power due to relationships with influential people.
  • Coercive Power: Power based on fear or threat.
  • Legitimate Power: Power from official position, appointment, or policies.
  • Information Power: Power from possessing valuable information or data.
  • Personal Power: Power from charisma or personal qualities.
  • Expert Power: Power from knowledge or specialized skills.
  • Reward Power: Power to distribute rewards or valued benefits.

Key Terms & Definitions

  • Leadership β€” Motivating people towards a goal.
  • Management β€” Coordinating processes to achieve objectives.
  • Autocratic Leadership β€” Decision-making centered on the leader.
  • Democratic Leadership β€” Shared decision-making with group input.
  • Laissez-Faire Leadership β€” Passive, non-directive leadership style.
  • Multicratic Leadership β€” Flexible, situational leadership approach.
  • Coercive Power β€” Influence through fear or threat.
  • Legitimate Power β€” Authority from assigned role or position.
  • Expert Power β€” Influence based on expertise or knowledge.

Action Items / Next Steps

  • Review and memorize the seven sources of leader power (CoCo-LIPER: Connection, Coercive, Legitimate, Information, Personal, Expert, Reward).
  • Prepare to discuss real-life examples of each leadership type in nursing practice.
  • Read further materials on leadership and management theories if required by the syllabus.