Exploring Various Leadership Styles to Use Among Nurses Towards Challenges Faced Within the 21st Century: A Systematic Review
Abstract
The workforce for registered nurses (RNs) are currently facing unprecedented challenges. Current challenges such as the consequences associated with patient falls and healthcare-associated infections (HAIs) have placed a social and financial burden on the U.S. healthcare system. What’s more, future challenges such as the expected retirement for baby boomers and an expected shortage on the availability of medical physicians has raised many concerns for healthcare organizations on how they will deliver care in the years to come. The conclusion is that these challenges will significantly affect the well-being of the RN workforce. Hence, because of these challenges, the objective of this research was to explore various leadership styles to use among nurses towards challenges faced within the 21st century. By focusing on these challenges, the researcher provided findings around ethics and its impact on decision-making. Thereafter, the researcher highlighted common leadership styles that are used, and then proposed a new leadership theory, servant leadership, as an option for Chief Nursing Officers to use to help guide its nursing workforce going forward.
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Agency for Healthcare Research and Quality (AHRQ). (2013). Preventing falls in hospitals: A toolkit for improving quality of care. Retrieved from https://www.ahrq.gov/sites/default/files/publications/files/fallpxtoolkit.pdf
AHC. (2015). Video monitoring reduces falls as well as cutting costs for hospitals. AHC Media. Retrieved from https://www.ahcmedia.com/articles/135769-video-monitoring-reduces-falls-as-well-as-cutting-costs-for-hospitals
Antos, J., & Capretta, J. (2017). Republicans should take the time necessary to improve the American Health Care Act. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20170310.059127/full/
Association of American Medical Colleges. (2017). 2017 update. The Complexities of physician supply and demand: Projections from 2015 to 2030. Final report. Retrieved from http://www.dcallc.com/media/aamc_projections_update_2017.pdf
Auerbach, D. I., Buerhaus, P. I., & Staiger, D. O. (2015). Will the RN workforce weather the retirement of the baby boomers? Medical Care, 53(10), 850–856. https://doi.org/10.1377/hlthaff.2014.012874BTjETcwM-PieS0FGeEB0SzkshnbvxbwgmtK1uCRug4K-l-xlKJTgY
Auerbach, D. I., Buerhaus, P. I., & Staiger, D. O. (2014). Registered nurses are delaying retirement, a shift that has contributed to recent growth in the nurse workforce. Health Affairs, 33(8), 1474–1480. Retrieved from https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2014.0128
Bagley, C. E. (2003). The Ethical Leader's Decision Tree. Harvard Business Review, 18-19.
Barling, J., Akers, A., & Beiko, D. (2018). The impact of positive and negative intraoperative surgeons' leadership behaviors on surgical team performance. The American Journal of Surgery, 215(1), 14-18. https://doi.org/10.1016/j.amjsurg.2017.07.006
Bohmer, R. M. J. (2013). Leading clinicians and clinicians leading. New England Journal of Medicine, 368(16), 1468–1470. https://doi.org/10.1056/NEJMp1301814
Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the united states. Journal of Nursing Regulation, 8(2), 40-46. https://doi.org/10.1016/S2155-8256(17)30097-2
Centers for Disease Control and Prevention (CDC). (2013). ANTIBIOTIC RESISTANCE THREATS in the United States, 2013. Retrieved from https://www.cdc.gov/drugresistance/pdf/ar-threats-2013-508.pdf
Chen, R., Sun, C., Chen, J., Jen, H., Kang, L. X., Kao, C., & Chou, K. (2020). A Large-Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID-19 Pandemic. International Journal of Mental Health Nursing. Retrieved from https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/inm.12796
Coetzer, M. F., Bussin, M., & Geldenhuys, M. (2017). The functions of a servant leader. Administrative Science, 7(1), 1-32. https://doi.org/10.3390/admsci7010005
Edelwich J., & Brodsky, A. (1981). Burnout: Stages of disillusionment in the helping professions. New York: Human Sciences Press
Gardner, H. (2007). The ethical mind. A conversation with psychologist Howard Gardner. Harvard Business Review, 85(3), 51-56.
Greco, P., Laschinger, H., & Wong, C. (2006). Leader empowering behaviors, staff nurse empowerment and work engagement/burnout. Nursing Research, 19(4), 41-56. https://doi.org/10.12927/cjnl.2006.18599
Greenleaf, R. K. (1998). The Power of Servant-Leadership; Berrett-Koehler Publishers: San Francisco, CA.
Hargett, C. W., Doty, J. P., Hauck, J. N., Cook, S. H., Tsipis , N. E., & Webb, A. (2017). Developing a model for effective leadership in healthcare: a concept mapping approach. Journal of Healthcare Leadership, 9, 69-78. https://doi.org/10.2147/JHL.S141664
Health Resources and Services Administration (HRSA). (2016). National and regional projections of supply and demand for primary care practitioners: 2013-2025. Retrieved from http://bhw.hrsa.gov/healthworkforce/index.html
Hill, C. (2005). Global business today. New York: McGraw Hill.
Hong, T. S., Bush, E. C., Hauenstein, M. F., Lafontant, A., Li, C., Wanderer, J. P., & Ehrenfeld, J. M. (2015). A hand hygiene compliance check system: Brief communication on a system to improve hand hygiene compliance in hospitals and reduce infection. Journal of Medical Systems, 39(6), 1-4. https://doi.org/10.1007/s10916-015-0253-z
Kirch, D. G., & Petelle, K. (2017). Addressing the physician shortage: The Peril of Ignoring Demography. Journal of the American Medical Association, 317(19), 1945–1946. https://doi.org/10.1001/jama.2017.2714
Kreie, J., & Cronan, T. P. (1998). ‘How men and women view ethics’, Association for Computing Machinery. Communications of the ACM, 41(9), 70–77. https://doi.org/10.1145/285070.285084
Labrague, L. J., & De los Santos, J. (2020). Fear of COVID-19, psychological distress, work satisfaction and turnover intention among front line nurses. Journal of Nursing Management. https://doi.org/10.1111/jonm.13168
Lacroix, M., & Verdorfer, A. P. (2017). Can servant leaders fuel the leadership fire? The relationship between servant leadership and followers’ leadership avoidance. Administrative Science, 7(1), 1-11. Retrieved from http://www.mdpi.com/2076-3387/7/1/6/htm
Leap, T. (2008). When bad people rise to the top. MIT Sloan Management Review, 49(2), 23-27.
Marques, R., Gregorio, J., Pinheiro, F., Povoa, P., Miguel, M., & Luis, V. (2017). How can information systems provide support to nurses hand hygiene performance? Using gamification and indoor location to improve hand hygiene awareness and reduce hospital infections. BMC Medical Informatics and Decision Making, 17. https://doi.org/10.1186/s12911-017-0410-z
McCurley, J. (nd). A new approach to fall prevention in inpatient care. St. David’s Healthcare. http://tdshshealthcaresafetyconference.com/Documents/8-20_1120-A%20New%20Approach%20to%20Fall%20Prevention-McCurley.pdf
Nonnis, M., Massidda, D., Cuccu, S., & Cortese, C. G. (2018). The impact of workaholism on nurses’ burnout and disillusion. The Open Psychology Journal, 11, 77-88. https://doi.org/10.2174/1874350101811010077
Pindus, M. N., Tilley, J., & Weinstein, S. (2002). Skill shortages and mismatches in nursing related health care employment. The Urban Institute. Retrieved from http://webarchive.urban.org/publications/410485.html
Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of leadership style towards quality of care measures in healthcare settings: A systematic review. Healthcare, 5(4), 1-17. https://doi.org/10.3390/healthcare5040073
Simon, M., & Goes, J. (2013). Dissertation and Scholarly Research: A Practical Guide to Start and Complete Your Dissertation, Thesis, or Formal Research Project. Dissertation Success (13th ed).
Spear, N. (2016). Using video monitoring to reduce patient falls. Healthcare Facilities Today. Retrieved from http://www.healthcarefacilitiestoday.com/posts/Using-video-monitoring-to-reduce-patient-falls--12476
Strachota, E., Normandin, P., O’Brien, N., Clary, M., & Krukow, B. (2003). Reasons registered nurses leave or change employment status. The Journal of Nursing Administration, 33(2), 111-117. Retrieved from https://journals.lww.com/jonajournal/Fulltext/2003/02000/Factors_Influencing_Satisfaction_and_Anticipated.8.aspx?casa_token=T2s1V7N2iS0AAAAA:kov-NRAf1H1f18PqJ7oYhWDgbJHVKwQ6FvRYUHi9-L23jntko62AjxcoSXSuG3za_3M2uX4OF8a62mXBRJyEPOQ
U.S. Census Bureau. (2014). 2014 national population projections. Retrieved from https://www.census.gov/population/projections/data/ national/2014/downloadablefiles.html
DOI: https://doi.org/10.5296/ijhrs.v11i1.18063
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