Ma. Angela P.

Guiang
BSN4A

1. Differentiate between nursing leadership and nursing management

The terms “leader” and “manager” are too often used interchangeably, but most of us
understand instinctively that they are not the same thing. Not every nurse manager is a good leader,
and those who demonstrate strong nursing leadership are not necessarily managers.
A nurse manager holds an assigned position within the hierarchy of an organization. She or he
has decision-making powers and control over certain processes, and is expected to carry out
specific duties.
A leader, on the other hand, may or may not have recognized authority within the organization.
In many cases, the “power” held by a leader comes from the ability to influence others, through
effective communication and interpersonal skills.
Nurses can demonstrate leadership skills at any level of experience and in any stage of their
careers. You don’t have to supervise or manage anyone to position yourself as a leader. When you
work productively within your unit and express enthusiasm for unit goals, you are helping to direct
the group in ways that make it function cohesively and you are sowing the seeds of leadership.
Nurse manager can manage more effectively if they possess a wider range of leadership skills
including the ability to motivate others. A manager who makes every decision without input and
rules with a heavy hand may come across as a dictator who does not value the experience of others.
This type of manager often cannot build an effective team.
Both leaders and managers rely on critical thinking skills and the ability to envision a positive
future. Ideally, nurse leaders have risen to the management or executive level because they’ve had
the ambition to advance their careers and leave the bedside. The desire to for self-improvement
and a higher level of excellence is an intrinsic trait for leaders.

2. Give samples and Define different types of world leaders such as democratic,
autocratic, laissez faire bureaucratic etc.
Democratic - style of leadership in nursing enhances the participation of junior employees in
the decision making the procedure of an organization. Although, the final decision is of the
leader, s/he collects information, feedback, and ideas from all the staff members before
finalizing everything.
(Example: clinical settings as skills and abilities of all the professionals contribute equally to
the success of the organization)
Autocratic - nurse manager or leader decides everything, give orders and directives to all the
team members. Employees just need to follow what they are asked. The manager supervises
every staff member and their input is not considered while making decisions. Workers are not
even allowed to ask if they have some doubts about the validity of a directive.
(Example: prisons, military, routinized operations, jails because in these kinds of places, lives
of patients completely depend on the workers)
Ma. Angela P. Guiang
BSN4A
Laissez-Faire - employees are encouraged to undertake a hands-off approach and are allowed
to work in a way that they like to, without any kind of supervision or guidance of the nurse
managers. Only minimum directions are provided by the leaders and it permits the workers to
handle various tasks on their own. Employees are responsible for the decisions made by them,
setting their goals and solving all the issues that arise while working.
(Example: staff members are highly skilled, educated, motivated and are ready to give their
best for the best results)
Affiliative - to make this style successful for an organization, the leader must be great at
making relationships. This leadership works best when there is a need to fix the bitterness of
feelings among a group or when there is workload or stress, as these leaders are the best to
motivate other team members.
Transformational - based on the encouragement of the employees to give their best at work
and motivation to be positive while performing various tasks instead of being negative. But,
all this is done through a common mission and vision.
Coaching - leader concentrates on the development of people. They work to make the team
members understand their strengths and weaknesses, set targets for development and help them
achieve goals.
(Example: leadership style is great to groom the employees both professionally and
personally)
Transactional - leaders give rewards or punishments to the employees respective of the way in
which they complete the tasks. It concentrates on the importance of supervision, leadership,
organization and performance of the group. It completely relies on the transactions held
between the workers and the nurse manager because it is based on the fact that employees are
motivated both by discipline and rewards. Nurse managers who follow this kind of leadership
style for nurses do not focus on the performance of the organization in the near future, rather
they look for the best that can be done to keep everything perfect in the present.
(Example: these leaders pay special attention to the deviations and faults made by the staff
members)
Visionary - much similar to transformational style. The only difference is that these leaders are
much concerned about the future and they guide the followers to stay focused on what they
need to achieve in the upcoming years. Nurse manager just motivates the employees to pursue
and share a common target and vision by providing proper guidance about where to go and
what to do with proper stepwise procedure of how to reach there.
(Example: these leaders pay special attention to the deviations and faults made by the staff
members)
Servant - to gain success of the organizations, nurse managers often opt this type of leadership
style in health care. This leader looks after for those who serve the patients and work hard to
gain positive outcomes.