Effective Approaches in Leadership and Management Paper

Effective Approaches in Leadership and Management Paper

Effective Approaches in Leadership and Management Paper

Nurses acquire many skills when learning and practicing that help them to solve patient-related and overall healthcare challenges. Nurses are natural leaders who acquire leadership and management skills in their routine care of providing safe and quality patient care. As advocates of safe practices and implementers of evidence-based practice, nurses impact patient care through leading and managing change. Nurse leaders and managers inspire, control, and guide healthcare teams to achieve different objectives. As innovators, they also create and influence the necessary change in healthcare environments. The purpose of this paper is to describe the differing roles of nursing leaders and managers in their approach to a selected practice issue.

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Issue: Description and Impacts

Nurses should have cohesive relationships with their leaders and colleagues to provide competent care. Unfortunately, many issues hamper relationships ruining the health care environment’s climate and patient care outcomes. Bullying is common in health care settings. Edmonson and Zelonka (2019) described bullying as unwanted harmful actions toward others intending to humiliate, distress, or offend. Overt characteristics include verbal criticism, insult, and direct threats. Bullying can also be expressed through rumors and gossip, undesirable tasks, and withholding information, among other unfair actions. According to Al-Ghabeesh and Qattom (2019), emergency department nurses are highly vulnerable to bullying due to their work’s stressing and demanding nature. Stressed or fatigued nurses are likely to bully each other. While explaining the prevalence of bullying, Edmonson and Zelonka (2019) noted that it occurs in almost all care settings. Leaders and nursing staff experience bullying in different proportions. A 2018 study revealed that as high as 60% of nurse managers experience bullying, and approximately 60% experience severe bullying (Edmonson & Zelonka, 2019). Due to its profound impacts on patient care, early identification and evidence-based interventions are crucial.

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The impacts of bullying depend on where it occurs and the targeted group. According to Al-Ghabeesh and Qattom (2019), bullying affects nurses’ productivity adversely, ruins their emotional well-being, and increases their desire to leave the job. Leading indicators of reduced productivity include reduced ability to respond to cognitive demands, communicate, and offer patients appropriate support. Bullying also reduces nurses’ motivation to engage in self-care (Al-Ghabeesh & Qattom, 2019). At all levels, patient care quality and safety vary proportionately with nurses’ well-being. Emotionally unstable and dissatisfied nurses are more susceptible to workplace stress and burnout. They are also likely to commit medical errors. Furthermore, patients require close attention, support, and assurance of healing. Bullied nurses cannot offer care that meets all the quality standards. Due to the pervasive nature of bullying, nurses can experience its effects at all levels.

Professional Standards of Practice to Rectify Bullying

Practice issues require a detailed analysis and solutions that are within the professional standards of practice. Provision 1 of the Code of Ethics for Nurses emphasizes relationships with colleagues and others, while Provision 2 requires nurses to embrace collaboration and be mindful of professional boundaries. As Gaines (2021) further noted, nurses should engage in collective effort measures to improve the ethical environment for safe, quality health care. Bullying requires a similar approach. Nurse leaders should collaborate with colleagues and other staff to establish the cause and jointly develop a lasting solution. Engagement, active communication, and respecting professional boundaries are effective measures of maintaining professional conduct. Such an approach to decision-making would ensure that the solution is universally agreed upon and the victims and culprits can implement it.

Differing Roles of Nursing Leaders and Nursing Managers

Although leadership and management overlap, they contrast in many ways. Hence, nursing leaders and managers use different approaches to address an issue. According to Whitney (2018), the work of a nurse manager usually involves planning, organizing, controlling, and decision-making. Decision-making follows the organizational policies and procedures, while directing involves motivating and empowering others through goal setting, communication, and feedback. Conversely, leadership involves influencing people to achieve a group’s goals enthusiastically (Whitney, 2018). Unlike authority and control that require nurses to hold a position, leadership is acquired naturally; hence, all nurses are leaders.

To address bullying and promote patient safety and quality care, nursing leaders should blend leadership and management roles, skills, and principles. For instance, an in-depth assessment of the causes of bullying requires critical-thinking skills, professionalism, and the ability to control emotions. Whether leaders or managers, nurses should consider multiple options in decision-making (Whitney, 2018). Such options for addressing bullying include implementing zero-tolerance policies, motivation programs, and training initiatives. Nurse leaders and managers should also integrate the principles of change theory into decision-making. Change theory emphasizes using motivation to empower people and increase their desire to change (Whitney, 2018). For instance, incentives and healthy work environments can trigger positive change and prevent bullying.

Additional Aspects for Managers and Leaders

Nurse leaders and managers require multiple skills to transform health care environments. Other aspects that nurse leaders and managers need to initiate include active communication, conflict management, and a culture of evidence-based practice. Active communication is essential in interprofessional collaboration and critical where teamwork is required. Conflicts are typical when solving issues that require integrating diverse ideas. Conflict management strategies include dominating when quick actions are needed and integrating ideas where goals of both sides are needed (Whitney, 2018). A culture of evidence-based practice values scientific evidence in decision-making. It ensures that decisions are accurate, reliable, and lasting.

Leadership Style to Best Address Bullying

Addressing bullying characterizes the role of nurse leaders in delivering safe and efficient care. Since effective handling of the problem requires behavior and culture change, a leadership approach centered on transformation and engagement is the most effective. As a result, the transformational leadership style would be the most suitable for addressing bullying. Its defining elements include inspiration, focusing on long-term success, and taking care of followers (Seljemo et al., 2021; Whitney, 2018). The implication is that nurse leaders and managers should inspire the affected health care setting towards a cultural shift. Victims should be inspired to report and resist bullying. Focusing on long-term success implies developing long-lasting strategies that apply to both bullies and victims.


Bullying is a common phenomenon in health care settings. It affects nurses’ emotional well-being and overall satisfaction. As a risk to patient safety and care quality, bullying requires integrating nursing leaders’ and managers’ skills, principles, and roles. It requires critical thinking, communication, and leading change through a shared vision. Many leadership styles can effectively address bullying since some situations require control while others necessitate engagement and guidance. However, the transformational leadership style would be the most effective since it incorporates diverse ideas and focuses on long-term success.


Al-Ghabeesh, S. H., & Qattom, H. (2019). Workplace bullying and its preventive measures and productivity among emergency department nurses. Israel Journal of Health Policy Research, 8(1), 1-9. https://doi.org/10.1186/s12913-019-4268-x

Edmonson, C., & Zelonka, C. (2019). Our own worst enemies: The nurse bullying epidemic. Nursing Administration Quarterly, 43(3), 274-279. doi: 10.1097/NAQ.0000000000000353

Gaines, K. (2021). What is the nursing code of ethics?. nurse.org. https://nurse.org/education/nursing-code-of-ethics/

Seljemo, C., Viksveen, P., & Ree, E. (2020). The role of transformational leadership, job demands and job resources for patient safety culture in Norwegian nursing homes: A cross-sectional study. BMC Health Services Research, 20(1), 1-8. https://doi.org/10.1186/s12913-020-05671-y

Whitney, S. (2018). Roles and responsibilities in leadership and management. Grand Canyon University. https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v1.1/#/chapter/2

Whitney, S. (2018). Theories and concepts in leadership and management. Grand Canyon University. https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v1.1/#/chapter/1

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Assessment Traits
Requires Lopeswrite
Assessment Description
In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

Select an issue from the following list: bullying, unit closers, and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts the quality of care and patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain a professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus the manager described in your readings.
Discuss what additional aspects managers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

This benchmark assignment assesses the following programmatic competencies:


1.1: Exemplify professionalism in diverse health care settings.

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4: Demonstrate professional standards of practice.



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