Leadership Theories

King Saud University/ College of Nursing
Master Science in Nursing.
(2nd) Semester, Academic year (1445-2024)
Leadership Theories
Report submitted
In Partial Fulfilment of the Requirements for
Practicum in Nursing Service Administration (NURS 561) Course
Done by: Fatimah ALAmmari
ID Number: 445920701
Clinical practicum objective: The objective of a clinical practicum in nursing
management is to provide practical application of the knowledge and skills learned in
theory related to managing patient care, coordinating staff, ensuring quality and
safety, managing resources effectively, leading, and supervising nursing teams.
Through the practicum, main goal is the development of nursing administration
practice skills and prepare for successful transition to a managerial role in nursing
upon graduation.
For this week the goal is to address leadership theories that applied in clinical unit
of assignment, I was assigned this week in pediatric emergency department,
leadership theories can provide insight of specific nursing unit management system
which is crucial for effective communication, coordination, operational system and
collaboration between manager and other health care provider teams assign in the
unit.
Introduction: It is important for a nursing team to have a leader to guide them in
achieving the organization's mission and vision while providing high-quality nursing
care. Leadership can take on a formal or informal role. Formal leadership is typically
held by a nurse manager, nursing supervisor, clinical team coordinator, or case
manager who has valid authority from the organization. Personal talents are important
for formal leadership, but organizational power and position can also play a role. On
the other hand, an employee without managerial status can lead informally by
effectively improving workflow with management skills and intelligent suggestions.

Leadership requires knowledge, persuasion, and guidance abilities, which are
essential to effectively lead a team. In the pediatric Emergency Room (ER) at King
Saud University Medical City, especially at King Khalid University Hospital, nursing
leadership theories are used to ensure effectiveness. This report will explore the
nursing leadership theories used in the ER of KKUH and their effectiveness.
Depth and Focus: It's interesting to learn about different leadership theories and
how they can impact effective management. The KKUH-Pediatric ER seems to have a
comprehensive approach that incorporates various theories, with a primary focus on
transformational leadership. This approach aims to inspire and motivate both patients
and healthcare staff by promoting innovation, fostering a positive work environment,
and cultivating a strong sense of shared vision and goals. It's impressive to see how
KKUH's implementation of this leadership style has resulted in improved patient
outcomes and nurse satisfaction, as evidenced by their pursuit of MAGNET
accreditations, you can refer to the attached file titled "Magnet Board Layout" for
further details.
The second leadership theory employed at KKUH is Transactional Leadership,
which is based on the principles of social exchange theory. This idea proposes that
individuals participate in relationships to obtain and accrue social benefits.
Recognizing and rewarding exemplary performance, the leader may highlight the
nursing team's great patient care or attainment of specific goals by offering prizes
such as recognition, bonuses, or increased responsibility. I have been given the
opportunity to organize and participate in an event led by the head nurse of the
Pediatric ER. This event aims to recognize and reward the staff members of the unit
who have served as champions or link nurses for specific tasks such as infection
control, documentation auditing, and fall prevention. We acknowledged their
accomplishments from the previous year, 2023. Please refer to the attached invitation
poster for the event.
In addition, Shared leadership theory in nursing centers on the practice of
distributing decision-making and accountability among team members. This strategy
disperses leadership responsibilities among team members rather of placing them
primarily on one individual. It promotes cooperation, empowerment, and
responsibility within the team. An illustration of this leadership style may be found in
the field of pediatrics ER committee, known as the UBC (unit-based counsel),
consists of certain staff members who voice their concerns to the upper nursing
administration at the department level. Additionally, there is the HBC committee
(hospital-based counsel) and the shared governance committee at the hospital level.
(Please find attached the UBC handbook for reference purposes for UBC members).
Conclusion: effective leadership plays a vital role in guiding nursing teams
towards achieving organizational goals and delivering high-quality patient care. The
diverse leadership theories implemented at KKUH-Pediatric ER, such as
Transformational leadership, Transactional Leadership, and Shared leadership,
demonstrate a commitment to inspiring innovation, recognizing, and rewarding
exceptional performance, and distributing decision-making responsibilities among
team members.
By leveraging these leadership theories, KKUH aims to create a positive work
environment that empowers nurses, enhances patient outcomes, and fosters
collaboration and accountability within the healthcare setting. Through initiatives like
pursuing MAGNET accreditations, organizing recognition events, and establishing
committees for shared decision-making, KKUH enhances nurse satisfaction, promotes
excellence in patient care, and drives continuous improvement in the healthcare
system.
Overall, the utilization of varied leadership theories in the Pediatric ER at KKUH
reflects a comprehensive approach to leadership that prioritizes staff development,
patient well-being, and organizational success. This multi-faceted leadership
framework aligns with the hospital's mission and vision, laying a foundation for
ongoing growth, innovation, and excellence in nursing practice.
References:
- Sullivan, E. J. (2018). Effective Leadership and Management in Nursing. New
York: Pearson.

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King Saud University/ College of Nursing

Master Science in Nursing.

(2nd) Semester, Academic year (1445-2024)

In Partial Fulfilment of the Requirements for

Practicum in Nursing Service Administration (NURS 561) Course

Done by: Fatimah ALAmmari

management is to provide practical application of the knowledge and skills learned in

safety, managing resources effectively, leading, and supervising nursing teams.

Through the practicum, main goal is the development of nursing administration

of assignment, I was assigned this week in pediatric emergency department,

which is crucial for effective communication, coordination, operational system and

Introduction: It is important for a nursing team to have a leader to guide them in

held by a nurse manager, nursing supervisor, clinical team coordinator, or case

effectively improving workflow with management skills and intelligent suggestions.

nursing leadership theories used in the ER of KKUH and their effectiveness.

comprehensive approach that incorporates various theories, with a primary focus on

and healthcare staff by promoting innovation, fostering a positive work environment,

KKUH's implementation of this leadership style has resulted in improved patient

outcomes and nurse satisfaction, as evidenced by their pursuit of MAGNET

The second leadership theory employed at KKUH is Transactional Leadership,

individuals participate in relationships to obtain and accrue social benefits.

such as recognition, bonuses, or increased responsibility. I have been given the

control, documentation auditing, and fall prevention. We acknowledged their

poster for the event.

In addition, Shared leadership theory in nursing centers on the practice of

distributing decision-making and accountability among team members. This strategy

disperses leadership responsibilities among team members rather of placing them

primarily on one individual. It promotes cooperation, empowerment, and

the field of pediatrics ER committee, known as the UBC (unit-based counsel),

administration at the department level. Additionally, there is the HBC committee

Conclusion: effective leadership plays a vital role in guiding nursing teams

diverse leadership theories implemented at KKUH-Pediatric ER, such as

Transformational leadership, Transactional Leadership, and Shared leadership,

demonstrate a commitment to inspiring innovation, recognizing, and rewarding

exceptional performance, and distributing decision-making responsibilities among

environment that empowers nurses, enhances patient outcomes, and fosters

pursuing MAGNET accreditations, organizing recognition events, and establishing

committees for shared decision-making, KKUH enhances nurse satisfaction, promotes

excellence in patient care, and drives continuous improvement in the healthcare

Overall, the utilization of varied leadership theories in the Pediatric ER at KKUH

reflects a comprehensive approach to leadership that prioritizes staff development,

patient well-being, and organizational success. This multi-faceted leadership

ongoing growth, innovation, and excellence in nursing practice.

- Sullivan, E. J. (2018). Effective Leadership and Management in Nursing. New

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