NURS 8302 Discussion: Leadership for Change ANSWER

NURS 8302 Discussion: Leadership for Change ANSWER

Post a brief explanation of the relationship between transformational leadership for change and the need for quality improvement. Share any experiences you may have of transformational leadership in your healthcare organization or nursing practice. Then, describe how you would recommend the application of project management approaches to support transformational leadership practices for the promotion of a quality improvement initiative in your healthcare organization or nursing practice. Be sure to include any short- and long-term milestones or goals associated with the quality improvement initiative described. Be specific and provide examples.

Main Discussion Post:

Relationship between Transformational Leadership for Change and the Need for Quality Improvement

Leadership style and effectiveness certainly plays a significant role in strengthening and improving quality and patient care. Although there are various leadership styles, the transformational leadership style seems to align very well with our complex and ever-changing health care system, as it encourages adaptation and change. The principles of this leadership style are well suited for our fast-paced, diverse workforce (University of Massachusetts Global, 2020). The four components of transformational leadership are individualized consideration, inspirational motivation, idealized influence, and intellectual stimulation. This is a leaders

NURS 8302 Discussion Leadership for Change ANSWER
NURS 8302 Discussion Leadership for Change ANSWER

hip style characterized by creating relationships and motivation among staff members (Sfantou et al., 2017). It aims to cause change in individuals as well as social systems by creating positive changes in followers with the ultimate goal of developing followers into future leaders. This type of leadership involves leaders to achieve goals by learning from and meeting the personal needs of those who choose to follow them, and it is this process and learning from those following them and meeting their needs that allows them to develop a sense of ownership with regards to their processes, which in turn inspires them to strive and reach for greater levels to meet the organization’s goals (Omar, 2017). Transformational leadership supports quality improvement by focusing management and leadership attention on the training and personal development of the followers and improvement processes (Omar, 2017).

In research, the literature review describes existing knowledge about the topic, reveals gaps and further research questions to be answered, and provides a rationale for engaging in a new study. The literature review provides evidence to answer clinical questions and make informed decisions in evidence-based practice. Quality improvement studies also begin with searching the literature to gather available knowledge about a problem and explore interventions used in other settings. The appearance of journals that predatory publishers publish has introduced the danger that reviews of the literature include inadequate, poorly designed, and low-quality information being used as “evidence”—raising the possibility of risky and harmful practice. A helpful literature review requires searching various reliable and credible databases such as MEDLINE (through PubMed or Ovid) and the Cumulative Index to Nursing and Allied Health Literature (CINAHL), among others relevant to the topic. The ease of searching using a web browser (now commonly referred to as “googling”) has increased the risk of finding sources published in predatory. Low-quality journals that have not met the standards of research and scholarship can be regarded as credible and reliable evidence ( Oermann, Wrigley, Nicoll, Ledbetter, Carter-Templeton, & Edie, 2021).

Experience with Transformational Leadership in my Health Care Organization

My experience with transformational leadership has been a positive one. This style of leadership strives to improve the overall work environment as well as the personal lives of the followers. Transformational leadership seems to make upper management more accessible to the employees. Leaders which utilize this style, focus less on establishing strategic plans and more on facilitating overall organizational collaboration which helps to drive a vision forward (University of Massachusetts Global, 2020). Management is visible, available, and encouraging of questions and feedback from employees so that they may provide adequate support and employ individualized consideration. Team member engagement surveys are distributed quite frequently to all members via the organizational intranet and we are all highly encouraged to participate with our responses. Incentives are even provided with prizes being awarded by randomly choosing the name(s) of survey engagement submission participants. Engagement surveys are utilized as a means by which to identify factors that lend themselves to disengagement, and the goal at this point is to address those factors and make changes that are meaningful to the employees.

Leadership is continually encouraging feedback for recommendations, and/or the identification of issues that they feel need to be addressed, which encourages employees to be creative and innovative, and results in intellectual stimulation. The lines of communication are always open and management is easily accessible. Upper management makes rounds on the units to speak to and engage employees as an opportunity to hear “real-time” questions/comments/concerns from that which are affected by them directly as a way to garner buy-in and meet the employee’s needs, an approach which is clearly supported by the transformational leadership style. In exchange for this type of approach, employees are more than willing to push themselves harder and meet the organizational goals and have their actions align with the organizational values and vision (Omar, 2017). The unified vision that encourages team members to exceed expectations is an example of inspirational motivation. This leadership style inspires employee confidence, staff respect, and communicates loyalty through a shared vision which strengthens employee morale, job satisfaction, and increased productivity (Sfantou et al., 2017). Earning the necessary level of trust and respect from followers towards leadership helps leaders to guide decision-making that provides an overall organizational improvement, an example of idealized influence.


Application of Project Management Approaches to Support Transformational Leadership Practices for the Promotion of a Quality Improvement Initiative

Transformational leaders work to change the system while maximizing their team’s abilities, they serve as role models for their followers/team members and challenge their followers to overachieve and outperform by empowering them to perform at their very best. They utilize planning structures, set goals, and then work to create new systems to accomplish it by gaining buy-in from their followers to adopt common goal(s)/vision(s) to achieve improvements that benefit all pertinent stakeholders, via the use of team communication, cohesiveness, collaboration, and effective and efficient team-building (Ali et al., 2021). This is where transformational leadership and project management join forces. A transformational leader will employ collaborative efforts to achieve organizational improvement with the aid of their followers (Omar, 2017). Project managers/leaders much like transformational leaders are agents of change, and this is the same philosophy that is the general underpinning of transformational leadership.

A project manager with a transformational leadership style is someone with the right attitude and drive to formulate a quality improvement initiative vision, propose the change, easily get follower/team member buy-in, and has the ability to get others to be excited and enthusiastic about not only the proposed improvement initiative but also the change process, which improves project performance (Ali et al., 2021). The transformational leader makes an effective project manager due to the fact that they possess the characteristics of this leadership style, and as such would be able to easily convey their vision, justify the project improvement investment to the proper stakeholders, secure resources, get the proper team members engaged to become active participants in the quality improvement team, develop a specific management plan, lead and motivate the team, execute the plan, monitor for change and progress, meet all due dates, and carry the project to completion (Sipes, 2020).  A project leader with a transformational leadership style will not have to chase down team members to accomplish tasks or stay focused and on task. It is the transformational factor that makes quality improvement initiatives successful when this approach is adopted, and this style is implemented.



Ali, H., Chuanmin, S., Ahmed, M., Mahmood, A., Khayyam, M., & Tikhomirova, A. (2021). Transformational leadership and project success: Serial mediation of team-building and teamwork. Frontiers in Psychology, 12(689311).

Omar, H. O. (2017). Transformational leadership in quality management. Graduate Student Theses, Dissertations, & Professional Papers.

Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing Company.

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 (Basel, Switzerland)5(4), 73.

University of Massachusetts Global. (2020). What is transformational leadership? Understanding the impact of inspirational guidance.

Transformational leadership is a leadership style that focuses on creating change in an organization. When a leader has a transformational leadership style the correlation to change, meaning adopting new changes or techniques, is positive (Peng, Wang, and Lin, 2021). This knowledge shows us why it is important to strive to have transformational leadership in place in an organization that needs change.

I have had many great leaders throughout my nursing career. One leader used transformational leadership style in her leadership practices. Everyone on the unit loved working for her and with her. She was often seen on the floor helping where she could and promoting teamwork and unity. If there was a change that she wanted to pilot we were more than willing to go along with her because we knew that she would have our backs and that she would support us and help us. She was a wonderful leader. When she switched to a different unit many of the nurses followed her because they liked her so much and felt so supported.

The project management approach to support transformational leadership practices is a great option for the advanced practice nurse. Project management comes naturally to many nurse leaders because many of the same concepts are used in project management and the nursing process (Sipes, 2020). I could use the project management approach in my organization through the use of outlining the project to improve quality and showing the steps that could be required for the improvement of quality. For example, at my long term care facility there has been an increase in pressure ulcers acquired at the facility. The first step in the project management process is to create a quality improvement team, from there decisions will be made about what interventions need to be implemented. The decision is made to set up big clocks outside the residents rooms who need to be turned. These clocks show what side the resident should be on during every two hour interval. This intervention is put into place. After that the results of the quality improvement project would be monitored and reported to the director of nursing to see if the visual clocks were helpful in reducing the amount of pressure ulcers. The short term goals would be to have 75% of residents be on the appropriate side during any two hour time span. The long term goals would be to decrease the number of pressure ulcers in the facility.


Peng, J., Li, M., Wang, Z., & Lin, Y. (2021). Transformational leadership and employees’ reactions to organizational change: Evidence from a meta-analysis. Journal of Applied Behavioral Science57(3), 369–397.

Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing Company.