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Transformational leadership in nursing: a concept analysis

Shelly A. Fischer · Journal of Advanced Nursing · 2016

AbstractAimTo analyse the concept of transformational leadership in the nursing context.BackgroundTasked with improving patient outcomes while decreasing the cost of care provision, nurses need strategies for implementing reform in health care and one promising strategy is transformational leadership. Exploration and greater understanding of transformational leadership and the potential it holds is integral to performance improvement and patient safety.DesignConcept analysis using Walker and Avant's (2005) concept analysis method.Data sourcesPubMed, CINAHL and PsychINFO.MethodsThis report draws on extant literature on transformational leadership, management, and nursing to effectively analyze the concept of transformational leadership in the nursing context.Implications for nursingThis report proposes a new operational definition for transformational leadership and identifies model cases and defining attributes that are specific to the nursing context. The influence of transformational leadership on organizational culture and patient outcomes is evident. Of particular interest is the finding that transformational leadership can be defined as a set of teachable competencies. However

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