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Transactional Leadership in Nursing

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Transactional Leadership in Nursing
Transformational Vs. Transactional Leadership In Professional Nursing
Introduction
Leadership development in the nursing profession is important because it directly impacts the care that is delivered to clients. Transactional and Transformational leadership styles are two very different methods of leadership in the nursing profession. This Essay will compare and contrast these two styles and support that transformational leadership style inspires quality care, job satisfaction and improved patient outcomes
Review of Professional Nursing Literature. According to Sullivan and Decker (1997) transactional leadership is a traditional, goal oriented type of leadership based on the social exchange theory. Work is exchanged for rewards in order to maintain the status quo and implement company policy and procedures. This leadership is essentially based on economics. The leader and followers both benefit socially and economically by exchanging performance for rewards. This exchange continues until one of the parties views the exchange as nonbeneficial to them. An example of this would be monetary incentives to pick up extra shifts when staff challenged. This exchange meets the financial needs of the follower and the leader is successful in keeping the facility adequately staffed. This type of social exchange breeds dependence and satisfies self interests of those involved. It is predictable and routine. It does not put the interest of the patient or client in the forefront. Murphy (2010) contends that our first nursing leader, Florence Nightengale was a transactional leader and that her traditions set the foundation for such leadership style in nursing for decades. During her time, this type of leadership was termed autocratic and was eventually replaced with the term transactional. Therefore authoritarians and transactional leaders have the same qualities. The matriarchal and hierarchal control that Nightengale implemented during her time went on to dominated the



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