The expectation for all stakeholders in healthcare is for safe, quality care at a value cost. Healthcare leaders are responsible for setting the stage for quality outcomes and the largest impacting force is in the hands of nursing. Nurses have a high exposure to patients and processes requiring and buy-in for the activities that lead to positive outcomes as defined by internal financial drivers, the regulatory agencies, the third-party reimbursement agencies and the consumers. Transformational, authentic, and trustful leadership has been shown to a have significant impact on the desired outcomes. The dynamics roles are interconnected between the leaders, frontline staff, and the patients. Leaders set organizational missions and goals to be carried out for a purpose. The research shows that the frontline staff delivers the care close to the way it is intended when staff are engaged and invested in the structure, process and outcomes. Patients perceive the behaviors of nurses and the extended team as they are the recipients of the care; these patient perceptions are influenced by positive or negative consequences of the care aa a direct result of behavior of the team. Nurses are in the position to enhance interactive mechanism often and …show more content…
Resources for safety and quality outcomes for patient are impacted by nurses and nurses lead while at the frontline, at midlevel and at the executive level. The IOM (2004, 2010) has specific recommendations for including using evidence based practice to model care, while executing transformational leadership. It takes engaged trustworthy and trusting people who should be directed, given tools and provided with relationship investments as a transformational effort at all levels of the organization and certainly within the nursing