A critical analysis of the Transformational Leadership in Nursing Practice.

Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review. Nursing Reports, 13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108

Comprehension

The study conducted by Ystaas et al. (2023 aims to explore the connection between transformational leadership within the nursing workplace and the outcomes of the patients that are treated within those wards and hospitals. Within the article, the authors discuss some of the various ways that transformational leadership within the nursing field can have a positive impact on the nursing practice and the patients that are cared for. Overall, the researchers performed reviews of previous research studies to determine if there was a connection between the implementation of transformational leadership practices within the nursing field and the health care outcomes, performance, and other results of the nurses and the patients within that nursing facility. The results indicated that transformational leadership was related to higher levels of nurse satisfaction, lower levels of burnout, higher levels of cooperation among nurses, and higher levels of patient safety. The authors summarized that transformational leadership is a good leadership style to use in the current healthcare context, as it can enhance the culture of the organization and encourage the development and motivation of nurses within that organization.

Application

This article is also related to the concepts of nursing leadership that were discussed in this course. For instance, nursing leadership focuses on leadership effectiveness, communication, motivation, and providing the best care to the patients in the nursing facility. Nurses who have the characteristics of transformational leaders are able to inspire the other employees within the nursing facility to achieve common goals for the facility and its patients. A Transformational Leader in nursing practice can inspire nurses to work at a higher level in order to impact patient care and nursing relationships. The impact of leadership on healthcare quality is presented in such a way as to show the direct impact that transformational leadership has upon the role of the professional nurse and healthcare management.

Analysis

The article is credible in both objective and subjective ways: because this is a systematic review article, meaning the researcher gathered evidence and conclusions from several research studies. Additionally, the article was published in a timely manner and is peer-reviewed to add to its academic value. Subjectively, the article makes it clear the importance of transformational leadership in the nursing field. Some of the studies reviewed may have varying healthcare contexts and cultures, limiting generalizability. But the article makes the point that leadership style obviously has a great impact on nursing practice and patient care.

Evaluation

This article is very useful for nursing leadership because it provides a description of how effective leadership relates to positive patient outcomes. The purpose of this study was to highlight the significance of transformational leadership in the reduction of nurse burnout, the enhancement of cooperation among nurses, and the boost in nurse satisfaction. The information from this article can help nurse leaders to create healthier workplaces for nurses and to enhance the quality of healthcare provided to patients. Overall, this article makes a contribution to the existing evidence regarding the importance of transformational leadership in nursing.

Article 2

Gebreheat, G., Teame, H., & Costa, E. I. (2023). The Impact of Transformational Leadership Style on Nurses’ Job Satisfaction: An Integrative Review. SAGE Open Nursing, 9. https://doi.org/10.1177/23779608231197428

Comprehension

Gebrehet et al. (2023) conducted an integrative literature review to investigate the correlation between transformational leadership and nurses’ job satisfaction. This article investigates the relationship between the characteristics of transformational leadership, specifically in relation to providing emotional support to nurses, motivating nurses, and the communication between nurses and those nurses themselves, with their attitudes towards their work. The results of this article demonstrate that there is a positive relationship between transformational leadership and job satisfaction, commitment to the organization, and retention of nurses within those facilities. Nurses who were working under nurses who exhibited the characteristics of transformational leadership experienced the following: their needs were to be valued by the other nurses within the facility, they felt motivated to perform their jobs effectively, and they felt that they were being supported in the performance of their jobs. The researchers found that transformational leadership facilitates the positive aspects of a healthier work environment and better nursing performance.

Application

The information from this article is directly applicable to concepts related to nursing leadership, specifically concepts related to employee motivation, employee morale, and employee retention. Job satisfaction is essential for nurses, as nurses who are not satisfied with their jobs will eventually burn out and leave the nursing profession. However, because transformational leaders tend to focus on the growth and care of the individuals in the organization, nurses will have more of a reason to remain committed to their organization and the patients within it. The information from the article is applicable to future nurse leaders as well.

Analysis

Strategically, the article is well structured with information from several academic studies and is credible as an academic source. The integrative review approach enabled the authors to explore several points of view on transformational leadership and job satisfaction. The emotional and professional value of supportive leadership in nursing is highlighted subjectively in the article. A limitation is that the article is mainly concerned with the positive aspects, and minimal discussion is done about challenges in implementing transformational leadership. The article does provide good evidence that transformational leadership has a positive impact on the experience of nurses within healthcare organizations, even with this limitation.

Evaluation

The significance of this article lies in the explanation of how the leadership style has a direct effect on employee satisfaction and stability within the workforce. In the nursing field, the level of job satisfaction from nurses has a direct effect on the quality of patient care provided to those patients in hospitals across the country. By reducing burnout and improving the retention of nurses within the hospital settings, healthcare administrators and nursing leaders can significantly improve the quality of patient care that is provided to those patients who are hospitalized. One article that discusses the importance of transformational leadership within nursing discusses how such leadership can be utilized to improve the quality of care provided to hospitalized patients.

Article 3

Bektaş, G., Ünal, B. Ö., & Nal, M. (2025). The effect of transformational leadership on nurses’ innovative behaviors: the mediating effect of psychological empowerment. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03467-1

Comprehension

Transformational Leadership, Psychological Empowerment, and Innovative Behaviors among Nurses: A Comprehensive Review of Current Literature. Bektaş et al. (2025) conducted a research study with the aim of determining the impact that transformational leadership had upon the innovative behaviors of nurses, and whether the psychological empowerment of those nurses was responsible for mediating such an impact. The study determined that transformational leadership encouraged nurses to exhibit creative behaviors from their patients, to have confidence in their abilities, and to act as independent nurses when treating their patients. The findings indicated that nurses who are supervised and led by transformational leaders tend to have innovative behaviors due to the feeling of psychological empowerment that they obtain from their leaders. The study concluded that because transformational leadership encourages creativity among nurses, there is an innovation in the health and healthcare services that are provided to patients, improving the quality of healthcare services and the healthcare organizations overall.

Application

This article relates to the concepts learned in this course about empowerment, professional development, and leadership effectiveness. In the field of nursing, innovation is needed to solve the problems that have been created within the healthcare industry today. Transformational leaders in the nursing field encourage nurses to have a voice in the decisions that are made within the hospital and to find solutions to improve the services that are provided to the patients. This article demonstrates the importance of leadership within the nursing field and how it has the ability to improve the confidence and motivation of nurses within the field to face the challenges of the healthcare industry. As future nurses, each of us needs to understand the importance of empowering nurses within the field, as this will ultimately help to improve the nursing field as a whole.

Analysis

From an objective standpoint, this article is scholarly due to the use of research and statistical analyses. The authors provide a more modern viewpoint on the role of psychological empowerment in stimulating innovation. While the insight provided on the importance of empowering nurses is great, people of different cultures and resources within the healthcare facilities may create different behaviors from the nurses in question. Nonetheless, the article does effectively show how transformational leadership can impact creativity and the growth of nurses’ careers.

Evaluation

This article is of great value to the discussion of leadership in nursing due to the importance of empowerment and innovation in the healthcare field. Healthcare organizations require leaders who inspire the nurses to find ways to improve the organization. Through innovation in the nursing field, transformational leaders can ultimately find ways to improve the quality of patient care and the adaptability of the organization as a whole. The evidence presented in this article demonstrates the value of transformational leadership in promoting innovation, nurse confidence, and advancements in the healthcare field. Therefore, this study helps to show the relationship between leadership and innovation in the nursing field and its effectiveness.

References

‌Bektaş, G., Ünal, B. Ö., & Nal, M. (2025). The effect of transformational leadership on nurses’ innovative behaviors: the mediating effect of psychological empowerment. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03467-1

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Assignment 2

Read three new scholarly articles (do not include the article used in Week 1 Assignment 2: Annotated Bibliography Practice) on nursing and leadership styles. Summarize and critically analyze each article separately (250–300 words for each article’s annotated bibliography). For each article, determine the following: Comprehension: Select a scholarly research or other article on the assigned topic and introduce the article in your own words. Application: Apply the research findings or article content to course concepts. Analysis: Provide an objective and subjective analysis of the article. Evaluation: Summarize the value of the content to nursing leadership and nursing.

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