Leadership and Management as
a Professional Concept-Chapter 9
Carolyn McCune RN, MSN, CRNP
What is a good manager?
Give examples of good and bad managers
What could have been done differently or kept
the same
Leadership versus Management
Leadership: is doing the right thing
Management: is doing things right
Leadership comes before management
Leadership: personal traits necessary to
establish vision and goals for an organization
and the ability to execute them
 Manager: The personal traits necessary to plan,
organize, motivate and manage the personnel
and material resources of an organization
 Formal leader: person who is the boss, the one
whose directions are followed with minimal
challenges
 Informal: without a formal title, the person on
the team who is respected because of personal
wisdom and the willingness to share it, is a role
model on a day-to-day basis
This is the person everyone goes to for advice
Has power among team members
Avoid a power struggle: No one wins, try to
avoid them
Management
Ability to organize details so that the leader’s
vision and goals can be achieved successfully
Can be instinct or learned
Nurse Leaders and Managers
 Florence Nightingale: leader
 Lillian Wald and Mary Brewster: established the
first visiting nurse service in the US-leader and
manager
 Jean Watson: leader
 10% of nurses are men
 Nurses over the years have sought more respect
and creditability
The LPN in the Manager Role
Are frequently charge nurses in nursing home
Are responsible for the patients care
Leadership Styles
Autocratic: person is task oriented, makes
decisions independently without input from
the group, motivates with praise, blame and
reward
Many avoid this type of leader: “you know
where you stand” with this type of leader
Trust this type of leader in an emergency
Democratic Leader: focused on individual
characteristics and abilities, uses personal and
positional power to achieve outcomes, uses
group process to make decisions, more willing
to share information, no secrets or
information kept from the group, each person
is an unique person,
Laissez-Faire: “let alone”, leaves workers
without direction, supervision or coordination
in their projects, don’t give praise, criticism,
feedback or information
Can be very frustrating with a high level of
dissatisfaction
Much chaos
• Multicratic or Participative Leader:
compromise between autocratic and
democratic leader
• Processes feedback from the group but makes
all decisions. Handles emergencies well
• Have a free exchange of ideas
• Exercise on page 155
Questions??
All information for this lecture is from
Anderson(2009), chapter 9 for purposes of
teaching in which the students use this book