Effects of Transformation Theory in Nursing Emergency Departments

EFFECTS OF TRANSFORMATION THEORY IN NURSING 1
EFFECTS OF TRANSFORMATION THEORY IN NURSING
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FFECTS OF TRANSFORMATION THEORY IN NURSING 2
Effects of Transformation theory in nursing emergency departments
Literature review identifies different effects of transformation theory in nursing,
especially in emergency departments. Melissa (2018, P. 83) define transformation theory as an
approach that guides leaders to focus on delivering change in provision of healthcare through
working closely with his subordinates to find out the required changes, establish a vision to guide
the change through inspiration, and execute the change in tandem with committed members of
the group. Among the people who play a role in emergency departments include nurses, who
according to Barbara (2011, P. 101) are parts of the group who work with the transformation
leaders to attain particular goals. The purpose of this literature review is to analyze leadership in
emergency departments, basing argument on transformation theory. The key issues in this paper
will be identifying various ways in which leadership in emergency is can be improved through
the use of activity transformation theory.
Healthcare is constantly changing and becoming more complex especially in the
emergency care departments. This changes call nurses to play a more proactive leadership role in
in emergency care departments. Due to the increase in demand for better leadership, it is
fundamental for the nurse managers to establish a leadership style that make all care givers to
commit their efforts towards offering high quality healthcare services to the patients. According
to Melissa (2018, P. 79), the concept of transformation theory in nursing can allow leaders in
emergency departments to recognize the key areas that requires changes and guides it through
inspiring followers to establish a sense of commitment. This theory allows a nurse manager to
feel more comfortable and confident when working according to healthcare policies, the ever
changing healthcare technology, and the mentorship of new graduates.

FFECTS OF TRANSFORMATION THEORY IN NURSING 3
For nursing leaders to succeed in using transformation theory, they must conduct
reflective practice to identify some of the things that they require to succeed in leading the ever
changing healthcare sector. Reflective practice and critical thinking is among the key factors that
make leaders who practice transformation theory to be effective in emergency departments.
According to Barbara (2011, P. 99), literature has implied that reflective practice plays a
significant role in enabling nurses to perfect in offering emergency services by enabling them to
look at the clinical situation at a different angles. It also makes them to apply the theory they
have learned in the course of their studies into practice. Research has indicated that reflective
practice applies to nurses in different levels: from students, to advanced practice nursing students
as well as practicing nursing.
John (2010, P. 27) affirms that reflective nursing is fundamental because it enables
leaders in emergency departments conduct depth analyses of themselves. It provides an
opportunity to analyze the nursing practice with the primary aim of identifying new knowledge
in emergency departments. Reflection practice also acts as a motivator to remain focused and do
better in a practice, with a primary goal of attaining knowledge through experiences and self-
examination.
In an emergency department, especially when critical thinking is required to address
issues that seem to be complex, transformation theory approach assists nurse leaders to think
about some of the strategies that can aid in solving the problems in a manner which can trigger
positive results (Marie, 2013, P. 70). It also enables them to work with their leaders to come up
with solutions that can make them to perfectly address the needs of patients during emergency
situations.

FFECTS OF TRANSFORMATION THEORY IN NURSING 4
Literature has linked reflection practice with four major themes, namely emotional
impact, development of practice, barriers in reflection and mentor support (Barbara, 2011, P.
108). In most cases, nursing practice is associated with tasks that make the transformation
leaders in emergency departments to become emotionally drained, and because reflection
practice helps in identifying positive and negative emotions, it is viewed as an outlet to dispense
the negative emotions that arise.
According to Bita (2016, P. 92), there are different methods of conducting reflective
practice, and the results and outcome vary depending on the technique used. He identified two
primary methods: group discussion and reflective journaling. Although many people prefer to
use group discussion than journaling because of being easy and time saving, journal technique is
more advantageous because it makes them to come up with records concerning their feelings.
This records plays a key role in making them to understand the reasons that made them to feel in
a certain way.
Shirley (2014, P. 279) asserts that nurses feel reflection is one of the most effective ways
of promoting their professional knowledge, but argues that it is of limited value because of their
minimal power to initiate any significant changes. One of the major barriers associated with this
practice is power relationship between nurses and physicians. In most cases, the nurses tend to
feel belittled and even devalued by their seniors. This is one of the most significant barrier that
prevent nursing leaders from discharging their duties because it prevents them from talking about
their thoughts and ideas, and prevent dissemination of crucial knowledge.
Melissa (2018, P. 81) affirms that for nurses to successfully conduct reflective practice
and also to realize its benefits, they must be willing to accept the outcome of the excise.
Research has implied that some students have negative attitude towards the exercise and will