Abstract
A nurse manager’s ability to effect positive change and inspire others to higher levels of achievement is related to his or her leadership style in the practice setting, as well as the culture present in the organization as a whole. The aim of this Doctor of Nursing evidence-based change in practice project was to create an educational modality that supported training nurse leaders through innovation and creative problem solving in today’s acute healthcare setting.
A survey was administered to 48 frontline managers in a Northern California healthcare system to access the gaps and voids in their ability to integrate transformational leadership as a model for performance. Survey results guided a process for manager development in the domains of execution competencies of accountability, change leadership, impact and influence/team building, and organizational awareness. The learning modality selected for this leadership development was the use of simulation scenarios that incorporated the four identified elements from the survey results to augment didactic transformational knowledge. Simulation has been positively associated with the development of transformational leadership skills. An evidence-based business case demonstrates the outcomes, including the return on investment for the retention of nurse managers in a role that has seen a high turnover in this Northern California healthcare system. The manager, adept in transformational leadership skills, can drive the alignment of staff at the unit level to establish a culture that offers patient quality care in a safe environment.
","abstract_html":"<p><strong>Abstract</strong></p> <p>A nurse manager’s ability to effect positive change and inspire others to higher levels of achievement is related to his or her leadership style in the practice setting, as well as the culture present in the organization as a whole. The aim of this Doctor of Nursing evidence-based change in practice project was to create an educational modality that supported training nurse leaders through innovation and creative problem solving in today’s acute healthcare setting. </p> <p>A survey was administered to 48 frontline managers in a Northern California healthcare system to access the gaps and voids in their ability to integrate transformational leadership as a model for performance. Survey results guided a process for manager development in the domains of execution competencies of accountability, change leadership, impact and influence/team building, and organizational awareness. The learning modality selected for this leadership development was the use of simulation scenarios that incorporated the four identified elements from the survey results to augment didactic transformational knowledge. Simulation has been positively associated with the development of transformational leadership skills. An evidence-based business case demonstrates the outcomes, including the return on investment for the retention of nurse managers in a role that has seen a high turnover in this Northern California healthcare system. The manager, adept in transformational leadership skills, can drive the alignment of staff at the unit level to establish a culture that offers patient quality care in a safe environment. </p>","abstract_has_math":false,"creators":["Mette, Mary J"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Project","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["K.T. Waxman, DNP, RN, FAAN, University of San Francisco","Judith Lambton, DNS, RN, Professor Emerita University of San Francisco","Mary E. Foley, PhD, RN, FAAN, Clinical Professor University of California, SF"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2015,"date_issued":"2015-12-18T08:00:00Z","date_published":"2015-12-18T08:00:00Z","updated_at":"2026-07-24T05:43:24Z","subjects":["execution competencies","nursing leadership","nurse manager","simulation","transformaitonal leadership","Nursing"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/dnp/60","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["K.T. Waxman, DNP, RN, FAAN, University of San Francisco","Judith Lambton, DNS, RN, Professor Emerita University of San Francisco","Mary E. Foley, PhD, RN, FAAN, Clinical Professor University of California, SF"]},{"key":"dc:creator","label":"Author","values":["Mette, Mary J"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2015-11-24T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["execution competencies","nursing leadership","nurse manager","simulation","transformaitonal leadership","Nursing"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/dnp/60"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Abstract
A nurse manager’s ability to effect positive change and inspire others to higher levels of achievement is related to his or her leadership style in the practice setting, as well as the culture present in the organization as a whole. The aim of this Doctor of Nursing evidence-based change in practice project was to create an educational modality that supported training nurse leaders through innovation and creative problem solving in today’s acute healthcare setting.
A survey was administered to 48 frontline managers in a Northern California healthcare system to access the gaps and voids in their ability to integrate transformational leadership as a model for performance. Survey results guided a process for manager development in the domains of execution competencies of accountability, change leadership, impact and influence/team building, and organizational awareness. The learning modality selected for this leadership development was the use of simulation scenarios that incorporated the four identified elements from the survey results to augment didactic transformational knowledge. Simulation has been positively associated with the development of transformational leadership skills. An evidence-based business case demonstrates the outcomes, including the return on investment for the retention of nurse managers in a role that has seen a high turnover in this Northern California healthcare system. The manager, adept in transformational leadership skills, can drive the alignment of staff at the unit level to establish a culture that offers patient quality care in a safe environment.
"]},{"key":"dc:title","label":"Title","values":["Impetus to Transform: Essential Nursing Leadership Development through Simulation"]}]}],"canonical_facts":{"dc:contributor":["K.T. Waxman, DNP, RN, FAAN, University of San Francisco","Judith Lambton, DNS, RN, Professor Emerita University of San Francisco","Mary E. Foley, PhD, RN, FAAN, Clinical Professor University of California, SF"],"dc:creator":["Mette, Mary J"],"dc:date.available":["2015-11-24T08:00:00Z"],"dc:description.abstract":["Abstract
A nurse manager’s ability to effect positive change and inspire others to higher levels of achievement is related to his or her leadership style in the practice setting, as well as the culture present in the organization as a whole. The aim of this Doctor of Nursing evidence-based change in practice project was to create an educational modality that supported training nurse leaders through innovation and creative problem solving in today’s acute healthcare setting.
A survey was administered to 48 frontline managers in a Northern California healthcare system to access the gaps and voids in their ability to integrate transformational leadership as a model for performance. Survey results guided a process for manager development in the domains of execution competencies of accountability, change leadership, impact and influence/team building, and organizational awareness. The learning modality selected for this leadership development was the use of simulation scenarios that incorporated the four identified elements from the survey results to augment didactic transformational knowledge. Simulation has been positively associated with the development of transformational leadership skills. An evidence-based business case demonstrates the outcomes, including the return on investment for the retention of nurse managers in a role that has seen a high turnover in this Northern California healthcare system. The manager, adept in transformational leadership skills, can drive the alignment of staff at the unit level to establish a culture that offers patient quality care in a safe environment.
"],"dc:identifier":["https://repository.usfca.edu/dnp/60"],"dc:subject":["execution competencies","nursing leadership","nurse manager","simulation","transformaitonal leadership","Nursing"],"dc:title":["Impetus to Transform: Essential Nursing Leadership Development through Simulation"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Project"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T05:43:24Z"}