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University of San Francisco

Impetus to Transform: Essential Nursing Leadership Development through Simulation

Abstract

dc:description.abstract

<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>

Degree

thesis:*
Name thesis:degree_name
Doctor of Nursing Practice (DNP)
Level thesis:degree_level
Project
Discipline thesis:degree_discipline
Nursing
Year dc:date.available
2015

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Mette, Mary J
Contributors 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

Subjects

dc:subject × 6

Identifiers

dc:identifier.*
Repository record dc:identifier
https://repository.usfca.edu/dnp/60
OAI identifier oai:identifier
oai:repository.usfca.edu:dnp-1071

Chain of custody

source
Harvested from
University of San Francisco
Base URL
repository.usfca.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Mette, Mary J. Impetus to Transform: Essential Nursing Leadership Development through Simulation. Project thesis, 2015. https://repository.usfca.edu/dnp/60