Analysis on the Key Role of Head Nurses' Leadership in Nursing Team Management and Its Realization Paths

Meijuan Wu; Weixin Xiong

doi:10.62177/apjcmr.v2i2.1240

Authors

Meijuan Wu The First Affiliated Hospital, Sun Yat-sen University
Weixin Xiong The First Affiliated Hospital, Sun Yat-sen University

DOI:

https://doi.org/10.62177/apjcmr.v2i2.1240

Keywords:

Head Nurse, Nursing Team Management, Transformational Leadership, Team Cohesion, Nursing Quality Management

Abstract

As the core leader of the nursing team, head nurses play a vital role in improving the professional competence of the team, enhancing team cohesion, upgrading nursing quality, ensuring nursing safety, and promoting nursing innovation. This study takes 15 head nurses from different levels and departments as research subjects, and collects data through semi-structured interviews and observation methods. Combined with transformational leadership theory, social learning theory and organizational commitment theory, an "Input-Process-Output (IPO)" analytical framework is constructed. Through thematic induction and cross-case analysis, this paper systematically explores the mechanism and realization paths of head nurses' leadership in nursing team management. The results show that through exemplary leadership, scientific management and effective communication, head nurses not only improve the professional literacy and teamwork ability of nursing staff, but also promote the continuous optimization of nursing quality and safety management. This study further puts forward strategies to strengthen the capacity building of head nurses themselves, improve the management system and focus on personnel training, to provide theoretical support and empirical reference for nursing management practice and policy formulation.

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References

Wong, C. A., & Cummings, G. G. (2007). The relationship between nursing leadership and patient outcomes: A systematic review. Journal of Nursing Management, 15(5), 508–521. https://doi.org/10.1111/j.1365-2834.2007.00793.x

Cummings, G. G., MacGregor, T., Davey, M., et al. (2010). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 47(3), 363–385. https://doi.org/10.1016/j.ijnurstu.2009.09.013

Li, J. P. (2012). Nursing management (3rd ed.). People’s Medical Publishing House.

Marquis, B. L., & Huston, C. J. (2012). Leadership roles and management functions in nursing: Theory and application.

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, 23779608231197428. https://doi.org/10.1177/23779608231197428

Aiken, L. H., Sermeus, W., Van den Heede, K., et al. (2012). Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 344, d8237. https://doi.org/10.1136/bmj.d8237

Bass, B. M., & Riggio, R. E. (2006). Transformational leadership. Psychology Press.

Bandura, A., & Walters, R. H. (1977). Social learning theory (Vol. 1). Prentice Hall.

Meyer, J. P., & Allen, N. J. (1997). Commitment in the workplace: Theory, research, and application. Sage.

Liu, Y., & Liu, H. P. (2013). Research progress on competency model of head nurses. Chinese Nursing Management, (11), 45–47.

Hou, J., Guo, H. Y., Sun, H., et al. (2013). Effects of head nurses’ leadership styles and nurses’ job satisfaction on work performance. Chinese Journal of Nursing, 48(3), 251–253.

Cai, G. Q., Wang, H., Zhang, M. X., et al. (2020). Correlation analysis between perception of working environment and evaluation of head nurses’ leadership behavior among 2291 nurses. Journal of Nursing, 27(8), 30–33.

Lee, G. A. (2021). Don’t forget the leadership in advanced practice. Journal of Nursing Management, 29(4), 607–608. https://doi.org/10.1111/jonm.13309

Cummings, G. G., Tate, K., Lee, S., et al. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85, 19–60. https://doi.org/10.1016/j.ijnurstu.2018.04.013

Kryger, A. (2017). Strategy development through interview technique from narrative therapy. Journal of Organizational Change Management, 30(1), 4–14. https://doi.org/10.1108/JOCM-01-2016-0019

Kelley, S., & Nahser, R. (2014). Developing sustainable strategies: Foundations, method, and pedagogy. Journal of Business Ethics, 123(4), 631–644. https://doi.org/10.1007/s10551-013-1816-9

Ma, L., Wang, Q., & Chen, Y. (2017). Application and effect evaluation of nursing managers’ competency model in training for new head nurses. Chinese Nursing Management, 17(12), 1635–1639.

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice Hall.

Lee, S. E., & Seo, J. K. (2024). Effects of nurse managers' inclusive leadership on nurses' psychological safety and innovative work behavior: The moderating role of collectivism. Journal of Nursing Scholarship, 56(4), 554–562. https://doi.org/10.1111/jnu.12792

Zhang, W., Ding, J., Gong, M., et al. (2011). Influence of head nurses’ emotional intelligence and conflict management styles on nursing management. Chinese Journal of Nursing, 46(7), 675–678.

Salas, E., Shuffler, M. L., Thayer, A. L., et al. (2015). Understanding and improving teamwork in organizations: A scientifically based practical guide. Human Resource Management, 54(4), 599–622. https://doi.org/10.1002/hrm.2168

Zheng, S., Li, T., Han, M., et al. (2025). Coping strategies for nurse burnout: Combination of psychological counselling and institutional safeguards. International Theory and Practice in Humanities and Social Sciences, 2(4), 181–194.

Giddens, J. (2018). Transformational leadership: What every nursing dean should know. Journal of Professional Nursing, 34(2), 117–121. https://doi.org/10.1016/j.profnurs.2017.11.004

Wang, M., & Dewing, J. (2021). Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: A literature review. Journal of Nursing Management, 29(5), 878–889. https://doi.org/10.1111/jonm.13365

Wei, H., King, A., Jiang, Y., et al. (2020). The impact of nurse leadership styles on nurse burnout: A systematic literature review. Nurse Leader, 18(5), 439–450. https://doi.org/10.1016/j.mnl.2020.04.005

Wu, X. J. (2015). Practical handbook of nursing management tools and methods. People’s Medical Publishing House.

Zheng, S. (2026). AI and the displacement of ordinary occupations: A normative analysis of labour alienation, dignity, and social justice. Critical Humanistic Social Theory, 3(1).

Zheng, S. X., & Chen, Q. (2026). Dialectical analysis of the influence of health education content on social media on college students' mental health. Education and Teaching Methods, 1(1), 50–57. https://doi.org/10.71411/jyyjx.2026.v1i1.1130

World Health Organization. (2020). State of the world's nursing 2020: Investing in education, jobs and leadership. WHO.