Veidlapa Nr. M-3 (8)
Study Course Description
Leadership and Effective Change Management in Health Care
Course Code
MDAK_354
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Nursing Science
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Agita Melbārde-Kelmere
Structure Unit Manager
Kristaps Circenis
Structural Unit
Department of Nursing and Obstetric Care
Contacts
Riga, 26a Anninmuizas boulevard, mdak@rsu.lv, +371 67061568
About Study Course
Objective
Promote nurses’ and midwives’ understanding of leadership, theories, styles and patterns of leadership. Understand and apply different patterns of care, learn simulation skills. Promote the development of student leadership capacities and respect for diversity by ensuring effective leadership of change in healthcare. Cultivate a culture of interpersonal relationships for students, strengthen students’ personal efficiency in managing healthcare staff.
Preliminary Knowledge
General psychology, basic social sciences, economics and organisation management, transkultural care, personal data protection, legal aspects, environmental, financial and resource literacy, job protection, safe working environment.
Learning Outcomes
Knowledge
1.On successful completion of the course, the students will have acquired knowledge of the theories of motivation and leadership in nursing, different personnel management aspects, professional nurse organisations and the importance of their work. Students are able to argue and explain leadership aspects.
Skills
1.Students will be able to identify the basic principles of nursing leadership, differentiate between structural characteristics, analyse staff reactions and describe the prerequisites for effective management in nursing. Students will obtain skills in understanding the importance and philosophy of the nursing profession, its autonomy in the healthcare system. They will understand the importance of the image and prestige of the nursing profession. Develop critical thinking skills. Students will be able to work in a multidisciplinary team and organise this work.
2.Command operating principles
Competences
1.After completing the study course, the students will be able to evaluate employee motivation, analyse personnel management and psychological processes in an organisation, conduct effective change management, implement organisational strategy and develop individual personality. Students will be able to ensure the quality and development of nursing practice by continuous evaluation, maintenance and development of their knowledge and skills. Students will be able to create a positive working environment, which is focused on achievement and growth, and to build and maintain a representative choice of the profession by ensuring active and effective participation of each individual. The ability to manage resources for ensuring care work, as well as work as part of an interdisciplinary team will be developed. Students will develop the ability to understand, demonstrate and interpret concepts, thoughts, feelings, opinions, and to use information technologies confidently and critically (safely) both at work and in their leisure time. Students will be able to conduct research in leadership and to create innovation in the provision of care work.
2.Be able to engage in the organisation and implementation of the quality control process within the framework of professional activities.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
20.00% from total grade
|
10 points
|
|
Students create an emotion diary, formulate their goals as leaders, develop a personal development plan. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal. |
||
|
2.
Sister role card |
5.00% from total grade
|
Test
|
|
Map nurses roles in different healthcare settings. |
||
|
3.
Sister as a mentor or health kouch. |
20.00% from total grade
|
10 points
|
|
4.
Professional growth card |
10.00% from total grade
|
10 points
|
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
lecture test 1 |
5.00% from total grade
|
10 points
|
|
2.
lecture test 2 |
5.00% from total grade
|
10 points
|
|
3.
lecture test 3 |
5.00% from total grade
|
10 points
|
|
4.
Simulation of teamwork |
20.00% from total grade
|
Test
|
|
5.
Quality control and patient safety |
10.00% from total grade
|
10 points
|
Study Course Theme Plan
FULL-TIME
Part 1
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Setting the leader’s goals and setting priorities. Development of own goal, development plan
Description
This lesson will analyse the critical process of setting goals and priorities as a leader in healthcare. Effective leadership begins with a clear vision, strategic planning and the ability to prioritize goals that drive individual, team and organizational success. This examination period provides participants with tools and systems to create meaningful goals consistent with broader healthcare missions while addressing current challenges. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Setting the leader’s goals and setting priorities. Development of own goal, development plan
Description
This lesson will analyse the critical process of setting goals and priorities as a leader in healthcare. Effective leadership begins with a clear vision, strategic planning and the ability to prioritize goals that drive individual, team and organizational success. This examination period provides participants with tools and systems to create meaningful goals consistent with broader healthcare missions while addressing current challenges. |
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Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Implementation of different models of care in healthcare practice, simulation of team collaboration
Description
These lessons address the practical application of different models of care in healthcare settings and highlight the importance of teamwork in delivering patient-oriented outcomes. Participants will explore how different care delivery systems can be implemented to improve efficiency, coordination and quality in healthcare practices. The examination period also includes interactive simulations to improve team collaboration skills and improve patient health outcomes by synthesizing different evidence in practice. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Implementation of different models of care in healthcare practice, simulation of team collaboration
Description
These lessons address the practical application of different models of care in healthcare settings and highlight the importance of teamwork in delivering patient-oriented outcomes. Participants will explore how different care delivery systems can be implemented to improve efficiency, coordination and quality in healthcare practices. The examination period also includes interactive simulations to improve team collaboration skills and improve patient health outcomes by synthesizing different evidence in practice. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Aspects of healthcare planning, employment relationships and autonomy of nursing work.
Description
This lesson provides in-depth research into key aspects of healthcare planning, working relationships and the role of nursing leaders in different health settings. The work of a nurse leader in various health facilities, its role. Principles of evidence-based practice, applying best research practice and guidelines to healthcare decision-making. It highlights the principles of evidence-based practice, with a focus on applying research and guidelines to improve healthcare decision-making and outcomes.. |
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Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Study room
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2
|
Topics
|
Mentoring, supervision, coaching
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Mentoring, supervision, coaching
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
2
|
Topics
|
Quality control and developing a culture of patient safety.
Description
During this lesson, students will reflect on the importance of health quality control and building a culture of patient safety as an essential element for effective and safe patient care. Questions will be discussed on key standards, strategies and approaches that promote a high quality of care and reduce risks associated with patient safety by crystallising the results of research. |
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Study room
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2
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Topics
|
Career planning and Nursing development.
Description
This lesson provides an insight into career planning and professional development opportunities in the field of Nursing. Nurses and medical staff face a variety of challenges and opportunities in today’s dynamic healthcare environment, requiring a strategic approach to career development and continued professional development. |
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Video Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Video
|
2
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Topics
|
Twenty-First century Thinking about leadership and management, decision making, problem solving and critical thinking in nursing.
Description
This lecture explores the evolving dynamics of leadership, management, decision-making, problem-solving, and critical thinking within the nursing profession in the 21st century. With healthcare systems becoming increasingly complex and patient care requiring interdisciplinary collaboration, nursing leaders must adapt to modern challenges with innovative strategies and a forward-thinking mindset. |
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Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Video
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2
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Topics
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Nurse roles and functions in planning, organizing, directing, controlling
Description
This lecture discusses the role and functions of nurses in planning, organisation, management controls. As key players in healthcare teams, nurses often assume leadership roles to ensure effective and high-quality patient care while supporting the needs of their teams and organisations, demonstrating a leading role in improving a continuous healthcare system. |
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Video Lecture
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Modality
|
Location
|
Contact hours
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|---|---|---|
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On site
|
Video
|
2
|
Topics
|
The healthcare and cross-industry team, its roles, norms and collaboration.
Description
This lecture focuses on the dynamics of health teams and groups, highlighting their roles, norms and stages of development. In today’s healthcare environment, effective teamwork is essential to delivering quality, patient-centred care. Understanding how health teams work and evolve allows professionals to promote collaboration, communication across industries. |
Total ECTS (Creditpoints):
3.00
Contact hours:
24 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Greta G. Cummings, Sarah Lee, Kaitlyn Tate, et.al. The essentials of nursing leadership: A systematic review of factors and educational interventions influencing nursing leadership. International Journal of Nursing Studies. Volume 115, 2021, 103842, ISSN 0020-7489, https://doi.org/10.1016/j.ijnurstu.2020.103842.Suitable for English stream
2.
Danisha Jenkins, Candace Burton, Dave Holmes. 2021 (Re)defining nursing leadership: On the importance of parrhèsia and subversion. Journal of Nursing Management. Volume 30, Issue7. October 2022. Pages 2147-2153Suitable for English stream
3.
Suliman M., Almansi S., Mrayyan M., et.al. Effect of nurse managers’ leadership styles on predicted nurse turnover. Nursing Management, 2020Suitable for English stream
4.
Jacopo Fiorini, Francesco Zaghini, Alice Mannocci, Alessandro Sili. Nursing leadership in clinical practice, its efficacy and repercussion on nursing-sensitive outcomes: A cross-sectional multicentre protocol study. Journal of Nursing management. Volume30, Issue7. October 2022. Pages 3178-3188Suitable for English stream
5.
Rouhi-Balasi L, Elahi N, Ebadi A, Jahani S, Hazrati M. Professional Autonomy of Nurses: A Qualitative Meta-Synthesis Study. Iran J Nurs Midwifery Res. 2020 Jun 17;25(4):273-281. doi: 10.4103/ijnmr.IJNMR_213_19. PMID: 33014737; PMCID: PMC7494166.Suitable for English stream
6.
Schippers M.C, Morisanio D., Locke E.A., et.al. Writing about personal goals and plans regardless of goal type boosts academic performance. Contemporary Educational Psychology, 60, 2020, 101823Suitable for English stream
7.
van Diggele C, Burgess A, Roberts C, Mellis C. Leadership in healthcare education. BMC Med Educ. 2020 Dec 3;20(Suppl 2):456. doi: 10.1186/s12909-020-02288-x. PMID: 33272264; PMCID: PMC7712520.Suitable for English stream
8.
Pishgooie AH, Atashzadeh-Shoorideh F, Falcó-Pegueroles A, Lotfi Z. Correlation between nursing managers' leadership styles and nurses' job stress and anticipated turnover. J Nurs Manag. 2019 Apr;27(3):527-534. doi: 10.1111/jonm.12707. Epub 2018 Nov 19. PMID: 30136322.Suitable for English stream
9.
Pursio K, Kankkunen P, Sanner-Stiehr E, Kvist T. Professional autonomy in nursing: An integrative review. J Nurs Manag. 2021 Sep;29(6):1565-1577. doi: 10.1111/jonm.13282. Epub 2021 Feb 26. PMID: 33548098.Suitable for English stream
10.
Farokhzadian J, Miri S, Doostkami M, Rezahosseini Z, Shahrbabaki PM. Promoting the psychosocial and communication aspects of nursing care quality using time management skills training. J Educ Health Promot. 2020 Dec 29;9:361. doi: 10.4103/jehp.jehp_549_20. PMID: 33575397; PMCID: PMC7871930.Suitable for English stream
11.
Vizeshfar F, Rakhshan M, Shirazi F, Dokoohaki R. The effect of time management education on critical care nurses' prioritization: a randomized clinical trial. Acute Crit Care. 2022 May;37(2):202-208. doi: 10.4266/acc.2021.01123. Epub 2022 Apr 28. PMID: 35545237; PMCID: PMC9184972.Suitable for English stream
Additional Reading
1.
Grubaugh M.L., Flynn L. Relationships Among Nurse Manager Leadership Skills, Conflict Management, and Unit Teamwork. Journal of Nursing Administration. 58(7)383-88., 2018Suitable for English stream
2.
Weaver, S., Lindgren, T.G., Cadmus, E., Flynn, E., Thomas-Hawkins, C. Report From the Night Shift: How Administrative Supervisors Achieve Nurse and Patient Safety. NUrsing Administration Quarterly.41(4):328-36., 2017Suitable for English stream
3.
Palweni VS, Malesela JM, Randa MB. Nurse managers' leadership styles as an impetus to patient safety in an academic hospital. Health SA. 2023 Oct 25;28:2344. doi: 10.4102/hsag.v28i0.2344. PMID: 37927940; PMCID: PMC10623474.Suitable for English stream
4.
Scott A, Timmons S. Tensions within management roles in healthcare organisations. Nurs Manag (Harrow). 2017 Mar 30;24(1):31-37. doi: 10.7748/nm.2017.e1569. PMID: 28357933.Suitable for English stream
5.
Labrague LJ, Nwafor CE, Tsaras K. Influence of toxic and transformational leadership practices on nurses' job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study. J Nurs Manag. 2020 Jul;28(5):1104-1113. doi: 10.1111/jonm.13053. Epub 2020 Jun 16. PMID: 32453901.
6.
Zaghini F, Fiorini J, Piredda M, Fida R, Sili A. The relationship between nurse managers' leadership style and patients' perception of the quality of the care provided by nurses: Cross sectional survey. Int J Nurs Stud. 2020 Jan;101:103446. doi: 10.1016/j.ijnurstu.2019.103446. Epub 2019 Oct 7. PMID: 31670220.Suitable for English stream
7.
Poškutė M, Bartkienė A, Fatkulina N, Gefenas E. The contribution of professional autonomy in advancing ethical behaviour: A narrative review of studies in nursing. J Nurs Manag. 2022 Oct;30(7):2301-2307. doi: 10.1111/jonm.13842. Epub 2022 Oct 17. PMID: 36192841.Suitable for English stream
8.
Reinhard U.S, Kunzc E., Rolfb P. Effects of proactive decision making on life satisfaction. European Journal of Operational Research. 280 (3), 2020, 1171-1187Suitable for English stream
9.
González-García A, Pinto-Carral A, Marqués-Sánchez P, Quiroga-Sánchez E, Bermejo-Martínez D, Pérez-González S. Characteristics of Nurse Managers' Conflict Management Competency. A Systematic Review. J Adv Nurs. 2025 Apr;81(4):1717-1733. doi: 10.1111/jan.16600. Epub 2024 Nov 29. PMID: 39611216; PMCID: PMC11896825.Suitable for English stream
10.
Mutlu H, Baykara Mat ST. Accreditation through the eyes of nurse managers: an infinite staircase or a phenomenon that evaporates like water. J Health Organ Manag. 2025 Jun 30. doi: 10.1108/JHOM-01-2025-0029. Epub ahead of print. PMID: 40574247.Suitable for English stream
11.
Raso R, Bowers D, Masick K, Fitzpatrick JJ. Two Relational Leadership Styles as Predictors of Healthy Work Environments. J Nurs Adm. 2025 Apr 1;55(4):192-198. doi: 10.1097/NNA.0000000000001559. PMID: 40146722.Suitable for English stream
Other Information Sources
1.
Society Human Resource Management. Developing and Sustaining High-Performance Work Teams. 2018Suitable for English stream
2.
Perlo J., Balik B., Swensen S., et.al. IHI Framework for Improving Joy in Work. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement. 2017Suitable for English stream
3.
Sherman, R.O. Leadership Resiliency. American Nurse Today. 2018, 13 (9), 26-8.Suitable for English stream
4.
Seligman, M.E.P. The Hope Circuit: A Psychologist’s Journey from Helplessness to Optimism. New Yourk: Hatchett. 2017Suitable for English stream
5.
Hurst, D.J. Mitigating moral distress in nursing. 2017Suitable for English stream
6.
Kovejs S.R. Ļoti veiksmīgu cilvēku 7 paradumi. Rīga, Zvaigzne ABC, 2018
7.
Hurst, D.J. Mitigating moral distress in nursing. 2017Suitable for English stream
8.
Safety Strategies Every Nurse Leader Needs to KnowSuitable for English stream
9.
Ramalingam B., Nabarro D., Oqubuy A., CarnallD.R., Wild L. 5 Principles to Guide Adaptive Leadership. 2020Suitable for English stream
10.
Sherman R.O., Cohn, T.M. Why your nursing networks matter. American Nurse, 2018, 1-3Suitable for English stream
11.
Bernacki M.L., Greene J.A., Crompton H. Mobile technology, learning, and achievement: Advances in understanding and measuring the role of mobile technology in education Contemporary Educational Psychology, 101827, 2020Suitable for English stream
12.
Four Time Management Strategies For All LeadersSuitable for English stream
13.
Don’t Let Bad Time Management Undermine Your LeadershipSuitable for English stream
14.
Narrative Nursing Leadership “Story Telling” and Constructs of Authentic Nursing Leadership