— Overview

Leadership, in this nursing-management paper, is not a title. It is a process of exercising influence, in a given situation, so that an organization can reach its goal. Hersey and Blanchard split a leader's behavior along two axes — task and relationship — and say the effective mix changes with the maturity of the people being led. On the ward the author examines, the head nurse still leans toward command and supervision.

The close is a change of type: toward a facilitator who leads by inviting people in.

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— Contents and key concepts

Two axes, and maturity that is not an age

The opening definition is calm and usable: leadership is a process of exercising influence, in a given situation, so that an organization can reach its goal. Hicks and Gullett are mentioned for including the coordination of conflict, the setting of goals, and planning and organizing. A leader, in this telling, directs task behavior, uses reward and punishment with some care, and keeps motivation up through selection and training, the design of work, and a system of control and reward.

Hersey and Blanchard then supply the situational frame. A leader's amount of direction, the socio-emotional support they offer, and the readiness of the people being led all interact. Task and relationship are not two ends of one stick; they are separate dimensions that can be high at the same time. Drawing also on Argyris and on McClelland, the account reads maturity as a desire to achieve, a will to take responsibility, ability and experience, and education — not as a birthday. Because there is no one best way to influence other people, a leader should change the amount of task behavior and of relationship behavior to match the readiness in front of them. The four types that follow are the familiar ones: a commanding style, high on task and low on relationship; a persuading style, high on both; a participating style, low on task and high on relationship; and a delegating style, low on both, which hands control to members and steps back from the work itself.

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Seven changes, a bureaucratic snag, and a ward that needs a different nurse

Argyris's path from immaturity to maturity is given as seven changes, and they are kept as the account lists them: a shift from passivity to an active adult life; from dependence to independence; from simple methods to more varied and complex ones; from passing interest to a deeper one; from a view stuck on the past to a longer view of present and future; from a subordinate position to an equal or higher one; and from having no self-concept to a state in which self-concept and self-control are possible. The conflict the account worries about is a mismatch of recognition. The individual sees a mature person in the mirror; the organization still sees a child. A conservative, bureaucratic culture, in this account, demands mechanical obedience more readily than initiative or inventiveness, and treats people like parts of a machine. An immature view of staff produces conflict, exit, and a standing dissatisfaction; if only obedience and control are demanded, creativity, efficiency, and flexibility are squeezed, and in the worst case the better people leave.

The ward diagnosis is the point of the source. A nursing unit is a place where shared values, beliefs, and ways of acting gather, and it has a large influence on the hospital as a whole. The members of this ward feel mature, yet they do not admit their own mistakes and they store up complaints — and that, for the author, is still a sign of immaturity. The head nurse mainly leads by command and supervision, watching whether general nurses carry out their work, and clinging to a traditional, control-centered management. That stance can work against a more active, customer-centered running of the ward. The change the account wants is toward a facilitator: high in relationship behavior, and able to lead people to take part. No hospital is named, and no extra percentage is added.

Sources

  1. A study guide for a nursing-management course, applying Hersey and Blanchard's situational leadership and Argyris's maturity theory to a ward and to the style of its head nurse.

Last updated: 14 November 2026

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Frequently asked questions

How does the account define leadership and its effectiveness?

As a process of exercising influence, in a given situation, to achieve an organization's goal. Its functions are diagnosis — reading the present state of the group and of the outside environment — and execution, choosing a concrete action from that reading. Yukl is cited for three marks of effectiveness: reaching the purpose (finances, consumer needs, quality); the satisfaction and trust of subordinates; and a contribution to the quality of the group's process, such as cohesion and cooperation.

What is distinctive in Hersey and Blanchard's model here?

The amount of direction, the amount of socio-emotional support, and the readiness — or maturity — of subordinates interact. Task orientation and relationship orientation are treated as two separate dimensions that can coexist, not as opposite ends of one line. Maturity is not a matter of age, but of a desire to achieve, a will to take responsibility, ability and experience, and level of education. There is no single best way; the leader should change the mix to match the readiness of the people at hand.

What seven changes does Argyris describe?

From a passive person to an active adult; from dependence on others to independence; from simple methods to more varied and complex ones; from passing interests to deeper ones; from a view stuck on the past to a longer view of the present and future; from a subordinate position to an equal or higher one; and from a state without a self-concept to one in which self-concept and self-control are possible.

How does it diagnose the ward and the head nurse?

Members of the unit feel mature, yet they do not admit when they are wrong and they pile up complaints — which, for the author, still shows immaturity. The head nurse mainly shows a command-and-supervisor style, watching whether general nurses carry out their tasks, and clinging to control-centered traditional management. That can work against a more active, customer-centered ward, and should give way to a facilitator style with a high degree of relationship behavior that leads people to take part.