According to Click et al. (2014), the Institute
of Medicine (IOM) report, tasks the professional nurse to boost the leadership
roles given to nurses within the healthcare field. The primary goal of performing
a study like this was to evaluate the various self-perceived leadership activities
of registered nurses (RNs) involved in a clinical ladder initiative. As defined
by the Affordable Care Act (ACA), RNs are obligated to lead clients towards positive
healthcare outcomes. However, it is imperative for the healthcare organizations
to have a true critical understanding of how the nursing process develops
decisions related to nursing patient care.

The authors employed many different avenues for the purpose of collecting
necessary data, such as: correlational, descriptive and cross-sectional studies
to assess the self-perceived behaviors of RNs enrolled within a ladder career
pathway. Moreover, a self-report survey had been performed using demographic
questionnaires and the leadership practice inventory.

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The results of the study revealed the existence of an intimate
relationship between categorical and continuous demographic factors. In
addition, Click et al. (2014) found that RNs who have attained higher levels of
experience inversely have developed low perception of various leadership
behaviors. Transformational leadership is defined as a critical element towards
enhancing the effectiveness of communication and collaboration in the
healthcare field. Therefore, RNs must be required to proficiently collaborate
with other healthcare providers, families, and patients given that they are
identified as the change agents who can transform the experience of patients
(Click et al., 2014),

In conclusion, the development of leadership and is fundamental for
nurses in the various fields of practice. Therefore, the finding from this
study offers evidence of the benefits and drawbacks related to leadership
behaviors of employees in clinical RNs because they are the ones who are on the
tip of the spear in regards to making decisions regarding patients.