Hierarchy of Leaders and Followers

Being an Effective Follower
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Healthcare organizations have evolved over time. These shifts result from recent developments in medical care, theories of leadership, and methods of getting things done. My primary focus will be on the growing phenomenon of “followership” and how it influences healthcare delivery systems. The requirement for constant monitoring of patients necessitated the development of this hierarchical care delivery system (Marques et al., 2023). While this approach did help standardize procedures and reduce errors, it also silenced those working in the trenches of patient care and hindered innovation. For medical professionals, the meaning of “following” has shifted. This shift is easier to implement since nurses are increasingly recognized as vital health care team members.
Educators and leaders in nursing have repeatedly emphasized the significance of instilling in students the ability to think critically, advocate for patients’ rights, and contribute to the body of evidence-based practice. This is due to the growing prevalence of “shared governance” across healthcare organizations (Yoder-Wise, 2023). In “shared governance,” nurses and other medical professionals collaborate to establish standards for patient care. The purpose of this approach is to enhance patient care by gaining insight from those who are closest to the action.
In 2008, Kramer and Schmalenberg showed that shared governance improved patient outcomes, increased nurse satisfaction, and reduced turnover (Kramer & Schmalenberg, 2008). Better health and patient care may be achieved if nurses were given greater autonomy in decision-making. The Institute of Medicine (IOM) report “To Err Is Human” echoed the same concerns about prioritizing patient safety. Medical professionals are under societal pressure to open up about risks and admit to making mistakes (Alanazi et al., 2023). The concept of “active followership,” which encourages honest dialogue between medical professionals to serve their patients better, is consistent with this approach. Several significant shifts in healthcare groups have resulted from follower-centered projects.
As a result of their efforts, healthcare providers may increase funding for CQI, which would positively impact patient outcomes. Nurses do a better job and help their ...