Cultura

Exploring The Role Of Transformational Leadership In Enhancing Nursing Practice: A Systematic Review

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Saleh Mohammed Alzahrani, Majidah Hameed Almasoudi, Sultan Ahmed Alharbi, Haitham A. Alshareif, Fouzia Mohammed Ali Abkar
Malak Almatrafi, Yousef Alsaedi, Basim Ayash Allehyani, Aish Aljahdali, Abdulelah Alamri

Abstract

This systematic review delves into the profound influence of transformational leadership on enhancing nursing practice. In the dynamic and ever-evolving healthcare landscape, effective leadership is crucial for cultivating a resilient, innovative, and high-performing nursing workforce. Transformational leadership, characterized by its core components of idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration, has emerged as a pivotal style capable of inspiring positive change and driving superior outcomes within the nursing profession. This review synthesizes findings from recent systematic reviews and empirical studies published between 2020 and 2025. It meticulously examines how transformational leadership impacts various critical facets of nursing practice, including but not limited to job satisfaction, organizational commitment, nurse retention, the quality of patient care, and the overall work environment. The comprehensive synthesis of evidence consistently reveals a strong positive correlation between the behaviors associated with transformational leadership and improved nursing outcomes. This highlights its indispensable role in fostering a healthy and supportive work environment, promoting continuous professional development, and ultimately elevating the standards of patient care. The findings emphatically underscore the imperative for healthcare organizations to strategically invest in robust leadership development programs. These programs should be designed to cultivate and nurture transformational qualities among nursing leaders, enabling them to effectively navigate complex challenges and ensure the sustainable delivery of high-quality healthcare services.

Keywords : Transformational Leadership, Nursing Practice, Systematic Review, Job Satisfaction, Nurse Retention, Patient Outcomes, Healthcare Leadership..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty