Leadership Character: Antidote to Organizational Fatigue

  title={Leadership Character: Antidote to Organizational Fatigue},
  author={Mary J Connaughton and James Hassinger},
  journal={JONA: The Journal of Nursing Administration},
Despite the tremendous gains nurse leaders have made in shaping the environment of care, an observable, dysfunctional dynamic resulting in organizational fatigue threatens the sustainability of those gains. At its peak, this dynamic cascades through all levels of nursing leadership, causing exhaustion, diminished decision making, and reluctance by nurses to assume formal leadership roles. In the worst case, this dynamic reaches the bedside with the potential to cause harm to patients. The… 
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  • 1993
Figure 3. Example: nurse leaders seeing clearly