their own leadership capacity. Unit leaders are encouraged to conduct a needs assessment and literature review to determine the evidence based best practices in the areas of employee retention and clinical documentation. The desired outcome of this practice is to bring the people within the organization together to foster a commitment to a shared future they seek to create. Focus on the mission with branding, both internally and externally, of the central message has been stressed with the creation of the position of Vice President of Advocacy and Community Partnership. A local news personality was hired for this position in an effort to capitalize on her existing relationships and the trust of the community. The goal of this position is to cultivate relationships with community organizations and build grassroots engagement by increasing the organizations visibility and program delivery. Additionally, this role was created in an effort to advance the organizations public stance for health and health policy issues.

The CEO of this organization attempts to create an ideal and unique image of what the organization can become and shares this vision with the leadership team. This mainly consists of discussion at quarterly leadership meetings. The CEO projects a positive and hopeful outlook in hopes of generating enthusiasm and excitement for the vision from the leadership team through the use of metaphors, symbols, positive language, and personal energy. The CEO has a tendency to focus on opportunities that health care changes present rather than the disciplinary actions for not following new guidelines.

The CEO also attempts to enable the leadership team to act by fostering collaboration through building trust among the team and developing competence. This practice consists of involving the leadership team in planning and gives them the feeling of having freedom of choice in the decision-making. This allows employees to do their job while, hopefully, realizing their full potential. This is accomplished by stimulating the group to be creative and innovative while challenging their beliefs (Manss). The goal of this practice is to foster an environment of trust and help each person feel capable and powerful within the organization. This practice considers the needs and interests of the employees and lets them feel as if they carry ownership and responsibility within the organization. A goal of transformational leadership is to stimulate and inspire followers to both achieve extraordinary outcomes and, in the process, develop their own leadership capacity (Jacobson, Anderson, 831). This has led to clinicians becoming increasingly engaged in operations including improvements to service lines.