SUMMARY
The healthcare industry is an ever changing system in which there is constant pressure for it to provide quality care while maintaining rising cost. The pressure exerted on a healthcare system is exemplified by managed healthcare. This type of care involves integrating and comprehensive systems of health care providers, insurance, companies and government programs. University Hospital is a very large teaching hospital which scores well on accreditation tests and is known for its high quality level of care. Like all hospitals, they need to work on improving their financial situation. In order to alleviate financial stress, the hospital has taken on a “differentiated nursing practice” which has registered nurses as care
The other care coordinator nurses do not feel comfortable with the new environment they have essentially been thrown into.

Contigency Theory: This theory emphasizes the characteristics and style of the leader and needs of a particular situation. In this case, Jen and Hannah are displaying a specific style of leadership for this particular situation. In this situation, it is a very ambiguious role each nurse must figure out what type of leadership style she must use in order to be most effective in her role.

Uncertainty about Change: A reaction to organization change that can cause heightened anxiety. The care coordinator nurses feel very uncomfortable with this change in the organization and with that, have anxiety issues. There is much uncertainty with the care coordinator position, that the people in these positions do not even understand their own roles. They have been told to design their jobs the way they would like. For some this may seem like a great idea, but with these traditional nurses, it may be hard for them to assimilate into their new roles.

Transformational Leadership Model: This model makes a distinction between transactional leaders and transformational leaders. In this case, Jen and Hannah needs to act as transformational leaders in order to encourage their care coordinators to fully grasp their purposely ambiguous roles. In this model, the ultimate goal is for the leaders to set an example for the followers by displaying the