Transmittal letter I submit herewith a report examining the transactional leadership style at the work place. The report further evaluates the multicultural elements of the health care system in Saudi Arabia and establishes a development plan to help with incorporating women in the health care sector. The reports further establishes ways to refine the health care system in Saudi Arabia to reduce cultural conflict associated with expatriates and their patient. Regards, Name: Leadership Name: Institution: Course: Date: Executive Summary The nursing field is one of the most complex professions relative to the fact that nurses have to practice utmost efficiency in their field as part of the duties and ethical requirements. More often than not the nurses are going to be faced with a dynamic health situation, which relates to the diseases, medication, policies, patient’s preferences, cultural differences, religious differences and organizational polices among others. Every other situation is unique and nurses have to have the right skills and in the right environment to conduct their duties optimally. Leadership pays a major role in guiding the field through the dynamic challenges faced in the field. Transactional leadership style is one of the two main styles established in the leadership realm of organizations. It is style that is largely associated with reward and punishment as their pivotal points. Leaders using this style are largely conce...