Ponnammal demonstrated leadership by taking on tasks that others neglected, making her a role model for her peers. Her diligent actions inspired a collective change in attitude among the nurses, fostering a sense of responsibility and teamwork. Over time, each nurse began to embrace the necessity of their work, transforming the work environment.

Through her commitment and perseverance, Ponnammal influenced her colleagues to rise above their previous reluctance. This shift resulted in a united front where every nurse was willing to contribute to the essential duties, showcasing the power of individual initiative to effect change in a community.