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The role of leadership in healthcare
Leadership in healthcare
The role of leadership in healthcare
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Changes are needed to improve the functioning of NHS organisations, improve quality of care we deliver, improve productivity and prevent harm and deaths (Darzi, 2010, Francis 2013). Kotter (2006) said that "Change is the function of leadership" hence effective and motivated leaders can also be very successful change agents. There is a strong view among policy makers and think tanks (Darzi, 2008, Kings Fund, 2012) that all the clinicians should develop into a change agent and they should innovate and use resources in imaginative and innovative manner to bring change and deliver a high quality of care (Darzi, 2008, NHS).
I have noted that Covey's (1999) 1st (be proactive), 6th (be imaginative and creative), 7th (sharpen the saw) habits indicates
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Change agents should understand their own feelings about being change leader, understand their own commitment specially if the change was not started by them. Understanding the factors which are affecting the change from inside and outside the organisation which will positively or negatively influencing the change process (Moran and Brightman, 2001) can help overcome the obstacles at an early stage.
Some of the characteristics of change leaders are - lead through constant word and deed, communicate the need for change, broadcast a real world drivers of change, communicate effectively the dangers of not changing, establish the framework of measurement of change, identify the gap in knowledge and skills of the staff who are going to effect change. They need to provide rules, strategies and resources to change and create a culture of self-initiated change and improvement (Holt, 2009, Moran and Brightman, 2001, NHS, 2009).
Real Self (My Attitude towards Change and Skills I have to Become Change
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I need to improve upon my time management and ability to prioritise my work (academic work in particular, but other aspects of my day to day life in general), because I take on more work than time permits and this is compounded by my attention to minute details.
I have noted that there are several challenges in innovation and improvement of services in my organisation and most of it can be dealt with effective communication with team colleagues, service users and senior managers and as a leader I should have the ability to take everyone with myself and get the changes implemented (Gill, 2011). My plan is to continue to work on my emotional intelligence (Goleman, 2004) so that I am able to understand the situation better and improve my ability to communicate in empathic manner in stressful situation, because in my opinion it is one of the very important qualities one needs to have in order to help with innovation and improvement of services by proactive engagement of colleagues. Covey (2006) has identified lack of empathic communication (habit 5, seek first to understand then understood) with colleagues as the basic failure of the leaders and I want to further develop this skill to turn this into one of my
As the NHS change model and the NHS leadership model are focused towards the healthcare setting, the NHS leadership model aids staff members to become better leaders and guide them to change. This model is effective for all staff members regardless of their role within health care, or if the team being engaged with is small or large due to the effective guidance given. This model has structured questions to which the NHS leadership model states these questions guide the process and encourage effective leadership
Frances Report (2013) gave a report of what led to the failure of the care Mid Staffordshire NHS Foundation Trust provided to patients. He reported that this failure is as a result neglect and of lack of good leadership and incompetence fundamental nursing care by health care professionals such this called for a major change in the culture of the NHS across the country. Hence, the innovation team cultivate the culture of transparency, honesty, tru...
A solid theoretical foundation is required to lead and manage change. For efficient and effective change to take place it must be intentional. Leadership set the tone and the direction of an organization allowing it or hindering it to change and adapt. Leader can use tactics and skills to create an organic change environment with the right change models and interventions when the organization is most ready for change.
With this mindset in place change can happen without any problems. Having transformational leaders being viewed as change agents, the culture within an organization should transform smoothly. Effective leadership is enhanced when leaders can inspire their followers to accept change by communicating a compelling vision of the future and motivating willingness to work in the new manner (Jones & Rudd, 2008).
Leading Change was named the top management book of the year by Management General. There are three major sections in this book. The first section is ¡§the change of problem and its solution¡¨ ; which discusses why firms fail. The second one is ¡§the eight-stage process¡¨ that deals with methods of performing changes. Lastly, ¡§implications for the twenty-first century¡¨ is discussed as the conclusion. The eight stages of process are as followed: (1) Establishing a sense of urgency. (2) Creating the guiding coalition. (3) Developing a vision and a strategy. (4) Communicating the change of vision. (5) Empowering employees for broad-based action. (6) Generating short-term wins. (7) Consolidating gains and producing more changes. (8) Anchoring new approaches in the culture.
Adaptive leadership is becoming widespread in the United States Army amongst junior officers in leadership positions that require quick thinking and innovation. Leonard Wong discusses how the versatile and unpredictable enemy and situations in Iraq produces adaptable junior officers. These officers are learning to make decisions under chaotic conditions and are becoming more mentally agile. The Army is changing. The Army is transforming its capabilities in the war in Iraq to be effective and successful. General Schoomaker states that we will not accomplish our goals as a nation in the 21st century unless our Army becomes much more agile but with the capacity for long term, sustained level of conflict. The Army is in the process of eliminating its old ways of war, it has to become somewhat of a decathlete. Trained for multiple events across a broad spectrum not just one event like a track athlete.
Realizing that although a way of doing a task might have worked for years there is always room for improvement. Also, incorporating the aspect of taking risk in changing a current practice to see if a new one works more efficiently (Judge & Piccolo, 2004). A transformational leader should foster creativity in their team members and show that even though there may be a designated leader, the team members or followers still have a voice that matters. In terms of importance, transformational leadership within my future career will be essential. I hope to be working in the field of Therapeutic Recreation as a Certified Therapeutic Recreation Specialist (CTRS) which is an emerging profession in healthcare. Advocating for change and taking risks will be key as I will need to show other health professions my benefits. Inspiring creativity, motivation and being able to lead a team and patients towards a goal will be essential. It will be part of my everyday job to create attainable, measurable goals for patients to achieve and I will be able to do this through the attributes and behaviours learned from transformational
Change is a double-edged sword (Fullan, 2001). Change is a word that might inspire or put fear into people. Leadership is challenging when it comes to dealing with change and how individuals react within the organization to the change. Marzano, McNulty, and Waters (2005) discuss two orders of change in their book School Leadership that Works; first and second. Fullan (2001) also adds to the discussion in his book Leading in a Culture of Change, with regard to understanding change. In Change Leadership, Keagan and Wagner (2006) discuss many factors of change and the systematic approach to change. Change affects people in different ways. Leaders need to be able to respond to the individuals throughout the change process.
Every organization will experience a change of leadership at some point or another. CEO’s of organizations will move on to take on different challenges in their lives or many of them will retire. There are few changes that can occur in an organization that could have a larger impact than a change at the top of the management chain. According to Firoozmand (2014) resistance from employees is an occurrence that is a part of the natural process of change. This is no different in the event of a change of leadership. New leaders will bring in a new vision, culture, and expectations that employees may not be ready or willing to accept.
Why now? Why are we focusing on transformational leadership? Healthcare costs are continuing to rise. Some of the critical problems and active debates prevalent in many hospital organizations include the rapidly intensifying healthcare costs, funding and reimbursement cutbacks, and concern regarding the overall quality and safety of health care. “Healthcare systems have come under pressure to improve performance and manage productivity” (Botting, 2011). To be successful in the 21st century, there is a demand on healthcare systems to have a vision and executive and clinical leadership to inspire the change process and make the difference between success and failure in change.
This paper will be broken down into six sections profiling each critical part of implementing and managing change in an organization. The sections included are; outline for plan creating urgency, the approach to attracting a guiding team, a critique of the organizational profile, the components of change, and how to empower the organization.
Transformational leadership is one of the most popular leadership styles. According to Kendrick (2011), “Transformational leadership involves four factors: 1. idealized influence, 2. inspirational motivation, 3. intellectual stimulation, and 4. individual consideration.” These four factors make transformational leadership have an impact on followers. The goal of transformational leadership is to cause a positive change in individuals, help motivate them, and develop a leader within each individual.
The transformation of a company requires hundreds, sometimes thousands of employees to adopt a new view of its future, a future they must regard as essential. Change management involves managing the process of achieving this future state. Change can be viewed from two vantage points, that of the people making the changes and that of the people experiencing the changes. In the top-down, or strategic viewpoint associated with management, the focus is on technical issues such as the investment required, the processes for implementing the change, how soon the change can be realized, and the outcome. In the bottom-up viewpoint of the employee, the focus is on what the change means to the ...
The change process within any organization can prove to be difficult and very stressful, not only for the employees but also for the management team. Hayes (2014), highlights seven core activities that must take place in order for change to be effective: recognizing the need for change, diagnosing the change and formulating a future state, planning the desired change, implementing the strategies, sustaining the implemented change, managing all those involved and learning from the change. Individually, these steps are comprised of key actions and decisions that must be properly addressed in order to move on to the next step. This paper is going to examine how change managers manage the implementation of change and strategies used
Change Management is not impossibly difficult. It need detailed planning, including everyone affected, frequent interaction, accomplish a perspicuous target for the change and a method of measuring success, complete the plan, and strengthen the change once it is in place.