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Leadership in healthcare organisations
Leadership in healthcare
Leadership in healthcare
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Both CEO are physicians. Their background in the delivery of healthcare likely influenced the strategic decision to focus on Patients. The Cleveland Clinic’s Patients First strategy focused on measurable quality by improving structure, process, and outcome for patients. ThedaCare under the direction of Dr. Toussaint improved the standing in the community, quality, and most importantly patient centered care. Both used alliances and eventually developed affiliations or mergers to achieve their vision. Strategically, both focused on expanding services across the continuum of care, specifically becoming an integrated healthcare system. Overall, both organizations were similar but at different stages of development. Goleman’s article, Leadership That …show more content…
This style allowed some flexibility for the Institutes leadership to develop standards and processes coherent with the vision without Cosgrove having to micromanage every actions. Out of all of Goleman’s proposed leadership styles Affiliative truly values relationships through building relationships and communications. Both Cosgrove and Toussaint used this approach. This style in my opinion is likely intuitive by both leaders. Developing and cultivating relationship is the most important skill a leader can possess. Demoractic leadership style focuses on collaboration and consensus through team input and buy-in. ThedaCare’s Toussaint use of this style was evident in the Wisconsin Collabarative Healthcare Quality. He was able to convene and develop a consensus among eight hospital CEOs for regional quality and cost reporting, Pacesetting when used sparing in dire situations where rapid change is needed. This style can be used to establish a sense of urgency. Cosgrove used this style to move services around patient conditions as quickly as possible, for example establishing the Neurological Institute around 10 multiple disciplinary centers. He attempted to provide a seamless integration from medical
...and his vision in successfully transforming the medical center to a tertiary care facility. However, in 2008 under Ron Henderson, the medical center expenses began to skyrocket and revenues failed to keep up. Also, a hospital census indicated that, on average, Medicare patients consisted of 58% and Medicaid patients consisted of 18% which caused the medical center to suffer from reductions in reimbursements. Although noted by solid evidence that utilization was experiencing a steep decline, Mr. Henderson added 127 new positions to the medical center. In 2009, Mr. Henderson was fired after the board of trustees realized that this financial bind of an $8.6 million deficit was caused by Mr. Henderson. In order for the new CEO, Richard Reynolds, to succeed at his new job title, he must create a benchmarking process adopting certain goals to remain a worthy competitor.
Even though leadership can be an essential place for development, if certainly not of greater importance, is the desire to create your conditions, which service and boost new models of leadership. Another dimension regarding consideration inside the implementation regarding clinical governance as well as leadership would be the disempowerment from the nursing profession. Hitchcock (2013) supported this view, asserting that yesterday’s methods do not work in the permanent white-water world, where managers traditionally manage within the system and focus on doing things according to the rules.
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
Research studies performed at the University of Michigan and Ohio State University identify two similar sets of leadership styles and behaviors. At the University of Michigan, "They sought to identify the leadership pattern that results in effective performance" (2003). These leadership behaviors are production-centered and employee-centered styles. Ohio State University "researchers identified two dimensions similar to those found in the Michigan studies" (2003) These studied leadership styles include consideration and initiating structure. Mr. Meyerson and Mr. Perot in the case study of Perot Systems give us two distinct perceptions of the different leadership styles and behaviors.
In this theory leadership style changes as needed to ensure that the goal is achieved (Huber, 2014). Each situation may need to be addressed differently, which requires flexibility by all involved, especially leadership. Managers need to evaluate every individual to understand what they are capable of and how they fit the needs of the institution and or situation (Nash, 2015). As a nurse I think this is a very important trait for a leader to have because of how quickly things change and how we must work within our environment. For example, in healthcare we sometimes have to allow others to take control of a situation on to ensure the best possible outcome for each patient. In addition, the manager needs to ensure that each person works within the scope of their practice, functions at the highest level allowed and completes their tasks. To be a successful leader in healthcare and achieve desired outcomes requires a high level of flexibility by leadership. I would also say that the contingency theory would also fit into my leadership style. The basis premise of this theory is that each situation is different and leadership needs to take that into account when managing a situation (Huber, 2014). At times a leader needs to look at the bigger picture and incorporate that in their decision making process. When looking at a specific situation taking input from all parties involved can lead to a more effective solution. We can learn a lot form those around us and need to take that in account to be an effective
Leadership style varies from person to person and situation to situation. I was expecting her to tell me one of the leadership styles that we learned about in class. I was thinking she would say authoritarian, democratic, or laissez-faire like I read about in our textbook (Marquis & Huston, 2015). The nurse leader I interviewed informed me that her leadership style is ‘servant’. She furthered explained it as, Jesus Christ, she puts others before herself. She would never make one of the employees she manages do anything she is not willing to do herself. She added that she sees herself as a role model not a manager. She believes that in order to be an effective manager she must be a role model. The way she described herself I belief she is a democratic leader. She used words like “we” instead of “I”, decision-making involves others not just herself. She did talk about the times when she has to be
The leadership approach that BID leaders took was more of a dictatorship style in which they want all the power to themselves. Individuals who were impacted by the decisions made were not taken into account. Hence, the organization fails to meet the needs of its people and community. The leadership approach that Partners Health Care System took was more of a collaborative approach. Every leader had the opportunity to contribute, make decisions, and their hospital specialty was
Having completed this survey as truthfully as possible, my leadership style is deemed as that of a Participative (democratic) that leans somewhat on the Delegative (free reign) side. The Authoritarian (autocratic) score was far behind the previously mentioned two. I feel that this survey has accurately showed that I would lead with the democratic style that would encourage participation and discussions of the entire staff to create a relevant and safe workplace. If these two styles do not succeed, I would be adaptable to show and bring forth the Authoritarian side to accomplish the goals and requirements of my department. Communication and transparency are vital between staff and leadership to create cohesiveness that will enhance patient satisfaction and care. My leadership style and managing qualities are comparable and connect with that of the traits and styles of a few different management and leadership
STYLES OF LEADERSHIP An autocratic leadership style is one where the manager sets objectives, allocates tasks, and insists on obedience. Therefore the group becomes dependent on him or her. The result of this style is the members of the group are often dissatisfied with the leader. This results in little cohesion, the need for high levels of supervision, and poor levels of motivation amongst employees. A democratic leadership style encourages participation in decision making.
Some more so than others, but all have their place. One of THE most important things an effective leader must possess is integrity. Integrity is the cornerstone of an effective leader no matter what style he or she chooses to use. As you can see the Laissez-Faire style lacks a leader with integrity. The group must be able to count on the leader’s knowledge, skills, dependability and their ability to make a decision and support that decision. More often than not a blend of all three types is seen. The Democratic style gets the ideas moving, when the leader sees the group is managing the problem solving well he or she may switch to the Laissez-Faire and use the hands off approach if the problem is not being solved or gets out of control, then the Authoritative style may be more effective in getting the result
This brings me to my personal favorite style of leadership democratic which I chose to follow as I move forward in my career. The democratic leader gives followers a vote in nearly every decision the team make (Lewin & Lippitt, 1938). Democratic leadership could be more time consuming than the other two styles of leadership with respect to reaching a majority consensus because decisions are made as a team (Denhardt & Denhardt, 2003; Hackman & Johnson). Regardless I believe leaders should rely on the team to create policy as they do when addressing a medical procedure.
Autocratic leadership theory is a part of the behavioural approach. In this leadership theory, leader makes all decisions and uses power to command and control the followers to achieve goal. According to Lewin(1939), “autocratic leaders are associated with high-performing groups, but that close supervision is necessary and feeling of hostility are often present” (p.173). It is incredibly efficient and tasks are completed quickly. Autocratic leadership can be beneficial when decisions need to be making quickly. For example, in emergency situation surgeon uses this theory because the patient’s situation is between life and death and there is no time to discuss with other members. Bass (2008) mentioned in the Leadership styles and theories article, “Autocratic leaders can be effective because they create good structure, and determine what needs to be done. They provide rewards for compliance, but punish disobedience” (Giltinane, 2013, p. 35-37).
The leadership style that was possessed here was autocratic leadership. Autocratic leadership involves the leader making decisions and using power to control the situation and others Kelly, P.,
In an authoritarian leadership style, the facilitator is viewed as an expert and communication is directed through her/him. There is no direct interaction from member to member. If authoritarian is the leadership style chosen, the facilitator has taken a psychoanalytical approach and uses an educational model. The responsibility for the group’s success is upon the facilitator. In a democratic leadership style, communication from both members and the facilitator are welcomed. Democratic style is used for a humanistic approach and the leader shares the responsibility with the group for its success. Lastly is the style of Laissez-faire. When using the Laissez-faire style, the facilitator acts as a member, not as a leader. Thus, communication is among all members. Usually, facilitators who choose the style of Laissez-faire, is unproductive because of the lack of guidance from the facilitator. If Laissez-faire is the style chosen, commonly the facilitator is found to be uncomfortable in a leadership position or is imitating a Tavistock model in which group members come to terms with authority issues and other childhood issues by fending for themselves (Scheel,
In this paper I will look at the four major leadership styles, their characteristics, advantages, disadvantages, and in what situations a particular leadership style is desired. Additionally, I will look at my leadership style and how I acquired this style throughout my career.