Before delving further into leadership and management theories and styles it is good to understand the difference between a manager and a leader. Bennis and Nanus (1985, p221) state that ‘managers are people who do things right and leaders are people that do the right thing.’ Yukl (2002, p7) goes on to suggest that leadership is the process of influencing others to understand and agree about what needs to be done and how it can be done effectively, and the process of facilitating individual and collective efforts to accomplish the shared objectives. However, Stodgill (1974:7) powerfully stated that ‘there are as many definitions of leadership as there are persons who have tried to define it.’ Although there are varying definitions to leadership…
To fully understand a situation, it is important to understand the context in which it is occurring (Matei & Antonie, 2015). In the psychiatric emergency room where I work, there has been a high degree of staff turnover and change. We have a new nurse manager. Ten nurses simultaneously left full-time positions because they received a grant to attend SUNY Upstate full-time, and become psychiatric nurse practitioners, resulting in many nurses and psychiatric techs quitting, and many starting; thus the staff is mostly new. Relatively new employees (4-6 months) is now orienting newer staff.…
This style of leadership has been shown to improve patient outcomes, reduce staff turnover, and reduce medical errors. (Gardener, 2005; Joint Commission, 2008; Pearson, 2007) For the needed changes in the U.S. healthcare system to take place all nurses from nursing students through Chief Nursing Officers must develop competencies in leadership and become partners with physicians and others to improve our healthcare system and delivery of…
Leadership and management are an integral part of every nurse’s job, from staff nurse through to those in official executive roles. Management responsibilities such as organising, planning, delivering and evaluating care are activities that a nurse will enagage with every single day while at work. With an ever-limited and aging workforce, a decrease in available resources, a more acutely ill patient population and a profound period of change within the National Health Service (NHS) today’s health care workers are exposed to high stress levels to meet the demands required of them, which is resulting in effective nursing leadership and management being a challenging and difficult task.…
Sacred Heart Medical Center is a perfect example of a complex-adaptive system and exemplifies three key principles of this system. The medical center has fuzzy boundaries that are flexible, evolving, and porous. These porous boundaries allow patients to receive quality care and maintain safety by having several different health professional involved in their care. Having several healthcare providers involved in a patient’s care decreases the chance of possible symptoms of an illness to go unseen. The second key principle is the positive effect of embeddedness.…
Chaos in systems arises from conflict which creates the energy that drives adaptation, and is visually manifested as diversity (Porter-O’Grady & Malloch, 2018). Adaptation is essential in health care because the field is constantly changing and being challenged by new evidence and innovative technology. Heterogeneity is the quality of maintaining rhythm with the changing external environment rather than remaining stagnant and failing to adapt to pressures (Porter-O’Grady & Malloch, 2018). Chaos must be harnessed by effective leaders so they can sense the direction of change and use differences to build collective wisdom and common ground, which is strengthened by the range of skills and knowledge that exists within a diverse system (Porter-O’Grady…
Large group practice Looking at the specific levels of risk for a large group practice, mandates that there are adaptive interventions as well. Specifically in a group health setting practitioners, operations employees, and support staff, just all deliver optimal levels of health to the end user. The ability to foresee risk and understand the potential risk factors, plays an important role in defining how an intervention can be present. This mitigation will also improve upon the delivery of health, by providing more efficient care.…
While being a leader presents challenges this leader believes that through communication challenges can be overcome and from these challenges a person experiences personal and professional growth. A leader must also contend with the formal and informal powers within an organization. Meeting the needs of administration, staff, and patients all come as a challenge. Openness and therapeutic communication is the key to balancing the influences of formal and informal power. Effective leadership requires the individual to be creative, adaptive, and professional in order to motivate others to perform to the best of their…
Defining what leadership is, who leaders are, and what leaders do is not easy (Grossman & Valiga, 2017). Some of the classic theories include Great Man Theory, Trait Theories, Situational Theories, Contemporary Leadership Theories, Transformational Leadership, Authentic Leadership, and Adaptive Leadership. Applicable to this case study is the transformational leadership. This theory was first introduced by Burns (1978), and he described it as being context based, a process for motivating followers believing in similar internal values directed toward the “greater good”, and having an emphasis for leaders and followers to enjoy a close bond (Grossman & Valiga, 2017). In this case study, this type of leadership fits the charge nurse because it emphasizes how nurses need to lead in order to be able to make a difference and consistently provide a high quality of care (Grossman & Valiga, 2017).…
In order to successfully implement healthcare system transformation, it is essential for healthcare leaders to have a conceptual understanding of factors contributing to the contingency nature of healthcare systems. Discussions in healthcare leadership focus on the notion that complexity is a contributing factor to healthcare systems as opposed to being viewed as complicated. Shifting understanding of healthcare being complex goes beyond the reductionist approach to attributing healthcare challenges to individual factors. The following paper will provided a conceptual analysis of complexity theory in relation to healthcare. This will be done by discussing the complexity of healthcare dynamics in relation to leadership.…
In clinical practice, it is expressed that leadership has a participation in clinical care that motivates the staff to provide better care (Giltinane, 2013). A leader motivates their followers to achieve their full potential by guiding, directing, and encouraging goal attainment (Merrill, 2015). There are recent evidences that consider a link between leadership and patient safety. A leadership can contribute to patient safety through processes such as enabling good work environment that helps promote ideal patient care, and building an effective and positive communication with the staff that encourage quality patient care and healthy work relationship (Wong et al., 2013). Furthermore, these changes in the work environment will have an impact in staff attitudes, behaviour and performance that…
The Professor of Sociology Daniel Chambliss presents insightful theories in his book ‘Beyond Caring’ about the organization dynamics found in his decade-long observation of nurses and doctors in United States hospitals. The following summarizes the argument and finding presented by Chambliss and draws comparisons between his ideas about organizational dynamics and those of. In this Critical analysis, I will recount Chambliss findings from a chapter in his book Protecting the Routine from Chaos; I will also examine and review the article from a critical standpoint and include my interpretation of Chambliss’s theories and how they relate to the Social Order. Summary…
To learn is to do. As humans we are constantly absorbing new information. Whether we recognize it or not, we are learning by doing and absorbing by seeing even when we are not thinking about it. In the process of dynamic systems theory we are able to learn vital human behaviors such as walking and talking. Human child development in one area is conducive to another area; all of our traits influence other traits.…
INTRODUCTION The human brain has a remarkable ability to manage the body functions, and process the information that allows us to act on a changeable external environment. To achieve these functions, during evolution, it developed a large computing power, and specialized functions, such as cognition, emotion and consciousness. With approximately 86 billion neurons (Herculano-Houzel, 2009), each neuron has approximately hundreds up to thousands of synapses, it has high structural complexity, and non-linearity, that endows with a rich dynamic. It is also a physical system composed of neurons that communicate with each other through electrical discharges.…
The way leaders can strive for performance measures is towards, consistency, good deeds, and practice of assisting team players flourish (Curtin, 2013). The logic behind leadership is by gaining knowledge with a vast array of theories along with nursing research with an aim to improve practice, thus, forming strong organizational frameworks (Oden, 2013). Chaos Theory is the basis of an unknown variables that pose problematic situations, in essence, a plan of action needs to warrant immediate removal of the negative variable (Oden, 2013). For instance, during an emergent situation, nurses are assessing the patient’s vital signs, neuro checks, EKG, disease process in order to strategize the underlying problem at hand and come up with a solution. Nurses explore the whole picture of an individual during an emergent situation which are a prime example concerning the application of the Chaos Theory in that, we as nurses try to take into account that there usually are unknown variables existing causing the patient harm that triggers a response to eliminate the problem (Oden,…