Imagine you promoted to a leadership role in the healthcare industry. How would you go about learning or improving your leadership skills? (In at least 325 words)
If you use research, please remember to cite your sources.
Course Materials: Pratt. J. Long-Term Care- Managing Across the Continuum. 4th edition. Jones and Bartlett ISBN: 978-1-284-05459-0.
chapters 15 and 16 this week of reading.
Long-Term Care: Managing Across the Continuum, Fourth Edition
John R. Pratt
CHAPTER SIXTEEN: CULTURE CHANGE IN LONG-TERM CARE
Introduction – the term culture change is used in two separate, but closely related, ways. The two ways in which it culture change is used herein are as follows:
· As it applies to long-term care consumers (particularly nursing home residents).
· As it relates to changing organizational (corporate) culture in long-term care and other businesses, and its impact on the organizations employees.
What is Culture Change? – the common name given to the national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected.
Benefits of Culture Change
· Resident benefits – reduces loneliness, helplessness and boredom; improves physical and mental health (e.g. reduces depression and behavioral problems); reduces unanticipated weight loss, reduces mortality, etc.
· Staffing benefits – reduces employee turnover, eliminates temporary agency staffing and mandatory overtime, reduces workers compensation claims/costs, etc.
· Additional benefits – significantly improves employee, resident, and family satisfaction; increases involvement with the outside community including children, students, clubs, and religious organizations, etc.
Culture Change Programs:
· The Eden Alternative
· The Wellspring Model
· The Green House Project
· The Pioneer Network
Components of Culture Change:
· Staff Roles
· The Physical Environment
· Organizational Design
Other Aspects of Culture Change:
· Creating a Sense of Community
· Social media
· The collection of self-sustaining patterns of behaving, feeling, thinking, and believing, the patterns that determine how things are done.
· The workplace environment formulated from the interaction of the employees in the workplace. It is defined by all of the life experiences, strengths, weaknesses, education, upbringing, and so forth of the employees.
Characteristics: of Successful Organizational Culture:
Respect for all individuals, including employees, residents, and visitors.
Responsiveness to questions.
Freedom from blame.
Respect for scientific evidence.
Changing the Culture – any culture can be changed and is probably changing most of the time.
Implementing Cultural Change
· Change Takes Time do not expect it to happen quickly.
· Provide Resources it will not happen without commitment of people, funds, time.
· Change Opportunities recognize opportunities to create change (e.g., change of administration).
Role of the Leader every organization needs a leader to implement beneficial change.
Long-Term Care: Managing Across the Continuum, Fourth Edition
John R. Pratt
CHAPTER FIFTEEN: LEADERSHIP IN LONG-TERM CARE
Introduction – ONE of the most important building blocks in the foundation of successful long-term care delivery.
Leadership – the art of getting others to want to do something that you are convinced should be done.
Leaders: Who are they? There are several myths about leaders, including:
· Are leaders born – it is a set of skills that can be learned by nearly anyone.
· Leaders are prescient visionaries They cannot predict the future, but are prepared to deal with it.
· Leaders are charismatic, possess a special gift they have charm and appeal that arouse loyalty, but, it is not something special that only a few have.
· Leadership is associated with a superior position not all managers are leaders.
· Leadership is a matter of control leaders enable rather than controlling.
· Leaders are remote and distant they are seen as approachable by their followers.
Common Characteristics of Leaders
· Honest sincere, genuine.
· Forward-Looking – have a sense of direction and a concern for the future of the organization.
· Inspiring make followers believe they can do things they had previously thought they could not.
· Competent – competent in their professions and in management.
Leadership Skills there are several skills necessary to successful leadership in long-term care management.
· Skill: Managing Power/Influence understanding kinds of power and how to use it.
· Position Power power one has because of the position held.
· Coercive Power
· Reward Power
· Legitimate Power
· Connection Power
· Personal Power power that comes from ones own personality and experience.
· Expert Power
· Information Power
· Referent Power
· Skill: Motivation understanding what motivates each person and how to use it.
· Skill: Communication knowing how to make others understand what the leader wants.
· Skill: Strategic Thinking being able to see the big picture.
· Skill: Planning a formal process of organizational planning.
· Skill: Managing Change recognizing change and using it proactively.
· Skill: Decision-Making having the courage to make decisions.
Getting Voluntary Acceptance:
· Skill: Enabling – facilitating subordinate performance.
· Skill: Providing Feedback letting subordinates know how they are doing, and how to improve.
· Skill: Problem-Solving – recognizing problems, collecting information and making decisions.
· Skill: Conflict Resolution understanding and dealing with two or more divergent interests.
· Skill: Negotiation creating win-win situations.
· Skill: Mentoring coaching and developing others.
· Skill: Team-Building creating working teams out of groups of individuals.
· Skill: Managing Stress understanding the causes of stress in the leader and subordinates and managing it.
Gaining & Improving Leadership Skills ways to acquire or improve leadership skills.
· Recognize the Need for Improvement improvement cannot take plce without recognition of the need for it.
· Assess Current Skills involves self-analysis and use of formal analysis tools.
© 2015 Jones and Bartlett Publishers, LLC
1. Discuss the role of leadership in
2. Identify the components of leadership
Identify the characteristics of successful leaders
4. Identify and understand the skills needed by successful leaders
5. Understand how to gain or improve leaderships skills
Leadership appears to be the art of getting others to want to do something that you are convinced should be done.
The Pyramid Climbers
Components of Leadership
1. Influencing others (getting others to do something)
2. Providing direction (something you are convinced should be done)
3. Getting voluntary acceptance (getting them to want to do it)
Leaders: Who Are They?
Myths and misunderstandings:
Are they born or created?
Charismatic, special gift
Matter of control
Remote and distant
Getting voluntary acceptance
Managing power and influence
Managing Power & Influence
Types of power:
Managing Power & Influence continued
Types of power (continued):
Getting Voluntary Acceptance
Getting Voluntary Acceptance continued
Gaining & Improving
Recognize need for improvement
Assess current skills
Leadership is critical in any organization. This is particularly true with the fast-paced nature of long-term care organizations. It is a field that is undergoing nearly continual transformation. It is a situation crying out for leadership. If providers are to be competitive, they need leaders who can carry them to the next level of success.
Culture Change in
1. Understand the nature of culture change
2. Identify the benefits of culture change
3. Understand the role of culture change in
4. Identify the components of culture change and
how it is implemented
5. Understand the difference between resident-centered culture change and organizational culture change
Two ways in which culture change is used are as follows:
As it applies to long-term care consumers (particularly nursing home residents)
As it relates to changing organizational (corporate) culture in long-term care
What Is Culture Change?
The common name given to the national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected.
Benefits of Culture Change
Reduces loneliness, helplessness, and boredom
Improves physical and mental health
(e.g. reduces depression and behavioral problems)
Reduces unanticipated weight loss
Benefits of Culture Change continued
Reduces employee turnover
Eliminates temporary agency staffing
and mandatory overtime
Reduces workers compensation
Benefits of Culture Change continued..
Significantly improves employee, resident, and family satisfaction
Increases involvement with the outside community including children, students, clubs, and religious organizations
Culture Change Programs
The Eden Alternative
The Wellspring Model
The Green House Project
The Pioneer Network
Components of Culture Change
The physical environment
Other Aspects of Culture Change
Creating a sense of community
The collection of self-sustaining patterns of behaving, feeling, thinking, and believing; the patterns that determine how things are done
The workplace environment formulated from the interaction of the employees in the workplace
Characteristics of Successful Organizational Culture
1. Respect for all individuals, including employees, residents, and visitors
2. Responsiveness to questions
3. Freedom from blame
5. Respect for scientific evidence
Changing the Culture
To implement organizational cultural change:
Understand that change takes time
The organization usually needs to
Recognize change opportunities
Role of the Leader in
A leader is necessary:
To motivate team members
To be a visible role model
To explain what is acceptable
There are two ways in which culture change is used in long-term care:
As it applies to long-term care consumers
As it relates to changing organizational (corporate) culture
Both have been recognized as critical to success for a long-term care provider.