Clinical Leadership in Nursing and Healthcare PDF
Preview Clinical Leadership in Nursing and Healthcare
Clinical Leadership in Nursing and Healthcare Clinical Leadership in Nursing and Healthcare Third Edition Edited by David Stanley The University of New England Armidale NSW, Australia Clare L. Bennett and Alison H. James Cardiff University Cardiff, Wales, UK This edition first published 2023 © 2023 John Wiley & Sons Ltd Edition History Wiley (2e, 2016), Macmillan Education Australia (1e, 2011) All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions. The right of David Stanley, Clare L. Bennett and Alison H. James to be identified as the authors of the editorial material in this work has been asserted in accordance with law. 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Library of Congress Cataloging‐in‐Publication Data Names: Stanley, David, 1960- author. | Bennett, Clare L., author. | James, Alison H., author. Title: Clinical leadership in nursing and healthcare / David Stanley, Clare L. Bennett, and Alison H. James. Description: Third edition. | Hoboken, NJ : Wiley-Blackwell, 2023. | Includes bibliographical references and index. Identifiers: LCCN 2022026724 (print) | LCCN 2022026725 (ebook) | ISBN 9781119869344 (paperback) | ISBN 9781119869351 (Adobe PDF) | ISBN 9781119869368 (epub) Subjects: MESH: Leadership | Nurses–organization & administration | Health Services Administration | Nursing–organization & administration Classification: LCC RA971.35 (print) | LCC RA971.35 (ebook) | NLM WY 105 | DDC 610.69068/3–dc23/eng/20220727 LC record available at https://lccn.loc.gov/2022026724 LC ebook record available at https://lccn.loc.gov/2022026725 Cover design by Wiley Cover images: © Govindanmarudhai/Getty Images Set in 9.5/12.5pt STIXTwoText by Straive, Chennai, India v Contents Notes on Contributors xvii Preface xxi Acknowledgements xxv Part I Clinical Leaders: Role Models for Values-Based Leadership 1 1 Clinical Leadership Explored 5 David Stanley Introduction 5 ClinicalLeadership:WhatDoWe Know? 6 AttributesLessLikelytoBeSeeninClinicalLeaders 8 ClinicalLeadersAreNotSeenas Controlling 8 ClinicalLeadersAreNotSeenas Visionary 8 ClinicalLeadersAreNotSeenas ‘Shapers’ 10 AttributesMoreLikelytoBeSeeninClinicalLeaders 11 ClinicalCompetence/ClinicalKnowledge 11 Approachability 13 Empowered/MotivatororMotivated 13 Supportive 13 InspiresConfidence 14 Integrity/Honesty 14 RoleModel 14 EffectiveCommunicator 15 Visiblein Practice 15 CopesWellwith Change 16 OtherAttributes 16 Values:The GluethatBinds 17 WhoArethe ClinicalLeaders? 18 ClinicalLeadershipDefined 21 WhyClinicalLeadershipNow? 21 ANewAgenda 22 ChangingCareContexts 22 ChangeEquatesto MoreLeadership 22 MoreEmphasison Quality 23 Summary 25 vi Contents MindPress-Ups 25 References 26 2 Leadership Theories and Styles 31 David Stanley Introduction:Leadership –WhatDoesItAllMean? 31 LeadershipDefined:The BlindMan’sElephant 33 NoOneWay 36 LeadershipTheoriesandStyles 36 TheGreatManTheory:Bornto Lead? 36 TheHeroicLeader:GreatPeopleLead 37 TheBigBangTheory:From GreatEvents,GreatPeopleCome 37 TraitTheory:The Man,Notthe Game 38 StyleTheory:It’sHowYou Playthe Game 40 SituationalorContingencyTheory:It’saboutRelationships 42 TransformationalTheory:MakingChangeHappen 44 TransactionalTheory:Runninga TightShip 46 Authentic/BreakthroughLeadership:Trueto YourValues 47 ServantLeadership:A Followeratthe Front 48 OtherPerspectives 50 SharedLeadership/CollaborativeLeadership 50 CompassionateLeadership 50 TheRightLeaderatthe RightTime 51 Summary 54 MindPress-Ups 54 References 55 3 Values-Based Leadership: Congruent Leadership 61 David Stanley Introduction:A NewTheory 61 Values-BasedLeadership 62 Values-BasedLeadershipTheoriesAppliedin Healthcare 62 CongruentLeadership:AnotherView 66 ItAllStartedwith ClinicalLeadership 66 CongruentLeadershipTheoryExplored 79 ASolidFoundation 80 TheStrengthsof CongruentLeadership 82 GrassrootsLeaders 83 Foundationfor OtherTheories 83 StrongLinkbetweenValuesandActions 84 SupportsFurtherUnderstandingof ClinicalLeadership 85 AnyoneCanBe aCongruentLeader 85 TheLimitationsof CongruentLeadership 85 NewTheory 85 Similarto OtherValues-BasedLeadershipTheories 86 NotDrivenbya Focuson Change 86 NotSuitablefor Leaderswith ‘Control’as anObjective 86 Contents vii CongruentLeadership,ChangeandInnovation 87 CongruentLeadershipandPower 88 CongruentLeadershipandQuality 91 Summary 96 MindPress-Ups 97 References 97 4 Followership 105 David Stanley Introduction:From behindTheyLead 105 DefiningFollowership 106 Followers’Responsibilities 106 TheGoodFollower 110 TheNot-So-GoodFollower 113 Summary 116 MindPress-Ups 117 References 117 5 Leadership and Management 119 Clare L. Bennett and Alison H. James Introduction:WhyDelineate? 119 WhoShouldTakeCentreStage? 120 Skills 123 TheNeedfor Education 125 ToxicorMisunderstood? 127 TheFuture 128 ACultureShift 129 Summary 131 MindPress-Ups 132 References 133 Part II Clinical Leadership Tools: How to Influence Quality, Innovation and Change 137 6 Organisational Culture and Clinical Leadership 139 Sally Carvalho and David Stanley Introduction:ValuesFirst 139 WhatIsOrganisationalCulture? 139 ACultureof CareandCompassion 142 CultureandLeadership 144 HowCongruentLeadersShapeCulture 146 ClinicalLeadership,EducationandTraining 150 Summary 152 MindPress-Ups 153 References 153 viii Contents 7 Leading Change 157 Clare L. Bennett and Alison H. James Introduction:Toolsfor Change 157 AllChange 158 TransformationalChange 159 Approachesto Change 160 SWOTAnalysis 161 StakeholderAnalysis 162 Pettigrew’sModel 163 TheChangeManagementIceberg 164 PESTorSTEP 165 Kotter’sEight-StageChangeProcess 166 NominalGroupTechnique 166 ProcessRe-Engineering 167 Force-FieldAnalysis 168 RestrainingForces 169 DrivingorFacilitatingForces 169 HowDoYou FindEitherRestrainingorFacilitatingForces? 170 Initiating,Envisioning,Playing,Sustaining:A TheoreticalSynthesis for Change 171 BeckhardandHarris’sChangeEquation 172 People-MoverChangeModel:EffectivelyTransformingan Organisation 172 InstitutingOrganisationalChange:An Examinationof Environmental Influences 172 ChangeIsNeverSimple,Evenwith aModel 172 Resistanceto Change 173 Self-InterestandConflictingAgendas 173 IncreasedStress 173 Uncertainty 174 DivergingPointsof View 174 Ownership 174 Recognisingthe Drivers 175 SomePeopleJustDoNotLikeChange 175 RecognisingDenialandAllowingTimefor Reflection 175 SuccessfullyDealingwith Change 176 Summary 179 MindPress-Ups 180 References 180 8 Patient Safety and Clinical Decision Making 183 Clare L. Bennett and Alison H. James Introduction:A Choice 183 PatientHarm 183 WhatIsPatientSafety? 184 LeadershipandPatientSafety 185 ClinicalDecisionMakingandPatientSafety 186 Terminology 188 Decision-MakingApproaches 188 Theoriesof ClinicalDecisionMaking 190
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