Effective healthcare leadership PDF
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Effective Healthcare Leadership by Melanie Jasper and Mansour Jumaa Effective Healthcare Leadership Effective Healthcare Leadership by Melanie Jasper and Mansour Jumaa (cid:1)2005byBlackwellPublishingLtd Editorialoffices: BlackwellPublishingLtd,9600GarsingtonRoad,OxfordOX42DQ,UK Tel:þ44(0)1865776868 BlackwellPublishingInc.,350MainStreet,Malden,MA02148-5020,USA Tel:þ17813888250 BlackwellPublishingAsiaPtyLtd,550SwanstonStreet,Carlton,Victoria3053,Australia Tel:þ61(0)383591011 TherightoftheAuthortobeidentifiedastheAuthorofthisWorkhasbeenassertedinaccordancewiththe Copyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,or transmitted,inanyformorbyanymeans,electronic,mechanical,photocopying,recordingorotherwise, exceptaspermittedbytheUKCopyright,DesignsandPatentsAct1988,withoutthepriorpermissionofthe publisher. Firstpublished2005byBlackwellPublishingLtd LibraryofCongressCataloging-in-PublicationData Jasper,Melanie. Effectivehealthcareleadership/MelanieJasperandMansourJumaa. p.;cm. Includesbibliographicalreferencesandindex. ISBN-13:978-14051-2182-8(pbk.:alk.paper) ISBN-10:1-4051-2182-3(pbk.:alk.paper) 1.Healthservicesadministration–GreatBritain.2.Leadership–GreatBritain. [DNLM:1.HealthServicesAdministration–GreatBritain.2.Leadership–GreatBritain.3.Evidence-Based Medicine–organization&administration–GreatBritain.4.Models,Organizational–GreatBritain. 5.OrganizationalCaseStudies–GreatBritain.W84FA1J39e2005]I.Jumaa,Mansour.II.Title. RA971.J372005 362.1’068–dc22 2005005882 ISBN10:1-4051-2182-3 ISBN13:978-14051-2182-8 AcataloguerecordforthistitleisavailablefromtheBritishLibrary Setin10/12.5ptPalatino bySPIPublisherServices,Pondicherry,India PrintedandboundinIndia byReplikaPressPvtLtd Thepublisher’spolicyistousepermanentpaperfrommillsthatoperateasustainableforestrypolicy, andwhichhasbeenmanufacturedfrompulpprocessedusingacid-freeandelementarychlorine-free practices.Furthermore,thepublisherensuresthatthetextpaperandcoverboardusedhavemet acceptableenvironmentalaccreditationstandards. ForfurtherinformationonBlackwellPublishing,visitourwebsite: www.blackwellpublishing.com Contents Foreword xi List of Contributors xiii Introduction xix Section 1 The Challenges of Leadership inHealthcare 1 1. The Contextof Healthcare Leadership in Britain Today 3 MelanieJasper Introduction 3 The context ofleadership within the British NationalHealth Service 4 Aculturally specific concept ofleadership 5 Transformational leadership– the latest trend? 7 Leadership in nursing– a case study for healthcare 9 Smallsteps – giant strides 16 Leadership is about influencing what happenstomorrow today 17 2. Whatis Leadership? ACritical Overviewof Frameworks, Models and Theories 20 Mansour Jumaa Introduction 20 Significant leadershipapproaches from the early twentieth century to presentday 21 Leadership,power, style and cultureofthe organisation 23 Understanding leadershipparticularly in nursing andin healthcare 24 Amorerealistic modelfor understanding leadershipsituations 24 Conclusions 29 3. Whatis Effective Healthcare Leadership? ACase Studyof theNHS inEngland 32 Mansour Jumaa Introduction 32 What isthegoal of effective leadership inhealthcare in England? 33 v Effective Healthcare Leadership The natureof thestakeholder relationship 36 Managing withinan environment oftrust 36 How effective ishealthcare leadershipcurrently perceived? 37 Who or what could sustain effective healthcare leadership and when? 39 Summary andconclusions 44 4. Strategic Leadership forHealthcareManagement 48 Mark Hodderand Stuart Marples Whole-pictureleadership 48 Vision,goals and targets 49 Changes to thesceneryof healthcare provision 50 Training for strategic leaders 51 Diversity 52 Transparent behaviour through the management code 53 Creating theenvironment 54 Intervention andrisk 55 The recipefor success 56 5. Healthcare Governance Through Effective Leadership 58 Rob McSherry, Alyson Wadding and Paddy Pearce The challenges of leadershipfor healthcaregovernance 58 Setting leadershipin the contextof modernisation: keydrivers 59 Defining the terms healthcare governance and leadership 61 Demonstrating thecomplementary and integratednatureof healthcare governance and leadership 66 Makingit happen 70 Conclusions 72 Section 2 Using theCLINLAP/LEADLAP Modelfor Effective Healthcare Leadership 77 6. The CLINLAPModel– AModelfor Nursing Management and Leadership Development 79 Mansour Jumaa Introduction 79 Amultiperspective modelling approach toleadership development in nursing andhealthcare 80 The CLINLAPmodel’s assumptions 81 How theCLINLAP model was developed 82 Why strategic leadershipnow? 85 Specific clinical goals – stages 1 and 2of the model 86 Explicit clinical roles 87 vi Contents Operationalising the modelthrough thefive strategic questions 87 Finding answers to the five strategic questions 91 The final stage of the model–implementing highquality service/care 92 What arethe findings and lessons learnt from these activities? 93 Why the CLINLAPmodelapproach? 93 Advantages of the CLINLAPmodel 94 Disadvantagesof theCLINLAPmodel 95 Sustainable healthcare performance 95 Facilitating the clinical leadership process 96 The environment for CLINLAP 96 Summary andconclusions 97 7. Implementing the CLINLAP Model –A Case Study of Policy Change inManaging DeliberateSelf-Harm 100 Janice Phillips, Helen Julu, Gu¨lner Salihand Chris Gbolo Introduction 100 Background 101 Application of the CLINLAPmodelineffective care processes 103 Conclusions 117 8. Leadership Through Group Clinical Supervision 120 JoAlleyne and Mansour Jumaa Introduction 120 What isclinical supervision? 121 Why was thisproject needed? 123 What areleadership andmanagement? 124 How can groupclinical supervision facilitate leadership/managementdevelopment? 124 Towardsa new definitionof groupclinical supervision 125 Why the CLINLAPway? 125 Researchaiman dquestions 126 Methodology 126 When can research anddevelopment becomeanempowerment process? 127 Project activities 129 The context ofthe districtnurse’sworld prior to groupclinical supervision 130 Contentand processesof groupclinical supervision 131 Project outcomes 136 Managementand leadershipskills for supervisorsof group clinical supervision 137 vii Effective Healthcare Leadership 9. Leadership forEvidence-Based Practice 139 MansourJumaa,Ilkka Kunnamo and MelanieJasper Introduction 139 The contextof the study – the Finnish healthcaresystem 139 The terms ofreference of the study and the research questions 140 Afocusedliterature review 141 Project activity including methods and processes 145 Rationalefor collaborative inquiry 145 Asmallcase study –the hallmark of the‘Finnish way’ 149 Key findings of theinquiry 151 The new nurse leader as stakeholder manager and strategic plannerfor EBP – afelt need for changeand acting on that change 153 Ahighquality R&D activity –couldthis approach beapplied elsewhere? 154 Conclusions and recommendations 156 10. Leadership forEmotional Intelligence 159 MansourJumaa Introduction 159 What is meant by resources and capabilities for leadership in emotional intelligence? 160 What is emotional intelligence? 161 Why develop emotional intelligencecompetencies and capabilities in nursing andhealthcare? 164 The leadershipnecessary for the development and sustaining of necessaryemotional intelligence resources andcapabilities 168 Conclusions 174 Section 3 Strategies for Making a Difference inHealthcare Leadership 177 11. Leading Change in Primary and Community Care 179 LindseyHayes The challenges of theshifting focus of healthcare delivery 179 Leadership and the policy framework 179 Leadership in primary care 181 Cliniciansin strategic leadership roles 184 Multiprofessionalleadership training – service development and commissioning 186 Shiftingboundariesandchanging practice – inter-agency leadershiptraining and development 188 Conclusion –the changing roles of nurses and healthcare professionals 190 viii
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