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400846 Building Organisational Capacity In Health Care

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400846 Building Organisational Capacity In Health Care Question: Change is one thing that is constant in our lives. It impacts on our personal, professional and social lives and brings with it a need for us to make many critical decisions. In the past, change often occurred incrementally but in our modern world, it is just as likely to be radical, with new organisational missions and strategies, structures and pressures on workplace cultures to change and adapt more quickly. To successfully lead and manage change requires vision, courage, innovation, effective communication and a clear plan (Kotter, 1995; Kotter & Schlesinger, 2008; Stanley, 2011). Organisations today require excellent managers who also have the qualities of a transformation leader who can work through influence to achieve organisational goals. Change is not something to be entered into without thought and planning and it is useful to have an understanding of the different theories and models of change that can provide a framework for action. A major part of change management is organisational development and the building of organisational capacity for change by providing the structures, resources, leadership and workforce development to enable the organisation, teams and individuals to learn and plan and implement improvements. This module covers aspects of leadership and change in organisations; types of change, forces for change and resistance to change; change management, organisational development, capacity building and workforce development. A brief overview of concepts related to the learning organisation and managing conflict, power and politics in health care organisations is provided. It is not possible to cover all of these topics in great depth however supplementary readings and additional readings are provided in many areas for those who wish to read to more depth in specific areas of interest. On completion of this module students will be able to: Discuss models and strategies used in effective change leadership and their application to the health care environment. Examine models of workforce development used in organisational capacity building in the health care sector. Leadership, adaptive organisational cultures and change Reading: Introductory McGovern, G. (2014). Lead from the heart. Harvard Business Review. March. Read Gail McGovern’s Lead from the heart article which demonstrates the way in which teams and individuals adapted to serious internal and external pressures for change and the process used by McGovern to achieve that change. As leaders and managers in health care organisations, it is important to understand how people react to change and what leadership skills are required to successfully implement change – be it incremental change of policy at ward level or organisational change on a grand scale. Many people become ‘change weary’ when they cannot see the purpose or the benefits of proposed change programs either for themselves or for the organisation. It is important to remember that: ‘Real change… is intensely personal and enormously political’. (Nadler & Nadler, 1998 as cited in Johnstone, Dwyer & Lloyd, 2006, p. 163) Whenever change is contemplated it is important to consider the purpose of the change, who will be affected by it and what the likely response will be from those involved. The following quote shows the general reaction to the mention of the need for change: I can’t make the effort that’s needed to bring about effective change if I am not convinced it is necessary. The same is true of all staff in the organisation. What framework can help me share an understanding of why change is needed? (NHS, 2001, p.11) In a document called ‘Managing change in the NHS’ (NHS, 2001) it is recommended that the following questions be asked before any change is contemplated: What is the purpose of the change Who benefits from the change Who has identified the need for the change Following on from these questions about the change in question are a number of questions that leaders and change agents need to ask themselves. Those questions according to the NHS (2001) are: What do I know about effective change management What don’t I know What do I need to know in order to initiate and sustain effective change Where can I look for evidence, further information and help For example, should I be thinking about people, published resources, learning networks (Managing change in the NHS, 2001) That document also provides a number of frameworks for change and provides references to a number of resources. The document is not provided in the Study Guide but a link is provided in the Additional Readings for Module 2 at the end of this Module. According to Hohne (2006, p.122)  ‘The largest obstacle that a leader faces in moving others to achieve greater results is an inability to understand and improve their own leadership style’. Undertaking an assessment of our own leadership and management abilities gives us a starting point for understanding where we need to grow and develop in order to successfully lead change. Rapid change is often seen as a threat, but Porter-O’Grady and Malloch (2002, as cited in Daly, Hill & Jackson ,2014)  suggest that, as leaders, we need to be proactive, anticipate the need for change and see it as the next part of our professional journey. Answer: An practice runs on the basis of many factors, some of them are external factors and most of them are usually internal factors. Leadership is one of the main and prime internal factors which affect any business or any practice. it is the leadership of the practice which influence the business process along with the other practiceal factors whether it is external or internal. In this report, the topic is the leadership or the importance of leadership in developing the business of a health care practice. unlike other business or practice in a health care practice there are many aspects or factors which needs proper attention and maintenance by the leaders of the company. when it comes to the health care practice the leaders must be cautious about some certain and specific factors. These factors will build the structure of the following report. The following piece of writing is informative and descriptive on the topic of leadership. The report includes the evaluation of the leadership of the mentioned practice its impact on the business as well as the other practiceal factors and the issues in the leadership of any company along with the ways to prevent the issues. The purpose of the following report is to make the student or the reader understand about the various features of leadership in a health care practice but, this report will not only help the readers but it will also turn up to be beneficial for the management of the practice or the leaders of the company for the selection or the determination of the proper leadership styles and implementing them with proper skill and care. The further report will explain and analyze the various aspects of leadership accordingly. The following report is all about the practice of healthcare issues. There are many kinds of healthcare practices which would be explained in the further report. For example the use of the medical instruments and the medical test procedures is one of the main reason of the issues in the health care organization. the use of inappropriate medical instrument can cause severe harm to the patients of the organization. in this particular report, the leaders of the organization is supposed to take the right strategies for the removal of the mentioned issue.  The Role Of Leaders In A Health Care Practice While talking about leadership the most important and the basic factor are the roles and responsibilities of the leaders in the practice. The practice being a heath care sector, there are many guidelines that the leaders themselves would have to follow and also make their management and employees to follow them properly otherwise the business of the practice as well as the reputation of the practice will be harmed in a negative manner(Belenzon, & Tsolmon, 2015). The prime target of the leaders of any practice is to look after all the practiceal factors properly and with proper skill whether it is the production procedure, performance of the workers, performance of the management and other important aspects. The management of the practice as well as the workers of the company is dependent on the leaders. The employees think of their leaders as their role models and they need support and motivation from their leaders all the time. Thus the next responsibility of the leaders or the CEOs of the company is to motivate and support the employees of the practice. Whenever there is any kind of issue or problem in the workplace the leaders of the practice must come forward and solve the issue of the management and the employees(Bhuiyan, 2014). Lastly, but obviously not the least important task of the leaders of a health care practice is to take the decision making responsibility. In this process the leaders would have to analyze what is good and beneficial for the business and the service and then bring the change in the workplace. Being strict can help the leaders to get rid of the mentioned issue of the use of improper medical instruments. If the leaders can manage to control the employees and make them use proper and safe instruments then they would be surely able to maintain the issue in such a brilliant way. If the leaders are not aware of the information of their own business or practice they would not be able to run their business with success. These are the main responsibilities that the leaders of the company would have to be concerned of for the sake of the improvement of the practiceal practices. As the chosen company is a health care sector, there are also some extra factors that the leaders of the company must be aware of such as the safety and security factors(Brüning, 2010). It is the responsibility of the leaders of the practice to ensure the safety of the patients or the health care practice. These are the main roles of the leaders that they should be aware of and must maintain properly with the mentioned guidance. Leadership Styles Leadership styles can be regarded as the ways of implementing and executing the leadership of the practice. The style of leadership is determined on the basis of the individual psychology and preferences of the leaders or on the requirements of the job or the business(Jankowska, 2012). If the employees and the management are already very much dedicated then the leaders of the company would behave friendly with them otherwise, the leaders would have to behave strictly and control the management of the practice and the employees with power and dominance. Sometimes, if needed the leaders of the practice would also have to allow the employees to take some minor decisions for the company. This will help the leaders to satisfy the needs of the employees of the health care practice. Some of the main and mostly used styles are mentioned in the following report(Media, 2014). Democratic Leadership In this process, the leaders of the company behave friendly with the employees and allow them to take some minor decisions. This is regarded as one of the most useful leadership styles. In this process, the prime target of the leaders is to satisfy the employees and the management to get better work from them. If the employees are satisfied with the management they would surely work harder(Nomination of Elaine C. Duke, 2009). Strategic Leadership In this process, the leaders need to do some homework and prepare some business strategies for the betterment of the conduction of the business and then they would have to implement the strategies with success and skill. For example, in this process, the leaders sometimes provide bonus and rewards to the employees to boost up their confidence and efficiency level(“Startup company faces legal battle over battery design”, 2013). Thus this is again a very usefl process of leading a company. Autocratic Leadership This is one of the most used and important style of leadership. in this style, the leaders of the practice take all the administrative decision o their own and do not allow any employee to take any kind of decisions. The leaders in this format also behave strictly with the employees of the practice as well as the management of the company. This is really a very helpful process. If the workers are kept in strict control, they will be bound to provide efficient service to the company and the business as well as the reputation of the practice will be positively affected(ZIEGLER, HAGEN, & DIEHL, 2012). Transformational Leadership Transformational leadership is another important way of leading the company. In this process, the leaders prefer frequent changes in the practice. This has always helped the companies to grow better and to do better business by adopting frequent change. In this case, as the chosen company is a health care system, this process would be the best way of leading. Nowadays the medical procedures and the treatment process is changing very frequently and if the practice can provide the up graded procedure to the patients then it would be beneficial for both the companies and the patients(Beasley, 2013). Thus this is a very useful style of leadership. These are some of the leadership style which can be used by the leaders for the betterment of the organization. as the chosen issue is the use of the medical instrument which is directly related t the life and the health of the patients, the leaders would have to go for the autocratic style of leadership. if the leaders can control the employees with a bit strictness they al will be benefited. Strategies Required For Leadership There are many strategies that the leaders must take for the development of their performances, as mentioned earlier, the leaders would have to use the motivational strategies for the satisfaction and the help of the management as well as the workers of the company. if the leaders do not motivate the employees properly they would not gain confidence on their work and neither will they be able to get involved with their jobs. Thus for the betterment of the employee performance the leaders of the company must be cooperative and motivating. The second thing is interference. Though it is not always okay to interfere in the working style of the management of the practice and the workers but as the whole business depends on the performance of the leaders, they would have to interfere and would have to be a little strict with the employees as well as the management of the practice(Emerging Technologies and Ethical Issues in Engineering, 2004). These are the basic and the most important guidelines that the leaders must follow and use the mentioned strategies for the up gradation of their working style. The next thing and the most important thing that the leaders must be aware of is the behavioral aspect of the practice. This is one of the prime strategies that the leaders use for the betterment of the working environment. The leaders would have to maintain a nice and pleasant business communication with the management as well as the workers of the company. if the employees of the company are not satisfied with the behavior of the leaders of the company they would be disappointed and might become disobedient towards the leaders of the company and as a result the practice would be harmed in many ways. To prevent these issues the leaders must be concerned of the behavioral aspect of the company. all these strategies will help the leaders to get involved with the employees and the managers of the company and as a result the leaders would be able to keep control on the employs as well as on the medical treatment procedure including the use of the medical instruments.  Impact Of Workplace Culture The cultural impact is always remarkable in the practice or in the workplace. Culture is something which is related with the ethical practice of the employees as well as the authority of the practice and also the diversity of the workplace. If the culture of the workplace is not properly maintained by the leaders of the practice there will occur some ethical issue which will surely harm the whole company. Thus for the betterment of the cultural aspect the leaders of the company would have to implement some ethical practice in the company. Ethics are something which is related with the morality and psychology of any individual(Sheehan, 2010). No legal legislations or strategy can make any change in the morality of the employees as well as the managing department of the practice. Another thing which should be considered by the leaders of the company is the behavioral aspect which also falls in the category of culture. The internal behavior which is the communication between the leaders and the management and the communication between the leaders and the employees should always be nice and pleasant. This will help the workplace to be free from any kind of internal conflicts. If the management of the practice as well as the employees of the company are satisfied with the leaders and the facilities provided by the leaders, then they would be pleased with the leaders and the company. As a result the communication between the management and the leaders will be nice and pleasant. Generally morality of  a person always says that nothing is bigger than the life of a being. This kind of mentality will make the employees and the leaders more cautious about the treatment process and the health of the patients. Thus the leaders would be able to maintain the use of the medical instruments easily. Issues In The Practice As leadership is one of the most important aspects of any practice, there must be some issues in the practice regarding the leadership of the practice.  All the issues are equally harmful for the company and the business of the practice. If the leaders do not take proper action against the issues then it would harm the business of the health practice in a severe manner. Some of the prime issues are mentioned in the further passage. Most of the time the leaders of the company and the management or the employees indulge themselves in some kind of internal conflict which is a very crucial issue(Kim, 2009). This kind of issue mainly occurs due to the communication gap between the management and the leaders of the company. If the leaders do not behave properly with the management and the workers then they would be disappointed which may result to the disobedience of the workers and the management. Other than this there are many issues which can harm the company such as the lack of knowledge of the leaders on the job or the business. If the leaders are not well aware of the working process and the requirements of the company then they would not be able to take the right decisions for the improvement of the company. These are the main and the prime issue which can harm the company or the business of the practice in a huge manner. Prevention Of The Issues All the issues mentioned in the previous passage can be resolved or prevented by preparing some positive strategies and implementing them properly and with proper skill. The first thing that the leaders of the company must do is to maintain the communication with the management of the company and the employees of the practice. If the leaders of the company can treat the management and the employees in a nice and pleasant manner they would be satisfied and as a result the business of the practice would be improved(Rowley, 2016). Being a health care practice, there are some extra issues related to the safety and the security of the patients such as the use of the medical instruments and the medical test processes. If the leaders of the company do not look after the mentioned issue then the whole practice would have to suffer in a severe manner. These are the prime ways to get rid of the issues. The leaders would have to poses enough knowledge on the job, the business of the practice as well as the market. After getting all the required information the leaders should take proper action to resolve all the mentioned issues from the workplace. If the leaders of the company can make good use of the prevention strategies the whole practice will be benefited in many ways. Importance Of Benchmarking Best Practice The benchmarking best practice is nothing but performing a strong and successful competitor analysis. This again falls in one of the most important responsibility of the leaders. The leaders of the health care practice must perform successful competitor analysis and get all the relevant information from the other rival practice. This will help the company as well as the leaders of the health care sector to analyze the information and the strategies taken by the rival practices and then decide the future plans of the company(Holliday and Cole, 2013). It is important for the leaders to know what medical technologies are being introduced by the other practice and how they are doing the treatment. To get better reputation and for the success of the practice the leaders are supposed to make better procedure and would have to serve to patients in a much better way. These are the purpose of the benchmarking best practice. It is the responsibility of the leaders of the practice to make good use of the mentioned analysis. Thus it is quite confirm that the benchmarking best practice is one of the most important processes that the leaders can use for the sake of the betterment of the company or the business of the practice. Impact Of Motivation As mentioned in the earlier passages that the prime responsibility of the leaders of the company is to provide motivation to the employees and the management of the company. for that the leaders would have to follow some of the motivation theory. The impact of the motivation is also remarkable for any practice(Holliday and Cole, 2013). it boosts up the confidence in the employees and helps them to get more involved with their job as a result the employees and the management of the health care practice will be more dedicated and more loyal to the practice and their jobs. Whenever there is any kind of issues in the workplace, the leaders of the company must come forward and solve the issue by using proper strategies. Motivation is one of the prime key to better employee performance and the employee performance is the key to success of the practice. Thus if the practice or the leaders are willing to maintain the consistency of the success of the practice they would have to use the motivational theories accordingly(Juon, Greiling and Buerkle, 2015). Strategies Of Motivation The importune of the motivation is already mentioned in the previous passage, now it is time to describe the strategies that the leaders of the healthcare practice must use for the betterment of the motivation of the employees along with the management of the practice. As mentioned earlier in the above passage, the leaders would have to establish a nice and pleasant communication with the employees of the company. Fresher employees will surely commit many mistakes at first, but the leader would have to be patient enough and should support the employee as much as possible(Juon, Greiling and Buerkle, 2015). This will make the employee feel comfortable with the environment of the workplace. The leaders of the company would also have to provide better graining to the employees and the managers of the company. if the training process is good then the employees will be able to get there job done in a easy way, otherwise, the employees of the health care practice would not be able to get accustomed with the job they are hired for and the practice or the business of the practice. These are the main strategies that the leaders of the company can use for the battement of the improvement of the practice and the motivational aspect(Marek, 2011).  Conclusion All the prime aspect related to the leadership of a health care practice is already mentioned in the above report. The main recommendation for the leaders will be to maintain all the mentioned guidelines with proper skill and care. The leaders of the company would have to spend more time in the practiceal factors. They would have to get all the knowledge on each and every sector of the company and then should look after all the factors equally. The communication is another point which should always be maintained by the leaders of the company. it is quite clear from the above passage that the leadership is the soul of any practice if the leaders are doing job their properly not only they will be able to get their success but also they will be able to please the employees, management and the patients and their family member also which is the prime target of any health and social care practice. References Belenzon, S., & Tsolmon, U. (2015). Market frictions and the competitive advantage of internal labor markets. Strategic Management Journal, 37(7), 1280-1303. https://dx.doi.org/10.1002/smj.2395 Bhuiyan, M. (2014). Integrated Tourism Sector in South-Eastern Asian (Mainland) Countries: A Pathway to Develop for Economic Betterment. International Journal Of Business Administration, 6(1). https://dx.doi.org/10.5430/ijba.v6n1p77 Brüning, C. (2010). WITHDRAWN: Foreword – Transport Impacts On Atmosphere And Climate. Atmospheric Environment. https://dx.doi.org/10.1016/j.atmosenv.2010.03.014 Jankowska, M. (2012). Residents’ Assessment of Promotional Activities of Polish Towns. JOURNAL OF INTERNATIONAL STUDIES, 5(1), 20-29. https://dx.doi.org/10.14254/2071-8330.2012/5-1/3 Media, T. (2014). Freight Brokerage Business (1st ed.). New York: Entrepreneur Press. Media, T. (2015). Microbrewery, Distillery, Or Cidery (1st ed.). [Irvine, Calif.]: Entrepreneur Press. Nomination of Elaine C. Duke. (2009) (1st ed.). Washington. Smith, L., & Mounter, P. (2008). Effective internal communication (1st ed.). London: Kogan Page. Startup company faces legal battle over battery design. (2013). Physics Today. https://dx.doi.org/10.1063/pt.5.027567 ZIEGLER, R., HAGEN, B., & DIEHL, M. (2012). Relationship Between Job Satisfaction and Job Performance: Job Ambivalence as a Moderator. Journal Of Applied Social Psychology, 42(8), 2019-2040. Beasley, M. (2013). Practical web analytics for user experience. 1st ed. Waltham, MA: Morgan Kaufmann. Emerging Technologies and Ethical Issues in Engineering. (2004). 1st ed. Washington, D.C.: National Academies Press. Holliday, E. and Cole, C. (2013). An Examination of Rater Agreement: The Behavioral Functioning of Children Engaged in a Wraparound Model of Care. 1st ed. Juon, C., Greiling, D. and Buerkle, C. (2015). Internet marketing start-to-finish. 1st ed. Indianapolis, Ind.: Que. Kim, Y. (2009). Combining constructed response items and multiple choice items using a hierarchical rater model. 1st ed. Marek, K. (2011). Using Web Analytics in the Library. 1st ed. Chicago, IL: ALA Editions. Rowley, J. (2016). Information marketing. 1st ed. London: Routledge. Sheehan, B. (2010). Online marketing. 1st ed. Lausanne: AVA Academia. Stern, H. and O’Grady, T. (2011). Laws, nominations and legal issues. 1st ed. New York: Nova Science Publishers. Sweeney, S. (2011). 101 ways to promote your web site. 1st ed. Gulf Breeze, FL: Maximum Press. Vujovic, V. (2015). Specific Approaches to Measuring the Quality of Tourism Services. 1st ed. Saarbru?cken: LAP LAMBERT Academic Publishing.

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