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(PDF) Strategic Management and Leadership

   

Added on  2021-04-24

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Running head: STRATEGIC MANGEMENT AND LEADERSHIPStrategic management and leadershipName of the StudentName of the UniversityAuthor note

1STRATEGIC MANGEMENT AND LEADERSHIPTable of ContentsPart A:........................................................................................................................................2Introduction:...............................................................................................................................2Critical analysis:.........................................................................................................................3Leadership approaches in relation to case study:.......................................................................3Conclusion:................................................................................................................................8Part B:.........................................................................................................................................9Evaluation of strategy of St. Jude Children’s hospital:..............................................................9References list:.........................................................................................................................16

2STRATEGIC MANGEMENT AND LEADERSHIPPart A:Introduction: The overall objective of the case study “Leading organizational change” is to offerview on emerging consensus of what a good leadership approach looks like in the healthcare.In this particular study, the leadership approach chosen by executive direct of nursingdepartment of NHS is demonstrated. Leadership approaches used by Tracey Burns have beencritically evaluated with reference to leadership theories. NSH was facing several problems inrelation to their operations such as increased wait of trolley in the accident and emergencydepartment, delay in discharge, increased length of stay, high admission rates and bottleneckin the medical admission. Leadership approaches used by nursing department executive forimproving the performance of trust have been illustrated. The case study describes hownurses are empowered to play a pro-active role in the process of discharging patients.Furthermore, report also demonstrates approaches other than employed by Tracey that wouldhelp in solving existing problems related to operations of NHS. Analysis of case study has depicted that two different change aspect. In the firstaspect, there is a change process and a number of themes have been raised in the case studythat is needed to be done for the top management for gathering support, encouragingaccountability, sustaining change momentum and providing constant and consistentcommunication. The content of change is the second aspect of change.

3STRATEGIC MANGEMENT AND LEADERSHIPCritical analysis:Leadership approaches in relation to case study:For the National Health Service, the factor that is considered pre requisite is highquality of management and leadership. It is required to recognize the type of leadership that isregarded appropriate for bringing change in the organization and thereby improvingperformance. Leadership approach used by management plays a very crucial role inhealthcare organizations. It is regarded as key for managing increasing demand in light ofmultiple pressures and rapid change witnessed by healthcare organization. In NHS,leadership is characterized by a culture that helps in avoiding failure instead of drivinginnovation successfully. Nevertheless, due to several issues faced by organization in itsoperations, it is essential to make changes in leadership approach for improving performance.The need for improve services and reducing duplications, hospitals under trust were merged(Clegg et al. 2015). However, the reputation and performance of NHS in the community wasinfluenced by many glitches. Due to several issues faced by management and organization asa whole, management team undertook the responsibility of initiating any cultural changesuitable for introducing performance. As per the analysis of the case study of leading organizational change in Nationalhealth system trust, it can be ascertained that organization was facing several issues related toits operations. Solving of such issues required to make considerable change by acceptingaccountability and thereby improving the performance of the chain from admission todischarge (Burke 2017). Nursing department executive employed a systematic approachalong with a plan where nurses led discharge of patient. The path goal theory of leadership specified a number of personal oriented leadershipand situational relationship moderators and their overall impact. It has been explained in the

4STRATEGIC MANGEMENT AND LEADERSHIPmodel how satisfaction of followers and performance of organization influenced by behaviorof leaders. This particular model of leadership does not involve any behavioral variables andleadership traits (Antonakis and House 2014). Such theory helps in the identification of mostappropriate leadership style suitable to any specific circumstances and situation that helps inmaximization of job satisfaction and performance. Leaders according to path goal theory areresponsible for increasing the motivation of followers that helps in attainment oforganizational and personal goals. Motivation among employees and other staff members isincreased by efforts taken by leaders to make clarification of what needs to be done byfollowers for rewarding them and for increasing rewards that are desirable and valuable. It isindicated by path clarification that leaders work in association with their subordinates andfollowers for learning behavior and identifying them that help them in gaining organizationalrewards and successfully accomplishing the task (Avolio and Walumbwa 2014). Analysis of case study depicts that Tracey Burns has employed path driven approachto leadership for bring required change in operations of organization. The issues surroundingdischarge of patients was solved by undertaking the initiative of discharge planning(Northouse 2017). Scope of initiative was outlined in the form of improving performance ofdischarge and changing culture. She was responsible for motivating nurses of NHS bynurturing the plan for the introduction of nurse led discharge. In this plan, nurses wereresponsible for making final decision to discharge patients. Moreover, discharge process ofpatients was reviewed by burn initially at the time of interviewing assistant director fornursing position. In this regard, a pledge was secured by Burn that empowering nurses fortaking responsibility of discharging patients would relieve matrons from their onerous bedmanagement duties as general management can take it up (Godbole et al. 2017). From the path goal theory, for dealing with any particular situation, leader can selectmost appropriate leadership style (Barr and Dowding 2015). Such style can be directive,

5STRATEGIC MANGEMENT AND LEADERSHIPachievement oriented, participative and supportive. Burn by undertaking the planning ofdischarge and authorizing nurses to take discharge responsibility can be said to employachievement oriented leadership style. In this style, leaders set achievable but difficult goalsand expect followers to perform their duties at their highest level so that they can be rewardedfor their efforts. Nurses led discharge plan entitles nurses to take responsibility so that theycontribute in lowering long stay of patients in hospital and delay in discharge and ultimatelyremoving the bottlenecks in hospital admission (Ghrccatrain.wikischolars.columbia.edu2018). Idea of such plan was to underline that nurses have authority and expertise for sortingout the production line. Burn also employed directive style of leadership when setting goal oforganization for improving its performance. It was when she identified that the main reasonsassociated with creating blocking of patient for releasing are poor communication andinefficient practices. When followers prefer autocratic leadership, directive leadership isregarded as appropriate. Burn took the initial step in planning for dealing with operationissues of organization. Moreover, the needed information system by organization wasdeveloped that helped in monitoring progress provided by base line data. Path goal theory ofleadership helps in identification of most appropriate leadership that helps in maximization ofjob satisfaction and performance of organization (Henson 2016). All the efforts taken by Burn can be regarded as achievement oriented because hethought that ability of followers or subordinates such as nurses were high and have externallocus of control. Furthermore, it can be seen that NHS management required to adopt abroader turnaround strategy and the prevailing situation within the organization requiredTracey Burns to take lead for dealing with situation and making improvement. Therefore, itmeans that Tracey Burn being the executive director of nursing was raised to another levelfor taking the lead for bringing change and making improvement. Hence, this particular formof leadership employed by management of NHS can be treated as transformational

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