Leadership in Healthcare: Case Study of a Public Health Leader

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This report presents a comprehensive analysis of effective leadership within the healthcare sector, focusing on a case study involving Ms. Helen, a General Practitioner appointed as a public health leader in Warnambool, Australia. The assignment delves into the complexities of her role, evaluating the suitability of various leadership styles, with particular emphasis on the Australian health leadership framework and transformational leadership. It examines the challenges Helen faces, including her introverted nature and the need to coordinate with a team of workers, and assesses her potential through the lens of a self-assessment tool. The report highlights the importance of adapting leadership strategies to achieve positive patient outcomes and improve healthcare delivery, emphasizing elements such as effective communication, employee skill development, and quality service enhancement. Furthermore, the report explores how a transformational leadership style could be implemented to overcome communication barriers and foster a motivated workforce, ultimately aiming to improve healthcare outcomes in the community. The analysis also considers the strengths and weaknesses of different leadership approaches, providing a comprehensive understanding of leadership effectiveness within the healthcare context.
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Running head: EFFECTIVE LEADERSHIP
EFFECTIVE LEADERSHIP
Name of the Student:
Name of the University:
Author Note:
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1EFFECTIVE LEADERSHIP
Introduction:
Leadership has been identified as a critical aspect that determines the effective
functioning of an organization. Several leadership theories have been associated with the
different types of leadership that critically exist within different diverse sectors. The pattern
of leadership widely depends upon the operational functions carried out by the concerned
organization and the nature of the organizational policies. Typically it has been found that the
best form of leadership for an organization comprises of effective coordination and smooth
flow of communication among the administration post holders and the employee workforce.
This assignment intends to discuss the case scenario of Ms. Helen who is an efficient General
Practitioner. The assignment would delve deeper into the complexities associated with Ms.
Helen being appointed as the public health leader. It would critically discuss the appropriate
form of leadership that could be assumed by Helen so as to deliver positive outcomes.
Further, it would also reflect upon the correct implication of the applied leadership style and
accordingly derive an effective conclusion.
Part 1:
On critically analysing the case scenario, a number of cues can be retrieved. Helen
who was 35 years old had been working in Warnambool as a General Practitioner for a period
of five years. Warnambool is a rural area that is located in the state of Victoria. Helen had
been delivering a great service and had been immensely successful as a general practitioner.
Helen had started practising in Warnambool after moving from Melbourne and on account of
Warnambool being a rural region, her primary focus of treatment was to deliver primary care.
However, the end of 2018, witnessed a number of health issues in terms of increase in
infection rate and mortality, minimal immunization among children and improper sanitation
and disease prevention programs. The plight of the local residents alarmed the council of
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2EFFECTIVE LEADERSHIP
Warnambool and a need to incorporate a public health awareness was felt deeply. Helen
seemed to be an appropriate candidate and thus, the council proceeded with nominating
Helen as an illegible candidate for the post of public health leader. However, the council was
perturbed by the thought of Helen being able to justify the designation. This is primarily
because the introvert and timid nature of Helen and her independent living. It should be noted
here that the designation required Helen to interact and maintain end to end coordination with
a total of 10 workers who would be working under her. That seemed as a challenge on
account of the contrasting demeanour of Helen and raised a question mark on her leadership
skills.
In order to sustain as an effective leader, it is utmost important to stringently adapt an
appropriate leadership style. In context of the health care sector, the transformational style of
leadership is extremely common and widely followed. However, it should be critically noted
here that in the Australian context of heath care organization, the most prevalent style of
leadership is the Australian health leadership framework. The Health LEADS Australia: the
Australian health leadership framework is an initiative that has been taken up the Australian
government. The initiative aims to render an effective leadership that concentrates on the
creating a people-focused health care system that is equitable, effective and at the same time
sustainable. There are five vital components of the framework that includes, leading self,
shaping up the system, driving innovation, engaging others and achieving positive outcomes.
An effective leadership is often associated with attaining positive patient outcomes and
increased client satisfaction. In this case, on critically evaluating the case study in alignment
with the Australian health and leadership framework, it can be said that, Helen as a leader
needs to take care of a lot of critical considerations (Aims.org.au, 2018). The first
consideration in this regard would include, evaluating the prime challenges operating in the
domain of health in the Warnambool region of Australia. Further, as a health promotion
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3EFFECTIVE LEADERSHIP
officer, the responsibility would primarily include, improving health related outcomes for the
indigenous aboriginal and Torres islander inhabitants residing within the premises of the
community. Also, balancing the disease burden with improved health outcomes and
improvement in the hospital infrastructure would form an essential aspect of rendering
positive health outcomes. Issues such as addressing the financial aid and the quality
maintenance of care at length should also be given prime importance. In addition to this,
improving the sustainability of workforce, maintaining quality at all levels and building trust
amongst the diverse professionals operating within the health care setting should also be
maintained by Helen. In addition to the above, handling challenges and complexities of the
health care system is also carried out by the health promotion officer (Doody & Doody,
2012). Maintaining an effective coordination between the patients, families, consumers and
carers. Proper maintenance of all the interdisciplinary department is important so as to yield
positive outcomes. The principle idea of maintaining an effective style of leadership is to
ensure that everyone owns leadership, developing capable leaders to build health leadership
capacity and enhancing the existing leader within an individual (Aims.org.au, 2018). As an
effective health officer, Helen must ensure that employees commit themselves to sharing
responsibilities and take ownership of the responsibility. In order to maintain this Helen at all
times must involve in constant monitoring of the activities and responsibilities being
undertaken by the respective professionals. According to studies, it has been said that an
effective leadership is majorly concerned with developing the skillset of the employee
workforce which must be manage by the leader (Aims.org.au, 2018). In this regard, it can be
said that arranging ample training programs to provide training opportunities to the
employees can help in improving the skill set and also help in developing additional skills
(Wong et al., 2013). Also, as an effective leader, Helen should constantly aim at improving
the quality of the services provided so as to attain positive patient outcomes. In order to
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4EFFECTIVE LEADERSHIP
enhance the quality of the services provided, application of the quality value cycle can be
effective (Aims.org.au, 2018). It can effectively help in conducting a review about the
existing strategies in the market and accordingly include reforms.
Part 2:
This section would talk about the utility of the self-assessment tool in order to
perform an effective self-assessment. The leadership self-assessment tool can be defined as
an integral tool that renders high quality of health care services by stringently evaluating the
effectiveness of the leadership (Aims.org.au, 2018). The tool widely comprises of seven
aspects which include, demonstration of the personal qualities and working with other
executives. In addition to this, managing different services, improving the quality of the
existing services and setting guidelines for the employees working as a part of the process
can effectively help in achieving the seventh component which is known as creating a vision
for delivering the process (Avolio & Yammarino, 2013). It should be critically noted here
with reference to the case study that while nominating Helen’s name for the post of the health
officers, the supervisory board was extremely sceptical about her abilities on account of her
usual behaviour. The Council members held a firm belief that Helen was introvert and
independent which might be major obstacles for her while assuming the role of a health
officer as that would load her with heaps of responsibilities and the handle a lot of people
under her. Therefore, it can be said that Helen’s leadership qualities are being questioned and
in order to analyse her potential as a leader, a self-evaluation assessment must be undertaken
that would underpin the self-assessment tool.
It is important to consider that under the first aspect of the self-assessment tool four
key factors can be highlighted. The factors being, her ability to create self-awareness, her
ability to sustain independently, her keenness on undertaking personal development and
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5EFFECTIVE LEADERSHIP
working with integrity exemplify that Helen can effectively assume leadership
responsibilities. Also, it was estimated from the assessment that Helen remained calm and
focused during critical situations and firmly acted according to her beliefs and morals. Also,
it should be noted that, she reflected upon her behaviour and strived hard to maintain a
diverse environment in order to work with people belonging to different customs, traditions
and different religious beliefs. Hence, the sum total of her assessment score clearly reflected
that she could carry out the responsibility in an efficient manner.
The next segment of the assessment considered factors such as developing networks,
maintaining relationships and motivating the team mates. In this aspect as well, Helen scored
positive on account of her willingness and honesty to work with a team of professionals. It
should be critically noted here that, Helen’s introvert nature can be treated as a weakness or
rather as a limitation in being able to justify her designation. This is primarily because the
role of a health officer primarily involves the maintenance of smooth communication
strategies (Braun et al., 2013). Helen’s introvert behaviour can serve as a barrier in ensuring
smooth communication. The third aspect comprised of domains that included planning and
managing resources. In this aspect as well Helen scored in positive which clearly implied that
Helen was extremely devoted and determined to her work. This clearly indicated that Helen
could proficiently manage the team of professionals and deliver the best so as to deliver
quality in terms of output. The next component of the self-evaluation investigated Helen’s
potential to maintain patient safety and ensure positive patient outcomes. In this regard as
well, Helen’s scored in positive and in accordance with her previous work experiences, it can
be said that Helen could efficiently provide care to the patient and maintain patient safety.
Finally, the penultimate and the ultimate aspects of self-assessment comprised of delivering a
strategy, creating a vision and setting guidelines for the employee workforce (Breevaart et al.,
2014). It should be significantly notes that in each of the aspects Helen scored in positive
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6EFFECTIVE LEADERSHIP
which reveals that she could effectively assume the role as a health promotional officer and
serve to the best of her capabilities.
Part 3:
On critically reflecting upon the conditional evidence furnished by the case study, it
can be said that the leadership style that I would have adapted in this scenario would be the
transformational style of leadership. As has already been mentioned, the transformational
leadership has been considered to be the best form of leadership for the health care sector
(Carter et al., 2013); (Kark & Shamir, 2013). It majorly comprises of driving a change into
the existing operating pattern of an organization in order to attain positive outcomes
(McCleskey, 2014). Two strengths have been associated with the successful implementation
of the transformational style of leadership that includes, ensuring effective communication,
enhancing the elements of motivation and self-esteem so as to maintain a positive working
environment (Noruzy et al., 2013). Another critical aspect of the transformational style of the
leadership includes, working on the weakness of the employees so as to transform the
weakness to strength and essentially maintain a positive outcome (Odumeru & Ogbonna,
2013); (Brach et al., 2012). In this scenario the effectiveness of the transformational style of
leadership would help in maintaining effective communication at all levels (Van
Knippenberg & Sitkin, 2013); (Frich et al., 2015). On considering the self-evaluation tool, I
feel that I would have also achieved positive scores across each elements and my score would
be somewhat similar to Helen. However, considering one aspect it can be said that a fine gap
in terms of maintaining effective communication would be observed between the leadership
style implemented by Helen and me. Through transformational leadership I would effectively
ensure a smooth flow of communication and keep the workforce motivated so as to attain
positive outcomes (Noruzy et al., 2013). In order to enhance my communicating ability, I
would try to work on my communication skills within a span of seven days. I would enhance
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7EFFECTIVE LEADERSHIP
the same by working with my supervisors and seniors and exchange vital information about
the condition of the patients and convey it to their families. This would help me in
strengthening my communication and decision making skills so as to render quality in terms
of service delivery.
Conclusion:
Hence, to conclude it can be said that there are different styles of leadership that
affectively facilitates smooth operation of an organization. In this case, Helen could possibly
adapt strategies as per the Australian leadership framework and incorporate positive elements
of the transformational style of leadership so as to maintain a positive working environment
and yield better service delivery.
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8EFFECTIVE LEADERSHIP
References:
Aims.org.au. (2018). Retrieved from https://www.aims.org.au/documents/item/352
Avolio, B. J., & Yammarino, F. J. (Eds.). (2013). Introduction to, and overview of,
transformational and charismatic leadership. In Transformational and Charismatic
Leadership: The Road Ahead 10th Anniversary Edition (pp. xxvii-xxxiii). Emerald
Group Publishing Limited.
Brach, C., Keller, D., Hernandez, L. M., Baur, C., Dreyer, B., Schyve, P., ... & Schillinger, D.
(2012). Ten attributes of health literate health care organizations (pp. 1-26).
Washington, DC: Institute of Medicine of the National Academies.
Braun, S., Peus, C., Weisweiler, S., & Frey, D. (2013). Transformational leadership, job
satisfaction, and team performance: A multilevel mediation model of trust. The
Leadership Quarterly, 24(1), 270-283.
Breevaart, K., Bakker, A., Hetland, J., Demerouti, E., Olsen, O. K., & Espevik, R. (2014).
Daily transactional and transformational leadership and daily employee
engagement. Journal of occupational and organizational psychology, 87(1), 138-157.
Carter, M. Z., Armenakis, A. A., Feild, H. S., & Mossholder, K. W. (2013). Transformational
leadership, relationship quality, and employee performance during continuous
incremental organizational change. Journal of Organizational Behavior, 34(7), 942-
958.
Doody, O., & Doody, C. M. (2012). Transformational leadership in nursing practice. British
Journal of Nursing, 21(20), 1212-1218.
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9EFFECTIVE LEADERSHIP
Frich, J. C., Brewster, A. L., Cherlin, E. J., & Bradley, E. H. (2015). Leadership development
programs for physicians: a systematic review. Journal of general internal
medicine, 30(5), 656-674.
Kark, R., & Shamir, B. (2013). The dual effect of transformational leadership: Priming
relational and collective selves and further effects on followers. In Transformational
and Charismatic Leadership: The Road Ahead 10th Anniversary Edition (pp. 77-101).
Emerald Group Publishing Limited.
McCleskey, J. A. (2014). Situational, transformational, and transactional leadership and
leadership development. Journal of Business Studies Quarterly, 5(4), 117.
Noruzy, A., Dalfard, V. M., Azhdari, B., Nazari-Shirkouhi, S., & Rezazadeh, A. (2013).
Relations between transformational leadership, organizational learning, knowledge
management, organizational innovation, and organizational performance: an empirical
investigation of manufacturing firms. The International Journal of Advanced
Manufacturing Technology, 64(5-8), 1073-1085.
Odumeru, J. A., & Ogbonna, I. G. (2013). Transformational vs. transactional leadership
theories: Evidence in literature. International Review of Management and Business
Research, 2(2), 355.
Van Knippenberg, D., & Sitkin, S. B. (2013). A critical assessment of charismatic—
transformational leadership research: Back to the drawing board?. The Academy of
Management Annals, 7(1), 1-60.
Wong, C. A., Cummings, G. G., & Ducharme, L. (2013). The relationship between nursing leadership
and patient outcomes: a systematic review update. Journal of nursing management, 21(5),
709-724.
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