Notes on Contributors |
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xvii | |
Preface |
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xxi | |
Acknowledgements |
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xxv | |
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Part I Clinical Leaders: Role Models for Values-Based Leadership |
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1 | (136) |
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1 Clinical Leadership Explored |
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5 | (26) |
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5 | (1) |
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Clinical Leadership: What Do We Know? |
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6 | (2) |
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Attributes Less Likely to Be Seen in Clinical Leaders |
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8 | (3) |
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Clinical Leaders Are Not Seen as Controlling |
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8 | (1) |
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Clinical Leaders Are Not Seen as Visionary |
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8 | (2) |
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Clinical Leaders Are Not Seen as `Shapers' |
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10 | (1) |
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Attributes More Likely to Be Seen in Clinical Leaders |
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11 | (5) |
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Clinical Competence/Clinical Knowledge |
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11 | (2) |
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13 | (1) |
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Empowered/Motivator or Motivated |
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13 | (1) |
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13 | (1) |
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14 | (1) |
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14 | (1) |
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14 | (1) |
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15 | (1) |
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15 | (1) |
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16 | (1) |
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16 | (1) |
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Values: The Glue that Binds |
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17 | (1) |
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Who Are the Clinical Leaders? |
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18 | (3) |
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Clinical Leadership Defined |
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21 | (1) |
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Why Clinical Leadership Now? |
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21 | (4) |
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22 | (1) |
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22 | (1) |
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Change Equates to More Leadership |
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22 | (1) |
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23 | (2) |
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25 | (1) |
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25 | (1) |
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26 | (5) |
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2 Leadership Theories and Styles |
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31 | (30) |
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Introduction: Leadership -- What Does It All Mean? |
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31 | (2) |
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Leadership Defined: The Blind Man's Elephant |
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33 | (3) |
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36 | (1) |
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Leadership Theories and Styles |
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36 | (1) |
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The Great Man Theory: Born to Lead? |
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36 | (1) |
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The Heroic Leader: Great People Lead |
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37 | (1) |
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The Big Bang Theory: From Great Events, Great People Come |
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37 | (1) |
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Trait Theory: The Man, Not the Game |
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38 | (2) |
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Style Theory: It's How You Play the Game |
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40 | (2) |
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Situational or Contingency Theory: It's about Relationships |
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42 | (2) |
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Transformational Theory: Making Change Happen |
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44 | (2) |
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Transactional Theory: Running a Tight Ship |
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46 | (1) |
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Authentic/Breakthrough Leadership: True to Your Values |
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47 | (1) |
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Servant Leadership: A Follower at the Front |
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48 | (2) |
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50 | (1) |
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Shared Leadership/Collaborative Leadership |
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50 | (1) |
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50 | (1) |
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The Right Leader at the Right Time |
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51 | (3) |
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54 | (1) |
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54 | (1) |
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55 | (6) |
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3 Values-Based Leadership: Congruent Leadership |
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61 | (44) |
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Introduction: A New Theory |
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61 | (1) |
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62 | (1) |
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Values-Based Leadership Theories Applied in Healthcare |
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62 | (4) |
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Congruent Leadership: Another View |
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66 | (1) |
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It All Started with Clinical Leadership |
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66 | (13) |
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Congruent Leadership Theory Explored |
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79 | (1) |
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80 | (2) |
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The Strengths of Congruent Leadership |
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82 | (3) |
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83 | (1) |
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Foundation for Other Theories |
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83 | (1) |
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Strong Link between Values and Actions |
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84 | (1) |
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Supports Further Understanding of Clinical Leadership |
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85 | (1) |
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Anyone Can Be a Congruent Leader |
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85 | (1) |
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The Limitations of Congruent Leadership |
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85 | (2) |
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85 | (1) |
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Similar to Other Values-Based Leadership Theories |
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86 | (1) |
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Not Driven by a Focus on Change |
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86 | (1) |
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Not Suitable for Leaders with `Control' as an Objective |
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86 | (1) |
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Congruent Leadership, Change and Innovation |
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87 | (1) |
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Congruent Leadership and Power |
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88 | (3) |
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Congruent Leadership and Quality |
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91 | (5) |
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96 | (1) |
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97 | (1) |
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97 | (8) |
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105 | (14) |
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Introduction: From behind They Lead |
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105 | (1) |
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106 | (1) |
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Followers' Responsibilities |
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106 | (4) |
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110 | (3) |
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113 | (3) |
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116 | (1) |
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117 | (1) |
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117 | (2) |
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5 Leadership and Management |
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119 | (18) |
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Introduction: Why Delineate? |
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119 | (1) |
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Who Should Take Centre Stage? |
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120 | (5) |
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123 | (2) |
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125 | (2) |
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127 | (1) |
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128 | (1) |
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129 | (2) |
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131 | (1) |
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132 | (1) |
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133 | (4) |
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Part II Clinical Leadership Tools: How to Influence Quality, Innovation and Change |
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137 | (218) |
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6 Organisational Culture and Clinical Leadership |
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139 | (18) |
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Introduction: Values First |
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139 | (1) |
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What Is Organisational Culture? |
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139 | (3) |
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A Culture of Care and Compassion |
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142 | (2) |
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144 | (2) |
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How Congruent Leaders Shape Culture |
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146 | (4) |
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Clinical Leadership, Education and Training |
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150 | (2) |
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152 | (1) |
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153 | (1) |
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153 | (4) |
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157 | (26) |
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Introduction: Tools for Change |
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157 | (1) |
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158 | (1) |
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159 | (1) |
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160 | (12) |
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161 | (1) |
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162 | (1) |
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163 | (1) |
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The Change Management Iceberg |
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164 | (1) |
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165 | (1) |
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Kotter's Eight-Stage Change Process |
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166 | (1) |
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166 | (1) |
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167 | (1) |
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168 | (1) |
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169 | (1) |
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Driving or Facilitating Forces |
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169 | (1) |
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How Do You Find Either Restraining or Facilitating Forces? |
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170 | (1) |
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Initiating, Envisioning, Playing, Sustaining: A Theoretical Synthesis for Change |
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171 | (1) |
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Beckhard and Harris's Change Equation |
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172 | (1) |
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People-Mover Change Model: Effectively Transforming an Organisation |
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172 | (1) |
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Instituting Organisational Change: An Examination of Environmental Influences |
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172 | (1) |
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Change Is Never Simple, Even with a Model |
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172 | (1) |
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173 | (3) |
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Self-Interest and Conflicting Agendas |
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173 | (1) |
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173 | (1) |
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174 | (1) |
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174 | (1) |
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174 | (1) |
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175 | (1) |
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Some People Just Do Not Like Change |
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175 | (1) |
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Recognising Denial and Allowing Time for Reflection |
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175 | (1) |
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Successfully Dealing with Change |
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176 | (3) |
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179 | (1) |
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180 | (1) |
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180 | (3) |
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8 Patient Safety and Clinical Decision Making |
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183 | (22) |
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183 | (1) |
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183 | (1) |
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184 | (1) |
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Leadership and Patient Safety |
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185 | (1) |
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Clinical Decision Making and Patient Safety |
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186 | (2) |
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188 | (1) |
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Decision-Making Approaches |
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188 | (2) |
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Theories of Clinical Decision Making |
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190 | (1) |
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Knowledge and Information |
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191 | (3) |
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Intuitive-Humanistic Model |
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191 | (1) |
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Systematic-Positivist, Hypothetico-Deductive and Technical Rational Models |
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192 | (1) |
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Integrated Patient-Centred Model |
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192 | (1) |
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193 | (1) |
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Managerial Decision-Making Process |
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193 | (1) |
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Clinical Leadership and Decisions |
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194 | (1) |
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195 | (2) |
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Not Using the Decision-Making Framework |
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195 | (1) |
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195 | (1) |
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195 | (1) |
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Seeking to Avoid Conflict or Change |
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196 | (1) |
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196 | (1) |
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196 | (1) |
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196 | (1) |
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Over-Confidence in Knowledge |
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196 | (1) |
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196 | (1) |
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197 | (1) |
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197 | (1) |
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Advantages of Group Decisions |
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198 | (1) |
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Disadvantages of Group Decisions |
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198 | (1) |
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198 | (2) |
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200 | (1) |
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201 | (1) |
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201 | (4) |
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205 | (22) |
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Introduction: A New Way Forward |
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205 | (1) |
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206 | (3) |
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Building Creative Capacity |
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209 | (7) |
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Techniques for Developing Creativity |
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210 | (1) |
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211 | (1) |
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Keep a Notebook or Journal |
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211 | (1) |
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211 | (1) |
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211 | (1) |
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Do or Learn Something New Each Day |
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211 | (1) |
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211 | (1) |
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212 | (1) |
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212 | (1) |
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Try Associational Thinking |
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212 | (1) |
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212 | (1) |
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212 | (1) |
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213 | (1) |
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Study Books about Creative Thinking |
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213 | (1) |
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Flood Yourself with Information |
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213 | (1) |
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213 | (1) |
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213 | (1) |
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Face a New Fear Every Day |
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213 | (1) |
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213 | (1) |
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Leave Things Alone for a While |
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214 | (1) |
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214 | (1) |
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Develop Your Sense of Humour |
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214 | (1) |
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215 | (1) |
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215 | (1) |
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215 | (1) |
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215 | (1) |
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215 | (1) |
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215 | (1) |
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Develop Some Techniques for Creative Thinking |
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215 | (1) |
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216 | (3) |
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217 | (1) |
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217 | (1) |
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217 | (1) |
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Being Too Busy to Address a Problem |
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217 | (1) |
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Too Hectic an Environment |
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217 | (1) |
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217 | (1) |
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218 | (1) |
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218 | (1) |
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Unrealistic Production Demands |
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218 | (1) |
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218 | (1) |
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218 | (1) |
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219 | (1) |
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Fear of Criticism/Fear of Failure |
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219 | (1) |
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Our Belief that We Are Not Creative |
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219 | (1) |
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219 | (1) |
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219 | (1) |
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219 | (1) |
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219 | (1) |
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220 | (1) |
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Previous Negative Experiences with Risk |
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220 | (1) |
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220 | (1) |
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220 | (1) |
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220 | (1) |
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220 | (1) |
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Not Having a Place to Go or Time to Get There |
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220 | (1) |
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220 | (1) |
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Leadership and Creativity |
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221 | (3) |
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224 | (1) |
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224 | (1) |
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225 | (2) |
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227 | (18) |
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Introduction: Identifying Dynamics and Self-Role within Teams |
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227 | (1) |
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228 | (1) |
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Are We a Team or a Group? |
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229 | (1) |
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230 | (4) |
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230 | (2) |
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232 | (1) |
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232 | (1) |
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233 | (1) |
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Creating Powerful and Positive Teams |
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234 | (3) |
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236 | (1) |
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236 | (1) |
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237 | (2) |
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239 | (2) |
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241 | (1) |
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241 | (1) |
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242 | (3) |
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11 Networking and Delegation |
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245 | (16) |
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Introduction: Strength in Numbers |
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245 | (1) |
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245 | (7) |
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246 | (1) |
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247 | (1) |
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247 | (1) |
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Join a Professional Organisation |
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247 | (1) |
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Look Beyond Your Own Organisation |
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247 | (1) |
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Be Professionally Committed and Have Clear Messages |
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247 | (1) |
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Join Professional Discussion Groups |
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248 | (1) |
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248 | (1) |
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Engage with Professional Development |
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248 | (1) |
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248 | (1) |
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Mentor Others or Be Mentored |
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249 | (1) |
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Travel (for Professional Reasons) |
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249 | (1) |
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Develop a Clinical Supervision Process |
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249 | (1) |
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Expand Your Informal `Coffee' Network |
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249 | (1) |
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250 | (1) |
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250 | (1) |
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Networking Through Social Media |
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250 | (1) |
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251 | (1) |
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252 | (6) |
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253 | (2) |
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Common Mistakes in Delegation |
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255 | (1) |
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255 | (1) |
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255 | (1) |
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255 | (1) |
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Failing to Provide Sufficient Supervision |
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256 | (1) |
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256 | (1) |
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Delegation and Clinical Leadership |
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256 | (2) |
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258 | (1) |
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259 | (1) |
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260 | (1) |
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261 | (26) |
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Introduction: Collaboration or Clash |
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261 | (1) |
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262 | (1) |
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262 | (1) |
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263 | (3) |
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266 | (1) |
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267 | (1) |
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268 | (2) |
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Conflict Management and Clinical Leaders |
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270 | (1) |
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Building Bridges: Negotiation and Mediation |
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271 | (1) |
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271 | (1) |
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271 | (1) |
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272 | (1) |
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273 | (2) |
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273 | (1) |
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273 | (1) |
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273 | (1) |
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273 | (1) |
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274 | (1) |
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274 | (1) |
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274 | (1) |
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274 | (1) |
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275 | (1) |
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276 | (1) |
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277 | (1) |
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278 | (1) |
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279 | (1) |
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279 | (1) |
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279 | (1) |
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280 | (1) |
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280 | (1) |
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280 | (1) |
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Benefits of Conflict Management |
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280 | (2) |
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282 | (1) |
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283 | (1) |
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284 | (3) |
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13 Motivation and Inspiration |
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287 | (16) |
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Introduction: Inspiring Others |
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287 | (1) |
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288 | (1) |
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Models and Theories of Motivation |
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288 | (2) |
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Maslow's Hierarchy of Needs |
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288 | (2) |
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290 | (1) |
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Job Characteristics Model |
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290 | (1) |
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290 | (3) |
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Signs that People Are Demotivated |
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293 | (1) |
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The Motivational Power of Failure |
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294 | (2) |
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296 | (2) |
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298 | (1) |
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299 | (1) |
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300 | (3) |
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14 Creating a Spirit of Enquiry (Enhancing Research) |
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303 | (20) |
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Introduction: Is the Spirit with You? |
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303 | (1) |
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303 | (1) |
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304 | (2) |
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How to Create a Spirit of Enquiry |
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306 | (3) |
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Being Involved in Research |
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306 | (1) |
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Role Modelling Use of EBP |
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306 | (1) |
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307 | (1) |
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Understanding the Value of a Nexus |
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307 | (1) |
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Encouraging Quality Improvement Initiatives |
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307 | (1) |
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307 | (1) |
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308 | (1) |
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Professional Development Opportunities |
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308 | (1) |
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308 | (1) |
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309 | (1) |
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Making It Relevant to Practice |
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309 | (1) |
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Benefits of Evidence-Based Practice and a Spirit of Enquiry for Health Professionals |
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309 | (1) |
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Barriers to the Development of a Spirit of Enquiry and the Use of Evidence-Based Practice |
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310 | (1) |
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Applying Evidence-Based Practice |
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311 | (1) |
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Strategies for Breaching the Evidence/Practice Nexus |
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312 | (3) |
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Diffusion: A Simple Form of Nexus Development |
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314 | (1) |
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Dissemination: More Involved with Wider Nexus Results |
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314 | (1) |
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Implementation: Key Nexus Activity Integration |
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314 | (1) |
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What Can Clinical Leaders Do to Promote Evidence-Based Practice and a Spirit of Enquiry? |
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315 | (3) |
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318 | (1) |
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318 | (1) |
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319 | (4) |
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15 Reflection and Emotional Intelligence |
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323 | (14) |
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Introduction: The Noblest Way to Wisdom |
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323 | (1) |
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323 | (6) |
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324 | (1) |
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Benefits of Reflection for Clinical Leaders |
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324 | (1) |
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Better Self-Knowledge/Increased Self-Awareness |
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325 | (1) |
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Identification of Your Values |
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325 | (1) |
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325 | (1) |
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More Effective Working Relationships/Stronger Teams |
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325 | (1) |
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325 | (1) |
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326 | (1) |
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Models to Support Reflection |
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326 | (1) |
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327 | (1) |
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327 | (2) |
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What Is Emotional Intelligence? |
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|
329 | (2) |
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The Five Building Blocks of Emotional Intelligence |
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|
329 | (2) |
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Reflection on Reflection and Emotional Intelligence |
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|
331 | (2) |
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333 | (1) |
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333 | (1) |
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334 | (3) |
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|
337 | (18) |
|
|
|
Introduction: What Does Good Quality Healthcare Look Like? |
|
|
337 | (1) |
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|
338 | (2) |
|
The Quality Cycle -- A Quality Management System |
|
|
340 | (3) |
|
Quality Initiative Stories |
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|
343 | (1) |
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|
344 | (1) |
|
Project Management Explored |
|
|
345 | (1) |
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|
345 | (1) |
|
What Is Project Management? |
|
|
345 | (1) |
|
What Is the Role of a Project Manager? |
|
|
346 | (1) |
|
How Is Project Management Structured? |
|
|
346 | (3) |
|
Phase 1 The Initial Phase |
|
|
347 | (1) |
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|
347 | (1) |
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|
347 | (1) |
|
|
347 | (1) |
|
|
347 | (1) |
|
Phase 2 The Intermediate Phase |
|
|
348 | (1) |
|
|
348 | (1) |
|
|
348 | (1) |
|
Progress or Executing the Project |
|
|
349 | (1) |
|
Acceptance or Controlling the Project |
|
|
349 | (1) |
|
|
349 | (1) |
|
|
349 | (1) |
|
|
349 | (1) |
|
The Components of Project Management |
|
|
350 | (1) |
|
Final Project Management Issues |
|
|
350 | (1) |
|
Implications for Clinical Leaders |
|
|
350 | (2) |
|
|
352 | (1) |
|
|
352 | (1) |
|
|
353 | (2) |
|
Part III Clinical Leadership Issues: The Context of Values-Based Leadership |
|
|
355 | (96) |
|
17 Gender, Generational Groups and Leadership |
|
|
357 | (28) |
|
|
|
Introduction: The Impact of Gender and Generations |
|
|
357 | (2) |
|
|
357 | (1) |
|
The Case for a Difference |
|
|
358 | (1) |
|
The Case for No Difference |
|
|
359 | (1) |
|
Challenges for Women in Leadership |
|
|
360 | (3) |
|
The Causes of Gender Differences in Leadership |
|
|
362 | (1) |
|
|
362 | (1) |
|
|
363 | (1) |
|
Potential Barriers that Female Leaders Face |
|
|
364 | (3) |
|
Recommendations and Strategies to Address Gender Differences Manage Gender Bias |
|
|
367 | (2) |
|
Gender and Congruent Leadership |
|
|
369 | (1) |
|
Generational Differences and Leadership |
|
|
369 | (7) |
|
|
370 | (1) |
|
|
370 | (1) |
|
|
370 | (1) |
|
|
370 | (1) |
|
|
371 | (1) |
|
|
371 | (5) |
|
|
376 | (1) |
|
|
376 | (1) |
|
|
377 | (8) |
|
18 Power, Politics and Leadership |
|
|
385 | (18) |
|
|
|
Introduction: Power and Politics |
|
|
385 | (1) |
|
|
386 | (1) |
|
|
386 | (1) |
|
|
387 | (1) |
|
|
388 | (1) |
|
|
389 | (3) |
|
|
392 | (2) |
|
|
394 | (2) |
|
|
396 | (2) |
|
|
396 | (1) |
|
Becoming Politically Active |
|
|
397 | (1) |
|
|
398 | (1) |
|
|
399 | (1) |
|
|
400 | (1) |
|
|
400 | (3) |
|
19 From Empowerment to Emancipation - Developing Self-Leadership |
|
|
403 | (18) |
|
|
|
Introduction: Elevating Your Voice |
|
|
403 | (1) |
|
|
404 | (6) |
|
The First Perspective: Empowerment as a Tool |
|
|
405 | (1) |
|
The Second Perspective: Empower Walking |
|
|
406 | (4) |
|
Oppression: Bridging the Power Divide |
|
|
410 | (2) |
|
Liberated Leaders or Co-Oppressors? |
|
|
412 | (2) |
|
How Can Oppressed Groups Liberate Themselves? |
|
|
414 | (2) |
|
|
416 | (1) |
|
|
417 | (1) |
|
|
418 | (3) |
|
20 Leading Through a Crisis |
|
|
421 | (18) |
|
|
|
|
421 | (1) |
|
|
422 | (2) |
|
Flexibility, Innovation and Resilience |
|
|
424 | (1) |
|
Lessons Learnt for the Long Term |
|
|
425 | (1) |
|
Maintaining Compassion and Empathy in Leadership |
|
|
426 | (2) |
|
Considering the Emotions of the Experience |
|
|
428 | (1) |
|
Leading for Self-Care and Well-being |
|
|
428 | (1) |
|
|
429 | (4) |
|
|
433 | (1) |
|
|
433 | (1) |
|
|
434 | (5) |
|
21 Clinical (Values-Based/Congruent) Leaders |
|
|
439 | (12) |
|
|
Introduction: Clinical Heroes |
|
|
439 | (1) |
|
|
440 | (2) |
|
Values-Based or Congruent Leaders beyond the Ward |
|
|
442 | (1) |
|
The First Step: Finding Your True Voice |
|
|
443 | (1) |
|
Innovation, Change and Quality |
|
|
444 | (1) |
|
Two Final Examples of Values-Based/Congruent Leaders |
|
|
445 | (2) |
|
|
445 | (1) |
|
|
446 | (1) |
|
|
447 | (1) |
|
|
447 | (1) |
|
|
448 | (3) |
Index |
|
451 | |