Development of my personal leadership model in the context of the current healthcare environment. Part of the requirements of the Doctor of Leadership (DEL) Program at the University of Charleston School of Business.
2. Transformational Empowerment:
Overview
• DEL Program Outcome #2
• Leadership Concept Description
• Empirical Support of Concept
• Culture of Inquiry Rubrics
• Personal Assessment: Underlying Concepts
• Plan for Testing and Validating
• Application of TE Leadership Model
3. Transformational Empowerment:
DEL Program Outcome #2
Goal: Develop own leadership
theory and apply to DEL Program
Outcome #2:
oSeize Opportunities and Bring
About Decisions
a) creative action
b) eliminate unvalued processes
4. Transformational
Empowerment:
Leadership Concept Description
A Model for Transformational Empowerment:
achieve engagement & sustainability of
organizational change
• strengthening individual identification and
involvement in the organization
The TE leader transfers influence to knowledge
workers with high autonomy, allowing them to make
decisions about daily activities
5. Transformational
Empowerment:
Empirical Support of Concept• Employee empowerment is individual motivation at work through
delegation of responsibility & authority to lowest organizational level
where a competent decision can be made (Amundsen & Martinsen,
2014).
• The behavior of a charismatic leader influences followers’ need for
achievement, through three core components: envisioning, empathy, and
empowerment (Choi, 2006).
• The process of empowerment is "directed autonomy" whereby frontline
employees are assigned decision-making responsibility and for knowing
how their performance fits the organization’s purpose and mission (Ford,
Robert C., Fottler, 1995).
• The transformational model’s contexts are significant in achieving
organizational change (Higgs & Rowland, 2011).
• Research links perceptions of leader humility to perceptions of
transformational leadership, which in turn has been found to generate
satisfaction with supervision, positive leader-member exchange
relationship quality, and trust in leadership (Basford, Offermann, &
Behrend, 2013).
6. Transformational Empowerment:
Culture of Inquiry Rubrics
Assemble, Align, Reconfigure
Assets
CRITERIA:
• View big picture
• manage tension
• exploitation/exploration
• learning in organization
Relation to TE Concept:
• Balcony view
• Assemble, Align, Reconfigure to
motivate and engage
Leadership Development
Rubric
CRITERIA:
• Grounded: leadership theory
• Learning-leadership dev. practices
• Organizational outcomes and
context
• Assessment
Relation to TE Concept:
• Empowerment
• Development
• Unify actions towards
organizational outcomes
7. Transformational Empowerment:
Personal Assessment: Underlying
Concepts
Concepts underlying personal theory of leadership
theory: beliefs, values, perceptions, models
• Adaptation and optimism: Childhood—family,
farm
• Transformational leadership model in nursing
• Change management surgical services, 2002-
present: Strong personalities, Involve team
• Change is crucial in Healthcare reform
• Majority of people are good and want to do the
right thing
8. Transformational
Empowerment:
Plan for Testing and Validating
• Testing and Validation:
• Questionnaire
• Establish metrics
• Evaluate sustainability
• Brooks McCabe:
• Common interests
• Crisis offers opportunity
• Be able to argue opposing view
• Make the idea theirs
• Encourage innovation
• Opponent today: Ally tomorrow
• Uncover hidden motives
9. Transformational
Empowerment:
Application of TE Leadership Model
Make good judgments and seize opportunities
that help you sense and shape environment:
competencies, style, and skills
• Application of TE Leadership Model in
Healthcare
oCompetency: Communication, Relationship
Building
oStyle: Visionary, Charismatic, Confident, Fair,
Flexible
oSkills: Conflict Management, Negotiation,
Sense-making, Scanning, Framing
10. TRANSORMATIONAL EMPOWERMENT MODEL OF LEADERSHIP IN HEALTHCARE
~ INNOVATION ~ CHANGE ~ EMPOWERMENT ~ ENGAGEMENT ~ HEALTHY TEAMS ~
OBSOLETE ~ STAGNANT ~ DYSFUNCTIONAL LEADERSHIP ~ INFORMAL LEADERS ~ CLIQUES
PATIENT
· Patient First
· Patient Satisfaction
· Service Excellence
· Best Practices
· Optimal Outcomes
· Patient Safety
· Focused on Self
· Culture of Fear
· Errors
· Safety Concerns
· Hostility
· Horizontal Violence
PATIENT
EMPLOYEE
EMPOWERMENT:
~ Practice Councils ~
~ Shared Governance ~
~ Shared Leadership ~
REPULSION
ATTRACTION
INTERESTS
BELOW
THE
LINE
INTERESTS
ABOVE
THE
LINE
SUPPORTS
MISSION & VALUES:
· Continuous
Improvement in
Patient Quality
Metrics
· Cost Savings
· Increased Earnings
· Efficiency
UNDERMINES
MISSION &
VALUES:
· Poor Patient
Quality Indicators
· Waste
· Revenue Loss
· Inefficiency
ENGAGEMENT
DIS-
ENGAGEMENT
DIS-
ENGAGEMENT
ENGAGEMENT
CONFLICT
RESOLUTION
RESISTANCE
&
OBJECTIONS
~ Cliques ~
~ Poor Clinical Practice ~
:Employee
Disengagement
OPPORTUNIY
FOR
CHANGE
OPPORTUNITY
FOR
CHANGE
11. References:
Amundsen, S., & Martinsen, Ø. L. (2014). Empowering leadership: Construct clarification, conceptualization, and validation of a new scale.
Leadership Quarterly, 25(3), 487–511. doi:10.1016/j.leaqua.2013.11.009
Antonakis, J., Fenley, M., & Liechti, S. U. E. (2011). Can Charisma Be Taught ? Academy of Management Leraning & Education, 10(3),
374–396. doi:10.5465/amle.2010.0012
Avolio, B. J. (2004). Transformational Leadership and Organizational Commitment: Mediating Role of Psychological Empowerment and
Moderating Role of Structural Distance. Journal of Organizational Behavior, 968(8), 951. doi:10.1002/job.283
Choi, J. (2006). A Motivational Theory of Charismatic Leadership: Envisioning, Empathy, and Empowerment. Journal of Leadership
& Organizational Studies, 13(1), 24–43. doi:10.1177/10717919070130010501
Ford, Robert C., Fottler, M. D. (1995). Empowerment: A matter of degree. Academy of Management Executive, 9(3), 21–29. Retrieved from
http://0-
content.ebscohost.com.library.acaweb.org/ContentServer.asp?T=P&P=AN&K=9509210269&S=R&D=bth&EbscoContent=dGJyMNXb4kS
epq84v%2BbwOLCmr02eqLBSr6a4S7SWxWXS&ContentCustomer=dGJyMPGutk6zqbJRuePfgeyx43zx
Higgs, M., & Rowland, D. (2011). What does it take to implement change successfully? A study of the behavior of successful change
leaders. The Journal of Applied Behavioral Science, 47(3), 309–335. doi:10.1177/0021886311404556
Laschinger, H. K. S., Wong, C. a, Cummings, G. G., & Grau, A. L. (2014). Resonant Leadership and Workplace Empowerment : The Value
of Positive Organizational Cultures in Reducing Workplace Incivility. Nursing Economic$, 32(1), 5–15, 44. Retrieved from
http://www.ncbi.nlm.nih.gov/pubmed/24689153
Learning Guide: DEL Proagrm. (n.d.). University of Charleston.
12. References:
Martin, S. L., Liao, H., & Campbell, E. M. (2013). Directive versus empowering leadership: A field experiment comparing impacts on task
proficiency and proactivity. Academy of Management Journal, 56(5), 1372–1395. doi:10.5465/amj.2011.0113
Maulding, W. S., Peters, G. B., Roberts, J., Leonard, E., & Sparkman, L. (2012). Emotional Intelligence and Resilience As Predictors of
Leadership in School Administrators. Journal of Leadership Studies, 5(4), 20–30. doi:10.1002/jls
McGee, T. (2015). Leader Interview with Brooks McCabe. Charleston, WV.
Mehta, P., & Sharma, K. (2014). Leadership : Determinant of Women. SCMS Journal of Indian Management, April-June, 5–11.
Opposing Magnet Theory.pdf. (n.d.).
Rajotte, C. a. (1996). Empowerment as a leadership theory. The Kansas Nurse, 71(1), 1.
Spreitzer, G. M., Janasz, S. C. De, & Quinn, R. E. (1999). Empowered to lead: The role of psychological empowerment in leadership.
Journal of Organizational Behaviour, 20(4), 511–526. doi:10.2307/3100387
Summers, S. (2013). Magnet status: What it is, what it is not, and what it could be. Retrieved from
www.truthaboutnursing.org/faq/magnet.html
Wilder, R. S., & Guthmiller, J. M. (2014). Empowerment through mentorship and leadership. Journal of Evidence-Based Dental Practice,
14(SUPPL.), 222–226. doi:10.1016/j.jebdp.2014.04.006
Notes de l'éditeur
SLIDE 1 : “Transformational Empowerment” Leadership and Change Management Concept
SLIDE 2: Transformational Empowerment: DEL Program Outcome #2
Goal: Develop writer’s own leadership theory, which can be applied in accomplishing DEL Program Outcome #2:
SEIZE OPPORTUNITIES AND BRING ABOUT DECISIONS“Make timely judgments to seize opportunities & to bring about those decisions by
a) developing & rewarding creative action
b) diminishing assets & processes that no longer add value..”
Ties in with the changing environment in healthcare, where healthcare systems must examine processes to eliminate waste and other items that no longer add value. The new trend is to do more work better, while using less resources. To accomplish this we need to develop creative and innovative ways in which to achieve goals and to challenge the status quo.
SLIDE 3: Transformational Empowerment: Leadership Concept Description
Leader achieves follower engagement and sustainability of organizational change through strengthening individual identification and involvement in the organization. The TE leader transfers influence to knowledge workers with high autonomy—who take initiative and make decisions about daily activities.
Transformational leadership involves inspiring and motivating followers
James MacGregor Burns believed that another component of transformational leadership is to develop as many leaders as possible from followers.
By allowing focus and expansion in the area of empowerment, team members are able to develop leadership skills, participate and have buy-in during the change process, including sustainment.
SLIDE 4: Transformational Empowerment: Empirical Support of Concept
COMMON THREADS FROM QUOTES:
Employee empowerment is motivating.
Empowerment helps employees gain confidence and it builds a trusting relationship with the leader: more trust, better quality in relation
The team members gain understanding regarding the organizational mission, and they tied this into the daily decision making.
Improves employee engagement and satisfaction.
SLIDE 5: Transformational Empowerment: Culture of Inquiry Rubrics
Assemble, Align, Reconfigure Assets:
BALCONY VIEW: examine all sides
Assemble team of followers
Align goals with organization, and align with follower interests by identifying common interests
Brooks McCabe emphasized that he was able to gain support by identifying common interests, therein finding common motivating factors
Brooks McCabe also practices going to the balcony. He studies his opponents’ viewpoint and is able to argue their viewpoint. He states that unless one is able to argue their opponents viewpoint then they do not fully understand all sides of the argument.
Reconfigure assets: eliminate redundant and wasteful procedures and assets
Leadership Development Rubric:
Grounded in: LEADERSHIP THEORY:
Develop followers. James MacGregor Burns said of transformational leadership, “Leaders are followers, and followers are leaders”.
Empower employees. Develop them and give them opportunities to grow and practice their skills.
Goals are based upon desired organizational outcomes and context
SLIDE 6:
Concepts underlying personal theory of leadership theory: beliefs, values, perceptions, models
Adaptation and optimism: Childhood—family, farm. Grandparents were 2nd generation Americans with strong work ethic and resilience. Grandmother’s mother died when she was 9. She became mother figure to younger siblings. Was always a resourceful, determined, and resilient woman. Sense of community. Innate belief that people are good, and we should treat each other with respect and kindness. Grandfather-farm. Always some natural event or illness, effecting crops or animals. Would always bounce back and try again.
Transformational leadership model in nursing: became aware of this leadership theory in 2009 at Vanderbilt University, then at Carolinas Healthcare as we prepared for Magnet. Offers many components necessary in leading and motivating people towards acceptance of change.
Change management surgical services, 2002-present: Strong personalities, Involve team
Change is crucial in Healthcare reform
Majority of people are good and want to do the right thing
Changes are happening rapidly and in parallel. People often are uncomfortable with the change and the rapid pace of change. Involving people in deciding upon how the changes will occur will broaden their understanding and improve upon their engagement, acceptance, and sustainment of change.
How I would test or validate personal theory of leadership:
Administer questionnaire team member satisfaction before and after implementation of transformational empowerment
Evaluate sustainability of change in terms of time
Establish metrics and stretch goals
-tie with short term and long term
Brooks McCabe:
Build consensus through common interests
Crisis offers opportunity to reset, to gain momentum
Opponent today, may be ally tomorrow
Be able to argue opposition view, to identify objections
Uncover hidden motives
Make the idea their idea, let others take credit
Encourage innovation. Take away the fear factor. I.e.: employee may be afraid to try and fail, thinking that their position is in jeopardy. Encourage and support them.
SLIDE 8: Transformational Empowerment: Application of TE Leadership Model
Make good judgments and seize opportunities that help you sense and shape environment: competencies, style, and skills
Application of TE Leadership Model in Healthcare
Competency: Communication, Relationship Building
Style: Visionary, Charismatic, Confident, Fair, Flexible
Skills: Conflict Management, Negotiation, Sense-making, Scanning, Framing
SLIDE 9: Model of Transformational Empowerment (TE) Leadership
The magnets in my model are inspired by the Magnet status designation of the American Nurse Credentialing Center, and their embracing transformational leadership.
There is a debate among nurses and nursing leaders as to whether or not transformational leadership alone is adequate while leading healthcare workers during the current state of rapid and multiple layers of change. My model is an enhanced form of transformational leadership where there is emphasis upon the empowerment and development of followers as leaders.
At the top of the Model there is Employee Empowerment, at the bottom, there is Employee Disengagement.
At the top the mission and values of the organization are supported. The patient is placed at the top, and is the central focus.
The magnet at the top signifies the desired state, whereas, the magnet at the bottom represents the opposition or opposing magnet.
In the middle lies
Conflict resolution
Resistance and objections
Attraction and repulsion of ideas, concepts and actions
The bottom magnet signifies disengaged behavior, undermining the mission and values of the organization, thereby focusing upon them versus the patient.
With the patient out of focus, safety, errors, hostility and horizontal violence exists.