Clinical Leadership Ian Govier opportunitynowhere Isolation Since the inception of the NHS, Disempowerment of more than 50 NHS public inquiries staff and patients Inadequate have been conducted to address leadership / catastrophic failures.

Download Report

Transcript Clinical Leadership Ian Govier opportunitynowhere Isolation Since the inception of the NHS, Disempowerment of more than 50 NHS public inquiries staff and patients Inadequate have been conducted to address leadership / catastrophic failures.

Clinical
Leadership
Ian Govier
opportunitynowhere
Isolation
Since the inception of the NHS,
Disempowerment of
more than 50 NHS public inquiries
staff and patients
Inadequate
have been conducted to address
leadership
/
catastrophic failures in patient care.
management
Failure of
The same 5 common
themes
systems and
Poor
emerge
from eachprocesses
inquiry.
communication
Walshe & Higgins (2002)
“Leaders in the NHS
need imagination, vision
& charisma, allied with
outstanding communication
skills & the ability to fire
their staff with enthusiasm”
John Harvey-Jones (2002)
Who are
the leaders?
“Lots of ordinary nurses are leaders
– it is in the very nature of the job.
Good care involves winning your
patient’s confidence, convincing them to
keep to their treatment regimes and inspiring
them to battle their way back to health”
(Crouch, 2002)
Exemplary (Clinical) Leaders
Challenge
Encourage
Model
Inspire
Enable
(Kouzes and Posner, 2002)
Exemplary
Clinical Leaders
Challenge
Challenges to
Clinical Leadership
“The greatest
difficulty in the
world is not for
people to accept
new ideas, but to
make them forget
their old ideas!”
John Maynard Keynes
‘Are you kidding? I like it here!’
When you stop
being a student,
you stop being
a nurse!
(Wain, 2005)
“The one indisputable
fact that characterises
organisational life, is that
CHANGE
is inevitable.”
(Beverley Alimo-Metcalfe, 2005)
Two choices regarding
CHANGE:
GET ORGANIZED
or
‘go with the flow’
(Yoder-Wise, 1999)
The truth is that our finest
moments are most likely to occur
when we are feeling deeply
uncomfortable, unhappy, or
unfulfilled. For it is only in such
moments, propelled by our
discomfort, that we are likely to
step out of our ruts and start searching
for different ways or truer answers.
M.Scott Peck
“If you want
to see change,
be the change
you want
to see”
Beware of
Change Saboteurs!!
Exemplary
Clinical Leaders
Inspire
a shared
VISION
The most important
task of leadership is to
define and nurture
a shared VISION
that energises and brings
out the best in people
James A. Vaughan
Let’s look
at some
VISIONS!
To be the world’s favourite airline
& the undisputed leader in world
travel for the millennium
To experience the emotion of competition,
winning & crushing competitors
To enable people & businesses throughout
the world to realize their full potential
To make people happy
By 2015, through the efforts of the Assembly
Government, the NHS, local authorities, their
partners, the community and individuals, Wales
will have minimised avoidable death, pain,
delays, helplessness and waste.
We need
World Class
Leaders
to deliver
World Class
Healthcare
Delivering this challenging strategy
will require the full engagement of
clinicians and other professionals…
…leading and shaping services,
ensuring that high standards of care
will be the key driver for change.
Visions without
actions are merely
hallucinations!
The vision must be
followed by the venture
It is not
enough to
stare up the steps
What is my
VISION
for my
NURSING
CAREER?
Welsh Regional
Burns Unit
So many of our dreams at first
seem impossible, then they seem
improbable, but when we summon
the will, they soon become inevitable.
Exemplary
Clinical Leaders
Enable
To become a leader one
must believe in one’s own
ability to achieve results for
one’s self, but the real job
of the leader is not doing it
but ENABLING others to do it.
Saskin & Rosenbach 1993
Where once leaders were aloof
decision-makers, today they are
dedicated collaborators & networkers
whose role is to ENABLE & give
power to their team rather than
wield power to their own ends.
Leaders on Leadership – an intimate view of life at the top of Europe plc
Development Dimensions International (DDI), Research Report, January 2006
Sister Thomas
- a great enabler
& clinical leader
Exemplary
Clinical Leaders
Model
The main thing
is to keep
the main thing the MAIN THING
CARING
It may seem a strange principle
to enunciate as the very first
requirement in a hospital that it
should do the sick no harm.
Make the CARE OF PEOPLE
your first concern,
treating them as individuals
and respecting their dignity
The biggest disease
today is not leprosy
or tuberculosis but
rather the feeling of
being unwanted,
uncared for and
deserted by
everybody
Compassion and Care
A patient is the most
important person in our Hospital.
He is not an interruption to our work.
He is the purpose of it.
He is not an outsider in our
Hospital. He is part of it.
We are not doing him a
favour by serving him.
He is doing us a favour by giving
us the opportunity to do so.
As nurses, we have to be caring.
We also need to be clever,
articulate and determined.
Strong and visible nursing leadership
is part of effective nursing care.
Nurses need to be in leadership
positions at every level, from the
bedside to the boardroom.
Exemplary
Clinical Leaders
Encourage
Encouraging
...is about the principles &
practices that support the basic
human need to be appreciated
for what we do & who we are.
(Kouzes & Posner, 1997)
The modern nurse
is viewed by the public
as a skilled and
independent professional
Melissa Fitzpatrick (2005),
former editor-in-chief of
Nursing Management, wrote:
‘To the public
these ads
showcase diversity,
intelligence,
competence, and
caring - the essence
of nursing.’
Exemplary
Clinical Leaders
Challenge
Encourage
Model
Inspire
Enable
Final
Thoughts
Clinical Leadership…
…what am I
going to
do differently
after today?
If I do nothing
about it in 24 hours…
…I’ll probably
do nothing about it!
and
finally…
We do not lead by being
corporate, professional
or institutional.
Clinical
Leadership
Diolch
Website: www.ctrtraining.co.uk
http://www.ctrtraining.co.uk/resources.php
(click on School of Health Science, Swansea University)
Thank You
Clinical
Leadership