Exploring Workplace Problems, Issues, or Conflicts: Managing Complex Healthcare Systems

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  • Being a nurse involves much communication;
  • all people have different personal interests;
  • conflicts between patients and nurses are inevitable;
  • patients may pretend not to understand nurses;
  • customers may leave ungrounded complaints.

Exploring Workplace Problems, Issues, or Conflicts

Situational Leadership

  • One of the most commonly used models;
  • its impact and effectiveness boosts its popularity;
  • business environments become intense and densely populated;
  • a need for a more adaptive leadership;
  • in the 1960s, SL model was launched.

Situational Leadership

Dr. Paul Hersey’s Legacy

  • Developed SL to enable leaders’ impact;
  • leaders could influence the employees more effectively;
  • based his model on evaluation of factors;
  • outlined four styles: telling, selling, participating, delegating (Dems, 2010);
  • leader decided which style was most suitable.

Dr. Paul Hersey's Legacy

SL Model 1: Telling and Directing

  • Leader gives the tasks to subordinates;
  • effective for inexperienced or first-time employees;
  • close supervision of new employees is necessary;
  • inexperienced subordinates learn under leader’s control;
  • employees are dedicated to reaching their goals (Dems, 2010).

SL Model 1: Telling and Directing

SL Model 2: Selling and Coaching

  • Leader is still responsible for defining tasks;
  • leader listens to subordinates’ suggestions and ideas;
  • communication process stops to be one-sided;
  • for employees having experience but lacking self-esteem;
  • leaders may provide encouragement and support (Dems, 2010).

SL Model 2: Selling and Coaching

SL Model 3: Participating and Supporting

  • Maximum control is given to the subordinates;
  • leader performs minimal supervision over the employees;
  • leader assigns tasks allowing freedom in performance;
  • most effective for the experienced employees;
  • for those who lack motivation and self-esteem (Dems, 2010).

SL Model 3: Participating and Supporting

SL Model 4: Delegating

  • Leader is still related to decision-making process;
  • employees perform the delegation of the tasks;
  • suitable for experienced and competent subordinates;
  • general goal is set by leader;
  • Subordinates have a lot of freedom (Dems, 2010).

SL Model 4: Delegating

Hersey-Blanchard Theory

  • Hersey’s model plus contribution of Ken Blanchard;
  • guidance for this theory involves several steps;
  • priority tasks should be identified;
  • the followers’ abilities are assessed;
  • employees’ readiness to perform the duties is checked (“The situational leadership model,” n.d.).

Hersey-Blanchard Theory

ST in Action

  • Leaders work with two kinds of employees;
  • experienced professionals and newly recruited interns cooperate;
  • leadership style depends on need for supervision;
  • leader may switch between delegating and directing;
  • style depends on subordinates’ level of experience.

ST in Action

Limitations of SL

  • Cannot be applicable to all leaders;
  • in situations involving task complexity, is unsuitable;
  • when tested, did not justify the predictions (“Hersey-Blanchard situational leadership theory,” 2016);
  • very brief definitions of styles;
  • does not fit many of unique scenarios (McCleskey, 2014).

Limitations of SL

Understanding a Leadership Style and Power

  • There is no optimal leadership style;
  • leader should choose the appropriate behavior type (Hersey & Blanchard, 1969);
  • however, theory is popular among managers;
  • theory is used to resolve problematic situations;
  • SL is effective for new employees’ integration (Lorinkova, Pearsall, & Sims, 2013).

Understanding a Leadership Style and Power

Four Levels of Readiness

  • Readiness describes employees’ competence and attitude;
    • enthusiastic beginner (D1): low competence and high motivation;
    • disillusioned learner (D2): low competence and low motivation;
    • capable but cautious contributor (D3): high competence, low motivation;
    • self-reliant achiever (D4): high competence and high motivation (Dugan, 2017).

Four Levels of Readiness

Four Types of Leadership Behavior According to SL Theory

Different levels of readiness require different behaviors:

  • directive (S1): low-supportive, high-directive (for D1 employees);
  • coaching (S2): high-supportive, high-directive (for D2 employees);
  • supportive (S3): high-supportive, low-directive (for D3 employees);
  • delegating (S4):low-supportive, low-directive (for D4 employees) (Thompson &Glasø, 2015).

Four Types of Leadership Behavior According to SL Theory

Four Bases of Power

Each leadership style requires a power base:

  • S1: coercive power: sanctions and punishment system;
  • S2: connection power: no perceived connection/ sanctions;
  • S3: reward power: system of rewards/ bonuses;
  • S4: expert power with exertive knowledge providing (Hersey, Blanchard, &Natemeyer, 1979).

Four Bases of Power

Integration of a New Employee: Readiness Level

  • Determining employees’ readiness helps choosing leadership styles;
  • former students have enthusiastic beginner level;
  • people who changed a job are D1;
  • new workers have high levels of motivation;
  • new employees have high expectations from work.

Integration of a New Employee: Readiness Level

Integration of a New Employee: Leadership Style

  • Directive style: most appropriate for D1 readiness;
  • leader gives clear instructions and defines roles;
  • communication should be one-way and directive;
  • leader directs working process to avoid mistakes;
  • until employees gain experience, leader supervises them.

Integration of a New Employee: Leadership Style

Integration of a New Employee: Power Base

  • Coercive power base: suitable for directive leadership;
  • this power allows punishment for ill performance;
  • workers should realize the leader’s role;
  • coercive power enables leader’s power attainment/ development;
  • employees need to understand that misbehavior is reprimanded (Hersey et al., 1979).

Integration of a New Employee: Power Base

Integration of a New Employee: Performance Readiness Enhancement

  • Coercive power leads to the readiness enhancement;
  • at next stage, employee reaches D2 readiness;
  • because of punishments, job satisfaction decreases;
  • workers become more competent but less motivated;
  • leadership should be changed to S2 (coaching) (Meier, 2016).

Integration of a New Employee: Performance Readiness Enhancement

Embracing Technology

  • Patient safety is a crucial issue;
  • numerous enhancements for patient safety have been suggested;
  • effective tools: surveillance systems, electronic health records;
  • patient safety is not at desired level;
  • innovative technologies may be difficult to master.

Embracing Technology

Bring Your Own Device (BYOD): Benefits

  • An effective suggestion for nurses;
  • employees can use their own mobile devices;
  • nurses feel more confident using their devices;
  • there is more control over computing environment;
  • nurses can provide better patient surveillance (Guyton, 2017).

Bring Your Own Device (BYOD): Benefits

BYOD: Limitations

  • Nurses should care about confidentiality issues;
  • challenges for it departments: organizing software platforms;
  • organizations lose some control over IT use;
  • difficulties may occur concerning the data ownership;
  • problems concerning data when an employee leaves (Guyton, 2017).

BYOD: Limitations

Proprietary Devices: Common Difficulties

  • A need for training the employees may arise;
  • devices misused: a threat to patient safety;
  • device employment may require too much time;
  • not all hospitals can afford such technologies (Guyton, 2017).

Proprietary Devices: Common Difficulties

BYOD: Assistance with the Problems

  • Using personal devices: easier than proprietary ones;
  • no need to spend time on training;
  • improvement of nurses’ performance enhances patient safety;
  • possibility of carrying devices gives more benefits;
  • using personal devices increases employees’ job satisfaction.

BYOD: Assistance with the Problems

Conclusion Remarks: Leadership and Conflict Situations

  • It is necessary to choose appropriate style;
  • suitable management encourages and motivates employees;
  • in conflict situations, one should stay calm;
  • customers’ demands should not impact nurses’ decisions;
  • cooperation between leaders and subordinates benefits everyone.

Conclusion Remarks: Leadership and Conflict Situations

Conclusion Remarks: Technology Improvements

  • Devices help to keep records in order;
  • technologies allow to arrange data faster;
  • BYOD enables nurses to feel more confident;
  • advantages of BYOD outnumber the limitations;
  • job satisfaction is higher with BYOD.

Conclusion Remarks: Technology Improvements

References

Dems, K. (2010). A look at the situational leadership model. Bright Hub. Web.

Guyton, N. (2017). Is it time for BYOD for nurses? Spokwise Healthcare Blog. Web.

Hersey, P., & Blanchard, K. H. (1969). Life cycle theory of leadership. Training & Development Journal, 23(5), 26-34.

Hersey, P., Blanchard, K. H., & Natemeyer, W. E. (1979). Situational leadership, perception, and the impact of power. Group & Organization Studies, 4(4), 418-428.

. (2016). Web.

Lorinkova, N. M., Pearsall, M. J., & Sims, H. P. (2013). Examining the differential longitudinal performance of directive versus empowering leadership in teams. Academy of Management Journal, 56(2), 573-596.

McCleskey, J. A. (2014). Situational, transformational, and transactional leadership and leadership development. Journal of Business Studies Quarterly, 5(4), 117-130.

Meier, D. (2016). Situational leadership theory as a foundation for a blended learning framework. Journal of Education and Practice, 7(10), 25-30.

. (n.d.). Web.

Thompson, G., &Glasø, L. (2015). Situational leadership theory: A test from three perspectives. Leadership & Organization Development Journal, 36(5), 527-544.

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