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  1. 1 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. Personal Leadership Portrait Learner’s Name Capella University NHS8002: Collaboration, Communication, and Case Analysis for Doctoral Learners Instructor Name July 1, 2021
  2. 2 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. Personal Leadership Portrait Health care leadership plays an important role in developing quality health care and in developing effective leaders. There are many different approaches to leadership such as transformational, charismatic, strategic, servant, participative, and the trait approach. The effectiveness of one’s leadership depends largely on one’s approach to leadership and the style of implementation of this approach. A leader must demonstrate a strong set of values and ethics and develop a diverse and inclusive work environment that is supported by scholarly research. The approach that works best for me is participative leadership, which offers my team the opportunity to lead.
  3. Personal Approach to Leadership In the health care field, it is critical for a leader to create an organizational culture that promotes care and compassion at all levels of the hierarchy. An effective health care leader builds such a culture by fostering and energizing team members whose actions are consistent with the values of care and compassion (Stanley, 2017). Participative leadership, which may also be known as a democratic style, focuses on shared decision making. This approach is characterized by the diffusing of leadership responsibilities to subordinates. In my academic and professional experience, I have found that the participative leadership approach promotes ownership and improves staff buy-in for the shared vision and goals of an organization. A leader needs to have conversations with team members to look at issues objectively and ensure that work-related outcomes and behavioral expectations are clear. A key competency that enables a leader to identify early signs of conflict is a high degree of intelligence. The five
  4. most important aspects of emotional intelligence are self- awareness of one’s own feelings, self- regulation of one’s emotions, empathy to recognize the feelings of others, social skills to manage others’ emotions, and the ability to motivate (Stanley, 2017). In practice, I strongly exhibit the 3 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. first two aspects. As a leader, it is important for me to recognize my own feelings, especially in a conflict situation. I keep my ego in check and am aware of changes in my emotions. Regulating my own emotions before I respond gives me the space to consider the consequences of my actions in a calm and thoughtful manner. I am careful not to react impulsively, do not compromise on workplace ethics, and hold myself accountable for my actions. However, my leadership style is currently limited in the remaining three aspects, especially in scenarios concerning conflict management. I need to work on improving my ability to connect with others
  5. with empathy. Developing social skills such as listening without judgment and having constructive and empathetic dialogs with others can help me manage conflicts effectively. The ability to motivate others is also crucial for a leader in such situations. I rely on effective communication and logical reasoning to reinforce compliance with organizational goals by reiterating the benefits of working together to achieve goals, without leaving much room to understand the role of possible emotional root causes. In practice, participative leadership enables me to enlist the help of other team members to tune my perception of conflict and identify what I may have missed. This, in turn, ensures that the resolutions I offer resonate deeper with conflicting parties. Interprofessional Communication, Collaboration, and Change Management The creation of interprofessional teams necessitates the reexamining of leadership. It presents new challenges such as enabling teams that are sometimes large and consist of different
  6. professionals with different skills to coordinate their efforts. Participative leadership has helped me ensure that each team member has the opportunity to take on the responsibility of a leader. Team members step in and out of leadership roles when their professional expertise and specific knowledge of a client, patient, or a community become relevant to providing effective outcomes (Smith et al., 2018). This leadership approach has resulted in individual staff members displaying 4 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. leadership behaviors and utilizing opportunities to make decisions that lead to improved outcomes. Participative leadership relies on multiple resources for leadership and the flexibility of leadership boundaries. Participative leadership promotes community engagement by encouraging the inclusion of context and reciprocity. I believe that the participative leadership approach
  7. emphasizes improved outcomes over bottom-line financial decisions. This leads to a more positive perception of an organization by the community, which promotes community engagement. The success of participative leadership depends on open communication horizontally and vertically within an organization. I find that open communication promotes healthy forms of dissension and helps team members productively shape ideas and provide differing points of view and unexpected solutions. Open communication is also effective at driving the implementation of new changes as the exigency of change is more easily communicated. A potential barrier to the effective implementation of the participative leadership approach is the differences that can exist between professional groups and an interprofessional team. Groups form through identification and socialization developing their own norms and stereotypes which may lead to one professional group viewing themselves as better than other professional groups. Communication Best Practices
  8. In an interprofessional setting, effective communication occurs when two or more professions learn with, from, and about each other to improve collaboration and the quality of outcomes. Health care providers must collaborate across clinical, administrative, and community settings to make joint decisions, coordinate interaction and care, combine resources, and develop common goals. Effective teams must cultivate critical interprofessional communication behaviors such as these to attain efficient outcomes that are also safe. 5 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. A shared vision that all members of the team contribute to can act as a source of motivation for the team. The absence of a shared vision could leave the team poorly aligned or directionless. I find that in times when progress is slowing down, reminding the team of the shared vision serves to reignite their enthusiasm. I actively seek
  9. out members of the team who demonstrate strong leadership to spearhead new efforts. I ensure to seek out even those who do not have official leadership titles (Melnyk & Raderstorf, 2019). During the initial stages of forming a team, I have discussions with the team to determine what values (such as honesty and transparency) are important to them. This helps develop consensus on the core values for the team. It is also critical to establish team norms including norms pertaining to being on time, respecting confidentiality, and being unbiased. All team members must adhere to these norms once they are established. The goals set by the team must be specific, easily understood, measurable, attainable, aligned with the shared vision, and time bound (Melnyk & Raderstorf, 2019). In an interprofessional setting, a lack of clarity on priorities and expectations leads to anxiety and ineffective team performance. Therefore, an effective leader must set clear priorities and expectations. The leader must also strive to match each team member’s roles and
  10. responsibilities to their strengths. When people are placed in roles or positions that build on their strengths or what they do best, they perform their best work (Melnyk & Raderstorf, 2019). It is crucial to build and maintain a culture of trust within an interprofessional team. A culture of trust and openness increases the likelihood of discovering and learning from mistakes and misunderstandings, because all topics are open for discussion. An effective leader must have integrity, be transparent, be accountable, and follow through on what they say. I ensure I communicate with team members and believe in them and their ability to accomplish goals. I listen carefully to team members and act on the suggestions they offer when feasible. I strive to 6 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. be fair and give credit to deserving team members. I find that developing a shared vision enhances community engagement. A culture of trust can also help with change management.
  11. Concerns over changes in processes or technologies can be dealt with better in teams when leaders foster a culture of trust and openness (Melnyk & Raderstorf, 2019). Ethical Leadership in Professional Practice There has been an increase in public scrutiny of the ethics of organizations since the advent of the COVID-19 pandemic. A failure to operate ethically results in health care systems that treat health as a commodity and not a human right. This in turn puts disadvantaged people at a higher risk of infection and death from illnesses such as COVID-19 as they have limited access to care (Chiriboga et al., 2020). In response, organizations have attempted to adopt ethical principles to nurture ethical work cultures that improve the community’s trust in the organizations’ ability to operate fairly. In this light, ethics can be described as “shared social principles of right conduct in relation to a particular context or culture” (Swanwick & McKimm, 2017, p. 203). An individual may find theoretical models and development programs useful
  12. when developing leadership skills. However, it is my belief that one must be self-reflective and commit to a strong set of core values to be a truly ethical leader. It is incumbent on a leader to lead by example to foster ethical behavior among members of the organization. Health care leaders must ensure patient/client-centric care is the core principle behind decision-making and planned interventions. Information must be represented honestly, comprehensively, and clearly. Representing patient/client or community information in such a manner not only ensures all team members have the most current information but also helps to highlight any potential risks that may be faced during care. In my professional experience, it has become clear that the right expectations must be set early for team members to respect my efforts and for me to respect their opinions. In an 7 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited.
  13. interprofessional setting, an effective leader listens respectfully to the perspectives of interprofessional team members and engages in constructive discussions to determine the best allocation of resources for better outcomes. To be an ethical leader, one must be aware of how one reacts to others. One must treat all team members fairly and without prejudice (Swanwick & McKimm, 2017). Honesty and integrity are important virtues for an ethical leader. One must be transparent about one’s intentions and strive to meet any commitments made. Compromising on these virtues with false or exaggerated promises or premature reassurances could jeopardize not only the outcomes for patients or clients but also a leader’s reputation and credibility. An ethical leader remains accountable and conscientious. If a crisis arises, an ethical leader addresses it immediately and sees it through to its resolution. An ethical leader understands the significance of adhering conscientiously to processes. Well-set processes enable the team to maintain consistency in delivering care. They also help promote an
  14. organizational culture that places a premium on ethical conduct and fairness (Swanwick & McKimm, 2017). Interprofessional collaborations have the potential to be dominated by unproductive alliances and quasi-territorial disputes where team members may assume adversarial positions. An ethical leader remains a beacon of genuine commitment and collaboration for all the teams they oversee. They are committed to seeking creative solutions to problems and promote a culture in which the interests of the individual are seen to be dependent on the outcomes of the collective (Swanwick & McKimm, 2017). Diversity and Inclusion in Health Care Leadership The underrepresentation of minorities in the health care profession is a persistent problem. Minorities are expected to comprise 50% of the population of the United States by 2050 (Nair & Adetayo, 2019). Diverse populations experience poorer health outcomes; 8
  15. Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. according to Nair and Adetayo (2019), diverse populations call for more personalized approaches to meet their health care needs. This is especially evident in the vaccine compliance statistics for the COVID-19 pandemic. Studies have found that while the overall COVID-19 vaccination hesitancy among adult Americans was 26.3%, it was much higher among African Americans at 41.6% and among Hispanics at 30.2%. The hesitancy in minority communities is driven by factors such as greater exposure to misinformation, medical mistrust stemming from racial discrimination, personal beliefs about vaccines, and concerns about safety (Khubchandani & Macias, 2021). In an increasingly competitive health care market, providing accessible, affordable, respectful, and responsive care that is considerate of individual preferences, needs, and values is becoming increasingly important for health care organizations’ survival. When one thinks of workplace diversity, one tends to think in terms of race, ethnicity,
  16. and gender identity. However, diversity also exists in economic status, political inclination, religious beliefs, sexual orientation, and other characteristics that may not be obvious. In my practice, I promote a culture of inclusion by ensuring that I spread responsibilities evenly across the organization without any bias. This applies even to those who may not feel comfortable asking for responsibilities but are likely to handle them if given the chance. I try to be open- minded and listen carefully to all complaints about bias or discrimination and take a strong stance against inappropriate behavior. It could be argued that cultural diversity in the workplace increases the tendency of organizational staff to indulge in interpersonal conflicts because of differing opinions, thoughts, beliefs, and traditions. I, however, believe that these differences can be the source of innovative approaches and interventions, particularly in crisis situations. During a recent heat wave in the Boston–Washington corridor, the emergency room in my organization was inundated with
  17. patients, most of whom were classified as “urgent” during triage. There was a need to find ways 9 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. to tend to “urgent” cases so that they could be considered “nonurgent,” which would free up clinical staff to more effectively administer to the “emergent” cases coming into the emergency room. Members of the care team at AZ Group (my employer) who hailed from Southeast Asian countries offered innovative solutions, suggesting simple techniques for lowering the core body temperature that were developed in their home countries, which have much hotter climates. The care team took the lead in implementing these techniques, resulting in a dramatic drop in the number of “urgent” cases. Based on this example and many others witnessed during my professional experience, I believe that the benefits of a culturally diverse workplace far outweigh its disadvantages.
  18. To develop a diverse and inclusive workplace, AZ Group adheres to the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care, which is aligned with the U.S. Department of Health and Human Services Action Plan to Reduce Racial and Ethnic Health Disparities (U.S. Department of Health and Human Services Office of Minority Health, n.d.). AZ Group provides three educational programs at the graduate level for minorities to train the next generation of health care providers. It conducts quarterly training sessions with leadership and team members on culturally appropriate policies and practices. I ensure that the goals and policies followed by my team members are culturally and linguistically appropriate and permeate throughout the organization’s planning and operations. Scholar-Practitioners in Health Care Scholar-practitioners form an integral part of health care, especially when developing innovations for better patient outcomes and greater stakeholder satisfaction. Researchers and practitioners prefer distinct roles and identities, which creates a
  19. research-to-practice gap in conversations that deal with innovative approaches for improved patient outcomes. This means that approaches or interventions from researchers are disseminated among practitioners without 10 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. much feedback about the real-world effects of the application of those approaches or interventions. Scholar-practitioner bridges this gap by translating and interpreting new research and theory for practitioners and highlighting practical problems to theorists and scholars. The capacity to engage in critical thinking is an indispensable skill for scholar- practitioners. Werner and Bleich (2017) define critical thinking as “the analytic precursor to decision making and action taking,” which “enriches best practice organizational outcomes” (p. 9). It enables scholar-practitioners to have clear, stratified knowledge structures with associated
  20. connections among concepts, allowing them to distill efficient and creative interpretations of their day-to-day practices. A scholar-practitioner should be able to know, recognize, and discuss current strategies that will lead to improved patient outcomes. A scholar-practitioner develops this knowledge by keeping abreast of the latest research, attending conferences, and engaging with team members in scholarly discussions on how health care professionals can collaborate to create a culture that is rich with learning opportunities and innovative intervention strategies aimed at improving health care quality and safety. Conclusion Leadership in health care is multifaceted. I follow the participative leadership approach because it gives individual members of my team the opportunity to lead, should the need arise. Adherence to a strong set of core values is essential for a leader to foster ethical behavior among team members in a health care organization. A leader must develop a diverse and inclusive workplace to effectively cater to all population demographics. An effective leader must also be a
  21. scholar-practitioner who interprets new research and theory for practitioners and highlights practical problems to theorists and scholars, ensuring the best possible patient outcomes and stakeholder satisfaction. 11 Copyright ©2021 Capella University. Copy and distribution of this document are prohibited. References Khubchandani, J., & Macias, Y. (2021). COVID-19 vaccination hesitancy in Hispanics and African-Americans: A review and recommendations for practice. Brain, Behavior, & Immunity - Health, 15, 100277. https://doi.org/10.1016/j.bbih.2021.100277 Melnyk, B. M., & Raderstorf, T. (2019). Evidence-based leadership, innovation, and entrepreneurship in nursing and healthcare: A practical guide to success. Springer. Smith, T., Fowler-Davis, S., Nancarrow, S., Ariss, S. M. B., &
  22. Enderby, P. (2018). Leadership in interprofessional health and social care teams: A literature review. Leadership in Health Studies. https://doi.org/10.1108/LHS-06-2016-0026 Stanley, D. (Ed.) (2017). Clinical leadership in nursing and healthcare: Values into action. John Wiley & Sons. Swanwick, T., & McKimm, J. (2017). ABC of clinical leadership. Wiley. U.S. Department of Health and Human Services Office of Minority Health, (n.d.). National Standards for Culturally and Linguistically Appropriate Services (CLAS) in health and health care. https://thinkculturalhealth.hhs.gov/assets/pdfs/EnhancedNationa lCLASStandards.pdf Werner, S. H., & Bleich, M. R. (2017). Critical thinking as a leadership attribute. The Journal of Continuing Education in Nursing, 48(1), 9–11. https://doi.org/10.3928/00220124- 20170110-03
  23. https://doi.org/10.1016/j.bbih.2021.100277 https://doi.org/10.1108/LHS-06-2016-0026 https://thinkculturalhealth.hhs.gov/assets/pdfs/EnhancedNationa lCLASStandards.pdf https://doi.org/10.3928/00220124-20170110-03 https://doi.org/10.3928/00220124-20170110-03 Create an 8 page personal leadership portrait that reflects an in- depth assessment of your leadership skills and abilities. Leadership may be one of the defining factors in influencing organizational culture. Leadership impacts quality of care and addresses the well-being and development of employees and those served. In health care, successful leadership is aligned with ensuring access to care, safety and quality of care, affordability, ethical practice, and creating a culture of inclusion that honors diversity. The research reports a link between type of leadership and outcomes such as patient satisfaction, organizational performance, staff well-being, engagement, longevity in the field, and quality of care (West, Armit, Loewenthal, Eckert, West, & Lee, 2015). Effective leaders and their organizations deliver high quality and compassionate care that meets the needs of the population served. The health care environment is complex, requiring leadership that is collaborative and embraces interprofessional communication and ethical practices. Leaders in the field must have a good understanding of the emerging health care market, be passionate about meeting the needs of the population served, and act as change agents, inspiring and motivating others in an organization that provides quality services at an affordable cost. It is essential for leaders to be well versed in a range of areas (practice, research, education) as a means of effective engagement with interprofessional communities. Effective leaders have heightened awareness of self and leadership styles, leading to professional growth, career advancement, and the ability to develop ethical leaders for the future across fields of
  24. practice (nursing, health administration, public health). This assessment provides an opportunity for you to create a portrait of the effective health care professional and leader you aspire to be. Reference West, M., Armit, K., Loewenthal, L., Eckert, R., West, T., & Lee, A. (2015). Leadership and leadership development in healthcare: The evidence base. https://www.kingsfund.org.uk/sites/default/files/field/field_publ ication_file/leadership-leadership-development-health-care-feb- 2015.pdf Preparation Complete the Leadership Self-Assessment. Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page. Instructions Create a personal leadership portrait. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: · Assessment 3 Example [PDF]. Writing in the third person is customary in academic writing. However, for this assessment, you may write in the first person. Document Format and Length Format your leadership portrait using APA style. · Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your leadership portrait. Be sure to
  25. include: . A title page and references page. An abstract is not required. . Appropriate topic section headings. · Your leadership portrait should be 8–10 pages in length, not including the title page and references page. Supporting Evidence Cite 4–5 credible sources published within the last five years from peer-reviewed journals, other scholarly resources, professional industry publications, and assigned readings to support your leadership portrait. You will cite sources when you refer to the characteristics of leadership styles, best practices for interprofessional communication, diversity and inclusion, and ethical standards for your discipline. Assessment Grading The assessment requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each of the five main tasks. Read the performance-level descriptions for each criterion to see how your work will be evaluated. · Evaluate your personal approach to health care leadership. . Identify the leadership and emotional intelligence characteristics you already possess. . Analyze your strengths and limitations (areas for development). . Analyze your ability to apply emotional intelligence in your personal approach to health care leadership. . Compare your leadership characteristics with a predominant leadership style and its application to professional practice. . Assess other leadership styles you might integrate into your skills repertoire to enhance your effectiveness as a leader and manage change in health care. · Explain how your personal approach to health care leadership facilitates interprofessional relationships, community engagement, and change management.
  26. . Consider interprofessional relationships with staff, community agencies, organizations, and other stakeholders. . Identify your strengths and weaknesses related to interprofessional relationships, community engagement, and change management. . Evaluate best practices for interprofessional communications, and compare your communication skills and attributes to those best practices. · Explain how ethical leadership principles can be applied to professional practice. . Identify the relevant ethical leadership principles for your discipline (public health, health administration, or nursing). . Evaluate best practices for developing an ethical culture in the workplace. · Explain how health care leaders can address diversity and inclusion. . What do diversity and inclusion mean to you within the context of population health? . Explain the importance of diversity and inclusion to effective leadership. . For example, cultivating good employee and community relations. · How does an effective leader develop a diverse and inclusive workplace (strategies, best practices)? · How do diversity and inclusion contribute to health care quality and service to the community? · What best practices would you recommend to address issues of diversity and inclusion? · Explain how scholar-practitioners contribute to leadership and professional development in the field of health care. · Define scholar-practitioner, in your own words. · Explain the importance of critical thinking to scholar- practitioners. · Evaluate the influence of scholar-practitioners on health care leadership and professional development. · Explain the importance of scholar-practitioners to professional
  27. practice. Consider their value in: . Expanding the knowledge base. . Applying new and existing knowledge, research, and scholarship to solve real-world problems. . Improving health care quality and safety. · Organize content so ideas flow logically with smooth transitions. · Proofread your writing to avoid errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation. · Apply APA style and formatting to scholarly writing. · Apply correct APA formatting to your document, including headers, headings, spacing, and margins. · Apply correct APA formatting to all source citations. Portfolio Prompt: You may choose to save your personal leadership portrait to your ePortfolio. Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: · Competency 1: Apply interprofessional collaboration, communication, and leadership best practices to advance population health. . Evaluate one's personal approach to health care leadership. . Explain how a personal approach to health care leadership facilitates interprofessional relationships, community engagement, and change management. · Competency 2: Apply professional ethics and the principles of diversity and inclusion to advance population health. . Explain how ethical leadership principles can be applied to professional practice. . Explain how health care leaders can address diversity and inclusion. · Competency 3: Explain how scholar-practitioners function as
  28. leaders in the field of health care. . Explain how scholar-practitioners contribute to leadership and professional development in the field of health care. · Competency 4: Produce written work that demonstrates critical thinking and application of knowledge, in accordance with Capella’s writing standards. . Organize content so ideas flow logically with smooth transitions. . Apply APA style and formatting to scholarly writing.
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