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Quantum
                       Delegation
                              by

                       William John Baum
                              2010




                                           William John Baum, Copyright 2010


Tuesday, April 2, 13
Purpose
                          To propose a model for collaborative delegation that
                       incorporates the personal values, perspectives, and innovative
                       ideas of associates at the point of impact, or point of service.




                                                                                  William John Baum, Copyright 2010


Tuesday, April 2, 13
Research Question

         • How can leaders redefine the concept of
           delegation in light of Quantum Leadership theory
           (Porter-O’Grady & Mallock, 2007), so as to empower
           associates to collaborate in decision-making and
           solve problems at the point of service?




                                                                William John Baum, Copyright 2010


Tuesday, April 2, 13
Theoretical Framework:
                         Order Exists Amid Chaos
                   •              M.C. Escher’s “Day and Night”
                                          Woodcut in Two Colors, 1938
                         http://puffin.creighton.edu/museums/archive/8_dkovach/nf-Tour8.html


                   •   Reflects the relationship between chaos and order:
                         two concepts that we use to describe relative
                        differences within the same, inexplicable reality.
                   • They always coexist, in the sense that they are defined
                      by one another: as darkness is defined as the absence
                      of light, so is chaos defined as the absence of order.




                                                                                              William John Baum, Copyright 2010


Tuesday, April 2, 13
Chaos in Action
                                   http://www.nuh.com.sg/healthinfo/images/
                                                  stoma3.gif




                       •   Colostomy Care - a hole too small to be used appropriately for
                           elimination

                       •   The patient managed it at home with a crochet hook

                       •   Artistic Practice vs. Scientific Practice

                       •   The gap in science left by unforeseen, chaotic events prompted the
                           innovative use of an instrument for a task that it was not designed to
                           perform- a simple example of artistic practice.

                                                                                        William John Baum, Copyright 2010


Tuesday, April 2, 13
Reciprocal Concepts
                                                    •     Artistic Practice & Scientific Practice
                                                    •    Interdependence & Autonomy
                                Ying-Yang here
                                                    •    Leadership vulnerability & Individual competence
                                                    •    Delegation & Empowerment
                                                             The search terms for this presentation



                       “The Yin-Yang symbol presents some of the most fundamental concepts in
                         Daoist and Tantric logic, philosophy, and spirituality. The most prominent
                       concept is polarization: the division & union of two halves. Each half can in turn
                       be polarized, giving some insight into recursion and forming the base for
                       synthesis. The Yin-Yang is not a symbol of dualism, but a statement of
                       transcendence into monism, a snapshot of change.” Leonardo Gonzalez (1999)




                                                                                                   William John Baum, Copyright 2010

Tuesday, April 2, 13
Visual Representation
                          of Reciprocality

                       M.C. Escher’s “Drawing Hands,”
                                     Lithograph 1948

                  http://puffin.creighton.edu/museums/archive/8_dkovach/nf-Tour11.html




                                                                            William John Baum, Copyright 2010


Tuesday, April 2, 13
Reciprocality Repeated from
                   Rank to Rank forms a Recursion
    “recursive ¦ri kərsiv¦                                         Recursive Reciprocal Leadership
    adjective- Characterized by recurrence
                                                                   • A form of leadership which
                or repetition, in particular
                                                Bonewits’
                                                                   requires multiple iterations of
    • Relating to or involving the              Ying-Yang here     reciprocal acts of teaching and
    repeated application of a rule,                                learning between successive
    definition, or procedure to successive                          ranks of authority, to achieve the
    results.                                                       corporate explication of a given
                                                                   process, event, or situation.
   recursion ¦ri kər zh ən¦                      Yin Yang:
                                                The oriental
   noun-                                                           In such a system, each successive
                                                   symbol
      The repeated application of a                                echelon uses a similar reciprocal
                                                   of the
   recursive procedure or definition.”                              model for reporting and
                                               Laws of Polarity
                                                                   delegation, forming a recursion.
                                                and Synthesis
       Apple Dictionary (2010).                 (Bonewits, 1958)




                                                                                  William John Baum, Copyright 2010


Tuesday, April 2, 13
Traditional Management
                           •   Hierarchical & Vertically oriented
                           •   Linear & Unidirectional
                           •   Dyadic management style
                               - Elitist
                               - Decisions made farther from
                                 point of impact

                           •   Central principles:
                               - Command
                               - Control
                               - Standardization

                               (Porter-O’Grady & Mallock, 2007)
                                                                    William John Baum, Copyright 2010


Tuesday, April 2, 13
Quantum Leadership
                         •   Recursive & Horizontally oriented
                         •   Circular & Reciprocal
                         •   Emergent leadership style
                             - Grass-roots
                             - Decisions made closer
                               to point of impact
                         •   Central principles
                             - Collaboration
                             - Flexibility
                             - Custom Application
                             (Porter-O’Grady & Mallock, 2007)


                                                                 William John Baum, Copyright 2010


Tuesday, April 2, 13
Quantum Leader Action Matrix
                               For any Particular Task, Group of Tasks, or Role:

           Associate                                                                       Associate
                                         Associate                Associate
        Is Left in place, or                                                           Is Left in place, or
            Reassigned                has ability (+)           has ability (+)           Advanced to
        (good motivation)             lacks vision (-)          has vision (+)          Leadership Role
                 or                                                                    (good motivation)
         Offered Farewell                 Leader                    Leader                        or
        (poor motivation)               Directs                 Delegates              Offered Incentives
                                                                                       (poor motivation)




           Associate                                                                       Associate
           Is Oriented
                                        Associate                  Associate             Is Reassigned
        (good motivation)            lacks ability (-)          lacks ability (-)      (good motivation)
                 or                  lacks vision (-)            has vision (+)                   or
         Offered Farewell                 Leader                    Leader               Offered Farewell
        (poor motivation)
                                  Demonstrates                  Develops                (poor motivation)



                               (Adapted from Galbraith, 1971)
                                                                                    William John Baum, Copyright 2010


Tuesday, April 2, 13
Quantum Delegation
                            An innovative, interdependent, and fluid

                                         Redefinition of Delegation



                       •   Strengthens the development of an organization’s strategic plans with
                           the infusion of leaders’ and associates’ values, insights, and preferences
                           (Porter-O’Grady & Mallock, 2007), thereby harnessing the natural power of self-
                           determination in motivating the organization’s members to work
                           together to implement those plans.
                       •   Strengthens implementation at the point of impact, by ensuring that all
                           essential barriers are mutually identified. The resulting common
                           understanding facilitates collaborative problem-solving, which leads to
                           optimal results.



                                                                                                      William John Baum, Copyright 2010


Tuesday, April 2, 13
An Effective Model for
                                   Delegation
                                       Why is it important?
                 •     As associates become more experienced and better skilled, leaders
                       can increase the amount and complexity of tasks delegated to
                       associates, granting increasing levels of professional autonomy.
                 •     The ability to delegate tasks to paraprofessional assistants has been
                       identified by healthcare providers as a major factor in their ability to
                       improve patients’ health outcomes (Broussard, 2007).
                 •     Inappropriate delegation impedes the delivery of timely and
                       effective care.
                 •     Welford (2002) identified a manager’s ability to lead as the best
                       retention tool- when leaders delegate appropriately, they foster
                       professional autonomy, which leads to drops in absenteeism and
                       decreased turnover.
                                                                                  William John Baum, Copyright 2010


Tuesday, April 2, 13
Value of An Effective
                                  Delegation Model
                       • Could lead to significant improvements in the effectiveness
                         of organizational management and practice at many levels
                         of health care delivery.
                       • Could be applied anywhere care is delivered or patients
                         are educated how to care for themselves.
                       • The Recursive Reciprocal Delegation Model has imbedded
                         pathways that promote continuous, open, collaborative
                         communication among leaders and associates.
                       • This model’s applicability is not exclusive to healthcare, but
                         could also be used in other environments.


                                                                               William John Baum, Copyright 2010


Tuesday, April 2, 13
The Recursive Reciprocal Delegation Model
-> >-        Leader as Follower                                                               Associate as Guide                         -> ->
  Input *Lets go of the fear of losing control                         Report                  *Informs leader of needs               Output
<- <-            *Active Listening                                                        *Informs leader about problems                 <- <-
Feedback *Acknowledging & Appreciating                                                      that arise at point of impact             Feedback
                       associates’ input, feedback, and work                              *Informs leader about feedback
                       *Supports associate’s preferences &           Feedback                from clients & subordinates
                        provides for needs, as appropriate                                        *Reports outcomes

          (Porter-O’Grady & Mallock, 2007)
                                             Error as Opportunity               Voluntary Disclosure
                                                               Open Communication

                             Leader as Creator                                               Associate as Creator
                           *Shapes corporate culture:                                      *Shapes personal approach
                        trust, empowerment, consistency                                      to successful application of
                       *Develops crisis management plan                                          collaborative plans
                                *Tinkers, innovates                                        *Empowered to do what is known
                                                     Mindful of                 Professional and solve problems that arise
                                                                                                   *Tinkers, innovates
                                                 Interdependence                Autonomy
                                                               Open Communication

                             Leader as Guide                                                Associate as Follower
                *Picks appropriate personnel by matching              Report               *Informs leader of preferences
                    their abilities w/ project demands
                                                                                     to complete tasks, given desired outcomes
               *Shows positive attitude towards associates
                                                                                  *Expresses values, perceptions, ideas, innovations
               *Establishes goals and measurable outcomes
                                                                                  *Actively listens & seeks to achieve leader’s goals
                        *Mentors, coaches, teaches                     Feedback
                             *Manages Conflict
                                                     Leadership                   Sense of
                                                     Vulnerability              Empowerment                  (Porter-O’Grady & Mallock, 2007)

                                                                                                                 William John Baum, Copyright 2010

Tuesday, April 2, 13
Leader as Follower
                       • Leaders must let go of the fear of losing control, and will
                         gain influence by doing so (Davidhizar & Shearer, 2002).
                       • Effective leaders exhibit a positive attitude towards
                         associates, through active listening and appreciation
                         (Welford, 2002).

                       • When leaders listen to feedback from associates, leaders
                         are able to collaborate with associates in problem-
                         solving, and leaders can support associates appropriately,
                         in implementing jointly-developed plans at the point of
                         care (Porter-O’Grady & Mallock, 2007).

                                                                            William John Baum, Copyright 2010


Tuesday, April 2, 13
Leader as Creator
                       • Leaders influence the shaping of organizational
                         culture, by promoting: trust, trustworthiness,
                         empowerment, delegation, consistency, and
                         mentorship (Kane-Urrabazo, 2006).
                       • Leaders help to solve problems by developing
                         crisis management plans in collaboration with
                         associates (Porter-O’Grady & Mallock, 2007).




                                                                William John Baum, Copyright 2010


Tuesday, April 2, 13
Leader as Guide
                •      By learning to let go of controlling ways, leaders allow themselves to fulfill
                       the roles of facilitator & mentor (Davidhizar & Shearer, 2002).

                •      Through appropriate delegation and collaboration, leaders promote
                       professional autonomy, which facilitates innovation (Welford, 2002).

                •      Through delegation, leaders empower associates to feel free to act on what
                       they know at the point of care (Davidhizar & Shearer, 2002).

                •      Viewing error as opportunity, leaders replace the disempowering behaviors
                       of commanding, controlling and inspecting, with the empowering behaviors
                       of supporting, coaching, and teaching (Palmier, 1998).

                •      Effective leaders foster openness and active, collaborative problem-solving
                       (Palmier, 1998).




                                                                                        William John Baum, Copyright 2010


Tuesday, April 2, 13
Associate as Follower
                       • Listens to leader’s goals, metrics, and timeline
                       • Informs leader of both necessary and
                         preferred elements in completing assignment
                       • Expresses personal values, perceptions, ideas,
                         innovations.
                       • Actively attempts to meet leader’s reasonable
                         goals.



                                                                  William John Baum, Copyright 2010


Tuesday, April 2, 13
Associate as Creator
                       • When empowered, associates have control over how
                         they carry out their day-to-day responsibilities, and
                         themselves determine how they will achieve value-
                         added outcomes (Broussard, 2007).
                       • Empowered associates increase their own effectiveness,
                         and thus, the organization’s corporate effectiveness
                         (Kane-Urrabazo, 2006).
                       • Professional empowerment is associated with improved
                         productivity and increased job-satisfaction among
                         associates (Broussard, 2007).


                                                                         William John Baum, Copyright 2010


Tuesday, April 2, 13
Associate as Guide
                       • Palmier (1998) suggests that staff members
                         who practice and directly implement all
                         procedures and policies, have a unique ability
                         to recognize problems at the point of care.
                       • When error is viewed as opportunity,
                         associates are free to collaborate in identifying
                         and solving problems (Palmier, 1998).



                                                                   William John Baum, Copyright 2010


Tuesday, April 2, 13
Conclusions
                 • Delegation is a strong tool for improving patient
                   outcomes, because it empowers associates to
                   make necessary decisions at the point of care.
                 • The ability to delegate responsibilities
                   appropriately is a hallmark of effective leadership.
                 • The Quantum Leader Action Matrix and
                   Recursive Reciprocal Delegation Model are tools
                   that can help to guide leaders in making
                   appropriate decisions.

                                                              William John Baum, Copyright 2010


Tuesday, April 2, 13
References
 Apple Dictionary (2010). Recursive; Recursion. Retrieved from Apple.com.
 Bonewits, P.E.I. (1958). Yin Yang: The oriental symbol of the Laws of Polarity and Synthesis. Real Magic. Berkeley:
     Creative Arts Book Company, 94.
 Broussard, L. (2007). Empowerment in school nursing practice: A grounded theory approach. Journal of School Nursing
    (Allen Press Publishing Services Inc.), 23(6), 322-328. Retrieved from Ebscohost.
 Davidhizar, R., & Shearer, R. (2002). Taking charge by "letting go". Health Care Manager, 20(3), 33-38. Retrieved from
   Ebscohost.
 Escher, M.C. (1938). Day and Night. Woodcut in two colors. Retrieved from http://puffin.creighton.edu/museums/
    archive/8_dkovach/nf-Tour8.html
 Escher, M.C. (1948). Drawing Hands. Lithograph. Retrieved from http://puffin.creighton.edu/museums/archive/
    8_dkovach/nf-Tour11.html
 Galbraith, J.R. (Feb, 1971). Matrix Organization Designs: How to combine functional and project forms. Business Horizons,
     29-40.
 Gonzalez, L. (1999). Yin-Yang: Polarization, recursion, and transcendence in Daoism and Tantra. Retrieved from http://
   mor.phe.us/writings/Yin-Yang.html.
 Kane-Urrabazo, C. (2006). Management's role in shaping organizational culture. Journal of Nursing Management, 14(3),
   188-194. Retrieved from Ebscohost.
 Orem, D. (1991). Nursing: concepts of practice, 4th Ed. (pp. 19-25). St. Louis, MO: Mosby-Year Book, Inc.
 Palmier, D. (1998). How can the bedside nurse take a leadership role to affect change for the future? ConceRN, 27(1),
     16-17. Retrieved from Ebscohost.com.
 Porter-O’Grady, T., & Mallock, K. (2007). Quantum Leadership: a resource for health care innovation, 2d Ed. Sudbury,
    MA: Jones and Bartlett Publishers.
 Welford, C. (2002). Transformational leadership in nursing: Matching theory to practice. Nursing Management - UK, 9(4),
   7-11. Retrieved from Ebscohost.com.                                                             William John Baum, Copyright 2010

Tuesday, April 2, 13

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Quantum Delegation

  • 1. Quantum Delegation by William John Baum 2010 William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 2. Purpose To propose a model for collaborative delegation that incorporates the personal values, perspectives, and innovative ideas of associates at the point of impact, or point of service. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 3. Research Question • How can leaders redefine the concept of delegation in light of Quantum Leadership theory (Porter-O’Grady & Mallock, 2007), so as to empower associates to collaborate in decision-making and solve problems at the point of service? William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 4. Theoretical Framework: Order Exists Amid Chaos • M.C. Escher’s “Day and Night” Woodcut in Two Colors, 1938 http://puffin.creighton.edu/museums/archive/8_dkovach/nf-Tour8.html • Reflects the relationship between chaos and order: two concepts that we use to describe relative differences within the same, inexplicable reality. • They always coexist, in the sense that they are defined by one another: as darkness is defined as the absence of light, so is chaos defined as the absence of order. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 5. Chaos in Action http://www.nuh.com.sg/healthinfo/images/ stoma3.gif • Colostomy Care - a hole too small to be used appropriately for elimination • The patient managed it at home with a crochet hook • Artistic Practice vs. Scientific Practice • The gap in science left by unforeseen, chaotic events prompted the innovative use of an instrument for a task that it was not designed to perform- a simple example of artistic practice. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 6. Reciprocal Concepts • Artistic Practice & Scientific Practice • Interdependence & Autonomy Ying-Yang here • Leadership vulnerability & Individual competence • Delegation & Empowerment The search terms for this presentation “The Yin-Yang symbol presents some of the most fundamental concepts in Daoist and Tantric logic, philosophy, and spirituality. The most prominent concept is polarization: the division & union of two halves. Each half can in turn be polarized, giving some insight into recursion and forming the base for synthesis. The Yin-Yang is not a symbol of dualism, but a statement of transcendence into monism, a snapshot of change.” Leonardo Gonzalez (1999) William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 7. Visual Representation of Reciprocality M.C. Escher’s “Drawing Hands,” Lithograph 1948 http://puffin.creighton.edu/museums/archive/8_dkovach/nf-Tour11.html William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 8. Reciprocality Repeated from Rank to Rank forms a Recursion “recursive ¦ri kərsiv¦ Recursive Reciprocal Leadership adjective- Characterized by recurrence • A form of leadership which or repetition, in particular Bonewits’ requires multiple iterations of • Relating to or involving the Ying-Yang here reciprocal acts of teaching and repeated application of a rule, learning between successive definition, or procedure to successive ranks of authority, to achieve the results. corporate explication of a given process, event, or situation. recursion ¦ri kər zh ən¦ Yin Yang: The oriental noun- In such a system, each successive symbol The repeated application of a echelon uses a similar reciprocal of the recursive procedure or definition.” model for reporting and Laws of Polarity delegation, forming a recursion. and Synthesis Apple Dictionary (2010). (Bonewits, 1958) William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 9. Traditional Management • Hierarchical & Vertically oriented • Linear & Unidirectional • Dyadic management style - Elitist - Decisions made farther from point of impact • Central principles: - Command - Control - Standardization (Porter-O’Grady & Mallock, 2007) William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 10. Quantum Leadership • Recursive & Horizontally oriented • Circular & Reciprocal • Emergent leadership style - Grass-roots - Decisions made closer to point of impact • Central principles - Collaboration - Flexibility - Custom Application (Porter-O’Grady & Mallock, 2007) William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 11. Quantum Leader Action Matrix For any Particular Task, Group of Tasks, or Role: Associate Associate Associate Associate Is Left in place, or Is Left in place, or Reassigned has ability (+) has ability (+) Advanced to (good motivation) lacks vision (-) has vision (+) Leadership Role or (good motivation) Offered Farewell Leader Leader or (poor motivation) Directs Delegates Offered Incentives (poor motivation) Associate Associate Is Oriented Associate Associate Is Reassigned (good motivation) lacks ability (-) lacks ability (-) (good motivation) or lacks vision (-) has vision (+) or Offered Farewell Leader Leader Offered Farewell (poor motivation) Demonstrates Develops (poor motivation) (Adapted from Galbraith, 1971) William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 12. Quantum Delegation An innovative, interdependent, and fluid Redefinition of Delegation • Strengthens the development of an organization’s strategic plans with the infusion of leaders’ and associates’ values, insights, and preferences (Porter-O’Grady & Mallock, 2007), thereby harnessing the natural power of self- determination in motivating the organization’s members to work together to implement those plans. • Strengthens implementation at the point of impact, by ensuring that all essential barriers are mutually identified. The resulting common understanding facilitates collaborative problem-solving, which leads to optimal results. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 13. An Effective Model for Delegation Why is it important? • As associates become more experienced and better skilled, leaders can increase the amount and complexity of tasks delegated to associates, granting increasing levels of professional autonomy. • The ability to delegate tasks to paraprofessional assistants has been identified by healthcare providers as a major factor in their ability to improve patients’ health outcomes (Broussard, 2007). • Inappropriate delegation impedes the delivery of timely and effective care. • Welford (2002) identified a manager’s ability to lead as the best retention tool- when leaders delegate appropriately, they foster professional autonomy, which leads to drops in absenteeism and decreased turnover. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 14. Value of An Effective Delegation Model • Could lead to significant improvements in the effectiveness of organizational management and practice at many levels of health care delivery. • Could be applied anywhere care is delivered or patients are educated how to care for themselves. • The Recursive Reciprocal Delegation Model has imbedded pathways that promote continuous, open, collaborative communication among leaders and associates. • This model’s applicability is not exclusive to healthcare, but could also be used in other environments. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 15. The Recursive Reciprocal Delegation Model -> >- Leader as Follower Associate as Guide -> -> Input *Lets go of the fear of losing control Report *Informs leader of needs Output <- <- *Active Listening *Informs leader about problems <- <- Feedback *Acknowledging & Appreciating that arise at point of impact Feedback associates’ input, feedback, and work *Informs leader about feedback *Supports associate’s preferences & Feedback from clients & subordinates provides for needs, as appropriate *Reports outcomes (Porter-O’Grady & Mallock, 2007) Error as Opportunity Voluntary Disclosure Open Communication Leader as Creator Associate as Creator *Shapes corporate culture: *Shapes personal approach trust, empowerment, consistency to successful application of *Develops crisis management plan collaborative plans *Tinkers, innovates *Empowered to do what is known Mindful of Professional and solve problems that arise *Tinkers, innovates Interdependence Autonomy Open Communication Leader as Guide Associate as Follower *Picks appropriate personnel by matching Report *Informs leader of preferences their abilities w/ project demands to complete tasks, given desired outcomes *Shows positive attitude towards associates *Expresses values, perceptions, ideas, innovations *Establishes goals and measurable outcomes *Actively listens & seeks to achieve leader’s goals *Mentors, coaches, teaches Feedback *Manages Conflict Leadership Sense of Vulnerability Empowerment (Porter-O’Grady & Mallock, 2007) William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 16. Leader as Follower • Leaders must let go of the fear of losing control, and will gain influence by doing so (Davidhizar & Shearer, 2002). • Effective leaders exhibit a positive attitude towards associates, through active listening and appreciation (Welford, 2002). • When leaders listen to feedback from associates, leaders are able to collaborate with associates in problem- solving, and leaders can support associates appropriately, in implementing jointly-developed plans at the point of care (Porter-O’Grady & Mallock, 2007). William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 17. Leader as Creator • Leaders influence the shaping of organizational culture, by promoting: trust, trustworthiness, empowerment, delegation, consistency, and mentorship (Kane-Urrabazo, 2006). • Leaders help to solve problems by developing crisis management plans in collaboration with associates (Porter-O’Grady & Mallock, 2007). William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 18. Leader as Guide • By learning to let go of controlling ways, leaders allow themselves to fulfill the roles of facilitator & mentor (Davidhizar & Shearer, 2002). • Through appropriate delegation and collaboration, leaders promote professional autonomy, which facilitates innovation (Welford, 2002). • Through delegation, leaders empower associates to feel free to act on what they know at the point of care (Davidhizar & Shearer, 2002). • Viewing error as opportunity, leaders replace the disempowering behaviors of commanding, controlling and inspecting, with the empowering behaviors of supporting, coaching, and teaching (Palmier, 1998). • Effective leaders foster openness and active, collaborative problem-solving (Palmier, 1998). William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 19. Associate as Follower • Listens to leader’s goals, metrics, and timeline • Informs leader of both necessary and preferred elements in completing assignment • Expresses personal values, perceptions, ideas, innovations. • Actively attempts to meet leader’s reasonable goals. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 20. Associate as Creator • When empowered, associates have control over how they carry out their day-to-day responsibilities, and themselves determine how they will achieve value- added outcomes (Broussard, 2007). • Empowered associates increase their own effectiveness, and thus, the organization’s corporate effectiveness (Kane-Urrabazo, 2006). • Professional empowerment is associated with improved productivity and increased job-satisfaction among associates (Broussard, 2007). William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 21. Associate as Guide • Palmier (1998) suggests that staff members who practice and directly implement all procedures and policies, have a unique ability to recognize problems at the point of care. • When error is viewed as opportunity, associates are free to collaborate in identifying and solving problems (Palmier, 1998). William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 22. Conclusions • Delegation is a strong tool for improving patient outcomes, because it empowers associates to make necessary decisions at the point of care. • The ability to delegate responsibilities appropriately is a hallmark of effective leadership. • The Quantum Leader Action Matrix and Recursive Reciprocal Delegation Model are tools that can help to guide leaders in making appropriate decisions. William John Baum, Copyright 2010 Tuesday, April 2, 13
  • 23. References Apple Dictionary (2010). Recursive; Recursion. Retrieved from Apple.com. Bonewits, P.E.I. (1958). Yin Yang: The oriental symbol of the Laws of Polarity and Synthesis. Real Magic. Berkeley: Creative Arts Book Company, 94. Broussard, L. (2007). Empowerment in school nursing practice: A grounded theory approach. Journal of School Nursing (Allen Press Publishing Services Inc.), 23(6), 322-328. Retrieved from Ebscohost. Davidhizar, R., & Shearer, R. (2002). Taking charge by "letting go". Health Care Manager, 20(3), 33-38. Retrieved from Ebscohost. Escher, M.C. (1938). Day and Night. Woodcut in two colors. Retrieved from http://puffin.creighton.edu/museums/ archive/8_dkovach/nf-Tour8.html Escher, M.C. (1948). Drawing Hands. Lithograph. Retrieved from http://puffin.creighton.edu/museums/archive/ 8_dkovach/nf-Tour11.html Galbraith, J.R. (Feb, 1971). Matrix Organization Designs: How to combine functional and project forms. Business Horizons, 29-40. Gonzalez, L. (1999). Yin-Yang: Polarization, recursion, and transcendence in Daoism and Tantra. Retrieved from http:// mor.phe.us/writings/Yin-Yang.html. Kane-Urrabazo, C. (2006). Management's role in shaping organizational culture. Journal of Nursing Management, 14(3), 188-194. Retrieved from Ebscohost. Orem, D. (1991). Nursing: concepts of practice, 4th Ed. (pp. 19-25). St. Louis, MO: Mosby-Year Book, Inc. Palmier, D. (1998). How can the bedside nurse take a leadership role to affect change for the future? ConceRN, 27(1), 16-17. Retrieved from Ebscohost.com. Porter-O’Grady, T., & Mallock, K. (2007). Quantum Leadership: a resource for health care innovation, 2d Ed. Sudbury, MA: Jones and Bartlett Publishers. Welford, C. (2002). Transformational leadership in nursing: Matching theory to practice. Nursing Management - UK, 9(4), 7-11. Retrieved from Ebscohost.com. William John Baum, Copyright 2010 Tuesday, April 2, 13