Leadership: Difference between revisions

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Similar concepts are<ref>Meuser, Jeremy D., et al. "A network analysis of leadership theory: The infancy of integration." Journal of Management 42.5 (2016): 1374-1403. {{doi|10.1177/0149206316647099}}</ref>:
Similar concepts are<ref>Meuser, Jeremy D., et al. "A network analysis of leadership theory: The infancy of integration." Journal of Management 42.5 (2016): 1374-1403. {{doi|10.1177/0149206316647099}}</ref>:
* Gardener leadership<ref>McChrystal GS, Collins T, Silverman D, Fussell C. Team of Teams: New Rules of Engagement for a Complex World. 1 edition. Portfolio; 2015. 289 p. {{ISBN|1591847486}}</ref>
* Gardener leadership<ref>McChrystal GS, Collins T, Silverman D, Fussell C. Team of Teams: New Rules of Engagement for a Complex World. 1 edition. Portfolio; 2015. 289 p. {{ISBN|1591847486}}</ref>
* Servant leadership<ref>Greenleaf, Robert K. "[http://www.american.edu/spa/leadership/application/upload/Greenleaf,%20%20Leadership.pdf  leadership]." (1977). Mahwah, NJ: Paulist Press</ref>. Servant leadership can be measure with the 28-item or an abbreviated 7-item servant leadership scale<ref>Liden, R. C., Wayne, S. J., Zhao, H., & Henderson, D. (2008). Servant leadership: Development of a multidimensional measure and multi-level assessment. The Leadership Quarterly, 19(2), 161–177. {{doi|10.1016/j.leaqua.2008.01.006}}</ref>:
* Servant leadership<ref>Greenleaf, Robert K. "[http://www.american.edu/spa/leadership/application/upload/Greenleaf,%20%20Leadership.pdf  leadership]." (1977). Mahwah, NJ: Paulist Press</ref>.
** My manager can tell if something work-related is going wrong
** My manager makes my career development a priority
** I would seek help from my manager if I had a personal problem
** My manager emphasizes the importance of giving back to the community; (5) My manager puts my best interests ahead of his/her own
** My manager gives me the freedom to handle difficult situations in the way that I feel is best
** My manager would NOT compromise ethical principles in order to achieve success
* Three types of leadership that focus on  giving employees decision making but may not include giving employees information to guide their decision making.
* Three types of leadership that focus on  giving employees decision making but may not include giving employees information to guide their decision making.
** Shared Leadership<ref>D’Innocenzo, L., Mathieu, J. E., & Kukenberger, M. R. (2016). A Meta-Analysis of Different Forms of Shared Leadership–Team Performance Relations. Journal of Management, 42(7), 1964–1991. {{doi|10.1177/0149206314525205}}</ref><ref>Pearce, C. L., & Conger, J. A. (2002). Shared leadership: Reframing the hows and whys of leadership. Sage. ISBN {{ISBN|1452276765}}</ref>
** Shared Leadership<ref>D’Innocenzo, L., Mathieu, J. E., & Kukenberger, M. R. (2016). A Meta-Analysis of Different Forms of Shared Leadership–Team Performance Relations. Journal of Management, 42(7), 1964–1991. {{doi|10.1177/0149206314525205}}</ref><ref>Pearce, C. L., & Conger, J. A. (2002). Shared leadership: Reframing the hows and whys of leadership. Sage. ISBN {{ISBN|1452276765}}</ref>
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* Increases work engagement via work meaningfulness<ref>Lee, Michelle Chin Chin, Mohd Awang Idris, and Paul H. Delfabbro. "The Linkages Between Hierarchical Culture and Empowering Leadership and Their Effects on Employees’ Work Engagement: Work Meaningfulness as a Mediator." (2016) {{doi|10.1037/str0000043}}</ref> or empowering leadership has been proposed for healthcare.<ref name="pmid24486078">{{cite journal| author=Trastek VF, Hamilton NW, Niles EE| title=Leadership models in health care - a case for  leadership. | journal=Mayo Clin Proc | year= 2014 | volume= 89 | issue= 3 | pages= 374-81 | pmid=24486078 | doi=10.1016/j.mayocp.2013.10.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24486078  }} </ref><ref name="pmid12470112">{{cite journal| author=Schwartz RW, Tumblin TF| title=The power of  leadership to transform health care organizations for the 21st-century economy. | journal=Arch Surg | year= 2002 | volume= 137 | issue= 12 | pages= 1419-27; discussion 1427 | pmid=12470112 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12470112  }} </ref><ref name="pmid26802752">{{cite journal| author=Feussner JR, Landefeld CS, Weinberger SE| title=Change, Challenge and Opportunity: Departments of Medicine and Their Leaders. | journal=Am J Med Sci | year= 2016 | volume= 351 | issue= 1 | pages= 3-10 | pmid=26802752 | doi=10.1016/j.amjms.2015.10.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26802752  }} </ref>
* Increases work engagement via work meaningfulness<ref>Lee, Michelle Chin Chin, Mohd Awang Idris, and Paul H. Delfabbro. "The Linkages Between Hierarchical Culture and Empowering Leadership and Their Effects on Employees’ Work Engagement: Work Meaningfulness as a Mediator." (2016) {{doi|10.1037/str0000043}}</ref> or empowering leadership has been proposed for healthcare.<ref name="pmid24486078">{{cite journal| author=Trastek VF, Hamilton NW, Niles EE| title=Leadership models in health care - a case for  leadership. | journal=Mayo Clin Proc | year= 2014 | volume= 89 | issue= 3 | pages= 374-81 | pmid=24486078 | doi=10.1016/j.mayocp.2013.10.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24486078  }} </ref><ref name="pmid12470112">{{cite journal| author=Schwartz RW, Tumblin TF| title=The power of  leadership to transform health care organizations for the 21st-century economy. | journal=Arch Surg | year= 2002 | volume= 137 | issue= 12 | pages= 1419-27; discussion 1427 | pmid=12470112 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12470112  }} </ref><ref name="pmid26802752">{{cite journal| author=Feussner JR, Landefeld CS, Weinberger SE| title=Change, Challenge and Opportunity: Departments of Medicine and Their Leaders. | journal=Am J Med Sci | year= 2016 | volume= 351 | issue= 1 | pages= 3-10 | pmid=26802752 | doi=10.1016/j.amjms.2015.10.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26802752  }} </ref>


Servant leadership behavior may be more effective than narcissism<ref>Peterson, S. J., Galvin, B. M., & Lange, D. (2012). CEO servant leadership: Exploring executive characteristics and firm performance. Personnel Psychology, 65(3), 565-596. {{doi|10.1111/j.1744-6570.2012.01253.x}}</ref>
Servant leadership behavior may be more effective than narcissism<ref>Peterson, S. J., Galvin, B. M., & Lange, D. (2012). CEO servant leadership: Exploring executive characteristics and firm performance. Personnel Psychology, 65(3), 565-596. {{doi|10.1111/j.1744-6570.2012.01253.x}}</ref> and a serving culture is positively related both to restaurant performance and employee job performance<ref>Liden, R. C., Wayne, S. J., Liao, C., & Meuser, J. D. (2013). Servant Leadership and Serving Culture: Influence on Individual and Unit Performance. Academy of Management Journal, 57(5), 1434–1452. {{10.5465/amj.2013.0034}}</ref>.


====Measuring empowerment====
====Measuring empowerment====
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# Showing Concern/Interacting with the Team
# Showing Concern/Interacting with the Team
# Participative Decision-Making
# Participative Decision-Making
Servant leadership can be measure with a 28-item or an abbreviated 7-item servant leadership scale<ref>Liden, R. C., Wayne, S. J., Zhao, H., & Henderson, D. (2008). Servant leadership: Development of a multidimensional measure and multi-level assessment. The Leadership Quarterly, 19(2), 161–177. {{doi|10.1016/j.leaqua.2008.01.006}}</ref>:
# My manager can tell if something work-related is going wrong
# My manager makes my career development a priority
# I would seek help from my manager if I had a personal problem
# My manager emphasizes the importance of giving back to the community
# My manager puts my best interests ahead of his/her own
# My manager gives me the freedom to handle difficult situations in the way that I feel is best
# My manager would NOT compromise ethical principles in order to achieve success


==Religion and faith in leadership==
==Religion and faith in leadership==

Revision as of 10:42, 6 August 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Robert G. Badgett, M.D.[2]

Leadership is "the function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers".[1]

Leadership development in health care is perceived as being many years behind that of other industries.[2]

Evidence-based management

A gap between what research shows and managers practice has been noted[3][4][5][6].

Evidence-based management (EBMgt) has been advocated to improve management practices[7] and measurement[8]. This is based on the success of evidence-based medicine and has been called the management-as-medicine motif (MAMM)[9]. Concern about the approach of EBMgt has been based on a Cochrane Collaboration review of nursing turnover[10] that focused only on randomized data[9].

Concerns exists about how well MBA programs[11] and textbooks[12] teach EBMgt.

Systematic reviews have been encouraged as alternative to narrative reviews for summarizing evidence in business and management research.[13]

Selection and development of leaders

Narcissism may be selected for.[14][15]

Dunning-Kruger effect in hospital administrators[16]

The selection for narcissism may be related to the Dunning-Kruger effect which has been noted to occur in the self-assessment of leadership skills.[16][17][18][19][20]

Individuals with promotive voices rather than a prohibitive voice are more likely to become leaders.[21]

"Emergent leaders showed a higher amount of active gestures and less passive facial expressions than non-leaders" according to eye-tracking studies of teams.[22]

Evolutionary biology may partly explain selection of leaders[23].

Aphorisms about selection of leaders:

  • Peter Principle
  • Dilbert Principle

Masters in Business Administration

CEOs with a MBA may[24][25] or may not[26] underperform other CEOs due to emphasizing short-term business outcomes[27] rather than sustainability.[28]

It is not clear that the curricula in masters programs reflect best research[29].

Humility

The harm of narcissism in leaders may be mitigated by humility[30] However, humility may not be effective in teams that expect a high power distance or expect dominating leaders.[31]

Leadership styles related to worksite climate

Leadership style affects work climate.

Leadership styles in health care may affect institutional finances, specifically operating margins.[32]

Early categorization of leadership styles was by Lewin in 1938 who labeled styles as autocratic, democratic.[33]

The terms transactional and transformation were introduced by Weber in 1947.[34] Weber said the charismatic leader was a transformer and the bureaucratic leader was transactional.

Similar concepts are Theory X and Theory Y management by Douglas McGregor in 1960[35]. Theory X is transactional and Theory Y is transformational.

The concept of transactional versus transformation leadership was using the Multifactor Leadership Questionnaire (MLQ) first proposed by Bass in 1978.[36]

Measurement of transactional versus transformation leadership using the was first proposed by Bass in 1985.[37]

Bass added the concept of laissez-faire leadership in 1997.[38][39]

Leadership styles may effect burnout of employees[40] and leaders themselves.[41][42].

Laissez-faire

Laissez-faire may be the most common of the destructive leadership patterns[43].

Laissez-faire, in health care, is associated with low subordinate job satisfaction and effort.[44]

Among physicians, management by passive exception and laissez-faire and may overlap.[45]

Transactional

When converting from transactional to empowering leadership, teams may transiently function more slowly.[46]

Management by exception: active

Management by exception: passive

Among physicians, management by passive exception and laissez-faire and may overlap and management by passive exception may be within laissez-faire.[45]

Transformational

This style may be the most effective in healthcare on employee responses and clinical outcomes.[47]

Transformational leadership may increase employee thriving and decrease burnout.[48]

Transformational style may better promote team learning behaviors than a transactional style.[49]

Transformational leadership may build on transactional leadership, "for transformational leadership to be effective,the leader must first build trust and follower responsiveness on the basis of tangible, transactional processes perceived as fair."[44]

Enabling or Empowering leadership

Enabling leadership attempts to bridge the needs to innovate and to produce[50][51]. Enabling leadership is based on complexity leadership theory.

Empowering leadership is defined variably[52][53][54] but includes:

  • Autonomy support[55]. Autonomy adds to mastery.[55] Perceived autonomy is associated with less burnout.[56]

Similar concepts are[57]:

  • Gardener leadership[58]
  • Servant leadership[59].
  • Three types of leadership that focus on giving employees decision making but may not include giving employees information to guide their decision making.
    • Shared Leadership[60][61]
    • Distributed leadership
    • Participative Leadership
    • Democratic leadership

Empowering leadership may be compatible with AGILE development, which may conflict with command and control leadership[62].

Two contradictory faces of empowerment are [63]:

  • Enabling
  • Burdening

Compared to transformational leadership, in leadership the leader's focus is on the employees rather than the organization.[64]

The World Health Organization recommends as one of 4 reforms needed for primary health care, “leadership reforms need to steer away from either ‘command and control’ or ‘laissez-faire disengagement’ towards a participatory style”[65]

In health care administration, physician leaders have difficulty relinquishing control and feel threatened by empowering others[66].

Outcomes and consequences

Empowering leadership is associated with:

  • Performance, organizational citizenship behavior, and creativity according to a meta-analysis as compared transformational leadership and leader–member exchange[67]
  • Creativity and innovative behavior (ρ = .36), contextual performance (ρ = .33), withdrawal behaviors (ρ = .28), and job performance (ρ = .25) according to a meta-analysis.[68]
  • Increased employee intrinsic motivation and creativity[69]
  • Increased productivity by implementing Strategic Human Resource Management (SHRM) as compared to initiating operational improvements[70]
  • Increased knowledge sharing and team efficacy which led to increased performance.[71]
  • Increases work engagement via work meaningfulness[72] or empowering leadership has been proposed for healthcare.[73][74][75]

Servant leadership behavior may be more effective than narcissism[76] and a serving culture is positively related both to restaurant performance and employee job performance[77].

Measuring empowerment

The Empowering Leadership Questionnaire (ELQ) has been proposed to measure this style.[78] The ELQ measures either categories:

  1. Coaching
  2. Informing. Examination of the 6 questions in this scale suggest informing here does not fit with information sharing as proposed by complexity science.
  3. Leading By Example
  4. Showing Concern/Interacting with the Team
  5. Participative Decision-Making

Servant leadership can be measure with a 28-item or an abbreviated 7-item servant leadership scale[79]:

  1. My manager can tell if something work-related is going wrong
  2. My manager makes my career development a priority
  3. I would seek help from my manager if I had a personal problem
  4. My manager emphasizes the importance of giving back to the community
  5. My manager puts my best interests ahead of his/her own
  6. My manager gives me the freedom to handle difficult situations in the way that I feel is best
  7. My manager would NOT compromise ethical principles in order to achieve success

Religion and faith in leadership

The role of religion and faith in leadership is being increasingly explored[80][81].


Leadership tactics related to worksite innovation

(see enabling leadership above)

Innovation can be classified as[82][83]:

  • "Inbound OI involves identifying and acquiring knowledge from external sources"
  • "Outbound OI involves exploitation of a firm’s knowledge and technology through commercialization in the external market"

Organizational cultural influences on innovation has been systematically reviewed[84]. Cultural attributes include:

  • Learning culture
  • Adhocracy culture
  • Clan rather than hierarchical culture
  • Low power distance culture

Complexity science has been proposed as a framework for health care organization since early this century.[85][86]

Complexity leadership theory describes three forms of leadership[87]:

  • Adaptive leadership
  • Administrative leadership
  • Enabling leadership

Anderson and McDaniel proposed in 2000 that key leadership tasks are[85][88]:

  1. Relationship building
  2. Loose coupling
  3. Complicating
  4. Diversifying
  5. Sense making
  6. Learning
  7. Improvising
  8. Thinking about the future

A model of of learning based on complexity science has been developed.[89]

Complexity Leadership Theory, also called Complex systems leadership theory, was proposed in 2006.[90][91][92] Based on this theory, Hazy has proposed leadership skills similar to Anderson and McDaniel:[93]

  1. Generative
  2. Administrative
  3. Community-building
  4. Information gathering
  5. Information using

Uhl-Bien has proposed that tasks of enabling leadership, which is an outgrowth of complexity leadership are[94]:

  • Brokerage - fostering of ideas that are triggered at the intersection of networks
  • Leveraging Adaptive Tension
  • Linking Up - "Creating or energizing network connections that enable information flows, or amplify movements, to feed and fuel emergence."
  • Tags and Attractors - "Listening for language (messages, stories) and symbols (pictures, objects) that ‘stick’ in a system and attract energy & using them to create tags to amplify and channel emergence"
  • Simple Rules
  • Network Closure

Complexity Leadership Theory is consistent with open book management.

Complexity Leadership Theory may be seen as an evolution of Heifetz's adaptive leadership[95]

Complexity Leadership Theory is consistent with knowledge-oriented leadership, which is defined as "an attitude or action, observed or imputed, that prompts the creation, sharing, and utilization of new knowledge in a way that seems to bring a shift in thinking and collective outcomes."[82] These leadership tactics can be measured with 3 concepts:

  • Knowledge-oriented Leadership
  • Knowledge Management Capability (technological, structural, cultural, application, acqusition, sharing)
    • Example: cultural (highest loading questions):
      • My organization takes advantage of new knowledge.
      • My organization quickly applies knowledge to critical competitive needs.
      • My organization quickly links sources of knowledge in solving problems.
  • Open Innovation

Complications of leadership

Power may lead cerebral changes in those given power[96]. This may lead to hubristic syndrome[97]

.

See also


References

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