Writing: Changes
Long-Term Care: Managing Across the Continuum, Fourth Edition
John R. Pratt
CHAPTER FIFTEEN: LEADERSHIP IN LONG-TERM CARE
CHAPTER HIGHLIGHTS
Introduction - ONE of the most important building blocks in the foundation of successful long-term care delivery.
Leadership - the art of getting others to want to do something that you are convinced should be done.
Leaders: Who are they? There are several myths about leaders, including:
· Are leaders born - it is a set of skills that can be learned by nearly anyone.
· Leaders are prescient visionaries – They cannot predict the future, but are prepared to deal with it.
· Leaders are charismatic, possess a special gift – they have charm and appeal that arouse loyalty, but, it is not something special that only a few have.
· Leadership is associated with a superior position – not all managers are leaders.
· Leadership is a matter of control – leaders enable rather than controlling.
· Leaders are remote and distant – they are seen as approachable by their followers.
Common Characteristics of Leaders
· Honest – sincere, genuine.
· Forward-Looking - have a sense of direction and a concern for the future of the organization.
· Inspiring – make followers believe they can do things they had previously thought they could not.
· Competent - competent in their professions and in management.
Leadership Skills – there are several skills necessary to successful leadership in long-term care management.
Influencing Others:
· Skill: Managing Power/Influence – understanding kinds of power and how to use it.
· Position Power – power one has because of the position held.
· Coercive Power
· Reward Power
· Legitimate Power
· Connection Power
· Personal Power – power that comes from one’s own personality and experience.
· Expert Power
· Information Power
· Referent Power
· Skill: Motivation – understanding what motivates each person and how to use it.
· Skill: Communication – knowing how to make others understand what the leader wants.
Providing Direction:
· Skill: Strategic Thinking – being able to see the big picture.
· Skill: Planning – a formal process of organizational planning.
· Skill: Managing Change – recognizing change and using it proactively.
· Skill: Decision-Making – having the courage to make decisions.
Getting Voluntary Acceptance:
· Skill: Enabling - facilitating subordinate performance.
· Skill: Providing Feedback – letting subordinates know how they are doing, and how to improve.
· Skill: Problem-Solving - recognizing problems, collecting information and making decisions.
· Skill: Conflict Resolution – understanding and dealing with two or more divergent interests.
· Skill: Negotiation – creating win-win situations.
· Skill: Mentoring – coaching and developing others.
· Skill: Team-Building – creating working teams out of groups of individuals.
· Skill: Managing Stress – understanding the causes of stress in the leader and subordinates and managing it.
Gaining & Improving Leadership Skills – ways to acquire or improve leadership skills.
· Recognize the Need for Improvement – improvement cannot take plce without recognition of the need for it.
· Assess Current Skills – involves self-analysis and use of formal analysis tools.
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