Posted: September 20th, 2022

Assignment Content Question 1 Imagine you promoted to a leadership role in the healthcare industry. How would you go about learning or improving your leadership skills? (In at least 325 words) If you use research, please remember to cite your sources.

Chapter151.pptxChapter16lecturenotes1 Chapter16.pptxChapter15lecturenotes1

Assignment Content

Question 1 

Imagine you promoted to a leadership role in the healthcare industry. How would you go about learning or improving your leadership skills? (In at least 325 words)

If you use research, please remember to cite your sources. 

Course Materials: Pratt. J. Long-Term Care- Managing Across the Continuum. 4th edition. Jones and Bartlett ISBN: 978-1-284-05459-0. 

chapters 15 and 16 this week of reading. 

Chapter 15
Leadership in
Long-Term Care

Learning Objectives
1. Discuss the role of leadership in
long-term care
2. Identify the components of leadership
Identify the characteristics of successful leaders
4. Identify and understand the skills needed by successful leaders
5. Understand how to gain or improve leaderships skills

“Leadership appears to be the art of getting others to want to do something that you are convinced should be done.”

– Vance Packard
The Pyramid Climbers

Components of Leadership
1. Influencing others (getting others to do something)
2. Providing direction (something you are convinced should be done)
3. Getting voluntary acceptance (getting them to want to do it)

Leaders: Who Are They?
Myths and misunderstandings:
Are they born or created?
Prescient visionaries
Charismatic, special gift
Superior position
Matter of control
Remote and distant

Common Characteristics
of Leaders

Leadership Skills
Three categories:
Influencing others
Providing direction
Getting voluntary acceptance

Influencing Others
Managing power and influence

Managing Power & Influence
Types of power:

Managing Power & Influence continued
Types of power (continued):

Providing Direction
Strategic thinking
Managing change
Decision making

Getting Voluntary Acceptance
Providing feedback
Problem solving
Conflict resolution

Getting Voluntary Acceptance continued
Skills (continued):
Team building
Managing stress

Gaining & Improving
Leadership Skills
Recognize need for improvement
Assess current skills

Leadership is critical in any organization. This is particularly true with the fast-paced nature of long-term care organizations. It is a field that is undergoing nearly continual transformation. It is a situation crying out for leadership. If providers are to be competitive, they need leaders who can carry them to the next level of success.





Chapter 16
Culture Change in
Long-Term Care

Learning Objectives
1. Understand the nature of culture change
2. Identify the benefits of culture change
3. Understand the role of culture change in
long-term care
4. Identify the components of culture change and
how it is implemented
5. Understand the difference between resident-centered culture change and organizational culture change

Culture Change
Two ways in which “culture change” is used are as follows:
As it applies to long-term care consumers (particularly nursing home residents)
As it relates to changing organizational (corporate) culture in long-term care

What Is Culture Change?
The common name given to the national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected.

Benefits of Culture Change
Resident benefits:
Reduces loneliness, helplessness, and boredom
Improves physical and mental health
(e.g. reduces depression and behavioral problems)
Reduces unanticipated weight loss
Reduces mortality

Benefits of Culture Change continued
Staffing benefits:
Reduces employee turnover
Eliminates temporary agency staffing
and mandatory overtime
Reduces workers’ compensation

Benefits of Culture Change continued..
Additional benefits:
Significantly improves employee, resident, and family satisfaction
Increases involvement with the outside community including children, students, clubs, and religious organizations

Culture Change Programs
The Eden Alternative
The Wellspring Model
The Green House Project
The Pioneer Network

Components of Culture Change
Decision making
Staff roles
The physical environment
Organizational design

Other Aspects of Culture Change
Creating a sense of community
Social media

Organizational Culture
The collection of self-sustaining patterns of behaving, feeling, thinking, and believing; the patterns that determine how things are done
The workplace environment formulated from the interaction of the employees in the workplace

Characteristics of Successful Organizational Culture
1. Respect for all individuals, including employees, residents, and visitors
2. Responsiveness to questions
3. Freedom from blame
4. Honesty
5. Respect for scientific evidence

Changing the Culture
To implement organizational cultural change:
Understand that change takes time
The organization usually needs to
provide resources
Recognize change opportunities

Role of the Leader in
Cultural Change
A leader is necessary:
To motivate team members
To be a visible role model
To explain what is acceptable
and desired

There are two ways in which culture change is used in long-term care:
As it applies to long-term care consumers
As it relates to changing organizational (corporate) culture
Both have been recognized as critical to success for a long-term care provider.




Long-Term Care: Managing Across the Continuum, Fourth Edition

John R. Pratt



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.


© 2015 Jones and Bartlett Publishers, LLC

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