Leadership and Leadership Development in Healthcare Settings – A Simplistic Solution to Complex Problems?

Document Type : Editorial

Author

Manchester Business School, University of Manchester, Manchester, England, UK

Abstract

There is a trend in health systems around the world to place great emphasis on and faith in improving ‘leadership’. Leadership has been defined in many ways and the elitist implications of traditional notions of leadership sit uncomfortably with modern healthcare organisations. The concept of distributed leadership incorporates inclusivity, collectiveness and collaboration, with the result that, to some extent, all staff, not just those in senior management roles, are viewed as leaders. Leadership development programmes are intended to equip individuals to improve leadership skills, but we know little about their effectiveness. Furthermore, the content of these programmes varies widely and the fact that many lack a sense of how they fit with individual or organisational goals raises questions about how they are intended to achieve their aims. It is important to avoid simplistic assumptions about the ability of improved leadership to solve complex problems. It is also important to evaluate leadership development programmes in ways that go beyond descriptive accounts

Highlights

Commentaries Published on this Paper

  • Responsibilising Managers and Clinicians, Neglecting System Health? What Kind of Healthcare Leadership Development Do We Want?; Comment on “Leadership and Leadership Development in Healthcare Settings - A Simplistic Solution to Complex Problems?”

            Abstract | PDF

  • Who Doesn’t Want to be a Leader? Leaders Are Such Wonderful People; Comment on “Leadership and Leadership Development in Healthcare Settings - A Simplistic Solution to Complex Problems?”

            Abstract | PDF

  • Going beyond the Hero in Leadership Development: The Place of Healthcare Context, Complexity and Relationships; Comment on “Leadership and Leadership Development in Healthcare Settings – A Simplistic Solution to Complex Problems?”

            Abstract | PDF

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Main Subjects

References

  1. Mencken HL. The Divine Afflatus. New York Evening Mail. 16 November 1917.
  2. Storey J, Holti R. Possibilities and pitfalls for clinical leadership in improving service quality, innovation and productivity. Report for the National Institute for Health Research Service Delivery and Organisation programme. London: HMSO; 2013.
  3. NHS Leadership Academy [homepage on the internet]. [cited 2014 September 30]. Available from: http://www.leadershipacademy.nhs.uk/about/
  4. Ovretveit J. Leading Improvement Effectively: a review of research and guidance for leaders. Part 1: The Research. London, Stockholm: Health Foundation; 2009
  5. Tourish D. The Dark Side of Transformational Leadership: A Critical Perspective. London: Routledge; 2013.
  6. McDonald R. ‘Bourdieu’, medical elites and ‘social class’: a qualitative study of ‘desert island’ doctors.  Sociol Health Illn 2012; 36: 902-16. doi: 10.1111/1467-9566.12121
  7. Keltner D, Gruenfeld D, Anderson C. Power, Approach, and Inhibition. Psychol Rev 2003; 110: 265-84. doi: 10.1037/0033-295x.110.2.265
  8. Seea KE, Morrisona EW, Rothmanb NB, Sollc JB. The detrimental effects of power on confidence, advice taking and accuracy. Organ Behav Hum Decis Process 2011; 16: 272-85. doi: 10.1016/j.obhdp.2011.07.006
  9. Ford J, Harding N. Move over management – We are all leaders now. Management Learning 2007; 38: 475-93. doi: 10.1177/1350507607083203
  10. Martin GP, Learmonth MA. Critical account of the rise and spread of ‘leadership’: The case of the UK healthcare. Soc Sci Med 2012; 74: 281-8. doi: 10.1016/j.socscimed.2010.12.002
  11. National Center for Health Leadership (NCHL). Best Practices in Healthcare Leadership Academies. 2010.  Available from: http://www.nchl.org/Documents/Ctrl_Hyperlink/doccopy5381_uid6102014456192.pdf
  12. McDonald R. Individual identity and organisational control: Empowerment and Modernisation in a Primary Care Trust. Sociol Health Illn 2004; 26: 925-50. doi: 10.1111/j.0141-9889.2004.00423.x
  13. Rose N. Governing the Soul: The Shaping of the Private Self. London: Routledge; 1990.
  14. Tomlinson M, O'Reilly D, Wallace M. Developing leaders as symbolic violence: Reproducing public service leadership through the (misrecognized) development of leaders' capitals. Management Learning 2103; 44: 81-97. doi: 10.1177/1350507612472151
  15. McDonald R. A qualitative evaluation of the BME Leadership Development Programme for NHS Staff in 3 regions. A report commissioned by the East Midlands NHS Leadership Academy. Nottingham: University of Nottingham; 2013.
  16. Hartley J, Bennington J. Leadership for Healthcare. Bristol: Policy Press; 2010.
  17. National Institute for Health Research (NIHR). Commissioning Brief 14/155 - New research on leadership development in health and care. Southampton, UK.

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History

  • Received Date: 30 September 2014
  • Revised Date: 14 October 2014
  • Accepted Date: 14 October 2014
  • First Published Date: 14 October 2014

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