Leadership and professional issues The WritePass Journal

Leadership and professional issues Introduction Leadership and professional issues IntroductionLeadership and Influencing PracticeIdentified organizationThe need for changeLeadership styleQualities of an efficient leader Theories and traits of LeadershipImplementation of changeSWOT analysis  Factors influencing leadershipRole of partnership workingEvaluationConclusionReference listRelated Introduction In this era health care industry is booming out the shell. Most of the organizations focus on providing high quality care to patients by insisting changes according to nouveau. Hence, every organization requires an efficient leader for achieving likely hood of success in the delivery of standard care. The leader should have certain skills and qualities for the productive implementation and management of a change. So this activity discusses the leadership qualities, skills, theories, vision, values, and beliefs that are needed for effective leadership to implement a proposed change of â€Å"Introduction of an alcohol based hand rub to reduce nosocomial infections in intensive care unit. Moreover, this paper discusses the factors that can influence the leadership style and strategies for the implementation and identifies pertinent problems that can occur during the process of change introduction. In addition, the barriers of intended implementation of change, role of partnership working and stakeholders are briefly explained in this coursework folder. Also it reveals the role of leadership to resolve the associated problems during the implementation of proposed change. Democratic leadership style is adopted for the successful implementation of the intended change. Lewin’s three step change management model and SWOT analysis is also chosen in this dissertation for guidance in managing and implementing this radical change. Leadership and Influencing Practice In fact, Leadership is the supervision or direction of a group of people towards a meticulous idea and it comprises one leader who led a group by providing information and inspiration. According to the view of Wright (1989), Leadership is the ability to recognize a goal, come up with a strategy for achieving that goal and motivate the team and putting the strategy to action.   Meanwhile, Zilembo and Monterosso (2008) illustrated that leadership is discriminated by the interconnections between people, their relationships and influence. Ideally a leader tries to influence his acolytes for achieving the goal of organization. Ellis and Abbott (2010) also stated that leadership is a social process and one individual persuades the behavior of group members without the use of threats or aggression. In other words, leadership is discovering the route forward and stirring others to follow. A good leader has the ability to manage and to preserve the present while planning the future (Nazarko, 2007). Similarly, a clinical leader is directly involved in clinical care that incessantly improves the care through persuading others (Stanley, 2006). Additionally, it is an ability of supporting the people towards introverted goals and allowing them to take invention to attain that goal.   The impact of leadership is to enhance the sense of fortitude, team cohesiveness and competency of individuals for the successful execution of a new change. Koch (2007, p.448) stated that in this contemporary world leadership is a central component which conduce the individuals, groups, organizations, regions, states and even nations to perform in an efficient manner. The main attribute of leadership is to exhort others or incite by words to perpetrate a common task. The process of leadership comprises of various characteristics. The leadership process involves five interwoven aspects: the le ader, the follower, the situation, the communication process and the goals (Huber, p.8). Identified organization Hospitals are composite organisational systems whose primary intention to deliver clinical care to individual patients (Dijkstra et al. 2006). There are formal as well as informal sub systems, in which here I am choosing intensive care units for the introduction of identified change. The intensive care units provide intensive care to patients in hospitals. In reality, the intensive care units are initiated by Florence Nightingale in 1854 for treating seriously injured soldiers (Neuhauser, 2003). Now, most of the hospitals contain intensive care units for handling serious clients. It also divided in to different departments according to the condition or disease of patient like cardiac, nephrology, neurology, etc. In everywhere, nosocomial infections are the major threat of patients in intensive care unit. Poor hand hygiene and inadequate disinfection methods are the main reasons for transmission of nosocomial infections. So, it is essential to introduce a change in the use of hand rub s for the delivery of quality care. The need for change Patient safety is of high utility and is a critical problem that hospitals are facing these days thus, it is imperative to improve quality and safety in health care. A change has been identified in order to diminish the risk of infection in health care domains especially in critical care units. Nosocomial infections are a major risk to patients in intensive care unit. The major reason in the transmission of these organisms is poor hand hygiene.   Indeed, hand hygiene is one of the most imperative components in the prevention of nosocomial infection. This change has been elected in order to reduce the jeopardy of infection in health care domains especially in intensive care units. The intended change identified for current practice is introduction of an alcohol based hand rub to reduce nosocomial infections in intensive care unit. Certainly, hand washing plays an important role in hospital infection control, especially in intensive care unit. Hence, introduction of alcohol based hand rub is very essential to reduce the transmission of infected bacteria and in order to increase the quality of patient care. In intensive care domains, skin irritation from frequent washing, reduced time due to high workload and simply forgetting are the main reasons for poor hand hygiene.   According to Brown et al. (2003) alcohol based hand rubs provides excellent rapid killing of virus and bacteria. Moreover, it shows significant increases in compliance with hand hygiene with associated decrease in the rate of nosocomial infection. Mody et al. (2003) also agreed that hand antisepsis is the most effectual and least expensive measure to avert transmission of nosocomial infections. It also seems that alcohol based hand rub is faster, more convenient, and less drying method of hand hygiene. The evidence of Kaier et al. (2009) and Samuel et al. (2005) strongly recommend the disinfection of hands with alcohol based hand rub in intensive care units because of its inarguable role in reducing the prevalence of nosocomial infections. Leadership style Indeed, an effective leader makes structure, implement processes for nursing care and facilitate optimistic outcomes. The selection of relevant leadership style also part of characteristics of a good leader. These styles are helpful in providing direction for motivating people to practice the intended change.   Fleming (2004, p.10) stated that leadership style is contingent on a combination of three factors, namely, the leaders, the supporters and the circumstances. Leadership style gives direction in executing plans and inspiring the people.   There are four characteristics of leadership styles that can be identified such as production centered or task oriented leadership, person oriented or person centered leadership, authoritarian or autocratic leadership and participative or democratic leadership. To implement the proposed change democratic or participative leadership is advantageous because this particular style tends to generate cooperation and collaboration which aids in r educing the interpersonal conflicts. In democratic or participative leadership, the leader shares decision making regarding group activities with subordinates (Fleming, 2004). In one of the studies Sims (2009) point out that following participative leadership, the followers endorsed input into decision making and problem solving. Vesterinen (2009) pointed out that the democratic leaders permitted the group members to plan and do their work themselves, so they more engaged in their work. Moreover, the leaders believe their employees and discuss their work together. According to Kenmore (2008), one of the additional benefits of democratic style is developing the employee commitment and creating the ideas. On top of it, by following democratic style, the leaders describe the limits of task and what is required however they   allow the team members as more responsible to decide how can achieve the task( Ellis and Abbot 2010). But in contrast Greenfield (2007) highlighted that the particular form of style is time consuming and in certain cases the leader has been willing to presume control. Qualities of an efficient leader Leadership implies numerous enduring characteristics that are imperative for influencing others and to make considerable contributions in an organization (Girvin,1998).Therefore, by following good leadership the leader must have certain qualities (Sims, 2009). In context to the proposed change leadership qualities play a pivotal role in the successful accomplishment of a task. A high-quality leader should know what they want to achieve, care about the organization or team, and act morally and with modesty (Ellis and Abbott, 2010). According to Rigolosi (2005) the qualities of leadership are: good communication skills, inter personal relationship, reliability, inspiration, recognition of goals, articulating vision and proper knowledge. In addition, he or she should work constantly with honesty, should be able to get team members to share their goals and always focus on the team members. These qualities are crucial for overcoming resistance and for the implementation of a planned chang e. There are other characteristics that involves in a good leadership. Since, leadership skills like communication skills, management skills and patient care skills play an important role in a good leadership and it help to manage the situations (Grossman, 2007); a leader should be a good communicator. Good communication will helps to bring eloquence to a situation and they can well communicate with their team members. For the introduction of alcohol based hand rub, leader should be eager to share their knowledge as well as collaborate with team members. As well an effective leader should be able to create a healthy work environment and encourage the nurses to interact with others. Also, leader should have self-awareness and good listening skills and should be flexible and assist followers to develop their practices. Eventually, he has to act as a mentor and identifies their own strength and weakness. Leadership skills and competencies are also obliging in bridging the gap between the visions and reality. Sylvie et al. (2007, p.30) concluded that leadership skills are essential in executing the plans into realities and the fundamental skills required in leadership are: communication and listening skills, coaching, empowerment, decisiveness, delegation, assertiveness, problem solving, conflict management, goal settings and negotiation skills. These qualities and skills of leadership consist of high values that can help to sort out the issues that may arise while executing a change of alcohol hand rub introduction. Theories and traits of Leadership According to Sims (2009) there are several theories includes in leadership such as trait theory, behavior theory, task oriented, relationship oriented, transactional, transformational, afflictive and coaching. To bring resilience and to provide direction throughout the change process â€Å"The Kurt Lewin change theory model† will be used. According to Beverland and Lindgreen (2007) this model characterises change as a condition of disparity among driving forces (insists for change) and restraining forces (insists against change). A force-field analysis is to be done to assess the driving and restraining forces. Kassean and Jagoo (2005) described that Lewin’s model comprises of three phases namely: unfreezing, movement and refreezing. Implementation of change In unfreezing stage people are motivated to bring alcohol hand rub in the current practice, by assisting them in identifying the requirement for change. In this phase the team members can be motivated to accept the anticipated change by making enhancing awareness about the strengths of the proposed change and the weaknesses of the current practice. During the movement stage new alternative approaches are used by substituting to the older attitudes, values and behaviours. Where as in moving stage the change is plan in detail and then instigate. This stage includes health educational classes, demonstration of hand washing methods, training programs and wide consultations from multi disciplinary team involves internal and external stake holders.   Moreover, each stakeholder plays an important role in planning of a new change. Before the implementation of change it is necessary to scrutinize the availability of resources, cost for new disinfectant (alcohol based hand rub). A complete p lan of introduction of new hand rub measures for health care givers can be discussed with the chosen external stakeholders. Whilst, in the final phase of this model that is refreezing phase the incumbent attitudes, values and behaviours are ascertained as a latest status quo. In refreezing the change is stabilized at the new level within the organization. In this phase the nurses are given the opportunity to thrive and take advantage of the alterations made. As well the leader assists with preservation and evaluation because functions stabilize and the change is included into the systems. In this final phase the traditional practice of poor hand washing will completely remove from the intensive care unit and the change of hand rubbing with alcohol based solution begins to practice. Overall, these phases of the Lewin’s model provide guidance about influencing other people and how to make the implemented change as a standard change. SWOT analysis Certain logistical impediments might arise while working towards the accomplishment of the proposed change. To avoid the adversities in the implementation of a sustained change it is essential to identify the probable hindering factors by using various leadership skills juxtaposed with leadership strategies. Subsequently, the recognized factors must be discussed with the other group members. To formulate strategies accordingly SWOT analysis will be performed. Houben et al. (1999) evaluated that the recognition of SWOT (strengths, weakness, opportunities and threats) is beneficial to focus on strategies for change. The relevant interlocking issues which seem to hamper the attainment of this change are inertia of preceding practice, lack of interest, lack of decentralization of information and cost of alcohol hand rubs. To subdue these obstructing factors it is important to establish a sense of importance, make vision, coalition to direct the change, conquer resistance to change and th en the work must be initiated for the successful accomplishment of a task.   Factors influencing leadership In general, there are some factors, which influence the leadership style such as earlier superiors, values, information, collaboration and education (Vesterinen, 2009). The earlier superiors persuade the leadership in two ways. Some leaders may follow the superior’s behavior as a stimulating example, where as others avoid some habits of their earlier superiors.   Furthermore, values of the organization can affect the leadership styles for the introduction of new hand rub methods. Communication problems also have the negative outcome on change implementation in intensive care units. Other factors will be collaboration and co-operation with colleagues. Additionally, education also will affect the leader’s thoughts and opinions regarding the introduction of innovation. It supports the leaders by offering tools to assess their own leadership from diverse point of views. Role of partnership working In addition, partnership working is very important in implementation of proposed change to attain a successful implemented change. The implementation of alcohol hand rub can include stakeholders like hospital management, physicians, and consultants, other paramedical staff and external stakeholders. Carroll and Edmondson (2002) concluded that executives have to eloquent a convincing vision of a learning culture that assisted stakeholders to perceive savings as supportive common goals. Lammon et al. (2010) affirmed that effective partnership engrosses shared responsibility for improving patient outcomes. So the leader must joint involve to the partnership through shared knowledge, property, assets, activities and meetings. According to Stanley (2007) generating an effective partnership between organizations should make a new or diverse way of working together.. Besides, each stakeholder plays important role in anticipated change into practice and continuing this practice. The leader can engage the both internal and external stakeholders (health care agencies) to achieve a successful change. For internal stakeholders the leader can arrange educational programs and enhance the members to take inventiveness in attending educational sessions. Also leaders can monitor for practice the change for achievement. Likewise leaders can arrange the training session for external stakeholders to investigate the benefits of change Evaluation Evaluation has a pivotal role in motivating and planning change (Petro-Nustas, 1996). A comprehensive evaluation is required to generate options and solutions. It not only gives guidance for institutional problem solving but also provides a foundation for judging whether decisions either to terminate or institutionalize special projects were made on justifiable grounds. According to Senior and Fleming (2006, p.108) the evaluation phase of the change process allows choices in a decision area. Execution of a new change has substantial effects on the practice patterns of the health care providers. Hence, there is always a requirement to audit the current state for converting the change into best practice. Cummings and Worley (2006, p. 663) defined that evaluation feedback is the information about the overall effects of a change program.   Feedback is considerable for evaluation since information will be gathered from health care personals and patients by conducting interviews and group deliberations using questionnaires. Factual data collected from patients and nurses’ feedback will help in appraising the effectiveness of the proposed change. Panel and group discussions will also aid in reviewing the identified change. Moreover, clinical assessments can be performed by observing clinical practice in action to find out whether the educational curriculums assisted in improving the quality of care. The use of all these evaluation strategies can be helpful in predicting the success rate of the identified change. Conclusion To sum up, nosocomial infections are the major risk of patients in intensive care unit introduction of alcohol based hand rub reduces the nosocomial infection and improves the quality of care of the critically ill patients in the intensive care unit. Moreover, appropriate leadership styles, theories, qualities, values, beliefs and vision are help to achieve an effective leadership. On top of it, partnership working that includes role of internal and external stake holders plays an imperative role in the implementation of an identified change to attain a successful implemented change. However, there are some barriers and factors can affect the implementation of proposed change. Lewin’s theory helps to overcome these barriers and factors before the implementation of an intended change. Further evaluation can be done with clinical visit or analyzing feedback reports regarding the experience with alcohol hand rub and its effects in reducing nosocomial infection. 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The difficulty is to decide what these   will be, and it can be argued that it is only by planning that the nature of the changes taking place can be fully charted and understood. In fact managers take into account possible changes in deciding a course of action, in the form of contingency plans. Change Management is the effective tool to helps the leaders and managers in these issues.It is the process of preparing, positioning, leading and governing the energies of organization members and of expending all organizational possessions to attain stated organizational objectives. In the settings in which the managers and leaders work, change is the usual direction of effects and the most significant management ability in the organization of change. Health care organizations will have objectives. They   have a purpose of being in existence and continuing their work for ensuring high quality service to the residents. For that an effective leadership is very imperative Leadership is the process of inspiring other persons to perform in specific ways in order to attain precise objectives. Good leadership can result in victory, poor leadership can result in let-down, and this   can be delivered by one person or by a team of people. An important part of the management part is to provide leadership of one type or another, because leadership is about providing course for an organization, creating decision on the approaches and procedures to attain organizational aims and serving to launch the style and philosophy of an organization. The word leader derives from words meaning a path or road and suggests the importance of guidance on a journey. Both the word itself and the role of leader are looking advancing, classifying the way ahead or steering others towards agreed objectives. The main features in attaining outcomes in an establishment is to be   contingent on the self-concept and standards of the staffs, their principles, insolences, spirits, performance, and the specific results of the variations they look for. These depend on many chief influences such as management,motivation and more considerable subordinate rudiments. Rosewood in a health care organisation, providing caring for elderly, where there are thirty eight employees and more than seventy two inhabitants. This is located in the western parts of England where I work at present. Here in this health care organization it has been found that the changes should be made through in the staffs’ training and motivation, or classes given to the employees as there is a visible failure in the jobs allocated to each and every staffs, whether new or experienced. . I have done a serious exploration on the full realities and particular findings, and have selected a change theory with clear endorsemen ts. The resolution of this essay is to put some sunlit on the causes and circumstances why strategic change ingenuities based on new community management is mistaken. The essentiality for health care organisations to continually acclimatise and change in order to realize viable success has now developed as part of conventional organizational thinking. The policy fluctuations and improvements disturbing health care have subsidized to a state where organisational change is a long-term feature of lifetime in health care subdivisions Although leadership is most obviously seen at times of high drama, it can ascend in all sort of situations when a person takes responsibility and chooses what to do later. It can be contended that people can display qualities of leadership in a variety of situations. These qualities are usually to be seen in the taking of decisions and sharing to the followers in such a way that deed is taken. In this case I thought of assuming myself to be the leader and adopt an affiliative leadership style and strategies for implementing the change. The affiliative style revolves around people to create coordination and keep the care givers and other employees happy .The objective is to create strong loyalty, improve communications and the sharing of ideas and initiatives. This style   allows for innovation and risk-taking and liberty for people to carry out their jobs in the way they think is most effective, but only bounding to the rules and regulations of the organization. This   style provides strong positive feedbacks and is highly motivating. As in the issue this organisation is pertaining to the encouragement of the employees this style of approach is particularly effective for team building and creating emotional links between team members by showing an interest in their personal lives and praising people at every opportunity. On the other hand, focus on it may mean that poor performance is tolerated and others may feel that they do not have a guiding sense of direction. If it is linked to an authoritative style this to overcome these demerits, only when the situation demands. Health care organizations and its working is multifaceted, with high levels of concentration that are determined perhaps unavoidably by the complexity of human body, the mind and the societal world in which we are living. The complication and shattering of health care make harmonization remarkably problematic. Then ascends the delinquency of excellence of facilities distributed to the residents and the to the person it selves. However the harmonization difficulties have seemed to have become inferior rather than improved over the years. These might be the explanations which signs to the dropping excellence of work and the performance of support workers. There is a need for reengineering in the areas of staff interviews, job allocation and motivation, which will in fact be a planned answer to change where some disagreement can be predictable. New objectives and variations which are to be made should inject the stimulus of motivation, productivity and standardisation. The method of reengineering will include the inside and outside valuation of various factors, visioning, scheduling, testing and obviously should start from the nick. The organization and restoration team can assist in this alteration process by showing their obligation to the innovative procedure and by representing that is extremely valued by the organisation. Here it is essential that the organization and employee must become acquainted to the degree of the change and not descended to the new process. Any opposition on the changes can be minimized by enduring message, staff participation and good instruction about change and how to deal with. All leaders have to act, they have to perform and show results. There may be many ways of doing this, but it can be argued that actions speak louder than words. When change has become necessary in Rosewood, the hardest problem is to persuade people (all employees) to agree on the causes of difficulties. One way of doing this may be to emphasise the faults occurred, an inspirational speech and try to cajole people to improve. The most effective managers today rely on expert, referent and connection power than on coercive, legitimate reward or information power. Leaders are now tend to use personal power rather than positional power as management structures have become flatter and management practice more open. Information is now more widely shared and management is seen as a form of partnership in order to achieve agreed objectives. The process of achieving behavioural and attitudinal change involves unfreezing the situation, changing it and then refreezing it into the new mould. This ideal was developed by Lewin in the year 1959,and is known to be Lewin’s three step model. This   process requires a high level of communication and consultation in order to convince people that the changes are necessary. All members including the leader should identify the need of the change and the fault in the present system. The period of change is often associated with analysis of the present situation and why anew one needs to be developed. A change agent can be involved at this stage, which may be an organisational development specialist who performs a systematic diagnosis of the organisation and identifies work related problems. The role of this person is to gather and analyse information through personal interviews, surveys and by detecting meetings. The change agent may be an outsider who comes in as a consultant , but as I don’t feel the importance of such an outsider, the organizational unit within Rosewood can perform this task. Training is the most frequently used technique to bring about change. Here the whole organisation should be involved because this was an attempt to change behaviour and not simply skills. Team building can enhance the cohesiveness of both the health care units and whole organisation. Communication can be improved between various parts of organisation, specifically between heath care management and workers, and regarding strategic plans and their implementation. Understanding the reasons for changes in working practice and values can help employees come to terms with the changes. Consultation about the changes and their implementation can help both managers and other employees to understand and acquire ownership of the changes, particularly when they are as deep routed as values and practice. Survey   actions can be applied in order to encourage consultation and feedback. A questionnaire can be distributed to the health care workers on such matters as working practice, values and or ganisational culture. After the survey is completed, an organisational development consultant can meet with groups of employees to provide result about their response and the problems that have been identified and to discuss the way forward. As an on-going process the survey feedback action technique can used for upward feedback by which managers assess the deputy to whom they report. The leader completes a questionnaire and the overall results are then discussed by the Organisational development specialist with the top management. A meeting is charged by the organisational development specialist with the top management and the leader in order for them to express their views about their boss. This process can produce surprise for top management about how they are viewed by the people who work directly for them. This process of reverse appraisal can be applied throughout the organisation, starting at the top and working down to self-managed teams. In today’s   quality oriented and fast working environments, leaders need to update their diagnosis of the situation on   a continual basis ,rather than only when only major change is taking palce.It does, of course, have particular importance at sensitive times ,such as, when rapid expansion is taking place. The leaders and the care workers or employers are dedicated to upholding the occupant’s right of independence, and advance their excellence of life by provided that high standards of care is given to the.. For this the leader is gratified first to advance the awareness of the workers, to see that they are properly vested to provide the best that the organization expects from them. It is also vital to progress the confidence or morale of the employees in order to get the class work done by them. Morale is a state of mind built mostly on the perception of employees to their work, their managers, their peers, and their leaders. Every organisational environment or culture is uniquely different and the Visionary Motivator, who is the Leader here, must adapt a little to the culture if they want to be successful. In a health organisation the motivator will probably have to down play the   overly passionate part of their nature. In some way they may need to appear like the tenacious implementer but perhaps with more outwardly expressed drive, dedication and conscientiousness. There are two key things for the visionary motivator or the leader to hold in mechanist settings. The first is to ensure that the vision is firmly connected into the strategies, objectives and project plans. There is no rooms for an airy fairy vision that is disconnected from the everyday workings of the health care organisation. Secondly, their motivational techniques must be elegant and attuned to the mechanist culture. Exaggerated positivism is unlikely to succeed, there as motivational strategies tied into the system and structure of the organisation will be welcomed. Reward systems performance coaching and performance management would be typical techniques within the culture. One the attributes of the visionary motivator is the ability to turn problems into opportunities, reframe events positively and see the right side of life. So, in an adaptive culture where the organisation needs to have the capability to react effectively and proactively to changes they are a great asset. When looking at SWOT analysis the visionary motivator will be able to see away of exploiting the organisational strengths and environmental opportunities and way to a mitigate the organisational weaknesses and environmental threats. They will be able to reframe things positively, whatever is on the horizon, and they will help people understand the consequence of change. Theis analysis proves best when the members let their opinions to hover easily and a reminder is completed of whatever and everything that comes in mind. When seeing the condition, no problem how odd it may appear. Recruitment should involve the examination for filling the vacancy, consideration of the source of suitable candidates, drafting job advertisements and selecting media suitable to carry them, assessing appropriate salary levels for new employees, and arranging interviews and other   aspects of selections, which is the second stage in the process of recruitment. Selection requires the assessment of candidates by various means and the choice of successful candidate. External recruitment may be expensive as it involves advertising, agency fees, distribution of application forms, preparation of short lists, writing for reference, interviewing and other related expenses. The changing stage happens when people begin to test with new performance and learn new skills in the work force. This procedure is measured by the interference of structural growth expert and others, with exact plan for training and development of managers and employees. Training programmes will highlight the new values and approach, such as customer first programmes, quality developments and investors in people. Team building is encouraged, consultation on health work practice and symbolic leadership activities introduced. The rejection of change may be particularly vehement at the beginning of the stage, followed later by acceptance. Gradually, the people who have most strongly rejected the change may be the ones who most wholeheartedly come to accept them. The refreezing stage occurs when individuals acquire the new attitudes, values and behaviours and are rewarded for them by the organisation. The organisational development specialist will improve help for everybody to change and an increasing number of people will look for help to adjust to the new values and approaches. The impact of new behaviours will be evaluated and reinforced. The reinforcement will be through training programmes, team meetings and the reward system. The organisational development process suggests techniques which leaders should apply continuously in organisation so that change is the accept norm rather than the occasional and rare phenomenon. In this sense the use of terms such as unfreezing and refreezing suggests an end to the process before it starts again. In the altering of attitudes and behaviour it can be argues that in fact this is what often happens. While strategic change can be incremental, a step at a time it is not always like this. The theory is that the managers sense the changes required in the environment in which there organisations are working the gradually adapt to these changes through adjustments to the strategic plan and its implementation. By way of many features of organization there are no modest answers or correct retorts. The range of hypothetical and unbending works is perhaps best stared as a collection of capitals that covers a range of valuable material which will be appropriate at dissimilar peri ods and in different settings reliant on   the nature and the background of alteration. Structural change management receipts into discussion both the events and getups that managers use to sort changes at a physical level. Most institutions want change to be practical with the smallest fight and with the most real consequence as possible. For this to happen, change must be practical with an organized approach so that change from one type of behaviour to another organization wide will be smooth. Reference Rigolosi,E.L.M.(2005) Management Leadership in Nursing Health Care:An Experiment al Approach ,p 6 ,UK:Springer publishing company. Buytendijk,F.(2009) Performance Leadership,p 18,USA:MCGraw Hill International. Scrivens,E.(2005) Quality,Risk Control in Health Care, p 20,England:Open University Press. Hannagan,T.(2005) Management Concepts and Practises, pp 20-33,Great Britain:Pitman Publishing. Baggott,R.(1994) Health Health Care in Britain,p 120Great BritainThe MacMillan Press. Cameron,G.,Green,M.(2008) Making Sense of Leadership ,p 60, Great Britain:Kogan Page Ltd. Binny,G.,Wilke,G.,Williams,C.(2005) Living Leadership,p 133,Englnd:Pearson education Ltd. Carnall,C.(1990) Managing Change in Organisations ,pp187-190 ,England:Pearson education Ltd. Hewison,A.(2004) Management for Nurses nad Health Professionals,pp76-79,Oxford:Blackwell. Rieley,B.J.(2006) THE Telegraph Business Head Leadership,p163,London:Hodder Education Axena,P.K.,Bennies,W.(2007) Principle of management A modern approach ,p 88 Newdelhi :Global India publication . Welner,A.,Roneh, J. (2003) Culture change in long term care, p 101, Newyork ;USA; Routledge Sinclair-Hunt,M.,Simms,H.(2005)Organisational Behaviour Change Mnagement,p 5 www.select-knowlege.com

5-Step Program to Improve Your Communication Skills

5-Step Program to Improve Your Communication Skills With the development of technology lots of people find it more simple to get anything they want from the web, avoiding face-to-face contact. Nevertheless, communication skills are still essential: not only will they help you be successful in your studies and at the workplace, but also they are a powerful instrument, that helps you learn about the world and live a life, full of diverse experiences that come from interacting with different people. Weve come up with a series of steps that will facilitate effective communication with others. Try them out! Be cautious, though: theres a high probability that youll become more talkative, popular person! Identify the Weak Spots Lets face it: if youve ended up searching for â€Å"how to improve your communication skills† you obviously think there is an area for improvement. Dont be too harsh on yourself: saying youre a total mess wont do you any good. Be critical yet constructive. A possible solution here could be to videotape yourself having a conversation: you might do it on your own or ask a friend or a family member for help. Watch it with your confidante and determine all the soft spots: it might be a body language, the tone of voice (too low or too high), the speed of your speech. All in all, make a list, stay positive and remember: youre on the way to success! Learn Your Body Language We send non-verbal signals of the time: your posture, gestures, the way you look at your interlocutor say a lot about how you feel. There is a simple recipe, that can help you transmit a far more positive message. Dont slouch, try not to cross your hands and legs, when talking to someone, and, of course, smile! It is also a great idea to maintain a confident tone, without being too loud or too timid and keep an eye contact with your conversation partner. These are just the basics, adjustable for every individual, nevertheless, paying attention to them certainly wont hurt. You should also pay attention to your fellow talkers body language: youll interpret the signs they give you more competently and even be able to change your behavior to achieve the best possible outcome of the interaction. Listen Everybody loves talking about themselves. Thus, having a conversation about ones thoughts, dreams and plans is a shortcut to establishing friendly relationships with the person. The most important thing here is to pay attention and really listen to your conversation partner. Dont be a drain for information. Do your best to be an active listener: encourage the person to continue by asking relevant questions, paraphrase their own thoughts to make sure you have the same ideas in mind and, of course, concentrate on what they say. The â€Å"what goes around comes around† rule applies here. Pay attention and the opposite party is very likely to pay it back. Stand Up for Yourself Assertiveness by no means implies being aggressive or overly contentious. It rather involves ability to express your ideas openly and honestly, respecting others. To send appropriate message you should remember several basic rules. know where you stand: you wont be able to pursue your goals, without knowing exactly what they are. Listen to yourself, work out your own views on certain issues and then express them to others. be negative effectively: its perfectly OK to be angry or frustrated. What matters, though, is being able to tackle the problems constructively. Holding negative emotions in is destructive, so dont fixate on them. If something causes your discomfort, tell people about it and dont wait too long to look for solutions. stay tolerant: expressing your own stance is surely of the highest importance. However, you shouldnt forget about one of the most valuable benefits of communication: it leads to exchange of experiences. Try to stay flexible and take others opinion into account: new insights might help you change the situation for the better. Count to 10 Managing stress and anxiety is a vital skill. Lots of wrong things were said in the wrong way for the reason of simple nervousness. Thats why you should be able to identify the point, when you start to lose control over the situation and handle it properly. Dont worry about pauses in conversations. Sometimes, they are a great opportunity to take your time and think of the next point youd like to mention. The urge to fill the silence may result in thoughtless mumbling, which does not lead to fruitful communication. Repeat the questions and ask for clarifications, when needed. This will show youre truly interested in the positive outcome of a conversation and prove youre a good listener and critical thinker. Take deep breaths. This technique wouldnt be so popular if it didnt work. When you feel youre about to lose the nerve, count to ten (yeah, that again) and concentrate on your breathing. In a moment youll see: everything is not so bad! Keep Going Thats not the last step of our program. Thats just a recommendation for the future. Think of the methods above and apply them in practice. Have a chat with a shop assistant or talk to a stranger at the bus stop. It might be a bit scary at first, but youll love the result. No one is perfect. Thats what makes us humans. Working on those imperfections makes us better versions of ourselves. Keep that in mind and dont stop!