29 Pages
7133 Words
Critical Analysis and Recommendations for Leadership in Integrated Care Systems
Part A: Critical Analysis
Challenge Analysis
Issues in decision-making and addressing primary care
Leadership is a crucial factor in integrated care service. There are several behavioural measures for leaders that need to be maintained in this sector. It is not only important for the organisation or the employee management, but it is also important for managing the peasants and other stakeholders that are directly linked with the organisations. Therefore, leaders need to maintain particular behavioural measures and skills that help them to understand the organisational requirement and give them positional authority (Becker et al. 2022, p. 380). These skills also help them to enable the facilitative styles and help in decision-making.
Based on different resources it can be said that decision-making is one of the challenges as most of the integrated care systems have been organised by the authoritarian management system. Other than that in this process, the organisation also follows a strict culture of making and following rules. Therefore, the flexibility in the organisation has been lost, which is an unsatisfactory requirement for the employees (McNulty et al. 2019, p. 35). One of the major skills for any leader is to empower or motivate the employees that are working in the organisation. However, in ICS Making flexible rules or creating collaborative culture is not working properly.
Other than that, maintaining self-awareness in ICS is a more significant challenge faced by the employees. According to different resources, employees are not able to perform any career development programs that are creating different barriers to their skill development. Therefore, the employees are lagging behind and not efficient enough to understand the requirements of patients. For maintaining a better leadership model in difficult situations, it is vital for leaders to create different career development campaigns that help the employees to overcome these challenges and create significant skills for the employees that can help them in the future perspective. On the other hand, due to the authoritarian leadership model, organisations cannot maintain a proper communication system with employees and other stakeholders that are directly or indirectly related to the organisation. Hence, shared leadership model is necessary in which everyone from top to bottom are responsible for the decision-making process (Gren and Lindman, 2020, p. 119). These challenges mainly affect the collaborative participation of employees and create different barriers to their productivity. Due to a weak communication system, the organisations cannot provide the required facilities to the patients. These challenges also lead to another bigger issue that is related to understanding and adopting modern technologies in the health care system. In the healthcare sector, several modern technologies have been invented that can provide better facilities to doctors and other people that are related to the organisation. Such as using EHRs can help doctors to maintain a complete medical history of a patient more efficiently. These drawbacks due to ineffective leadership can affect the healthcare system and its growth in society.
Other than all that, maintaining emotional intelligence in the healthcare system is a prior necessity for every healthcare organization. Maintaining emotional intelligence and empathy can create a better environment and working culture in organisations that can emphasise the productivity of employees and make better relationships between medical practitioners and patients (Archanjo de Souza et al. 2020, p 463). According to different resources, it is essential to understand the importance of emotional intelligence in leadership.
Situation
With the increasing population, the demand for healthcare services is also rising eventually (van Kessel et al. 2022, p. 98). It has been observed that this situation has raised concerns for the regional primary healthcare centres to serve the affected population in a proper way. In this regard, it is essential to frame leadership measures that can enhance healthcare settings for reducing the increasing concerns regarding healthcare measures (Chen et al. 2022, p. 10942). Nowadays, there is an increasing concern regarding mental health and disability measures. This has affected a wide range of populations all over the world. Hence, there is a need to develop leadership practices in order to enhance the communication and collaboration measures that lag behind (Kova?evi? et al. 2022, p. 385). As a result, this can affect the effective decision-making measures that can hinder the ability of healthcare professionals to frame strong collaboration and interrelationships among them. The situation states that there is a need to enhance the emotional intelligence measures that can help healthcare professionals to connect with patients efficiently (Alloghani et al. 2022, p. 112). Apart from this, it has been observed that the leaders are unaware of the organisation of healthcare campaigns that can enhance the decision-making measure. In addition, there is a lack of technological advancements as well that has the ability to hinder the advanced treatment of patients. As a result, there is a need to enhance leadership practices along with effective communication measures and advanced technological advancements in care settings.
Analysis
What works well?
Stating the enhancements in this regard, it can be said that there is an analysis of the increasing demand for healthcare services in the developing economy. This implies that there is an enhancement in understanding the requirement of mitigating the issues associated with the health status of the population (Iorember et al. 2022, p. 102). Thus, it has raised concerns based on mental health and disability measures in order to mitigate the serious problems in the beginning stage only. Apart from this, there is the analysis of enhancing the communication measures along with the collaboration so that there can be awareness regarding the benefits of effective teamwork in healthcare delivery (Smith et al. 2022, p. 450). The situational analysis also states the importance of generating emotional intelligence with the patient in order to address the requirements of the patient with care and effective support. The situation has also stated that there is a requirement to enhance technological advancements in order to reduce the ability to hinder advanced healthcare for patients (Minopoulos et al. 2022, p. 588). Moreover, the situational analysis also states the requirement for organising healthcare campaigns in order to spread awareness regarding healthcare practices among the general public. This can help in effective decision-making measures by gathering feedback from the patients with the organisation of clinical surveys.
What does not work well?
It has been analysed that there are several measures that are not having a positive impact on the healthcare system or integrated care systems. The first and foremost measure that has not worked well is the lack of clear leadership strategies that can influence healthcare outcomes in a negative way. There is a limited focus on the allocation of resources as with the increasing demand for healthcare services, there can be a lack of funding, staffing and infrastructure improvements (March et al. 2022, p 358). Apart from this, there is a lack of stakeholder involvement as the process of decision-making has hindered and reduced the ability to produce comprehensive and sustainable solutions (Dicuonzo et al. 2023, p. 92). There is difficulty in tracking the progress of the implementation of the new approach and improvement as the changes are taking place immediately. There is insufficient technological advancement as healthcare professionals are not able to treat patients with care and provide them with the necessary medication. This implies that there is a lack of resistance to change as a result the leaders in healthcare settings are not able to deal with the changing preferences of the target market. Lastly, it has been assumed that there is a lack of training and development of the employees as a result there is a lack of emotional intelligence and collaboration measures with the patients.
What could be done differently?
Strengthening interdisciplinary training:
There is a need to introduce interdisciplinary training programs in order to reskill and upskill the knowledge of the employees. This can help the employees to address the commands of the leaders with a proper understanding of the relevant matter of concern. This can also enhance the healthcare services provided to the patients (Tuominen et al. 2022, p. 96). Thus, there can be efficiency in enhancing communication and collaboration measures that can enhance the reputation of the healthcare sector or organisation preferring integrated care systems. The effective collaboration of the healthcare teams can enhance the outcomes and increase customer satisfaction measures as well.
Implementing Integrated Health Information System:
Implementation of this health information system can enable healthcare professionals to share information seamlessly in different healthcare settings. This can help in being up-to-date with the information of different patients that can be used in future for handling similar situations. Thus, there can be enhancement in the decision-making measure with continuous improvement in the healthcare settings (Hoxha et al. 2022, p. 140). Apart from this, the information can also appreciate communication engagement and education in terms of awareness regarding healthcare settings. This can also help in enhancing partnerships with the social determinants of healthcare services. In addition, the establishment of clear and precise governance structures can help in enhancing integrated care goals.
Leadership and governance alignment:
There is a need to enhance and define the roles and responsibilities of the employees in order to enhance the accountability mechanisms at every stage of healthcare effectiveness in terms of leadership measures. This can help in aligning the organisational objectives with the efficiency of the employees in providing the necessary care and support to the patients (Kapologwe et al. 2023, p. 20). Thus, there can be enhancement of collaboration among different stakeholders that can ensure the sustainability of the integrated care systems.
Influence on Leadership Effectiveness and Organisation
Leadership is one of the most important sectors for every organisation that can maintain its productivity and collaborative culture in the organisation.
Planning
It is important for every leader to create different effective objectives for the organisation and to perform different accents to accomplish those objectives by creating different plans based on the accommodation or skill set of the employees (Javed et al. 2020, p. 230). Planning helps in understanding the courses of action by different organisations in minimum cost time or labour. It also helps in understanding the resources and their effectiveness on the organisational workflow.
Direction
Direction is one of the most recognizable and visible roles of Leaders. It helps them to determine the works and objectives for fulfilling the organisational aims. Directing can help the leaders to maintain a better working situation in the organisation (Archanjo de Souza et al. 2020, p. 466). It also helps in creating different circumstances for overcoming the barriers faced by the organisation. This shows the effectiveness of leaders in difficult times in any organisation.
Making collaboration
From an organisational perspective collaboration and effective communication are the most important skills for any leader of an organisation. By creating effective communication, the leaders can maintain a peaceful situation inside the organisation and create a happier organisational environment. Other than that, by creating an effective communication system inside the organisation the leader can enhance the better relationship between employees and make a collaborative approach to the organisational culture (Görgens-Ekermans and Roux, 2021, p. 1279). This collaborative culture can enhance the empathy of employees towards other employees, patients and the people related to the organisational culture.
Informed Understanding of Leadership
Leadership is the ability of any individual or a group to motivate influence and guide people or members of an organisation, team or society. Leadership also refers to the attribute tied to one person's skills, sincerity ranking and authority in the hierarchy. Leadership is important for people to understand and manage the aspects of society including different aspects of ethical and social responsibilities. Leadership also helps in understanding the difficulty or priority of a situation and taking action based on these situations (Becker et al. 2022, p. 490). In leadership information is a crucial point that helps them to understand the critical issues or the organisational situation. There are several skills and attributes that help leaders to create an aura for their followers or employees (Ibrahim and Daniel, 2019, p. 370). These skills are mainly based on the management skills such as self-confidence, self-awareness, time management, creative and innovative thinking, communication skills and eagerness to take risks and overcome critical situations with different strategies.
For the continuous growth of any organisation, leadership is important. Organisations mainly depend on successful leaders and their skills. Leaders can create and maintain the major missions, visions and goals of an organisation. They have the skills to unite people as a team and lead them to achieve their goals. These capabilities are important for every leader for managing their teams in times of crisis (Gren and Lindman, 2020, p. 180). For leadership management and to maintain better leadership quality leaders need to follow different theories and models that can help them to find out the positive approaches and particular strategies for overcoming aspects of tragic situations. These theories are mainly based on the skills and uniqueness of leadership qualities.
Part B: Recommendations
Clearly Defined Roles and Responsibilities
There is a need to clearly define the roles and responsibilities of the employees in order to align the motive of the employees towards a single goal. In this regard, leaders can take advantage of implementing Fayol's 14 principles of management. The 14 principles are suited for every organisation that is in need of managing the tasks or employees as a whole for the growth and development of the particular industry. The principle is included with the principle of unity of direction, unity of command, discipline, remuneration and division of work.
This implies that the principle of command and direction needs to be implemented by the leaders in order to guide the employees efficiently and protect them from external factors. This can protect the employees from working under the instructions of some other boss who actually wants to spoil the workplace diversity and the reputation of the organisation as well. Thus, in this regard, the employees should be loyal to the organisation and should understand the decisions taken by the leader. In this regard, the leader needs to enhance the open communication measures through that they can address the requirements of the employees to provide them with the necessary feedback through that they can enhance their performance (Anglin et al. 2022, p. 22).
In terms of leadership, I believe that my talents lay in strategic planning, effective communication, and the facilitation of collaboration across many teams. One example of a crucial system priority task is the improvement of access to primary care (McGorry et al. 2022, p. 44). I have a demonstrated history of successfully analysing difficult circumstances and developing all-encompassing methods to address them.
Because of my expertise in strategic planning, I am able to simplify difficult jobs by breaking them down into a series of more manageable steps, which paves the way for success in the future. I am able to match goals and objectives with the larger mission, with the major emphasis remaining on the general enhancement of access to primary care. Another one of my primary strengths is my ability to communicate effectively. I am aware of the significance of effectively communicating the organization's mission and objectives to a variety of stakeholders, such as those working in the medical field, in administration, and in policymaking (George et al. 2023, p. 1850). I am highly skilled at adapting my message to the individual requirements and issues that are of importance to a variety of groups, which is essential for ensuring that everyone is on the same page.
I am also skilled at putting together and directing groups of people. I am a firm believer in the need of cultivating an atmosphere in which individuals are given the confidence to share the one-of-a-kind thoughts and abilities they possess. I am able to bring together healthcare practitioners, administrators, and community leaders to work towards a similar objective by cultivating an environment that is conducive to collaboration (Carney et al. 2019, p. 123). It can be stated that I am well aware that there is always an opportunity for advancement. My capacity to adjust to situations that are always evolving is one of the skills that I am actively aiming to improve. Because the healthcare industry is in a state of perpetual flux, the ability to rapidly adjust one's strategy is absolutely necessary.
In addition, my primary focus right now is on strengthening my data analysis skills even more. Being able to successfully evaluate and exploit data in today's data-driven environment can provide insights that help improve decision-making and create positive change in access to primary care services (Järvenpää et al. 2023, p. 170). This is especially useful in the context of the current healthcare system. It can be stated that the abilities that I possess as a leader in the areas of strategic planning, communication, and team collaboration have allowed me to effectively address system-priority tasks such as enhancing access in primary care. I am devoted to generating measurable results that have a beneficial impact on the current state of the healthcare sector, even as I continue to develop my adaptability and data analytic skills.
My journey to improve my abilities as a healthcare leader is continuing, and as part of this process, I am concentrating on developing specific areas that have been identified as essential to strong leadership. These are the areas I am working to improve. It is essential to have a strong foundation in decision-making, and as such, I am actively participating in mentorship and practical exercises to hone my capacity to analyse difficult circumstances, consider several options, and arrive at decisions that are well-informed. Another essential ability is delegation, which requires more than just handing out assignments; it also entails making certain that members of the team have the support and resources they need to succeed (Almazmomi et al. 2022, p. 1270). I intend to achieve my goal of streamlining workflows and enabling my team to execute to the best of their abilities by actively practising this skill.
I place a lot of value on having a good understanding of oneself. Continuous reflection is required in order to gain a better understanding of my leadership style, as well as my strengths and areas in which I can develop. Having this awareness is vital so that I can modify my approach in accordance with the requirements of the environment and the requirements of the team. In addition, the use of new technologies is of the utmost importance in the modern healthcare system (Tanwar et al. 2020, p. 102407). I am devoting some of my time to learning about the most recent technological advances and how they might be implemented to improve the quality of care provided to patients and the overall effectiveness of operations.
Recommendations and actions could influence my performance and leadership effectiveness
It is impossible to be an effective leader without possessing adequate emotional intelligence, which includes the abilities of empathy, active listening, and emotion management (Sergey et al. 2020, p.26). By honing these talents, I am making the environment more encouraging of collaboration and boosting the mood of the team. This setting is more supportive and compassionate. When it comes to putting plans and ideas into motion, having clear and effective communication is really necessary (Sergey et al. 2020, p.25). I am dedicated to improving my communication skills, both in terms of clearly presenting information to others and adjusting the content of my message to suit the needs of a variety of audiences, such as team members, stakeholders, or patients.
Furthermore, developing strong relationships is essential to effective leadership (Arghode et al. 2022, p.87). In addition to providing useful insights, networking and interacting with peers, mentors, and experts can also assist develop collaborations that can drive positive change in healthcare systems. As I embark on this path of development, I am committed to gaining knowledge via my experiences, soliciting comments from others, and putting my abilities to use in order to have a positive effect in the field of healthcare.
The development of a leadership style that is compatible with the intricate workings of integrated care partnerships (ICPs) and the larger healthcare ecosystem calls for an approach that takes into account a number of different aspects (Briggs et al. 2020, p.123). Adaptability, collaboration, and a dedication to community participation would be hallmarks of my leadership approach were I to be in a position of authority in this setting.
In light of the complex nature of ICPs, I would place a strong emphasis on adaptation as a fundamental component of my approach to leadership (Hughes et al. 2022, p.470). In light of the wide variety of parties involved, such as NHS integrated care boards, local authorities, and community organisations, I would keep my approach adaptable in order to take into account the many different points of view and requirements. To guarantee productive collaboration and service delivery, it is essential to be flexible in the face of shifting expectations and regulations in the healthcare industry. In terms of integrated care, collaboration is of the utmost importance (Rudnicka et al. 2020, p. 10). I plan to make it a point to obtain input from all of the stakeholders involved, whether they are local authorities, healthcare professionals, or community leaders, and I would attempts to foster an atmosphere where open communication is encouraged. Therefore, they make judgements that are thorough and take into account their collective knowledge, which leads to more effective tactics and integrated care plans in the end (Jin et al. 2019).
Participating actively in community affairs is consistent with the idea of forming place-based partnerships (Gamboa et al. 2023, p. 134). Involving local residents, those who use the services being provided, and the carers for those people would be one of my top priorities in the decision-making process (Gamboa et al. 2023, p.137). This not only makes individuals more capable of becoming active participants in their own healthcare journeys, but it also makes it more likely that the services that are provided will be adapted to meet the specific requirements of each particular neighbourhood and community. In addition, my approach to leadership would place an emphasis on openness and participation. I would work to develop trust and confidence among the partnership's participants by encouraging open communication and getting stakeholders involved in decision-making. This, in turn, helps ensure that integrated care policies and efforts are carried out in a seamless manner.
It can be stated that, in order to lead within the framework of integrated care partnerships, one needs a leadership style that is flexible, community-focused, collaborative, and open (Henderikx and Stoffers, 2022, p.687). By adhering to these values, I would work towards the goals of fostering effective collaboration among various stakeholders, promoting community participation, and driving the successful implementation of integrated care solutions, all of which would eventually improve the health and well-being of the population residing in the ICS region.
Role of theories in developing my skills
In the course of my leadership development within integrated care partnerships and diverse healthcare settings, I have realised the importance of applying a variety of leadership theories in order to improve the quality of my work. Accepting these beliefs enables me to adapt my strategy to a variety of contexts and stakeholders, which eventually leads to excellent results.
Drawing on the Transformational Leadership theory, my goal is to inspire and motivate stakeholders within integrated care partnerships by conveying an alluring vision and cultivating a sense of shared commitment. I will accomplish this by communication of a compelling vision. This strategy fosters a spirit of collaboration and shared purpose among municipal officials, community representatives, and medical experts.
By putting the needs of my team members and the stakeholders serve first, I am practising the notion of servant leadership. I form relationships based on trust and empathy with people by putting their health and development at the forefront of my priorities. This strategy makes certain that the requirements of a wide variety of partners are comprehended and met, which contributes to the accomplishment of goals relating to integrated care. The theory of situational leadership serves as a compass for me as I modify my style of leadership to fit the particular requirements of integrated care partnerships. When I communicate with healthcare professionals, local authorities, or community organisations, I adapt my strategy in a flexible manner to accommodate the unique requirements and preferences of each of these groups.
My ability to maintain responsibility and clear expectations within integrated care partnerships is made possible by the philosophy of transactional leadership. I make sure that all of the stakeholders are on the same page and dedicated to accomplishing our common objectives by outlining their roles and duties and providing them with structured incentives. The philosophy of authentic leadership places a strong emphasis on being transparent and acting ethically at all times (Alvesson and Einola, 2019, p.390). I set a good example for others to follow, fostering an atmosphere of trust and credibility among the various stakeholders. I am able to cultivate genuine connections with others because I am unwavering in my commitment to my core beliefs and I approach everything with transparency and candour.
SMART action plan to improve skills
Skill |
Specific Goal |
Measurable Milestones |
Achievable Steps |
Relevant Resources |
Timeframe |
Solid Decision-Making |
Enhance decision-making process through analysis and |
1. Complete a decision-making workshop |
1. Enroll in a decision-making course |
Decision-making course |
6 months |
structured evaluation. |
2. Successfully lead a high-stakes decision |
2. Engage in real-life scenarios |
Decision analysis tools |
with positive outcomes. |
3. Seek feedback and reflection |
Mentorship from experienced leaders |
Delegation |
Improve delegation skills by empowering team members |
1. Delegate tasks to team members and |
1. Identify tasks suitable for delegation |
Delegation training |
6 months |
and ensuring accountability. |
monitor progress. |
2. Provide clear instructions and resources |
Feedback from team and peers |
2. Assess results of delegated tasks and |
3. Evaluate outcomes and lessons learned |
Leadership books and resources |
provide constructive feedback. |
3. Adjust delegation approach as needed |
Self-Awareness |
Develop self-awareness through regular introspection |
1. Establish a reflective journal to track |
1. Set aside time for regular self-reflection |
Self-awareness assessment tools |
6 months |
and feedback. |
thoughts and insights. |
2. Seek feedback from peers and mentors |
Coaching or mentorship |
2. Receive feedback on leadership style and |
3. Analyze feedback for areas of growth |
Personal development books |
areas for improvement. |
3. Develop strategies for self-improvement |
Understanding of |
Enhance technology literacy through |
1. Complete online courses in relevant |
1. Identify key areas of technology |
Online technology courses |
6 months |
Technology |
educational resources and practical application. |
technology fields. |
to learn about |
Technology workshops or webinars |
2. Implement technology tools in daily tasks |
2. Experiment with technology tools |
IT professionals' guidance |
to improve efficiency. |
3. Seek guidance from IT professionals |
Emotional Intelligence |
Cultivate emotional intelligence by practicing |
1. Engage in mindfulness exercises to |
1. Set aside time for mindfulness practice |
Mindfulness apps or resources |
6 months |
self-awareness and empathy. |
enhance self-awareness. |
2. Practice active listening techniques |
Emotional intelligence workshops |
2. Exhibit empathy through active listening |
3. Seek feedback on emotional responses |
Feedback from team and peers |
Powerful Communication |
Enhance communication skills through active |
1. Participate in public speaking workshops |
1. Practice public speaking in safe spaces |
Public speaking workshops |
6 months |
Listening, public speaking practice, and adaptability. |
To improve public speaking. |
2. Engage in active listening exercises |
Communication courses |
2. Convey complex ideas clearly through |
3. Adapt communication style to the audience |
Role-playing scenarios |
Concise communication. |
3. Seek feedback and refine techniques |
Feedback from mentors and peers |
Relationship Development |
Foster relationships by actively engaging with |
1. Attend networking events and conferences |
1. Research relevant networking events |
Networking events or conferences |
6 months |
Stakeholders and seeking feedback. |
to expand connections. |
2. Initiate conversations and connect |
Peer collaboration |
2. Build rapport by actively listening and |
3. Engage in collaborative projects |
Mentorship from relationship experts |
showing empathy. |
3. Seek feedback and assess impact |
Part C: Personal Reflection
My understanding of leadership has experienced substantial growth and transformation throughout the course of this module, which has resulted in a deeper respect for the varied nature of good leadership. My engagement with the course materials, assignments, and reflections has provided me with valuable insights and useful tools that have affected how I think about and approach leadership. These changes have been brought about as a direct result of this engagement.
The significance of determining a strategic path and garnering support from various stakeholders is one of the most important lessons that I have learned. I have realised that effective leadership requires not only having a distinct vision but also effectively conveying that vision and aligning it with the objectives and objectives of key stakeholders. This was something new for me to understand. This lesson has shown how important it is to involve stakeholders early on and to cultivate a sense of ownership in the strategic direction since these are two of the factors that can contribute to a more successful implementation.
The importance placed on ethical issues and responsible leadership is yet another major message from this conference. I have recently come to the realisation that the actions made by a leader have repercussions that extend further into the realms of ethics, sustainability, and social responsibility. My participation in this course has inspired me to examine business strategies and operations with an ethical perspective, with the goal of ensuring that my decisions are consistent with my ethical principles and that they contribute to the development of environmentally responsible policies.
In addition, the value of inclusive leadership and diversity has been emphasised further throughout the curriculum. It is crucial for a flourishing team and organisation to cultivate a culture of inclusivity that fosters well-being and diversity and encourages people to share their experiences. I have realised that in order to successfully cultivate an inclusive workplace, it is necessary to proactively value differences, advocate for diversity, and take purposeful efforts to guarantee that all views are heard and valued.
Regarding the improvement of my skills, I have significantly improved both my ability to lead and to influence other people. My abilities to inspire and direct other people towards achieving common objectives have been strengthened by participating in this module's discussions and case studies. In addition, I have become better able to manage relationships with a wide variety of stakeholders. I have acquired the skills necessary to negotiate complicated networks of stakeholders, who have a variety of interests, as well as to communicate and interact with these stakeholders effectively in order to achieve common goals.
I have improved both my curiosity and my inventiveness as far as my behaviours are concerned. I have grown to be more at ease with investigating ambiguous and difficult topics, and I've come to see that problems of this nature frequently present opportunities for novel approaches to old problems. Because of this adjustment in my mentality, I am now able to approach challenges with an open mind and be willing to experiment with different ways of solving them.
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