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===Transactional===
===Transactional===


When converting from transactional to empowering leadership, teams may transiently function more slowly.<ref>Lorinkova NM, Pearsall MJ, Sims HP. [http://amj.aom.org/content/56/2/573.short Examining the Differential Longitudinal Performance of Directive versus Empowering Leadership in Teams]. ACAD MANAGE J. 2013 Apr 1;56(2):573–96.
When converting from transactional to empowering leadership, teams may transiently function more slowly.<ref>Lorinkova NM, Pearsall MJ, Sims HP. [http://amj.aom.org/content/56/2/573.short Examining the Differential Longitudinal Performance of Directive versus Empowering Leadership in Teams]. ACAD MANAGE J. 2013 Apr 1;56(2):573–96.</ref>
 
</ref>


====Management by exception: active====
====Management by exception: active====
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* Gardener leadership<ref>McChrystal GS, Collins T, Silverman D, Fussell C. Team of Teams: New Rules of Engagement for a Complex World. 1 edition. Portfolio; 2015. 289 p. {{ISBN|1591847486}</ref>
* Gardener leadership<ref>McChrystal GS, Collins T, Silverman D, Fussell C. Team of Teams: New Rules of Engagement for a Complex World. 1 edition. Portfolio; 2015. 289 p. {{ISBN|1591847486}</ref>
* Servant leadership<ref>Greenleaf, Robert K. "[http://www.american.edu/spa/leadership/application/upload/Greenleaf,%20%20Leadership.pdf  leadership]." (1977). Mahwah, NJ: Paulist Press</ref>
* Servant leadership<ref>Greenleaf, Robert K. "[http://www.american.edu/spa/leadership/application/upload/Greenleaf,%20%20Leadership.pdf  leadership]." (1977). Mahwah, NJ: Paulist Press</ref>
* Three ttypes that focus on  giving employees decision making but may not include giving employees information to guide their decision making.
* Three types that focus on  giving employees decision making but may not include giving employees information to guide their decision making.
** Shared Leadership<ref>Pearce, C. L., & Conger, J. A. (2002). Shared leadership: Reframing the hows and whys of leadership. Sage. ISBN {{ISBN|1452276765}}</ref>
** Shared Leadership<ref>Pearce, C. L., & Conger, J. A. (2002). Shared leadership: Reframing the hows and whys of leadership. Sage. ISBN {{ISBN|1452276765}}</ref>
** Participative Leadership
** Participative Leadership
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Power may lead cerebral changes in those given power<ref name="pmid23815455">{{cite journal| author=Hogeveen J, Inzlicht M, Obhi SS| title=Power changes how the brain responds to others. | journal=J Exp Psychol Gen | year= 2014 | volume= 143 | issue= 2 | pages= 755-62 | pmid=23815455 | doi=10.1037/a0033477 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23815455  }} </ref>. This may lead to hubristic syndrome<ref name="pmid19213778">{{cite journal| author=Owen D, Davidson J| title=Hubris syndrome: an acquired personality disorder? A study of US Presidents and UK Prime Ministers over the last 100 years. | journal=Brain | year= 2009 | volume= 132 | issue= Pt 5 | pages= 1396-406 | pmid=19213778 | doi=10.1093/brain/awp008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19213778  }} </ref>
Power may lead cerebral changes in those given power<ref name="pmid23815455">{{cite journal| author=Hogeveen J, Inzlicht M, Obhi SS| title=Power changes how the brain responds to others. | journal=J Exp Psychol Gen | year= 2014 | volume= 143 | issue= 2 | pages= 755-62 | pmid=23815455 | doi=10.1037/a0033477 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23815455  }} </ref>. This may lead to hubristic syndrome<ref name="pmid19213778">{{cite journal| author=Owen D, Davidson J| title=Hubris syndrome: an acquired personality disorder? A study of US Presidents and UK Prime Ministers over the last 100 years. | journal=Brain | year= 2009 | volume= 132 | issue= Pt 5 | pages= 1396-406 | pmid=19213778 | doi=10.1093/brain/awp008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19213778  }} </ref>


.


== See also ==
== See also ==
* [[Industrial and organizational psychology]]
* [[Industrial and organizational psychology]]


==References==
==References==

Revision as of 06:28, 3 June 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Robert G. Badgett, M.D.[2]

Leadership is "the function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers".[1]

Leadership development in health care is perceived as being many years behind that of other industries.[2]

Evidence-based management

Evidence-based management (EBMgt) has been advocated to improve management practices[3]. This is based on the success of evidence-based medicine and has been called the management-as-medicine motif (MAMM)[4]. Concern about the approach of EBMgt has been based on a Cochrane Collaboration review of nursing turnover[5] that focused only on randomized data[4].

Systematic reviews have been encouraged as alternative to narrative reviews for summarizing evidence in business and management research.[6]

Selection and development of leaders

Narcissism may be selected for.[7][8]

Dunning-Kruger effect in hospital administrators[9]

The selection for narcissism may be related to the Dunning-Kruger effect which has been noted to occur in the self-assessment of leadership skills.[9][10][11][12][13]

Individuals with promotive voices rather than a prohibitive voice are more likely to become leaders.[14]

"Emergent leaders showed a higher amount of active gestures and less passive facial expressions than non-leaders" according to eye-tracking studies of teams.[15]

Masters in Business Administration

CEOs with a MBA may[16][17] or may not[18] underperform other CEOs due to emphasizing short-term business outcomes[19] rather than sustainability.[20]

Humility

The harm of narcissism in leaders may be mitigated by humility[21] However, humility may not be effective in teams that expect a high power distance or expect dominating leaders.[22]

Leadership styles related to worksite climate

Leadership style affects work climate.

Leadership styles in health care may affect institutional finances, specifically operating margins.[23]

Early categorization of leadership styles was by Lewin in 1938 who labeled styles as autocratic, democratic.[24]

The terms transactional and transformation were introduced by Weber in 1947.[25] Weber said the charismatic leader was a transformer and the bureaucratic leader was transactional.

Similar concepts are Theory X and Theory Y management by Douglas McGregor in 1960[26]. Theory X is transactional and Theory Y is transformational.

The concept of transactional versus transformation leadership was using the Multifactor Leadership Questionnaire (MLQ) first proposed by Bass in 1978.[27]

Measurement of transactional versus transformation leadership using the was first proposed by Bass in 1985.[28]

Bass added the concept of laissez-faire leadership in 1997.[29][30]

Leadership styles may effect burnout of employees[31] and leaders themselves.[32][33].

Laissez-faire

Laissez-faire may be the most common of the destructive leadership patterns[34].

Laissez-faire, in health care, is associated with low subordinate job satisfaction and effort.[35]

Among physicians, management by passive exception and laissez-faire and may overlap.[36]

Transactional

When converting from transactional to empowering leadership, teams may transiently function more slowly.[37]

Management by exception: active

Management by exception: passive

Among physicians, management by passive exception and laissez-faire and may overlap and management by passive exception may be within laissez-faire.[36]

Transformational

This style may be the most effective in healthcare on employee responses and clinical outcomes.[38]

Transformational leadership may increase employee thriving and decrease burnout.[39]

Transformational style may better promote team learning behaviors than a transactional style.[40]

Transformational leadership may build on transactional leadership, "for transformational leadership to be effective,the leader must first build trust and follower responsiveness on the basis of tangible, transactional processes perceived as fair."[35]

Enabling or Empowering leadership

Enabling leadership attempts to bridge the needs to innovate and to produce[41][42]. Enabling leadership is based on complexity leadership theory.

Empowering leadership is defined variably[43][44][45] but includes:

  • Autonomy support[46]. Autonomy adds to mastery.[46] Perceived autonomy is associated with less burnout.[47]

Similar concepts are[48]:

  • Gardener leadership[49]
  • Servant leadership[50]
  • Three types that focus on giving employees decision making but may not include giving employees information to guide their decision making.
    • Shared Leadership[51]
    • Participative Leadership
    • Democratic leadership

Empowering leadership may be compatible with AGILE development, which may conflict with command and control leadership[52].

Two contradictory faces of empowerment are [53]:

  • Enabling
  • Burdening

Compared to transformational leadership, in leadership the leader's focus is on the employees rather than the organization.[54]

The World Health Organization recommends as one of 4 reforms needed for primary health care, “leadership reforms need to steer away from either ‘command and control’ or ‘laissez-faire disengagement’ towards a participatory style”[55]

In health care administration, physician leaders have difficulty relinquishing control and feel threatened by empowering others[56].

Outcomes and consequences

Empowering leadership is associated with:

  • Performance, organizational citizenship behavior, and creativity according to a meta-analysis as compared transformational leadership and leader–member exchange[57]
  • Creativity and innovative behavior (ρ = .36), contextual performance (ρ = .33), withdrawal behaviors (ρ = .28), and job performance (ρ = .25) according to a meta-analysis.[58]
  • Increased employee intrinsic motivation and creativity[59]
  • Increased productivity by implementing Strategic Human Resource Management (SHRM) as compared to initiating operational improvements[60]
  • Increased knowledge sharing and team efficacy which led to increased performance.[61]
  • Increases work engagement via work meaningfulness[62] or empowering leadership has been proposed for healthcare.[63][64][65]

Servant leadership behavior may be more effective than narcissism[66]

Measuring empowerment

The Empowering Leadership Questionnaire (ELQ) has been proposed to measure this style.[67] The ELQ measures either categories:

  1. Coaching
  2. Informing. Examination of the 6 questions in this scale suggest informing here does not fit with information sharing as proposed by complexity science.
  3. Leading By Example
  4. Showing Concern/Interacting with the Team
  5. Participative Decision-Making

Religion and faith in leadership

The role of religion and faith in leadership is being increasingly explored[68][69].


Leadership tactics related to worksite innovation

(see enabling leadership above)

Innovation can be classified as[70][71]:

  • "Inbound OI involves identifying and acquiring knowledge from external sources"
  • "Outbound OI involves exploitation of a firm’s knowledge and technology through commercialization in the external market"

Organizational cultural influences on innovation has been systematically reviewed[72]. Cultural attributes include:

  • Learning culture
  • Adhocracy culture
  • Clan rather than hierarchical culture
  • Low power distance culture

Complexity science has been proposed as a framework for health care organization since early this century.[73][74]

Complexity leadership theory describes three forms of leadership[75]:

  • Adaptive leadership
  • Administrative leadership
  • Enabling leadership

Anderson and McDaniel proposed in 2000 that key leadership tasks are[73][76]:

  1. Relationship building
  2. Loose coupling
  3. Complicating
  4. Diversifying
  5. Sense making
  6. Learning
  7. Improvising
  8. Thinking about the future

A model of of learning based on complexity science has been developed.[77]

Complexity Leadership Theory, also called Complex systems leadership theory, was proposed in 2006.[78][79][80] Based on this theory, Hazy has proposed leadership skills similar to Anderson and McDaniel:[81]

  1. Generative
  2. Administrative
  3. Community-building
  4. Information gathering
  5. Information using

Complexity Leadership Theory is consistent with open book management.

Complexity Leadership Theory may be seen as an evolution of Heifetz's adaptive leadership[82]

Complexity Leadership Theory is consistent with knowledge-oriented leadership, which is defined as "an attitude or action, observed or imputed, that prompts the creation, sharing, and utilization of new knowledge in a way that seems to bring a shift in thinking and collective outcomes."[70] These leadership tactics can be measured with 3 concepts:

  • Knowledge-oriented Leadership
  • Knowledge Management Capability (technological, structural, cultural, application, acqusition, sharing)
    • Example: cultural (highest loading questions):
      • My organization takes advantage of new knowledge.
      • My organization quickly applies knowledge to critical competitive needs.
      • My organization quickly links sources of knowledge in solving problems.
  • Open Innovation

Complications of leadership

Power may lead cerebral changes in those given power[83]. This may lead to hubristic syndrome[84]


See also

References

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  2. McAlearney, Ann Scheck. "Leadership development in healthcare: a qualitative study." Journal of Organizational Behavior 27.7 (2006): 967-982. doi:10.1002/job.417
  3. Pfeffer, Jeffrey, and Robert I. Sutton. "Evidence-based management." Harvard business review 84.1 (2006): 62.
  4. 4.0 4.1 Morrell, Kevin, and Mark Learmonth. "Evidence-based management." The Oxford Handbook of Management (2017): 419. doi:10.1093/oxfordhb/9780198708612.013.21
  5. Webster J, Flint A (2014). "Exit interviews to reduce turnover amongst healthcare professionals". Cochrane Database Syst Rev (8): CD006620. doi:10.1002/14651858.CD006620.pub5. PMID 25133355.
  6. Tranfield, D., Denyer, D., & Smart, P. (2003). Towards a methodology for developing evidence‐informed management knowledge by means of systematic review. British journal of management, 14(3), 207-222. doi:10.1111/1467-8551.00375
  7. Mayo. If humble people make better leaders, why do we fall for charismatic narcissists. Harvard Business Review. 2017
  8. Brunell AB, Gentry WA, Campbell WK, Hoffman BJ, Kuhnert KW, Demarree KG (2008). "Leader emergence: the case of the narcissistic leader". Pers Soc Psychol Bull. 34 (12): 1663–76. doi:10.1177/0146167208324101. PMID 18794326.
  9. 9.0 9.1 Van Velsor, E., Taylor, S., & Leslie, J. B. (1993). An examination of the relationships among self‐perception accuracy, self‐awareness, gender, and leader effectiveness. Human Resource Management, 32(2‐3), 249-263. doi:10.1002/hrm.3930320205
  10. Giambatista, Robert C., and J. Duane Hoover. "An Exploration of Overconfidence in Experiential Learning of Behavioral Skills among MBA Students." Developments in Business Simulation and Experiential Learning 41 (2014).
  11. Bass, Bernard M.; Yammarino, Francis J. (1991). "Congruence of Self and Others' Leadership Ratings of Naval Officers for Understanding Successful Performance". Applied Psychology. Wiley-Blackwell. 40 (4): 437–454. doi:10.1111/j.1464-0597.1991.tb01002.x. ISSN 0269-994X.
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  61. Owen D, Davidson J (2009). "Hubris syndrome: an acquired personality disorder? A study of US Presidents and UK Prime Ministers over the last 100 years". Brain. 132 (Pt 5): 1396–406. doi:10.1093/brain/awp008. PMID 19213778.


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