Marcelo’s honest and heartfelt sharing of his education ministry is very humbling to me. As the principal of his school, I really do sense the challenges that he faces, yet I can sense his undying perseverance and hope that he has for the school and the staff. In Marcelo’s post, he described the many challenges the school is facing and one of them is the fact the institution is still in its infancy and just celebrated their fifth year anniversary. Marcelo continues by stating a young institution can be fragile and unbalanced and it is essential to find the right path that will lead to healthy growth and bring the institution into full maturity.
Reading the above description reminds me of many new emerging businesses that are trying to succeed in the market. When I was in high school, I worked for one such retail store in Vancouver. This business specialized in importing and retail small car accessories such as air fresheners, light bulbs, decals, and other decorations that one would put in their cars. For the first few years, the business was booming and the owner decided to quickly expand from one retail location to three high profile locations. However, nothing is for certain in this volatile, uncertain, complex, and ambiguous (VUCA) world (Ungerer, M., Ungerer, G., & Herholdt, J., 2016, pg. 3). After working for this business for a few years as a part-time job, I have left to pursue other opportunities and continued with my undergraduate studies. A few years after I left, I noticed the business started to deteriorate, closing one location after another until eventually, all retail locations are permanently closed.
While I have no concrete answer to prevent from such an event from happening. I do believe fostering a culture of agility is one way of strategic acting in the face of uncertainty and turbulence (Hughes, R., Beatty, K. & Dinwoodie, D., 2014, pg. 127). From Marcelo’s description of the recent events with staff turnover and other uncertainties, the ability to make a fast and effective action in these types of events. Hughes et al. (2014) state “agility involves more than an organization’s time to act” (pg. 127) and may include acting outside of the organization’s and cultural norms in order to create an effective strategy. I remember reading Marcelo’s previous post and he indicated how the culture has greatly influenced how the institution and staff operate, I wonder if there is an opportunity to be creative and able to find solutions that could be effective in managing these challenges? Hughes et al. (2014) further suggest “even if you can’t change the culture of the whole organization, you can take steps to change the culture and the behaviour of the people in your part of it” (pg. 128).
Thank you Marcelo in sharing your journey with us. God knows your heart and love for the people and the students and I will continue to pray for His work to be done at your school.
References:
Hughes, R., Beatty, K. & Dinwoodie, D. (2014). Becoming a strategic leader : your role in your organization’s enduring success. San Francisco: Jossey-Bass.
Ungerer, M., Ungerer, G., & Herholdt, J. (2016). Navigate strategic possibilities: strategy formulation and execution practices to flourish. Randburg: KR Publishing.
As I am reading Stella’s blog post, I can immediately sense the frustrations that she encounters in her workplace, but also the desire for an improvement. I really appreciate Stella’s honesty in sharing her thoughts and situation. As a father of two young children and one of them just entered Kindergarten, I really appreciate our educators here in British Columbia. For the past two years, my wife and I were struggling to make a decision in terms of whether to place our son in a public school or private school system. On one hand, we have the public school system where it’s is accessible and it is completely funded by the government. The resources that we would save would mean we can invest it in other types of learning such as after-school sports or music program. On the other hand, we very much value the Christian school setting, where our beliefs and values can be further reinforced by the school community. With the recent media attention of the SOGI123 resource implementation in various school districts, as a parent, I feel the public school system no longer provide parents with the opportunity to provide input to their own child’s education. Ultimately, we have decided to place our son in the Christian private school that is in our neighbourhood for the above reasons, in addition, to show support in the private Christian school system. My son’s school is now expanding in capacity and looking towards building a new campus. This is a good sign that we have many people in our community that values Christian teaching at our schools. As a response to Stella’s comments on exposure, I would like to provide a bit of an encouragement that while public school systems do seem to engulf by the public sector, there are many families that appreciate the Christian schools and teachers in the community. Thank you from the bottom of my heart.
I would also like to touch on Stella’s point regarding morale and Stella’s thoughts on being surprised by the number of people that are working below-standard. This is also something I notice at my workplace as well and unfortunately, this happens more often then we might think. One strategy to overcome this is to hold people accountable. As suggested by Lepsinger, R. (2010), “high level of accountability will take initiative to ensure the success of a project, provide early warning of potential problems, and take action to resolve a problem”. The lack of accountability often allows people to “slide” without notice. I would encourage Stella to consider some strategy and system of accountability in the workplace to see if that would help in staff morale.
Reference:
Lepsinger, R. (2010). Closing the execution gap: How great leaders and their companies get results. San Francisco: Jossey-Bass.
Working under a Health Authority, such as Vancouver Coastal Health (VCH), presents specific challenges in terms of staff engagement and retention. In its rigid corporate environment, there are many restrictions and limitations in terms of what the organization can do to engage and motivate health care workers. One way to motivate staff is a reward system. The rewards system is designed to align the goals of individuals with the goals of the organization (Galbraith, J. R., 2014). With any government-funded organization, the spending by any department can be heavily scrutinized and held accountable to tax-payers. This means spending on items outside of regularly mandated activities is highly discouraged. In contrast, my wife is a supervisor at a private medical imaging clinic. They often provide gift cards in small increments as a token of recognition for staff who did a good job. Throughout the year, the company also host and paid for various events such as Christmas celebration and family activity day to increase team morale and create a tighter community. These incentives appear small but can create a big impact in terms of engaging staff members and create a sense of ownership within the organization. When our such spending is out of the question, the health authority will need to utilize strategic thinking to find creative ways to achieve the same outcome. In one of my previous blog post, I mentioned one of the strategic ways to engage staff by making common sense with transparent communications, visioning collectively, and creating a culture of learning. I would like to provide more concrete examples on how it can be applied specifically in my workplace.
There is a lot of distrust in union workers. Like many government agencies, health care workers are unionized. While there are many benefits for staff such as job security and fair employment process, the union can also create a lot of unnecessary tension and distrust when there is a conflict between the leadership team and staff members. Union organizations tend to be skeptical of many directives from the leadership group and advise union members to always consider “what’s in it for me”. This type of perspective foster a culture of selfishness and apathy when comes to organizational interests. In terms of dealing with human resources in the health care setting, we must first establish trust by making common sense with transparent communications. Our leadership team is faced with many challenges such as new directives from higher level agencies. Often, these directives will translate to some less desirable changes to the frontline staff. As strategic leaders, we must help others in the organization make common sense of the world around them, the challenges they collectively face, and how they will face them together (Hughes, Beatty, & Dinwoodie, 2014, p. 84). Even when details of the directive is not relevant to the frontline staff, providing the information will help staff members understand why certain decisions are made. As suggested by Hughes et al. (2014), “unarticulated knowledge can cause people to feel unclear or confused about the apparent disconnectedness between the priorities, policies, and processes of different teams, departments, or divisions in their organization” (pg. 85).
Corporate vision is just as mentioned, belongs to corporate. There is no buy-in from staff members to the corporately developed vision. As a strategic leader, we must be visioning collectively to allow staff members from all levels to participate in the vision-setting process. This provides the opportunity for people to share personal versions of aspirations for the organization to create ownership of the organization’s vision (Hughes et al., 2014, p. 76). The vision must also be meaningful to the entire organization and not just for the leadership team in order to reinforce the greater purpose of the organization.
The culture of learning is key to engage staff. Achieving the enduring performance potential of the organization requires the hearts, minds, and hands of all to be engaged (Hughes et al., 2014, p. 41). To do this, the strategic leaders must be willing to learn from others in all levels of the organization, including frontline staff. The result of engaging staff members in different levels and departments is the creation of new connections and relationships that would foster higher levels of motivation and morality (Imbenzi, Williaume, & Page, 2013, para. 14).
Well, that didn’t work…but this might
Two years ago VCH conducted an employee engagement survey to assess the health of the workforce. The results of the survey were abysmal, with over 47% of health care workers stating dissatisfaction and disengagement with the organization. The CEO of the organization has made it her priority in VCH to address these concerns. Since then, many different initiatives have rolled out such as abolishing the employee absence program and promoting a learning series on change. Yet, even though the idea of this initiative is good, not many changes have happened within the organization. In fact, many staff members that I know are confused and not sure what is happening within the organization. I believe this is because the initiative is missing a few key items:
Set clear strategic priorities. Even though the CEO has started the initiative in the attempt to engage staff, there are really no priority changes to the existing work demands to allow this to happen. VCH is currently rolling out a series of workshops to help staff develop new skills in managing change and establishing a culture of curiosity. However, without prioritization of existing workload and other projects, after staff have taken the workshop, there is no opportunity to implement or practice such learning. Once staff returns back to their care site, the urgent matters quickly come rushing back to their attention and the newly acquired skills are soon to be forgotten. If staff engagement is the main focus and priority for VCH, then every project and tasks must be properly aligned by setting clear strategic priorities, which is one of the key strategic acting competencies (Hughes et al., 2014, pg. 120).
Keeping leaders accountable. Our top executive leader, the CEO, has been very visual with this new initiative and priority for VCH and it has been very refreshing for the frontline staff to see her level of commitment. However, this cannot be said the same for the local department leadership. It appears there is a disconnect the CEO and other leadership groups. When our direct leadership group is nonchalant about a project initiative or decides that is it not important for the department, it is very difficult for staff members to engage. For example, in my own department, this initiative to engage staff was never brought up in our staff meetings or senior strategic meetings. Because of my current position, it is difficult for me to determine why the disconnect exist. I do believe one way to increase the effectiveness of this initiative is to hold people accountable. As suggested by Lepsinger, R. (2010), “high level of accountability will take initiative to ensure the success of a project, provide early warning of potential problems, and take action to resolve a problem”. Our immediate leaders and supervisors must be seen to have buy-in and continue to promote this initiative in order for it to succeed. Otherwise, it is destined to fail and things will go back to the way it was.
Implement initiatives at the right time. When this initiative first rolled out, the project team was very enthusiastic and together with a third-party strategic management company has begun to introduce a two-day workshop on change management and to encourage staff to embrace change. My leadership team has identified me as one of the emerging leaders of the department and I was invited to participate in the pilot workshops. Together with approximately 30 people, we represented the emerging middle and frontline leaders that are motivated and passionate about what we do. However, the outcome of the pilot was confusion and disengagement. The overall sense of the workshop was it lacked the purpose and vision of the initiative. After attending the two-day pilot, many people in the group felt the workshop was delivered in an inappropriate time and many people did not understand how this workshop relate back to the original purpose of the initiative. These workshops well thought-out and useful for staff members, but it must be implemented at the right time before it can be effective. When most of the organization were still uncertain as to the direction of this new initiative, rolling out additional projects and training only adds to stress and create even more confusion.
The three things I can do…
…to promote the positive renewal, execution, and organization design principles:
Engage my staff to create shared direction, alignment, and commitment (Hughes et al., 2014, pg. 41). The organization is currently attempting to establish a collective vision for VCH. It is important for me as a leader to work with my staff members and determine how we can align ourselves to achieve the organizational purpose in a way that is meaningful to my team.
Foster agility by making strategy a learning process (Hughes et al., 2014, pg. 129). In the next three years, we anticipate major organizational changes to our leadership team. It is important for me, as a strategic leader, to continue to be agile in being ready for the uncertainty of what is to come. These challenges can only be overcome by collective problem-solving processes which require strategic learning (Hughes et al., 2014, pg. 129).
Creating systems of accountability (Lepsinger, 2010). People who have a high level of accountability will take initiative to ensure the success of a project, provide early warning of potential problems, and take action to resolve a problem even when it is not their fault (Lepsinger, 2010). I will use the three techniques as suggested in Lepsinger (2010)
Clarifying actions and expectations
Agreeing on due dates for deliverables
Establishing checkpoints
…to promote the negative practice of these principles:
I will not do it alone. Leadership is often demonstrated by collectively as a group. In the upcoming challenging times, success is dependent on the intelligence of the entire team. As suggested by Hughes et al. (2014), “the must crucial work of a strategic leader is to engender strategic leadership in others by igniting the power and potential of the entire organization in service of its performance potential (pg. 42).
I will not make excuses when things do not go the way I have planned. In addition to creating a system of accountability for my staff, I also need to hold myself accountable and take ownership of mistakes being made. Making mistakes is a part of learning and I cannot shy away from making them.
I will not expect things will work right away. From the point prior to this one, it is naive to believe things will work correctly right away. We must extend grace to others as the team is adapting collectively to new changes. In the same way, I must also extend grace to myself. But more important, I must not give up on if things go awry.
…to correct behaviours not conducive to your career health and the principles required to promote health strategic practice:
Be intentional in listening to people that are different. It is easy to get along with people who are similar to me. But a strategic leader will consider people from all parts of the organization in order to create a shared direction, alignment, and commitment. To do so, I must not only listen to the people around me but to also go to the people are distant from me but still part of the organization.
Demonstrate more empathy as a servant leader. Because of my nature of thinking in terms of processes and being more analytical, I often neglect to consider how other’s feelings could come into the matter. Empathy is one of the ten characteristics of servant leadership as suggested in Northhouse (2016).
Focus on the growth of others. A transformational servant leader can effectively engage followers to achieve the organizational purposes by attending to the needs to the followers (Imbenzi et al., 2013, para. 34). I want to prioritize my focus on helping others fulfil their potential instead of focusing on my own. By doing so, we can collectively lift each other up to fulfill an even higher calling.
References
Galbraith, J. R. (2014). Designing organizations: Strategy, structure, and process at the business unit and enterprise levels.
Hughes, R. L., Beatty, Collarelli-Beatty, K., & Dinwoodie, D. L. (2014). Becoming a strategic leader: Your role in your organization’s enduring success. San Francisco, CA: Jossey-Bass.
Imbenzi, G., Williaume, D. & Page, D. (2013). Transformational servant leadership. Unpublished manuscript, Master of Arts in Leadership. Trinity Western University: Langley, Canada.
Lepsinger, R. (2010). Closing the execution gap: How great leaders and their companies get results. San Francisco: Jossey-Bass.
Northouse, P. G. (2016). Leadership: Theory and practice. Los Angeles, Calif: SAGE.
I have been reading many of the blog posts and especially enjoying the integration of our learning to our professional careers and how both the health and education sector are so closely related. I would like to focus my response to Pierre’s encouragement to Marcelo, to create more groups to tackle difficulties due to the perception of more work (Florendo, 2018). As mentioned by Florendo (2018), the urgent day-to-day activities often keep us from achieving important goals. This is very similar in health care and education settings. We are often inundated by urgent, but non-important issues where we have no other time to plan and act on important matters. In addition in forming more groups to tackle difficulties, I would also suggest the use of the Eisenhower Matrix to assist with prioritizing various tasks and projects. The matrix is sort into four quadrants: Important-Urgent, Important-Not urgent, Not important-Urgent, and Not important-Not urgent (Scott, 2018). Very often, we are plagued with work that is urgent and requires immediate attention. Some of these are important, but many more are not important. What’s critical of note is many of our important, long-term goals and strategies fall under the important-not urgent quadrant. When we are too busy and only spend our time with urgent issues, we often neglect what’s really important and impactful to the organization or team. As suggested by Scott (2018), we should be spending most of our time focusing on quadrant 2 items and not the other way around. Following the suggestion of this matrix can help individuals or team to refocus on what is the most important tasks that would fulfil long-term strategic goals.
In addition to the above suggestion, I would also want to touch on Pierre’s and Marcelo’s point to “there is no blame”. While I understand the cultural challenges to this point, I think it plays out very often in the North Americal culture as well. Very often, leaders forget to hold others accountable in their team. Lepsinger (2010) reported the following in a research study:
In our survey of over four hundred senior and mid-level leaders, 40 percent report that employees in their organizations are not being held accountable for results and 20 percent report that managers in their organizations do not deal with poor performers. It also appears that the presence or absence of accountability in an organization makes a difference—77 percent of leaders in top-performing organizations report that “employees at all levels are held accountable for results,” compared to only 44 percent in less-successful organizations.
We often believe creating a system of accountability is only required when certain individuals or teams are low-performing, or perhaps it is considered too “micro-managing” when leaders expect regular check-ins with their team members. Yet, increased accountability can enhance team performance, experience more success, and express more satisfaction with the members of their teams than those who are not held accountable (Lepsinger, 2010). My personal encouragement to all TSL is to consider accountability as a strategic tool to enhance the effectiveness of their team, whether it is in health care or educational settings.
References:
Florendo, P. (2018). RESPONSE TO MSSL ET1 – “EL EQUIPO DIRECTIVO” Retrieved October 20, 2018, from https://create.twu.ca/pierreflorendo/2018/10/19/response-to-mssl-et1-el-equipo-directivo/
Lepsinger, R. (2010). Closing the execution gap: How great leaders and their companies get results. Jossey Bass.
Scott, R. J. (2018). The Eisenhower Matrix: How to Make Decisions on What’s Urgent and Important. Retrieved October 20, 2018 from https://www.developgoodhabits.com/eisenhower-matrix/
I really appreciated Marcelo’s response to Kamal’s post in sharing his experiences in communication and recognition with his own team. Marcelo mentioned in his post on the challenges he had with communication in Paraguay due to its culture is so important and relevant in our culture here in Canada as well. In my experiences as an Environmental Health Officer (EHO) in Vancouver, we routinely perform inspections at various restaurants and food places. Vancouver’s pride in its multi-ethnicity means we have many restaurant operators originated outside of Canada and allowing our citizens the opportunity to taste cuisines from all over the world. This also means as EHOs, we often have to work with operators from different cultures. If we are not culturally sensitive in our communications with operators, we often misunderstand each other and reach a different outcome. For instance, when a verbal order is directed to an operator who is accustomed to the North American culture, we expect he/she to listen to our instructions and ask questions if they do not understand. The “silence is agreement” model is often used. However, in other cultures, silence can be interpreted differently. In order to “save face”, some operators would stay silent even when they are uncertain or confused by the situation. They may not agree with the directive but continue to keep silent. The result of this is the EHO would leave the premises thinking we an agreement was made and yet when returning later for a re-inspection, all the same issues persist because the operator did not understand what needs to be done.
In a team setting, being culturally sensitive to each other becomes even more important. As mentioned in Hughes, Beatty, & Dinwoodie (2014), “cultural differences [can] create walls within organizations” (pg. 151). If we are not careful as leaders, many misunderstanding can occur which lead to ineffective teams. Marcelo mentioned in his post about the difficulties of communications in the Paraguay culture. I agree with Marcelo that communicating with people in different cultures can be difficult and often lead to disagreements and conflicts. Lepsinger (2010) in Chapter 7 mentions “the outcome of an influence attempt is strongly affected by…cultural values” and suggests eleven different tactics on influencing others such as rational persuasion, appeals, and collaboration. Various tactics can be used to communicate effectively with others and it is up to the leader to be able to strategically decide which method are the most effective for their staff with the consideration of their cultural background.
References:
Hughes, R., Beatty, K. & Dinwoodie, D. (2014). Becoming a strategic leader : your role in your organization’s enduring success. San Francisco: Jossey-Bass.
Lepsinger R. (2010). Closing the Execution Gap. San Francisco: Jossey-Bass.
Pierre’s blog post on his personal experience with a high-producing health care team is an interesting and thought-provoking read! In summary, Pierre was part of a high-producing team in health care, where the team consistently achieved the highest level of accreditation, yet upon his evaluation of the team based on the Strategic Team Review and Action Tool (STRAT) as described by Hughes, Beatty, & Dinwoodie (2014, pp. 290), the performance of the team appears to be poor in terms of strategic leadership. From your description of the team and its dysfunctional leadership, it is definitely not surprising to hear from your evaluation. But the fact the team continued producing at a high level leads me to believe there were some positive aspects that came from its leadership team. Despite leadership’s nepotism and lack of engagement of other staff members, staff turnover still remained low. From my own personal experience, success rarely happens by accident and I wonder if there some positive experiences or strategies that can be gleaned from this experience and from the previous leadership team? One of my mentors encouraged me some time ago and said, “people who are learning to be leaders will learn many different ideas and strategies as they progress but it is up to them to decide what works well for yourself”. I would personally love to hear more of Pierre’s insights on this, especially when he is now in a leadership position. It sounds like there will be quite a challenge in the future ahead for Pierre in creating a high-functioning, strategic team.
References:
Hughes, R., Beatty, K. & Dinwoodie, D. (2014). Becoming a strategic leader : your role in your organization’s enduring success. San Francisco: Jossey-Bass.
Sea Breeze, in the blog post, provided some very good insights towards Transformational Servant Leadership (TSL) within the Educational setting. In particular, I want to respond on the last point regarding Thinking Big Picture. Sea Breeze appears to suggest because the foundation of TSL originated from the teachings of Jesus, TSL is not likely to be implemented or accepted within the secular educational settings. I certainly agree the concept of TSL is difficult in practice, as mentioned by Sea Breeze “even born again Christians struggle to emulate Jesus’ humble servant-like attitude all the time”. However, concur with Layla’s response and I would also challenge Seabreeze’s suggestion of TSL can only be emulated by Christians and it’s only effective in the Christian setting. The historical fact of Jesus Christ’s ministry on Earth approximately two thousand years ago is the ultimate example of displaying TSL in a non-Christian environment. The definition of TSL is to engage followers to achieve the organizational purposes by attending to the needs to the followers (Imbenzi et al., 2013, para. 34). In the biblical scriptures, we can see Jesus doing exactly that. If what Seabreeze mentioned in the post is true, then there is no hope in any of us.
I believe there are many secular people and organizations already recognized the importance of attending the needs of others and have implemented some form of TSL, even though it may not be called that. If you read my introduction post, I love coffee! While Starbucks’ coffee is average, in my opinion, I have to agree that Starbucks is a great international coffee company that is non-christian and yet, demonstrates TSL. Starbucks mission is “to inspire and nurture the human spirit – one person, one cup and one neighbourhood at a time.” (Ungerer, M., Ungerer, G., & Herholdt, J., 2016, p. 55). Starbucks’ values also include the following as mentioned in Ungerer et. al. (2016):
Acting with courage, challenging the status quo and finding new ways to grow our company and each other.
Being present, connecting with transparency, dignity, and respect.
We are performance driven, throught the lens of humanity. (p. 55)
From Starbucks’ mission and value statements, we can clearly see they are a company that has implemented TSL in the workplace. I have known many people that have also worked at a Starbucks and the responses that I received when asked how they enjoying working there, is that the company really values their employees and provide many opportunities to learn and to excel in the workplace. TSL is a concept that can be practiced in any type of setting and environment, whether its education, health care, or at a food establishment. The strength of TSL lies in its humanity-focused strategy in order to engage others to achieve common organizational goals.
References:
Imbenzi, G., Williaume, D. & Page, D. (2013). Transformational servant leadership. Unpublished manuscript, Master of Arts in Leadership. Trinity Western University: Langley, Canada.
Ungerer, M., Ungerer, G., & Herholdt, J. (2016). Navigating strategic possibilities: Strategy formulation and execution practices to flourish.Randburg: KR Publishing
Thank you for everyone’ encouragement with regards to my original post! I am truly happy to know that my thoughts were thought-provoking and resonated with people. I also hope that the video was a good reminder for all of us, as TSL, to “stay above the line”. It is more difficult in practice than in theory. As mentioned in the video, our brains are programmed to perceive “threat”, especially in this volatile, uncertain, complex, and ambitious (VUCA) world (Ungerer, Ungerer, & Herholdt, 2016). We will need to intentionally take ourselves to be “above the line” if we want to be effective in leading others.
As I read some of the responses to my original post, I would like to emphasize how “creating a culture of learning is the key” in terms of TSL in health care. I completely agree with Pierre’s response, where burnt-out staff members are not likely to benefit from additional learning. When health care workers are working through overtime and missed meal breaks, how do we expect them to take on even more learning? My point is the culture of learning will need to be implemented throughout the entire organization and I would even boldly say it should start at the top, senior leadership level. For example, I recently participated in a leadership pilot workshop that is currently offered at my workplace. The workshop was focused on “creating a curious mindset”, which is part of a larger change management strategy. At the end of the workshop, there was a list of suggested actions or activities for us to implement back at our offices and departments. As I am striving to be a TSL, I am engaged and have the best intentions to implement these actions and activities back at my office. However, as soon as I return back to the office, I was immediately thrown back to the reality of the work that was waiting for me. There was simply no time for me to consider how to best implement my learning at my workplace. Soon the desire went away as well.
In the same way, I can see many of the senior leadership team also have the best of intentions to engage staff members and to encourage their growth. In fact, the “Lean strategy” as mentioned in Wafa’s response was implemented and taught to many of the managers at the organization that I work for. However, with the mandates of higher levels of government and ministry, there is no time to consider anything else. When I mention “creating a culture of learning”, it does not mean delivering some courses for others to acquire more knowledge, I am referring to learning to make changes that would lead to the transformation of the organization. In my example above, it was great that I had the opportunity to attend a workshop, but I had no time to further implement what I have learned. What if my manager learned to recognize the importance of my learning and allow me to prioritize my tasks so I have more time to implement what I have learned instead? What if the CEO of my organization learned to value learning as a priority and decide to cut back certain less important projects to create more time for Directors and Managers to mentor other potential leaders? The TSL creates a culture of learning starts by listening to the needs of others, as mentioned in Kamal’s response, and creating an environment that allows change to take place.
References:
Ungerer, M., Ungerer, G., & Herholdt, J. (2016). Navigating strategic possibilities: Strategy formulation and execution practices to flourish. Randburg: KR Publishing
This is the Health Angels first post! Who are the Health Angels you ask? We are a dedicated group of health care professionals who are pursuing their passion in becoming strategic leaders in our fields. The Health Angels name is actually a word play of one of the notorious motorcycle gang that is prominent in Canada and United States where members typically ride Harley-Davidson motorcycles (https://en.wikipedia.org/wiki/Hells_Angels). But not to lose focus, we are the Health Angels, strategic leaders in health care!
Transformational Servant Leadership in Health Care
Transformational servant leadership (TSL), is a concept consisting of the ideologies of transformational leadership and servant leadership (Imbenzi, Williaume, & Page, 2013, para. 11). The combination of these two concepts is strategic in nature to effectively engage followers to achieve the organizational purposes by attending to the needs to the followers (Imbenzi et al., 2013, para. 34). When considering strategic leadership direction for health care, TSL greatly shifts the focus of a predominantly service-centric industry to learning-centric in order to focus the most important asset, which is the personal and intellectual property of the organization (Imbenzi et al., 2013, para. 38). In other words, the paradoxical shift of the focus from patients (outward focus) to staff (inward focus) is a strategic way to increase staff engagement and improve health care for patients.
Health care professionals are overworked. Speaking from personal experiences of working in Canada under a government-funded health care system, we have some of the most caring and dedicated staff members who decided to enter into the field because of their passion to serve and to help others. However, the challenges with the Canadian universal health care system is the lack of accessibility and availability of care in a timely manner. For example, recent studies have illustrated access to family physicians in Canada is becoming increasingly difficult due to physician shortages and increase rates of chronic illness (Ansell, Crispo, Simard, & Bjerre, 2017, p.2). One of the results of this is patients turn to urgent care in the hospitals for non-urgent health issues which contribute to the long wait times. CTV News Vancouver (2017) reported emergency room wait times are the worse in the province of British Columbia compared to other areas in Canada with about ninety percent of emergency visits were complete after 8.4 hours in the 2016-17 fiscal year (Miljure, B. and Mangione, K., 2017). Waiting for health care appointments can often impose a physical and emotional burden on individuals who are in pain or worried about serious health conditions. However, the excessive wait times not only puts a burden on patients but to health care workers as well. With patients lining for hours at hospitals, health care professionals are in extremely high demand, resulting in staff being overworked, missing necessary meal breaks and working in overtime shifts constantly. Many professionals that talked to mentioned burn-out as one of the factors of job dissatisfaction.
Creating a culture of learning is the key. In many organizations, including health care, there is a great disconnect with the people who are running the organization and the people who are in the front lines providing care to patients. Achieving the enduring performance potential of the organization requires the hearts, minds, and hands of all to be engaged (Hughes, Beatty, & Dinwoodie, 2014, p. 41). To create a culture of learning, the TSL utilizes strategic thinking and acknowledge it is a collective process that includes diverse perspectives from both inside and outside of the organization (Hughes et al., 2014, p. 54). The result of engaging staff members in different levels and departments is the creation of new connections and relationships that would foster higher levels of motivation and morality (Imbenzi et al., 2013, para. 14).
Tools for TSL in Health Care
Approximately one month ago, my wife and I visited our elderly grandmother who was admitted to the hospital due to a kidney failure. Grandma was sharing a room with three other patients who are also in care. During this nighttime visit, two of the patients in the room require assistance and had called for help on numerous occasions but to no avail. They groaned and call the alarm for help until eventually, a nurse came in. The nurse was busy and her hands already full, running and hustling about. The nurse told them they will have to wait as one of her colleague called in sick and unable to work. She later added there were six other patients that are waiting for her assistance as well. I felt bad for this nurse, who sighed and walked away, didn’t even bother to apologize or make an excuse. Our health care professionals work tirelessly to care for those who are in need. This question comes up often: who will care for those who care for us?
The essence of servant leadership is putting others first. Attending to the needs of others first will allow them to produce their best by meeting their personal needs and supporting them in the workplace (Imbenzi et al., 2013, para. 39). A TSL need to engage our health care workers first and address their concerns. When staff members are given the opportunity to be heard and recognized, they feel valued and honoured to be a part of something bigger than themselves. In addition, staff members will focus on generating solutions to a problem rather than complaining or waiting to be told what to do (Lepsinger, 2010, Bridge 3: Employee involvement in decision making).
Visioning collectively is an important process for an organization that is servant leadership focused. Many organizations have an established vision which provides direction and purpose of its existence. However, often the vision is created at the higher leadership level and seldom consulting with the front line staff. Allowing health care workers from all levels to participate in the vision-setting process allows an opportunity for people to share personal versions of aspirations for the organization to create ownership of the organization’s vision (Hughes et al., 2014, p. 76).
Making common sense with transparent communications is vital in creating a culture of trust. TSL is to help others in the organization make common sense of the world around them, the challenges they collectively face, and how they will face them together (Hughes et al., 2014, p. 84). Developing a shared understanding is important in terms of being transparent because people often rely on implicit knowledge and fill start to fill in the gaps when information is not known. Unarticulated knowledge can cause people to feel unclear and even more disconnected to the organization (Hughes et al., 2014, p. 85). This is less likely to happen when people share a common understanding of their vision and strategy for the organization.
“Staying above the line” is a reframing mindset, focused on creating a culture of learning and being curious. Appreciative inquiry is one method of staying above the line, where the goal is to encourage others to focus on working collaboratively in solving problems versus finding faults. A TSL who is focused on creating a culture of curiosity and learning will result in better collaboration, creativity, innovation, and connection.
Critical Thinking
In 2012, all health authorities in British Columbia faced a budget cut mandated by the federal government. In the efforts of reducing the overtime costs and excessive sick-time, many health authorities went through a dramatic change in health care worker’s scheduling. The result of this change led to many dissatisfied workers having to work shift times that are unfavourable to their lives. Many committed individuals felt this schedule change was unnecessary and they provided various alternative strategies that would help fulfil the budget mandate without having taken this step. In subsequent surveys that were conducted of the staff in Vancouver Coastal Health indicated job satisfaction and engagement is at an all-time low, with much to do with this imposed change.
There is no money. With various constraints and mandates from higher levels of government, a TSL must utilize critical thinking in order to continue to support our health care workers. When monetary incentives are out of the question, the TSL will need to utilize critical thinking and consider alternative means to motivate staff members such as providing additional learning and development opportunities.
Health care and governments are rigid. Unlike organizations from private sectors and businesses, many health care organizations and government groups are stuck doing things the same way for many years. Another way where critical thinking is essential in health care is for the TSL to consider the current landscape and how to best deliver care to the public. The needs of the public shifts with culture. Consider the accessibility of technology and internet connectedness, creative thinking can provide new strategic direction in how people can access care without waiting at the emergency room for non-urgent medical attention.
References
Ansell, D., Crispo, J. A. G., Simard, B., & Bjerre, L. M. (2017). Interventions to reduce wait times for primary care appointments: a systematic review. BMC Health Services Research, 17(1), 295. https://ezproxy.student.twu.ca:2420/10.1186/s12913-017-2219-y
Hughes, R. L., Beatty, Collarelli-Beatty, K., & Dinwoodie, D. L. (2014). Becoming a strategic leader: Your role in your organization’s enduring success. San Francisco, CA: Jossey-Bass.
Imbenzi, G., Williaume, D. & Page, D. (2013). Transformational servant leadership. Unpublished manuscript, Master of Arts in Leadership. Trinity Western University: Langley, Canada.
Lepsinger, R. (2010). Closing the execution gap: How great leaders and their companies get results. San Franciso, CA: Jossey-Bass.
Miljure, B. and Mangione, K. (2017, November 30). B.C. emergency wait times worse than most in Canada: report. CTV News Vancouver. Retrieved from https://bc.ctvnews.ca/b-c-emergency-wait-times-worse-than-most-in-canada-report-1.3701287