MANAGEMENT AND LEADERSHIP
NANCY WANGUI MIGUA
MOUNT KENYA UNIVERSITY
Abstract
Management and leadership is harder for non-clinical administrators than for clinical leaders because clinical leaders exercise leadership by engaging and inducing followers to act to further certain goals and purpose’ ’that represent the values and motivations, the wants and needs ,the aspirations and expectations of both leaders and followers’’(Burns,1978,p.19).Creating work environment for nurses that are most conducive to patient safety will require fundamental changes throughout many health care organization(HCOs)-in the ways work is personnel are deployed and how the very culture of the organization understands and acts on the science of safety.
In an organization, creating and sustaining trust among workers results into a positive outcome. Workers work with all their efforts by ensuring that the organization increases in its services which becomes now efficient and effective. Leaders rely on their workers when there is trust. A positive mind results in a positive outcome. When workers have a positive mind during their work, they always put a lot of efforts in order everything to run smoothly. With trust for the workers there is comfort ability in an organization. There is need for the trust between the employees and the employers. When there is no trust among the leaders and the employees, they both don’t listen to the instructions given to them which are supposed to be followed, Employers
There is need to balance the tension between efficiency and reliability in an organization. Efficiency means the ability to accomplish something with the least waste of time and effort; competency in performance, accomplishment of or ability to accomplish a job with a minimum expenditure of time and effort. Reliability is the quality of being trustworthy or of performing consistently well Health care workers carry on their duties and responsibilities well in order to production activities in a cost –effective and time-efficient way. The clinical leaders ensures that the services rendered in the organization are effective.
Clinical leaders should introduce the mechanisms for feedback, measurement and redesign. This is because few changes in complex organizations work perfectly when first introduced. Ongoing monitoring, feedback and redesign are needed to create and sustain effective change (Goodman,2001;Walston and Kimberly,1997).
The rise of evidence –based clinical practice in health care has caused some people to start questioning how health care managers and policymakers make decisions and what role evidence plays in the process. Through managers and policymakers have been quick to encourage clinicians to adopt an evidence-based approach, they have slower to apply the same ideas to their own practice.
Conclusion
It is realistic to expect managers adopt this systematic approach because when they trust their workers, there is good flow of the work done. Managers trusting their workers help to easily co-ordinate and run the organization well. Creating a conducive environment for the workers results to positive outcomes. Managers involving the workers in planning and decisions made in an organization, reduces the negativity of the workers. Managers introducing training for the workers enables efficient and reliable delivery of services in an organization.
REFERENCES
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Walshe, K.,& Rundall,TG (2001).Evidence –Based Management: From Theory to practice in Health care. Milbank Quarterly, 79,429-457