Implementing Excellence in your Health Care Organization: Managing, Leading and Collaborating

managing, leading and collaborating
Erscheinungsjahr 2010
ISBN: 978-0-335-23476-9
Verlag: Open University Press

Buch, Englisch, 240 Seiten, Format (B × H): 158 mm x 235 mm

This practical book builds on the strengths of An introduction To Excellence in Practice Development in Health and Social Care, which provided essential information on practice development. This book considers practice issues in healthcare and explores the key issues and factors which influence the workings of a healthcare organization. McSherry and Warr examine how these issues can be addressed through collaborative working and user focused care and how individuals can best work to improve their healthcare services. The emphasis is on how the organization and those who work within it contribute to the excellence of the healthcare organization and the care it gives. McSherry and Warr highlight the tools and techniques that all healthcare staff need to be successful employees and what strategies managers need when ensuring excellence in practice. Topics covered include: - Management and leadership - Ethics - Equity - Governance - User-involvement - Team working - Interprofessional excellence The book includes case examples, real-life practice and reflective exercises, as well as the key models needed to inform delivery of excellence. This book is key reading for anyone studying healthcare management, health services or other upper level courses in healthcare delivery. The focus on multiprofessional working also makes the book accessible to a wide variety of healthcare professionals.

Autoren/Hrsg.

Mcsherry, Robert

Warr, Jerry

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Pflege Krankenpflege

Inhaltsverzeichnis

Section one working in organisations Shared vision through team and personal development Shared vision
Shared vision and empowerment
Shared vision in leadership
Example from practice1.1: failure to create a shared vision as a group
Example from practice 1.2: successfully creating a shared vision as a group
Communicating shared vision
Communicating as a group
Communication models Leadership and change management Introduction
Background to leadership
So what is leadership
Leadership vision
Leadership qualities
Leadership, teamwork and motivation
Types of Leadership-Great Man Theory-Trait Theory-Contingency theory-Situational leadership-Transactional leadership-Transformational leadership-Impoverished or laissez-faire leaders-Authoritarian or autocratic leaders-Democratic leaders
Leadership support for the follower
What do we mean by clinical leadership
Change or improvement
Targets of change
Models of change-The rational model-The forcing model-The coercive model
Organisational change
Emotional responses to change
Resistance to change
Achieving excellent leadership in practice
Organisational Culture
Support for leadersWhole systems approach to viewing an organisation Introduction
Background
Origins and definitions of whole systems approaches
The emergence of whole systems approach within health and social care
Whole systems approaches within health and social care-Organisational development and service improvement initiatives-Quality and Performance-Education and professional development
Whole systems approaches -Hard systems-Soft Systems
Case Study 3.1 Applying whole systems approach to supporting getting evidence into practice.
Attribution of whole systems approach to nursing
The future of whole systems reform to health and social care organisions and working.Section two collaborative workingCross-professional working and development Introduction
Defining cross professional working-Uni professional team working-Cross professional team working
The Outcomes Of An Effective Cross Professional Team
How positive outcomes are achieved within a cross professional team
Different Philosophies and Stereotyping: Challenges to Interprofessional Working-Philosophies-Professional stereotyping-Interprofessional learning
Terminology in cross professional learning
Interagency working
Case study 4.1 Cross professional working
A framework to understand interagency workingIntegrated team working Introduction
Background
Drivers for Integrated Team working
What is Integrated Team Working?
The core values of integrated team working
Core factors of integrated team working: A framework for excellence in practice
Case Study 5.1 The Sedgefield Integrated Team-Creative leadership-Team comfort and compassion-Team climate-Team caring-Team common language-Team combustion-Team champagne and cork-Team common sense
What it means to work in an 'integrated' way-Team Confidence -Team CapabilityFactors influencing collaborative workingIntroduction
Background
The potential enablers and inhibitors affecting collaborative working Culture-Case Study 6.1 Proactive culture leading to a learning organisationManagement-Management styles and collaborative working -Change management.-Reaction to change
Leadership
Communication
Education and training-Informing the organisation, team and individuals of collaborative working
Knowledge
SupportSection three user focused care Exploring the meaning of user involvement and making this happen Introduction
Background
Origins of user and carer involvement
Drivers for users and user involvement
Models and frameworks for user and carer involvement
Why user and carer involvement is important in achieving excellence in practice
Challenges to user and user involvementEthical issues pertaining to user involvement in practice developmentIntroduction
Background
Ethical implications of different approaches to user involvement
The centrality of power
Case study 8.1: Gender identity
Some suggestions for principles to underpin the involvement of users in practice development-Clarity and transparency-Empowerment and transformation-Identity-Commitment to change-Respect-Equality and diversity-Accountability-Concepts and theoriesDeveloping Excellent Service User Engagement: A practical ExampleIntroduction
Background
Support mechanisms
Developing a strategy for user engagement
Strategic planning and management: the importance of establishing a working or steering group
Case study 9.1 an example from an educational setting: University of Teesside's School of Health & Social Care devised a set of terms of reference for user engagement.-Establishing a baseline of current engagement-Staff Development and Support-Induction and support for the users and carers
Case study 9.2 example of a user and carer event in a university
User engagement: Innovations in curriculum design, delivery, management and evaluation of the education of health and social care professionals.-Importance of involving service users in educational programmes-Selecting students appropriately for professional educational programmes-How to involve service users in curriculum design: practical application-The inclusion of service users in programme management-Involving service users in delivery of programme content-User engagement in the assessment of learning
Case study 9.3 Interpersonal development
User Engagement: The way forward for the future.
Case study 9.4 an example of an effective episode in a case study of service user engagementEquality and Diversity in Practice DevelopmentIntroduction
Background
Just political correctness?
Diversity
Equal opportunities
Equity
Equality
Human rights
Discrimination and oppression in health and social care
Processes of Discrimination-Stereotyping -Marginalisation -Stigmatisation-Invisibilisation-Dehumanisation-Infantilisation-Welfarism-Medicalisation
A model to explore discrimination and oppression
Case Study 10.1: Raising awarenessConclusion: The future facing working in organisations in health and social care

Über Autor(innen)

Rob McSherry is Professor of Nursing and Practice Development at Teesside University, UK. He is highly experienced in the field of evidence-based healthcare, clinical governance and practice development. Jerry Warr is Reader in Practice Development in the Institute of Health and Community Studies at Bournemouth University, UK.