Saturday, February 18, 2017

Concluding Insights

Before starting this course, I wasn’t very interested in the content honestly. I thought it was going to be the same old information about leadership and how to be powerful and successful. Thankfully, I was pleasantly surprised and learned a lot while taking this course. To me, before this course, a leader was supposed to be strong and powerful and never took no for an answer. The leader was often time headstrong and “bullied” their way into getting what they wanted or knew was right. I never imagined leaders should be vulnerable and always looking forward to new changes. While taking this course, I learned that both of those attributes are not only prevalent, but desired in a strong leader.

I believe the shift away from the Industrial Age has been a positive shift. Porter-O’Grady and Malloch describe the Industrial Age’s leadership as being “a good manager, guiding one’s subordinates like a good parent, and directing their activities in the interests of the organization” (2015, p. 3). They go on to explain that leaders in the Industrial Age had critical skills that were necessary for proper planning, organization, leading, implementation, controlling and evaluation. I do believe that a good leader must still be able to use those skills on a daily basis. However, the role of the leader has evolved into so much more than just those skills and I think that it is important to remember that. This course has made me realize that being a good leader doesn’t just mean that you are the boss, but a colleague and mentor as well. This course has also made me realize how to spot a poor leader and a good leader. At work I find myself thinking back to course content when I am speaking with a charge nurse or to someone else in another leadership type role. Often times it is easier to spot out the poor leaders than the great leaders due to the degree of their competence. A poor leader will often times show their distaste for a particular change and spew off negativities because of it. A good leader is humble and often times quieter in order to listen to all sides of the story before coming to a conclusion and decision on how to guide the direction of change and how to engage their staff in the mentioned change.

Before taking this course I very much struggled with the idea of conflict. Porter-O’Grady and Malloch state “Conflict should never be avoided or suppressed. Instead, it should be embraced as a fundamental part of every human interaction” (2015, p. 204). After reading the required readings and watching the videos about conflict, I have come to understand what Porter-O’Grady and Malloch mean when they say that. It is true that conflict is a factor in every single human interaction. We cannot run from it or hope it will go away. As a leader, it is important to embrace conflict and resolve it in some sort of way before it escalates. Heathfield’s article states several actions to avoid when dealing with conflict resolution. These three actions include not avoiding conflict in the hopes that it will go away, not meeting separately with the people involved in the conflict, and not believing that only the people central to the conflict are the only ones being affected by it (2016). These actions hold a lot of truth, especially when in the leadership position. From my own personal experiences, I have found that meeting with people separately who are in the conflict does more harm than good. Words are taken out of context, things are misunderstood, and the conflict grows because of it. People will start to talk behind each other’s backs in a “he said, she said” fashion. Therefore, it is much more appropriate to gather everyone involved in the conflict and air everything out in the open. Also, due to personal experiences, I have felt the negative aftermath of conflict that has not been resolved by people who I work with. I may not be in the midst of the conflict, but it most certainly has an effect on those who aren’t in it. Like Heathfield says, people will start to feel like they are walking on eggshells around those who are in the conflict and that in turn creates a hostile environment for everyone (2016). Because of this course I hope to become even more comfortable with conflict and face my problems head on, rather than hoping my grievances will disappear without any action taken.

Quantum theory is an interesting concept that I think will have a very big positive impact on future leaders, like me. Porter-O’Grady and Malloch explain “Quantum theory has taught us that change is not a thing or an event but rather a dynamic that is constitutive of the universe” (2015, p. 7). They go on to say “Change cannot be avoided because it is everywhere, but we can influence its circumstances and consequences” (p. 7). Another way to look at this is by realizing that we can give change a direction. Following this idea of thinking, we can then mold how a quantum leader should act. An article by Curtin states three fundamental requirements of a quantum leader. These three fundamental requirements are:
·         “Acting with moral purpose to make a positive difference in the lives of organizational members and society as a whole.
·         Building relationships that nurture both individuals and organizations.
·         Making truly informed decisions by acquiring knowledge through listening to and empowering members.” (2013).
I believe that my charge nurse is a prime example of someone who embodies all of these specific qualities. She always acts with the patients’ best interests in mind. Not only that, but she always tries to act with her staff members’ best interests in mind as well. Her decisions always involve talking to her staff to get their ideas and perspectives of how to make a situation better. For example, we are starting to discharge our postoperative patients a lot sooner than a year before. Often times we are discharging our total joint replacement patients a day after their surgery. Recently our upper management has decided that all postoperative patients should be given the opportunity to shower the night of surgery before they go home the next day. This is in addition to the other patients who want to shower who are staying in the hospital for 2+ days. So in short, when our unit is full (we have fifteen beds), the night shift staff would have to offer showers to all fifteen patients regardless of when the patient is discharging. There was a lot of conflict because of this new decision due to time and staffing constraints, and worries about safety. My charge nurse talked to all of us about this new change and made us all feel empowered enough to voice our opinions regardless of whether we all agreed with each other or not. She listened to all the concerns and complaints and took our concerns to the nurse manager. Because of her listening, she was able to understand why it would be extremely difficult to shower all of the patients on the same night. In the end she decided not to go with the new change, but to direct the change in a different direction which would work for everyone a lot better. I hope to direct my leadership skills in a direction like my charge nurse’s. Meaning that I hope I am never afraid to bring new ideas to the table, but to be open and vulnerable enough to listen to all of the team member’s opinions and then make an informed decision that will guide the team in the appropriate direction, rather than causing more conflict than necessary.

When I first heard the term “servant leadership”, I instantly thought “I don’t want to be a servant.” However, after delving deeper into the meaning I found that the qualities of a servant leader are quite similar to quantum leaders in certain ways. A servant leader has the desire to serve. That does not necessarily mean to be someone’s servant, but having the desire to help others (Keith, 2017). Keith explains that there are other qualities of being a servant leader. These include listening and understanding, acceptance and empathy, foresight, awareness and perception, persuasion, conceptualization, self-healing, and rebuilding community (2017). To me, these qualities are somewhat similar to being a quantum leader in the sense that both types of leaders are there to serve a purpose of being there for the community or organization in a positive manner, and being an empathetic, vulnerable leader who listens to their team member’s concerns and joys. This is the type of leader I strive to be. I want my staff or coworkers to feel like I am not only working for myself, but also for them. I want people to feel that I am trying to engage others in the pursuit of creating a better organization or community as a whole. I feel that this course has lead me in the right direction by way of self-realization and reflection to not only make positive changes in myself, but also by making positive changes in the community around me. Even when I am faced with a particularly challenging change of events, I hope to dig deep and retrieve some of the aforementioned qualities to give the change a positive direction.

Emotional competency is an interesting subject that I also did not know anything about prior to taking this course. Porter-O’Grady and Malloch explain “For healthcare leaders, emotional competence involves the interpretation and translation of personal feelings into the processes of the workplace” (2015, p. 396). They also give a list of characteristics that make up emotional competence including self-awareness, mindfulness, openness, impulse control, personal humility, appreciation of ambiguity and paradox, appreciation of knowledge, willpower, compassion, passionate optimism and resilience (p. 396). To me, the individual who is emotionally competent has full control over their emotions and is always willing to learn. Said individual is not a “know it all”, but is self-aware of their accomplishments and strengths. The road to emotional competence is started by being emotionally intelligent, which enables the person to learn the skills of becoming emotionally competent (2015, p. 405). I believe that being emotionally intelligent and competent is a requirement of being a fair, strong leader. I do not think that the journey to becoming emotionally competent is an easy one, but I do think that leaders who realize the importance of it are much better leaders in the end. Not only should leaders strive toward being emotionally competent, but I think that all human beings who are hoping to better themselves should work towards this goal. I know I still have a long way to go before being emotionally competent, but I also know it does not happen overnight. As a future leader I now have a better understanding of the importance of being emotionally competent and why it makes someone a stronger leader, so I am willing to make changes to myself in order to work towards that goal.


Over all I very much enjoyed the content of this course. I feel like I have a strong foundation in leadership skills now and have a good understanding of what it takes to be an exceptional leader in the healthcare field. As I stated earlier, I feel that the movement from the idea of what a leader was in the Industrial Age to the idea of what a leader is today, has been a positive change. Leaders are now seen as someone who can also make mistakes and errors, but who are able to move on from those errors and work to prevent the same mistakes from happening in the future. Not only that, leaders are allowed to be more honest, humble and vulnerable, which is not to be viewed as a fault, but in fact a success. It gives me comfort knowing that in the future when I take on more of a leadership role, that the ideas of leaders have changed for the better.

References: 

Curtin, L. (2013). Quantum leadership: Upside down. Retrieved from https://www.americannursetoday.com/quantum-leadership-upside-down/

Heathfield, S. (2016). Workplace conflict resolution. Retrieved from https://www.thebalance.com/workplace-conflict-resolution-1918675

Keith, K. (2017). Definition of servant leadership. Retrieved from http://toservefirst.com/definition-of-servant-leadership.html

Porter-O'Grady, T., & Malloch, K. (2015). Quantum leadership (4th ed.). Burlington, MA: Jones & Bartlett Learning. 

Friday, February 10, 2017

Healthy Organizations

I very much enjoy Simon Sinek's talks. I find him to be very intelligent and well spoken. I was excited to see some more of his videos for this week's class.
His video about Millennials gave me some new insight into myself and those around me.

I started watching the video with my husband and we both thought "this won't apply to us." Well... there were more similarities to what he was saying than I thought there would be. One thing that made both my husband and I laugh at was when he was talking about charging cell phones in the living room at night, not next to the bed. The first thing I said was "I use mine as my alarm." Not even 2 seconds later, Sinek brought that up and then stated that real alarms were only $8. Busted.
I also related very much to the social media topic he discussed. Sinek states that dopamine is released when we get a "like" on facebook or a text message from someone. I am guilty of checking my phone very frequently, especially when I am in a public area where I don't know anyone. I am very shy, so I use my phone as a buffer between myself and those around me. Watching this video has made me more determined to put my phone away when I am with my family and friends and to "live in the moment" more often.

Another take away point that I got from the video was that impatience sets us up for failure. I see it in my work life, home life, personal relationships, etc. We want instant gratification and most often that does not work. I have always known that I am impatient and I try to work against that, but it is difficult to do. However, I liked Sinek's example of the mountain. We know there is a point at the top that we have to get to, but we often times forget about the mountain to climb in order to get there.

In Sinek's video "First why and then trust", he uses an example of making a business deal and not receiving a hand shake to close the deal at the end.

It made me realize just how important those small acts can be. When he stated that the business deal either would not go through, or that the person making the deal would feel uneasy about it, I agreed with him. I thought that if I was the manager of a large company making a deal with another company, that the refusal of a hand shake would put me off greatly. After watching these two videos I feel that I will actively work towards communicating better and being more present when I am with other people. A smile, hand shake, eye contact, wave, all make a difference in personal and professional relationships.

Porath's article titled "No Time to be Nice at Work" was an eye opener. The statistics she included in her article were interesting. For example, she has conducted surveys about civility and why people behave uncivilly. She states "Over half of them claim it is because they are overloaded, and more than 40 percent say they have no time to be nice" (2015). It made me wonder "who doesn't have time to be nice?" Being nice takes no more time than being rude does. There are many times in the hospital that people act uncivilly. Patients, coworkers, family members, and bosses have all acted uncivilly towards me at some point in time. Porath closes her article saying "In every interaction you have a choice: Do you want to lift people up or hold them down?" (2015). I will be remembering that phrase at work in the future.

In the article by Dellasega and Volpe, they ask whether the reader can be considered as a toxic nurse or not. Unfortunately my result was that I can be toxic. I do believe it differs from week to week. When things are more stressful at work, I know I am more toxic. When the work week is flowing nicely and everyone is getting along, then I am less toxic. The quiz did make me realize that I do behave in a manner at times that can be toxic to myself and those around me. I don't want to be known as "the complainer" at work. I used to work with someone who did complain quite a lot at work, and even now she is still known as the complainer to some people. I hope that term never follows me, so this quiz has steered me in the positive direction of change.

References:

Dellasega, C., & Volpe, R. (2013). Could you be a toxic nurse? Retrieved from https://courses.mnu.edu/pluginfile.php/453678/mod_book/chapter/8845/Toxic%20Nursing%20Quiz.pdf

Porath, C. (2015). No time to be nice at work. Retrieved from https://www.nytimes.com/2015/06/21/opinion/sunday/is-your-boss-mean.html?smid=pl-share&_r=0&module=ArrowsNav&contentCollection=Opinion&action=keypress&region=FixedLeft&pgtype=article

TEDx Talks. (2011). TEDxMaastricht - Simon Sinek - "First why and then trust". [video file]. Retrieved from https://www.youtube.com/watch?v=4VdO7LuoBzM

Willrath, B. (2016). Simon Sinek-Millennials in the work place. [video file]. Retrieved from https://www.youtube.com/watch?v=5MC2X-LRbkE

Friday, February 3, 2017

Emotionally-Competent Leadership

In Bradberry's article titled "18 Behaviors of Emotionally Intelligent People" (2015), he lists certain qualities that people with emotional intelligence (or EQ) possess. Out of those listed 18 characteristics I feel that I can safely say that some of them I have a good grasp on, while others I need to explore more. The qualities that I feel I possess include letting go of mistakes, I appreciate what I have, and I stop negative self talk. I am not one to dwell on my past mistakes for very long. Since my true passion in life is riding horses, I will use an example from that. Every year I compete in shows on my horse. Every year I have goals and things I want to improve on. During the time I have competed, I have had a lot of ups and downs. There are a lot of emotions fluttering around on the show grounds. I tend to get anxious and my nerves sometimes get the best of me, and unfortunately my current show horse has the tendency to take advantage of my insecurities at shows. I make a lot of mistakes, but I am still growing and learning from all of my mistakes. Often times I will be very upset with how a particular show went. I may cry or  have a small pity party, but never for very long. I take those mistakes and use them to my advantage by setting a new goal or by reassuring myself that just because I made a mistake doesn't mean I haven't made progress. This ties in to the negative self talk as well. In my horse life and my work life, I strive to never talk negatively to or about myself. I have found that negative self talk is the fastest way to become defeated and feel inadequate. At work I make a point to talk myself up in my head when I have to accomplish a task I'm not comfortable with yet. It also helps to show confidence, even if inside you are not feeling all that confident. The outer appearance of confidence helps patients feel more confident and comfortable as well, even if inside you are a bundle of nerves. 
The qualities that I feel I can work on include disconnecting, getting enough sleep and embracing change. Thankfully I feel that these are things I can actively work on improving. I have the tendency to grab my phone or laptop when I am bored or procrastinating. Rather than doing that, I should grab a book or take my dog for a walk or anything else that gets me off the couch and engaging with the world around me. Often times I don't get enough sleep because I decide to watch movies late at night and then have to wake up early the next morning. That is something I can definitely change. Finally, embracing change is sometimes difficult for me to do. If it is a change I am excited about, it is no problem. If it is a change that seems scary or unsettling, then I often times will reject the change and try to keep things the "old way" as long as possible. 

Henry Cloud's article titled "Ten Things Successful People Never do Again" (2014) was a great article to read in my opinion. I very much agree with all of the 10 points he made. I would consider my dad to be a successful person in his work and personal life and I see all of these attributes in him. If I was going to add a few more attributes to the list I would add 1. Never saying no, and 2. Having only time for work and nothing else. I think it is very important to realize that you cannot say yes to everyone all the time. For example, if your charge nurse asks you to work an extra shift, which would make it  your 4th in a row, I think it is perfectly acceptable to say no if you emotionally or physically need a break, or if you already have something else planned for that day. Constantly saying yes to everything becomes very tiring. Also, to me it is important to have a personal life and hobbies outside of your work life. I have a coworker who does not really have any hobbies and sometimes will pick up 2 extra shifts per week. I have asked him before why he does that, even when he is dead tired, and his answer is always "what else am I going to do?" I think it is vital to have outside stimulation from areas other than work to stay rejuvenated and healthy.  

The video Rethinking Thinking is something that I think would benefit a lot of people in healthcare.

I am very much guilty of making quick judgments sometimes, so this video appealed to me. Often times situations happen in the hospital that we cannot control or that we would want to happen differently. Lab may be slow to come draw blood on a patient, IV therapy may take longer to make it to the patient's room to insert a new IV, or a patient's family member may be hovering over you and watching your every move. Most of the time these things become annoying after a while and frustration or anger emerge. However, this video was great at explaining that those other people can be going through a situation of their own that needs special attention or they just have a different way of thinking. It is important to be mindful of other people and not always jump to the conclusion that they are just slow or don't care or are being purposefully annoying. 

Along those same lines, Simon Sinek's video "Why to Wait Before Making an Emotional Decision" (2011) made me realize that sometimes you need to take a step back and "take a breather." 


It is important to calm down from a heated situation before making a decision on what the proper way is to handle that particular situation. Sometimes you will find that taking action is in fact necessary, but sometimes it isn't, like in the example he used of responding to a frustrating email. I find myself "taking a breather" at work often. Whether it is because of a coworker, a patient or family member, or ancillary staff. Stepping away from the situation before causing a scene or adding unhelpful information is very important, especially when dealing with patients and family. 



References:

Bradberry, T. (2015). 18 Behaviors of emotionally intelligent people. Retrieved from http://time.com/3838524/emotional-intelligence-signs/

Capture Your Flag. (2011). Simon Sinek: Why to wait before making an emotional decision. [Video file]. Retrieved from https://www.youtube.com/watch?v=tIIJIqLmptg

Cloud, H. (2014). 10 Things successful people never do again. Retrieved from http://www.success.com/article/10-things-successful-people-never-do-again

TED-Ed. (2012). Rethinking thinking-Trevor Maber. [Video file]. Retrieved from https://www.youtube.com/watch?v=KJLqOclPqis