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This chapter sets out, if not to answer these questions definitively, then to map some of the theoretical and practical territory which informs them. In so doing, we suggest characteristics of leadership development interventions which might complement approaches which have been more typically used but which might not so readily address the needs of those taking up leadership roles in these demanding and complex times. Unable to display preview.
Download preview PDF. Skip to main content. Advertisement Hide. This process is experimental and the keywords may be updated as the learning algorithm improves. This is a preview of subscription content, log in to check access. Google Scholar. Avolio, W. Gardner and F.
It is a foundational body of knowledge that should underlie any sound theory of leadership or management. The authors use it as a lens through which leadership behaviors can be viewed and analyzed across a continuum of lower-function to higher-function behaviors in the workplace. Individuals can use it to reflect on their own approach to leadership and their own behaviors in the workplace and in other social groups.
The 6 Perspectives of Leadership, Part 7 - ENABLING Others For Success - Derek Rey Consulting, LLC
Just as when one pulls a piece of a mobile and all pieces move in response, a change in behavior of one member of a relationship system automatically results in changes in the behavior of others in the system. Authority, power, and influence can be used for many tasks that have nothing to do with leadership. Your organization will call you a leader because you have done something very well and it meets or exceeds the expectations of the authorizers; however, doing a great job has very little to do with exercising leadership.
And it requires managing the resistance you will inevitably trigger. HIM professionals fall into both groups. The HIM professionals in this study included directors and managers, administrators and colleagues of HIM directors and managers, and staff who participated in surveys, interviews, and focus groups to discuss the value of HIM leadership and the role it plays in the organization. It is important to distinguish between leaders and leadership.
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For the purpose of this research study, the authors define a leader as a person in an authoritative, hierarchical role who is in charge of a function or responsible for direct reports. Leadership has sometimes been defined as a process or an activity that happens in a reciprocal relationship between people:.
HIM professionals are emerging across the country as leaders in the transformation of HIM practice, but little is known about what makes these leaders successful. The — AHIMA strategic plan includes leadership as one of five major goals, with the plan to develop leaders across all healthcare sectors.
Research to date on HIM leadership is primarily anecdotal or tends to focus on leaders within the academic work setting. Leadership skills of HIM program directors are critically important in achieving transformative education reform.
The impact of performing applied research in the area of practitioner HIM leadership is twofold:. Leadership researchers such as Antonakis et al. In addition, Bowen theory will provide the framework through which the data will be analyzed. Given the significant changes in how organizations think about the value derived from health information and the significant need for HIM leadership, this is a critical time to conduct formal leadership research aimed at understanding the following questions: How do HIM practitioners spend their day?
What are their roles and responsibilities as leaders? What are the characteristics and behaviors of HIM practitioners who are leaders? And what does HIM leadership activity look like within the context of the broader organization? Little is known about the HIM leaders in positions of authority and their leadership activities. To that end, the following specific aims were defined for this study:.
The design of this descriptive, mixed-methodology study used both quantitative and qualitative research methods that included surveys, interviews, focus groups, and real-time observation. Research methods and associated tools are described below. This design was chosen because the study includes a number of independent variables and human characteristics that are not subject to randomization, experimental manipulation, or identification of causation.
This study is designed as a descriptive study intended to provide valuable insights on HIM leadership and serve as the foundation for the further development of the quantitative instruments, refinement of qualitative methods, and design of additional HIM leadership research. In fact, further research using the instruments is being performed to examine information governance among HIM leaders. Ten healthcare delivery systems located throughout the United States were selected for inclusion in this study. Healthcare delivery sites and associated HIM practitioners were selected using the following three-step process:.
State target regions and states within travel distance of researchers :. Work setting: Hospital, Integrated Delivery Network health system. Recruitment letter sent to HIM directors who met the search criteria, requesting their participation in the HIM leadership research study.
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A brief application was included with the invitation to help in further qualifying participants. In addition, leaders from departments that work closely with HIM directors were selected for telephone or face-to-face interviews. Only de-identified data were used in reporting results. Names of participants were assigned a unique identifier and were kept in a locked cabinet available only to the principal investigator PS. IRB approval was obtained at the exempt level through the College of St. The Bowen theory framework and Bowen theory were used as the theoretical perspectives to define data interpretation and establish boundaries on data collection and analysis.
Leadership researchers have tended toward the use of experimental and quantitative methods; however, quantitative methods alone are proving to be insufficient in examining the phenomenon of leadership. More recently, leadership scholars have looked to understand leadership and its relational phenomena through the use of qualitative methods.
Interviews were audiotaped to ensure accuracy and completeness in data collection. The research approach is grounded in real-life experience and provides the flexibility to follow unexpected ideas and explore meanings with participants. More specifically, the research method consisted of the following components:.
The data collection process described above occurred over an eight-hour work day plus two additional hours for telephone interviews after the on-site visit. Interview questions were created and tested for each research method noted above.
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The majority of the questions designed for this study have been used for more than five years as part of leadership assessments and consulting engagements performed by the principal investigator PS. The instruments developed by Dr. Baker have been tested and used over the past five years. The questions and instruments performed as expected in the feasibility study and provided valuable results on HIM leader roles and responsibilities and leadership activity.
The instruments and questions are included in Appendix A. A three-step process, including the use of audiotaping, note taking, and journaling, was used to collect interview data. The steps in the process were as follows:. The combination of audiotaping and taking field notes ensured that the flow of the interview would not be disrupted because of extensive note taking.
Researchers were able to focus their note taking on impressions during the interview, noting key observations and concepts expressed by participants. Reflective journaling immediately after each interview, while the interaction was fresh, provided an opportunity to expand on initial impressions of the interaction and to focus on key concepts, ideas, and issues raised during the interview.
After researchers completed their note taking and reflective journaling, the audiotape was used to ensure that the data collected accurately and completely captured the interview interactions. It also assisted in accurately capturing quotes to be used within the resulting case studies. All researchers had many years of experience in HIM and research and were trained on the specific AI methods of interviewing, conducting focus groups, and reflective journaling.