"What does it Matter that the Leader Believes in the Followers? "What does it Matter that the Leader Believes in the Followers? Name Affiliation Course Tutor Date 1 "What does it Matter that the Leader Believes in the Followers? 2 The assignment looks at the effect of how a leader looks at his or her followers and challenges in leadership in the health care environment. Modern leadership industry is built on my proposition that the leaders matter more and in a great deal than the followers. This mistakenly assumes that followers are amorphous, same or all one. Therefore they are hardly noticed for instance, followers who tag along without minding on the anything are different from followers that are deeply devoted. According to this perception, followers are low in hierarchy and therefore have less power, influence and authority than their superiors who in this case are their leaders (Chaleff, 2009). Generally, followers may go along in order to get along with those in higher positions as they are their senior and may demand authority from them. At the work place, the followers may comply with the leaders in order not to put money or stature at risk. In the community the followers may comply with the leadership in order to maintain and preserve collective security and stability. This indicates that followers may not necessarily comply with the leadership to improve work performance or outcomes. The leaders therefore ought to believe in the followers for better relationship between them and the followers thus improving work performance. This is a challenge in leadership today in most organisations as leadership has been overemphasized in expense of the relationship between the leaders and the followers. According to Thomas Sy, an assistant professor of psychology at UC Riverside, he proposed that if managers viewed their followers positively for instance, that they were enthusiastic, industrious and good citizens then they would treat them positively. In case the manager views the followers negatively for instance, they are incompetent, conforming and insubordinate he is more likely to treat them negatively too. Managers’ perception of the employees impacts the organizational outcomes. This includes relationship quality between the leaders and followers, interpersonal liking, trust in leaders and job satisfaction by the followers "What does it Matter that the Leader Believes in the Followers? 3 (Daniels & Daniels, 2007). In order to improve work performance most businesses are now strategically changing what leaders believe about their followers. In a five phase study carried out in work place leaders, Sy points out six main conceptions under which the managers categorises their employees. These conceptions are industry, good citizenship and enthusiasm. These qualities were used to represent positive conceptions of the followers. The qualities used to represent negative conceptions were incompetence, insubordination and conformity. The process of managers to categorise their followers operated spontaneously and automatically. Managers acted on implicit followership theories referred to as conceptions for instance those illustrated above. Despite the fact that they don't realize that they have those beliefs about the employees. Leaders with more positive conceptions or implicit followership theories behave differently from leaders with negative conceptions towards their followers. This is mainly because how leaders think has a direct effect on what they do. Implicit followership theories determine the way the leader treats his followers and his leadership style. The difference in performance among the followers largely results from the perception of the leaders towards their followers. This is because evaluation of performance mostly corresponds to the implicit theories of the perceivers (Gobillot, 2013). Leaders can recognize their followers' potential more easily. The potential usually fits the leaders' implicit theories of followership and fail to recognise the potential of their followers who are equally capable but have less congruence. This is relevantly seen in a multicultural environment. For instance, most Western leaders may recognise followers who show to be potentially enthusiastic and thus treat and label these employees as 'high potentials'. However, they may tend to overlook followers who don't show enthusiasm which may be caused by their cultural values that inhibit emotional expression. This "What does it Matter that the Leader Believes in the Followers? 4 is mostly in Eastern cultures e.g. Japan and China. This example of bias may also occur in case of gender. The decisions of the personnel mostly depends on the perceptions of the leaders to the followers thus are mostly systematically biased. Individuals that endorse more followership theories that are negative are more prone to provide evaluations of the followers that are punitive. Conversely, individuals with more positive followership theories are more likely to evaluate the followers positively. The most significant practical implication is that leaders should develop and be aware of their implicit followership theories profile and how the perceptions bias their behaviours and cognitions towards the followers. The research also developed a management tool for assessing leader beliefs about followers. The research confirms what people already know and now aims at providing practical ways that impact the outcomes of leadership. The challenges in the health care environment are different and vary from time to time. The government and regulatory organisations point out practices that enhance patient safety. However, there is little theoretical research done to inform health care leaders' decisions looking to create patient safety programmes in their different clinics and hospitals. This is mainly because it reflects how difficult it is to conduct vigorous study on leadership and organisational change. Organisational science has described and explained for a long time instead of it being a field that gives managers advice on how to implement their desired goals and plans in a prescriptive way. It also indicates bias among organisations that fund the research and researchers to support the health service research that has been used for long instead of studies on change and transformation of the organisation. This indicates that we tend to measure things that we already know how to measure them. In order to understand challenges that face the health and hospital system executives, the description of the experience of the Executive Session on Patient safety is necessary. The "What does it Matter that the Leader Believes in the Followers? 5 Executive Session is a group of working hospital and health system executives and other stakeholders. The members agree on working together over a certain period of time in order to improve and understand patient safety in their communities and organisations e.g. hospitals. It was created first at Harvard University's J. F. Kennedy School of Government in 1983. The founders of the Executive Session intended to use the university as a place to meet and convene. They used it as a setting to learn from other practitioners on leadership and organisational change. The goal of the Executive Session was to assemble a working team of prominent and thoughtful people who could come up with ideas about crucial and important social problems, they could test the concepts that they developed in their various organisations and give the team a report on their success and failures. The members could disseminate lessons learnt from the team before their own organisations because of the professional stature and that it was a public problem. The following were problems and challenges leading in patient safety. One, how should the executives come up with a structure of their organisations that would deliver safe care? Secondly, how would the executive measure and monitor their organisations safety performance? Thirdly, how would the executives spread and maintains a patient safety innovation? Fourthly, how would the executives manage a relationship with the external environment? Fifth, how would the executives manage and control their own behaviour in order to lead for safety in their organisations? (Hunt, 2013). The infrastructure of the organisation that is required for safer care is being developed by practitioners out in the field as it is a matter of necessity. Further, strengthening the scientific basis and foundation of the leadership of the organisation in patient safety is a vital area but is neglected. This is because the organisations depend on scientific research and findings used in treatment of the patients. These methods are aimed at improving the patients health and also their safety when undergoing diagnosis of various ailments. Safety of "What does it Matter that the Leader Believes in the Followers? 6 the patients is critical as it prevents further spread of the diseases in the patient and also to other patients. This minimises the cost used in treatment of diseases. The procedures used in treatment should aim at minimising exposure to the health practitioner too. In order to advance patient care that is safe, different US hospital associations that are prominent, government agencies, an employer coalition and accreditation bodies have come up and issued some of the best practice recommendations for health care organisations. This is in order to enhance safety of the patients. Health system and hospital leaders usually find themselves in an environment where the safety programmes' content is determined by the external organisations to some extent. They are therefore accountable for meeting mandates of the external organisations. However, these mandates give the executives little guidance on how to build and implement the infrastructure of the organisation. The infrastructure is necessary to provide support to the patient safety programme in and within their organisations. The accreditation agencies and the government usually have a lot to say about what to do but little or no say in terms of ways to achieve these goals. They are in a better position to offer the executives advice on how to implement and achieve their goals. This is because they have records and can compare them with other countries and regions that have also implemented various objectives and goals that have had positive impact on their health sector especially on patient safety and leadership. Comparisons made help the executives to learn from the experiences of others. The following are challenges facing the patient safety leadership. The challenges are pointed out depending on the sections in health care. In organising care, the following challenges are present. The goals the executives should set in order to enhance patients’ safety, which management and governance structures are useful? What responsibilities should be laid out to different professionals and assigned? Whether the quality and safety entities should remain distinct organisational entities or combined thus "What does it Matter that the Leader Believes in the Followers? 7 offering economies of scale. The safety culture that should be established and how the executives should create one. The implications of the strategy on patient safety for human resources on the development of a health care work force that has professionals. How can the health care environment align incentives within an organisation in order to improve safety of the patients? How can the health care environment engage staff that they usually have little or no direct control on? In monitoring and measuring safety, it is difficult for the executives to evaluate the care the health care environment provides. Another challenge is how the health care environment should monitor their progress in achieving safety milestones. The metrics that is useful in monitoring and measuring safety of patients. This poses to be more challenging as it is difficult to measure and evaluate health care provided. In spreading and maintenance of the changes, it is difficult to spread improvements from one unit to another in the same hospital or clinic. This is because priorities differ from time to time thus it is not a guarantee that the innovative programmes will persist. How leaders maintain, nurture and disseminate successful innovation especially if faced with competitive priorities poses to be challenging. If leaders should choose among potentially expensive investment in technology and best practice recommendations. The barriers of innovation are usually professional cultures of the health care professionals, paucity of institutional mechanisms and geographic isolation of units and wards (Main Section | Community Tool Box, n.d.). In public reporting and accountability, it proves challenging for a leader in what he or she can promise consumers on the next episode of care. What types of events are the leaders obliged to give a report to the regulators? What should be publicly reported in order to satisfy the obligation of the executive to the consumers, public good and employees? This ensures the organisation's credibility and accountability to both the public and the "What does it Matter that the Leader Believes in the Followers? 8 employees. It results in increased work performance by the employees and thus more profit for the organisation. The following challenges are self management of the health care environment, what behaviours and arguments make the case? Secondly, how can the executive communicate on the safety mission in a way that it is taken seriously by the employees, consumers and the general public? Leadership is very important in an organization and directly impacts on it are performed. Leaders should keep in mind their followers and believe them positively thus more outcomes. "What does it Matter that the Leader Believes in the Followers? References Chaleff, I. (2009). The courageous follower: Standing up to & for our leaders. San Francisco: Berrett-Koehler. Daniels, A. C., & Daniels, J. E. (2007). Measure of a leader: The legendary leadership formula for producing exceptional performers and outstanding results. New York: McGraw-Hill. Gobillot, E. (2013). Follow the leader: The one thing great leaders have that great followers want. Hunt, J. (2013). Leaders. Chicago, Ill: Heinemann Library. Main Section | Community Tool Box. (n.d.). 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