Shannon Healthcare Communications
  • Home
  • About
  • Writer
    • Library
    • Book
  • Change Agent
    • Blog
    • Book
    • Experience
    • Resources
  • Contact
Picture
Transforming health care one word at a time

Respectful Leadership: How a Social Psychologist from the 1950's Got It Right and Why It Matters

12/14/2018

2 Comments

 
Picture
I was intrigued when I read in Beyond the Wall of Resistance by Rick Maurer about Douglas McGregor’s theories on leadership. (Apparently, McGregor wasn’t the first to put forth these theories, but was the first to name them, back in the 1950s.)  McGregor was a social psychologist interested in how human factors affected organizational behavior and organizational outcomes.

In short, McGregor’s work described two approaches to leadership. Theory X maintained that workers need to be led. That without tight oversight, workers will become unmotivated, unambitious, and resistant to change. In contrast, Theory Y put forth that workers were not passive and under the right conditions, the average adult will accept responsibility and engage in work with creative energy.  

McGregor described the difference between the two approaches this way, “Theory X places exclusive reliance upon external control of human behavior, whereas Theory Y relies heavily on self-control and self-direction. It is worth noting that this difference is the difference between treating people as children and treating them as mature adults.”

Theory X dictates the need for a dictatorial style of management. It’s the old “top-down, mandating” type of leadership that is about control. It fuels a lack of engagement and fails to extract the full potential of employees and of the collective whole. Theory Y treats workers with respect and engages them fully in their work.

From my observations, Theory X seems to be a lot more prevalent in health care. And there is evidence it contributes to clinician burnout. A 2015 Mayo Clinic study showed that certain behaviors of leaders predicted a lower risk of burnout among physicians. These behaviors, such as “Encourages employees to suggest ideas for improvement,” are consistent with Theory Y.
​
Where can we find theory Y? There are a number of leadership philosophies that embrace it. For example…


Read More
2 Comments

The Healing Power of Just Culture for Patients and Those Who Care for Them

7/31/2018

0 Comments

 
PicturePhoto credit: Sam Dennis

​When I was in residency training, I felt struggled with a conflict between my perception of reality and a seemingly widespread fallacy. As a human being, and especially as a human new at the tasks I was undertaking, I knew I was imperfect, yet the clinical world seemed founded on the belief that it is possible for humans to never make mistakes. Only perfection was acceptable. The possibility of unintentional medical errors was usually just denied. If errors occurred, they were seen as the individual health professional’s fault. In other words, if a mistake happened, I’m to blame, even if I was doing my best in a broken system, one that required multiple error-prone workarounds to complete a task. That conflict ate away at me, and was one of the factors that precipitated burnout and my decision to leave clinical practice several years later. 
​
It was in the course of writing about the health care system that I first learned about organizational culture, which can be loosely defined as “how we do things around here.” It governs how people act, how they respond, how they treat each other. It is shaped by top leaders. They set the tone, model ways of being, and choose which behaviors to reinforce and reward, which to call out, and which to overlook (a choice that usually speaks louder than words). Leaders’ actions and choices demonstrate the organization’s culture for everyone else. Of course, there are micro unit cultures that differ across the organization, but the trickle-down effects of leaders show up here too. 


Read More
0 Comments

The Changing Needs of Our Physicians...And Why It Matters

3/21/2018

0 Comments

 
PicturePhoto credit: Sam Dennis


I recently wrote a guest post on the changing demographics of American physicians. I crafted it as an open letter to organizational leaders, who need to understand and respond to the shifting needs of these physicians if we are to have a healthy physician workforce in the years to come.


Dear Healthcare Leaders, Board Members, and Interested Others:

You may have noticed a recent trend in your human capital. If you haven't, here's the upshot: Your physician workforce is changing.

And to guide your organization, you'll need to understand those changes — and shift your priorities accordingly. As a physician and author dedicated to helping my clinician colleagues thrive, I'm here to help.

Here's how your workforce is evolving...

Read the rest of the post here!

0 Comments
<<Previous

    Inspired:
    Cool Ideas That Just Might Fix Health Care

    Written by Diane W. Shannon, a doctor-turned-writer who is completely committed to improving health care.

    Categories

    All
    Administration
    Board Members
    Burnout
    Clinician Support
    Collegiality
    Expectations
    Gender
    Humanities
    Humanity
    Improvement
    Leadership
    Medical Education
    My Story
    Passion
    Patient Provider Relationship
    Patient Safety
    Productivity
    Resilience
    Respect
    Shadowing
    System
    Technology
    Well-being

    RSS Feed

    Archives

    December 2018
    September 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016

Picture

Diane W. Shannon, MD, MPH

Home   About   Writer   Change Agent   Contact

 
Website by Standing Forward
  • Home
  • About
  • Writer
    • Library
    • Book
  • Change Agent
    • Blog
    • Book
    • Experience
    • Resources
  • Contact