JOBNAME: 5820−McGraw−MayPowel PAGE: 1 SESS: 22 OUTPUT: Tue Mar 10 08:42:07 2009 SUM: 0CFB6A45 /production/mcgraw−hill/booksxml/bishop/a1−prelims1 Leadership for Nursing and Allied Health Care Professions www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif Kerrypress Ltd – Typeset in XML A Division: a1-prelims1 F Sequential 1 JOBNAME: 5820−McGraw−MayPowel PAGE: 2 SESS: 22 OUTPUT: Tue Mar 10 08:42:07 2009 SUM: 040C4734 /production/mcgraw−hill/booksxml/bishop/a1−prelims1 www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif Kerrypress Ltd – Typeset in XML A Division: a1-prelims1 F Sequential 2 JOBNAME: 5820−McGraw−MayPowel PAGE: 3 SESS: 22 OUTPUT: Tue Mar 10 08:42:07 2009 SUM: 0BC400C3 /production/mcgraw−hill/booksxml/bishop/a1−prelims1 Leadership for Nursing and Allied Health Care Professions Editor: Veronica Bishop www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif Kerrypress Ltd – Typeset in XML A Division: a1-prelims1 F Sequential 3 JOBNAME: 5820−McGraw−MayPowel PAGE: 4 SESS: 22 OUTPUT: Tue Mar 10 08:42:07 2009 SUM: 2BC7014C /production/mcgraw−hill/booksxml/bishop/a1−prelims1 Open University Press McGraw-Hill Education McGraw-Hill House Shoppenhangers Road Maidenhead Berkshire England SL6 2QL email: enquiries@openup.co.uk world wide web: www.openup.co.uk and Two Penn Plaza, New York, NY 10121—2289, USA First published 2009 Copyright © Veronica Bishop 2009 All rights reserved. Except for the quotation of short passages for the purpose of criticism and review, no part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the publisher or a licence from the Copyright Licensing Agency Limited. Details of such licences (for reprographic reproduction) may be obtained from the Copyright Licensing Agency Ltd of Saffron House, 6–10 Kirby Street, London, EC1N 8TS. A catalogue record of this book is available from the British Library ISBN-13: 9780335225330 (pb) 978033522532-3 (hb) ISBN-10: 033522533-0 (pb) 033522532-2 (hb) Typeset by Kerrypress, Luton, Bedfordshire Printed and bound in the UK by Bell and Bain Ltd. Fictitious names of companies, products, people, characters and/or data that may be used herein (in case studies or in examples) are not intended to represent any real individual, company, product or event. www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif Kerrypress Ltd – Typeset in XML A Division: a1-prelims1 F Sequential 4 JOBNAME: 5820−McGraw−MayPowel PAGE: 1 SESS: 19 OUTPUT: Tue Mar 10 08:28:33 2009 SUM: 3549AF77 /production/mcgraw−hill/booksxml/bishop/a2−prelims2 Contents Notes on contributors vii Foreword xii Preface Veronica Bishop xv Introduction 1 Veronica Bishop 1 What is leadership? 8 Veronica Bishop 2 Leadership and management: a new mutiny? 32 David Stanley 3 Leadership challenges: professional power and dominance in health care 52 Mike Saks 4 Leadership for the allied health professions 75 Mary Lovegrove and Tyrone Goh 5 Developing political leaders in nursing 98 Sue Antrobus, Annie Macleod and Abigail Masterson 6 Educating leaders for global health care Dawn Freshwater, Iain Graham and Philip Esterhuizen 121 www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif Kerrypress Ltd – Typeset in XML A Division: a2-prelims2 F Sequential 1 JOBNAME: 5820−McGraw−MayPowel PAGE: 2 SESS: 19 OUTPUT: Tue Mar 10 08:28:33 2009 SUM: 0FF2539C /production/mcgraw−hill/booksxml/bishop/a2−prelims2 7 Clinical leadership and the theory of congruent leadership 143 David Stanley 8 Leadership for health globally: grasping the nettle 164 Veronica Bishop Index 187 www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif vi Contents Kerrypress Ltd – Typeset in XML A Division: a2-prelims2 F Sequential 2 JOBNAME: 5820−McGraw−MayPowel PAGE: 1 SESS: 16 OUTPUT: Tue Mar 10 08:28:43 2009 SUM: 3EF11A9D /production/mcgraw−hill/booksxml/bishop/a3−contributors Notes on contributors Sue Antrobus, MPhil, BSc, PGDipEd, RGN, has over 20 years’ experience working with, or connected to, the National Health Service (NHS), the independent sector, academia and a major professional union. In her NHS work she has held roles in the Department of Health and with health authorities and has worked directly with patients in clinical practice. Sue currently holds a non-executive appointment at a primary care trust in the north west of England, where she has the non-executive lead for commis- sioning, patient safety and clinical quality. Her particular interest throughout her career has been to enable health and social care staff to contribute effectively at a strategic and policy level through leadership development. She has a particular interest in commissioning and has worked at a national policy level to develop the nursing contribution to the commissioning agenda. As a successful change agent, Sue has a renowned track record of working with a range of partners to agree priorities and translate those into programmes that bring about service improvement and change across the UK and internationally. Veronica Bishop, PhD, MPhil, RGN, FRSA, is Visiting Professor of Nursing at City University, London, editor-in-chief of the Journal of Research in Nursing (Sage) and a Fellow of the Royal Society of Arts. She is an adviser to the Hong Kong Nursing Journal, a member of the scientific committee for the Royal College of Nursing (RCN) Research Society, and until recently an executive member of the Florence Nightingale Foundation and a member of its academic panel. Veronica came late into nursing after a varied career. Having gained her RGN and specialized in cardio-thoracic and intensive care nurs- ing, she joined the Anaesthetic Research Department at the Royal College of Surgeons (England) and obtained an MPhil (CNAA), followed by a PhD www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif Kerrypress Ltd – Typeset in XML A Division: a3-contributors F Sequential 1 JOBNAME: 5820−McGraw−MayPowel PAGE: 2 SESS: 16 OUTPUT: Tue Mar 10 08:28:43 2009 SUM: 526256A5 /production/mcgraw−hill/booksxml/bishop/a3−contributors through the Faculty of Medicine, London University. Both degrees sought to bridge the gap between clinical research and nursing. She then joined the Civil Service as a nursing officer where she had responsibility for a large body of nursing and midwifery research and workforce studies for the entire NHS. She also had the national lead across the UK for clinical supervision, and commissioned the first national multi-site study in nursing. Veronica has worked as a consultant for the WHO in Denmark, India and Romania, is widely published and has presented keynote speeches at numerous nursing conferences. Philip Esterhuizen, PhD, MScN, BA, is a nursing lecturer in research and elective English-language modules on intercultural sensitivity in the Nether- lands. He is involved in Master’s and Bachelor curriculum development, and supervises students at Doctoral and Master’s levels. Between 2002 and 2008 he worked in academic settings in England and ran action research in various settings, was involved in developing or sustaining clinical supervision and was curriculum development consultant and an external panel member validating undergraduate, postgraduate and Master’s programmes, at two universities in Ireland. Philip reviews manuscripts for numerous interna- tional journals. His PhD research explored the socialization and professional development of undergraduate nursing students in the Netherlands. Dawn Freshwater, PhD, BA, RNT, RN, FRCN, is Professor and Dean of the School of Health care at the , a Fellow of the Royal College of Nursing and editor of the Journal of Psychiatric Mental Health Nursing. She is an active member of Sigma Theta Tau receiving the Distinguished Researcher Award in 2000, and is an executive member of the Florence Nightingale Foundation, where she sits on the research scholarship panel. Since the early 1990s she has maintained an interest in the application and evaluation of transformational research, critical reflexivity, pragmatism, reflective practice and clinical supervision, and in particular its relation to evidence-based practice and the therapeutic alliance. She is external reviewer for the Forensic Mental Health Fellowships and sits on a number of international grant review panels. Dawn is a prolific writer and passionate about developing leadership capacity through high quality research and education. In this context she has a particular interest in transformational leadership, reflective practice and strategic planning. She has undertaken significant strategic change in her current role and was nominated as a woman of achievement in 2008. Tyrone Goh, DSc, MBA, FCR, FIR (Aust.), HDCR, TDCR, is a radiographer who moved into mainstream health care management. He is the current executive director of three business units in Singapore, at the National Health care Group (NHG), which operates the largest primary care diagnostic service in the country and performs health care consultancy to regional www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif viii Notes on contributors Kerrypress Ltd – Typeset in XML A Division: a3-contributors F Sequential 2 JOBNAME: 5820−McGraw−MayPowel PAGE: 3 SESS: 16 OUTPUT: Tue Mar 10 08:28:43 2009 SUM: 4F41D837 /production/mcgraw−hill/booksxml/bishop/a3−contributors countries. Tyrone was made an honorary Doctor of Science at South Bank University, London, where he is a Visiting Fellow. Tyrone is recognized at the highest level by many governments as well as his own, and a champion of the radiography profession and the service worldwide. He is past president of the International Society of Radiographers and sits on several local boards in academia and hospitals. Some of Tyrone’s achievements include setting up a radiotherapy centre at Singapore’s National University Hospital and initiat- ing the first island-wide tele-radiology service in Singapore. He has been given several local and international awards, and awarded the commenda- tion medal by the President of Singapore, and the National Health care Group distinguished staff achievement award, the highest accolade given to non-clinical staff. Iain Graham, PhD, MSc, MEd, BSc, RGN, RMN, is Professor of Nursing and Head of School, Health and Human Sciences Faculty of Arts and Sciences, Southern Cross University, NSW, Australia. He is a registered nurse in both the UK and New South Wales, and qualified as a mental health nurse in the UK. Iain has a background in advanced clinical practice, health service management and education and has held various academic and service positions in the UK. He is an Adjunct Professor in Nursing to Vanderbilt University, Nashville, Tennessee, University of Northumbria, UK, and Uni- versity of Technology, Sydney, and holds fellowships with the European Academy of Nurse Scientists and the Royal Society of Health. During 2005–2007, Iain was President of the Consortium of Higher Education, Health and Rehabilitation Educators, a European-based organization promot- ing inter-professional education with health care. He teaches in the areas of leadership, nursing theory and health policy, and supervises students at doctoral and master’s levels. Mary Lovegrove, MSc, TDCR, HDCR, DMU, DCR(R), MSSR, is a diagnostic radiographer by profession, Professor of Education and Development for Allied Health Professions, and very involved in the world of AHP. She is Head of Department of Allied Health Sciences at London South Bank University (LSBU) and a Director of Centre for Research in AHP at LSBU. Mary balances her time between local, national and international activities. She is an adviser to the UK Department of Health on Allied Health Development issues and to the Health Authority of Hong Kong; she is a member of London Higher and of the NHS London Education and Workforce review advisory committee. She previously served as the vice-president for the International Society of Radiographers and Radiological Technologists (Europe and Africa) and is an honorary member of the Singapore Society of Radiographers. Mary is an Allied Health Executive Member for the UK Council of Deans for Nursing and Health Professions and is a member of the NHS London AHP Network Steering Committee. www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif Notes on contributors ix Kerrypress Ltd – Typeset in XML A Division: a3-contributors F Sequential 3 JOBNAME: 5820−McGraw−MayPowel PAGE: 4 SESS: 16 OUTPUT: Tue Mar 10 08:28:43 2009 SUM: 4E989164 /production/mcgraw−hill/booksxml/bishop/a3−contributors Annie Macleod, RCN, RM, MPhil, BSc, is currently a senior manager with Hull Teaching Primary Care Trust. She is a nurse and midwife and has over 20 years’ experience in the NHS in ser vice redesign, project management, organizational development and evaluation research. She has worked with the RCN to complete a Department of Health sponsored national evaluation of the clinical leadership programme. Since 2003, Annie has evaluated the political leadership programme, which has been delivered to a variety of national and international participants. Abigail Masterson, MPA, MN, BSc, PGCEA, RN, FRSA, is Assistant Director Clinical Quality at the Health Foundation and also director of her own consultancy company. Abigail’s work ranges from national level projects involving many powerful stakeholder groups to small service and/or organi- zational development work in individual health and voluntary sector organi- zations. She has worked with frontline clinical staff as well as senior managers and policy staff from the full range of professions and disciplines in health and social care. Mike Saks, PhD, MA, BA, studied at the University of Lancaster, the University of Kent and the London School of Economics, where he obtained a BA, MA and PhD in sociology respectively. After taking up a lecturer post at De Montfort University, he successively became Head of Department, Head of School and Dean of the Faculty of Health and Community Studies. He is currently Professor and Senior Pro Vice Chancellor at the University of Lincoln. Mike has published widely on professionalization, health care and complementary and alternative medicine, and given many keynote presenta- tions at national and international conferences. He has served on a wide range of NHS committees at local, regional and national level and acted as a consultant to professional bodies in health care and the UK Department of Health. Mike has been involved in a number of international research collaborations and is currently President of the International Sociological Association Research Committee on Professional Groups. David Stanley, D.Nurs, MSc, BN, RGN, RM, began his career in nursing when it was deemed vocational and was steeped in tradition. Since then he has seen the transition of nursing into a proud and evidence-based profes- sion. He trained as a registered nurse and midwife in South Australia and worked through his formative career in a number of hospitals and clinical environments there. In 1993 he completed a Bachelor of Nursing at Flinders University, Adelaide (for which he was awarded the university medal). After a number of years as a volunteer midwife in Africa, he moved to the UK to work as the co-ordinator of children’s services in York, and as a nurse practitioner. In pursuit of clinical excellence he completed a master’s in health science at Birmingham University. After a short return to Australia where he was director of nursing for remote health services in Alice Springs, www.kerrypress.co.uk - 01582 451331 - www.xpp-web-services.co.uk McGraw Hill - 152mm x 229mm - Fonts: Stone Sans & Stone Serif x Notes on contributors Kerrypress Ltd – Typeset in XML A Division: a3-contributors F Sequential 4 [...]... of Health 2008) report is a product of Lord Darzi’s recent extensive examination of health care provision for England It has provided renewed focus on clinician – led services and, more importantly for this book and its readers, it suggests a central and critical role for leaders drawn from the nursing and allied health professions There have been recent suggestions that some of the health care professions. .. communication and changes in the political, economic, demographic and social changes, all touch our lives These changes also impact on health care provision, and the delivery of health services The aim of this book is to empower would – be leaders of nursing and allied health professions to be effective Leadership in health care is a high priority in the UK and, at the time of writing, is top of the list for. .. them, and offers a further concept for clinical health care staff to support clinical leadership Here the importance of collaboration to achieve standards and quality, without loss of identity of one’s discipline is discussed And importantly, the core values that make working in health care a challenge well worth accepting are examined In looking afresh at leadership within the health care services and. .. London: Kogan Page Berwick, D.M (1994) Eleven worthy aims for clinical leadership of health system reform Journal of the American Medical Association 272(10): 797–802 Berwick, D.M (2003) Improvement, trust and the health care workforce Quality and Safety in Health Care 12(6): 448–452 Bishop, V (2002) Editorial Journal of Research in Nursing (formerly Nursing Times Research) 7(4): 240 Kerrypress Ltd – Typeset... list for the National Health Service Federation However, for nursing and those health care professions allied to medicine, leadership has rarely been a highly visible clear cut business Certainly many consider that since the late 1990s, a severe erosion of power bases within the professions has occurred, particularly in the UK There is no single reason for this – ownership of health care is now very diverse,... for Professionals in Health and Social Care Basingstoke: Palgrave Macmillan Bishop, V and Freshwater, D (2004) Looking ahead: the future for nursing research In D Freshwater and V Bishop (eds.) Nursing Research in Context: Appreciation, Application and Professional Development Basingstoke: Palgrave Macmillan Collinson, G (2002) The primacy of purpose and the leadership of nursing Nursing Times Research... cornerstones of health care provision The underpinning values of health care systems are also being re-stated In the United Kingdom these will be expressed as a set of core values for the United Kingdom National Health Service These renewed values will bear down on the provision of health care but will not be realized properly unless driven by influential leadership from nurses and allied health professionals... gender stereotyping, medical dominance and inadequate professional leadership which conspire to keep us in the place where others would have us (Bishop 2002) To strengthen leadership within nursing and AHPs it is necessary to understand policy and professional contexts, and to review activities across Europe – now a growing entity – and the Atlantic All health care professions ought to be playing a central... their health care system Berwick (1994) considered that most proposed health reforms’ made in Western society today were actually changes in the surroundings of care rather than changes in care itself More recently Berwick (2003) suggests that for health professions to truly become involved requires a workforce capable of setting bold aims, measuring progress and finding alternative designs for the... and a Faculty for Innovation and Improvement (under the auspices of the NHS Institute for Innovation and Improvement) will soon emerge The Institute for Health Improvement in the USA has also played a continuous role in leadership development across the world There are, of course, strong impressive leaders already drawn from nursing and health professions but they are in short supply and the next generation . Stanley 3 Leadership challenges: professional power and dominance in health care 52 Mike Saks 4 Leadership for the allied health professions 75 Mary Lovegrove and. central and critical role for leaders drawn from the nursing and allied health professions. There have been recent suggestions that some of the health care