Leadership, Management, Delegation and Power

Leadership Styles
Autocratic Leadership
Democratic Leadership
Laissas-Faire leadership
Bureaucratic Leadership
Autocratic Leadership
Leader exerts a high power of control of their employees

Believes that individuals are externally motivated

Policies and decisions are made with little to no input from the staff

Micromanage

Great leadership to have in an emergency situation

Bureaucratic Leadership
Based on fixed duties under a hierarchy or “chain of command”

Clear lines of authority, responsibility and accountability

Democratic Leadership
Invites others for input, facilities through the group to make decisions

May take time for decisions to happen, but there is more satisfaction with the end result

Laissez-Faire Leadership
Hands-off approach

Little guidance and few decisions are being made
Minimum face to face communication

Group members act independently

Managers
Appointed officially to the position
Use power and authority to enforce decisions
Carry out policies, procedures and rules
Coordination of resources to achieve outcomes
First Level Managers
Day to day activities of a specific area/unit

EX: Team Lead

Middle Level Managers
Supervise many first level managers

EX: Nurse Manager

Upper Level Managers
Executives
Responsible for strategic plan

EX: DON

What is Power?
Power is the ability to influence others
Exert actions that result in a change
5 Types of Power
Expert
Reward
Coercive
Legitimate
Referent
Expert Power
Based on experience and knowledge
Reward Power
Use rewards and incentives to gain power and get their employees to do something
Coercive Power
Power based on fear and/or punishment
Legitimate Power
Authority is associated with a role, Earned the right to be in leadership position
Referent Power
The leader has proven themselves to be leader, Followers have respect and admiration for the leader
5 Rights of delegation
Right Task
Right Circumstance
Right Person
Right Direction & Communication
Right Supervision & Evaluation
Nurse Executive
Both a clinical and business leader who is concerned about maximizing the quality of care and cost while maintaining relationships with staff
A Leader
May or may not be officially appointed the position
Followers that want to be led
Focus on people
Have the ability to guide and influence others
Influence others to work together to accomplish the goal

Leadership is earned!

Behaviors of an effective leader
Think critically
Solve problems
Communicate Skillfully
Set goals
5 major management functions
Planning
Organizing
Staffing
Directing
Controlling
The three steps to delegation
1. Assigning
2. Supervising
3. Accountability
Assigning
transferring the authority, accountability and responsibility to another member of the healthcare team
Supervising
monitoring the progress towards completion of delegated tasks
Accountability
moral responsibility for consequences of actions
Delegation
transferring responsibilities and authority for the performance of an activity to a competent individual