MHA601 week 4 assignment

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601

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Health Science

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Dec 6, 2023

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1 Case 23: Mike and The Walk Around Chelsea English The University of Arizona Global Campus MHA 601: Principles of Health Care Administration Dr. Yvonne Lozano 11/06/23
2 Mike and The Walk Around Working within the healthcare system brings a lot of stressors that are within the normal day to day tasks. As a manager or leader of an organization not only are there patients to be concerned with there is also the quality of life from employees to make a priority as well. Mike, the CEO of a hospital, believes his methods of leadership are effective. The financial health of company has increased. Proposed ideas in staff meetings are favored. He feels that he is respected, and he has received appreciation from upper management. As the leader of this hospital organization, he is expected to maintain a positive attitude and be able to compartmentalize negative emotions. Unfortunately, all these positive outlooks have caused negative relationships between Mike and his subordinates. In order to fix the views and opinions of his colleagues and subordinates the issues with his leadership will need to be identified, different factors that affect the organization will be analyzed, strategies will be evaluated to help resolve identified issues and risks, and possible rejections to assessed plans of action. Leadership Issues The problem with Mike’s leadership is that he misplaces his anger, and his staff are scared to directly express their opinions and thoughts to him. As a result, from his misplaced anger, he tends to publicly embarrass counterparts by yelling for immediate corrective actions from supervisors on subordinates. He feels that his yelling helps assert his authority and brings him respect. Although he has only did these outbursts twice it has resulted in the staff keeping their opinions and thoughts to themselves. When a survey was conducted amongst the employees about each other Mike scored significantly low. The staff seem to feel that they do not really know him or do not have a connection with him because they do not barely see him. Despite his effort to try to turn the narrative around the next employee forum resulted in even greater distrust
3 and anger. Staff felt that he was being a tyrant by monitoring the different departments to check on punches at beginning of shift and end of shift. His anger is so aggressive that his human resource officer doesn’t know how to approach him to counsel guidance from the employee forum. Legal, Ethical, Financial, and Human Risks Emotions are considered intense episodes of various ranges of feelings that lead to physical and mental changes that influence behaviors (Johnson & Walston, 2021). They are stimuli responses produced from events, actions, and circumstances within the environment. Overall, his primary emotion, the first rapid instinctive response, and his secondary emotion, longer duration of reflection within mental processing, are causing damage with his connections from his subordinates (Johnson & Walston, 2021). Legal, ethical, financial, and human risks are factors that affect the organization. Ethical issues arising from his leadership is his lack of professionalism, professional conflict due to duty uncertainty, and public undermining. His yelling outbursts were about very minute situations. He displays a lack of professionalism by undermining staff publicly in front of other subordinates instead of within his office in a one-on-one setting. Due to his lack of professionalism the current HR representative doesn’t know how to approach him to advise him about staff outlook due to previous outbursts. Ethical issues from negative emotional leadership can lead to employee emotional exhaustion which can lead to burnout and turnover (Johnson & Walston, 2021). Human risk factors that affect the organization is staff emotional exhaustion from their assumption of him being a continuous hassle. The staff are under an external locus of control that
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4 makes them feel like outside factors like patient input or accidental misstep are influences over the status of their job position (Johnson &Walston, 2021). As a result, employees will tend to quit and patient care will start to decline due to remaining staff being overworked. Legal issues that may arise from this is medical malpractice that can lead to a negative reputation of the hospital. Currently financially the company is positively trending in terms of their financial health. The negative impact from his leadership is resulting in physicians being dissatisfied and considering moving their practice. This could reverse the perceived financial health under his leadership and have upper management questioning his methods. Strategies to Address Identified Issues and Risks In order to address the issues and risks there needs to be strategies set in place that will help fix Mike’s relationship with his colleagues and subordinates. The primary focus is to adjust his temperament when in highly stressful situations. Ethical leadership displays the treatment of followers fairly and respectfully along with demonstrating the best care for them. According to Lee et al., (2021), ethical leadership highlights transparency that allows the involvement of employees in certain decision-making situations along with providing resources that help employees understand standards and expectations. A suggestive strategy to use is the conservation of resources (COR) theory. This theory addresses emotional leadership and how to navigate emotional exhaustion and threats that result from over exhaustion. When applying this theory individuals attempt to acquire, retain, protect, and foster valuable resources while avoiding threats of resource loss (Lee et al., 2021). As a superior displaying ethical leadership social support is a hot commodity that allows subordinates to display proper behavior by feeling comfortable in a supportive work environment.
5 Another suggestive strategy is implementing a transformational leadership style. This leadership style guides leaders to promote or uplift employees in order to generate positive emotions from supportive social resources. According to Wan et al., (2022), strong emotional leaders have empathy and understanding that allows them to have a deeper connection with their subordinates. Implementing the transformational strategy allows for leaders to regulate the mood of the environment which affects the productivity throughout the workday. Impacts on Patient Care or Satisfaction If the strategies suggested do no work out as planned, then patient satisfaction and care will start to decline. In the case study it is primarily stated that the staff ultimately are unhappy with their top leader. It has gotten to the point that certain doctors are considering leaving and taking their practice elsewhere. If these suggestions are not implemented, it can result in employee loss which will also result in longer patient wait times due to employee shortage. This will impact the quality of patient care due to staff feeling like they must rush through the proper protocols in order to service those waiting in the hospital. Rushing through any process or procedure leads to a high likely chance of an accidental misstep. Overall non-recognition of employee dissatisfaction will lead to employee turnover and reputational decline of the hospital. Conclusion A managers leadership style is the precursor to their subordinate’s job performance. Without proper support and encouragement, the quality of patient care and satisfaction can start to decline. It is pertinent for any individual in a management role to be able to realign their emotions amongst their colleagues. Even though financially the company is not at any risk red flags can start to arise when patients start to complain from employee dissatisfaction. Implementation of the suggested strategies to use to combat the current issue will help avoid
6 negative staff perception and negative patient care. Overall if Mike learns to compartmentalize his emotions, he will be able to legally, ethically, and financially keep the hospital in a positive light while also avoiding any human risks from staff or patient care.
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7 References Johnson, K. L., & Walston, S. L. (2021). Organizational behavior and theory in healthcare: Leadership perspectives and management applications, second edition . Health Administration Press. Lee, H., An, S., Lim, G. Y., & Sohn, Y. W. (2021). Ethical Leadership and Followers' Emotional Exhaustion: Exploring the Roles of Three Types of Emotional Labor toward Leaders in South Korea. International journal of environmental research and public health, 18(20), 10862. https://doi.org/10.3390/ijerph182010862 Wan, J., Pan, K. T., Peng, Y., & Meng, L. Q. (2022). The Impact of Emotional Leadership on Subordinates' Job Performance: Mediation of Positive Emotions and Moderation of Susceptibility to Positive Emotions. Frontiers in psychology, 13 , 917287. https://doi.org/10.3389/fpsyg.2022.917287