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代写加拿大essay:国家卫生服务中的有效领导 对国民健康服务(NHS)计划领导阶层的强调是护士和他们健康专业同事的最重要的优先事项之一。领导在组织和整个卫生经济被认为是实现和维持变化的基本原则(卫生部(DH 2002)。英国国民健康保险制度计划明确说明需要现代化医疗服务和改善公众健康的意图(DH 2000)。公共卫生的目的是履行社会条件,保证人口的兴趣可以通过有组织的努力和健康的明智的选择。为了达到这个目标,NHS需要动态智能领导人的各级组织。 下面的段落试图批判性讨论当代公共卫生健康保护在对抗传染病时，如何使有效的领导策略有助于交付高质量的健康。此外,本文提出了一种公共卫生的定义,健康保护,和领导阶层。一些领导的当代理论被检验，在考虑理论之前，为相关健康保护和选择提供了一个理由。关键的领导能力如视野、沟通和创造将概述和讨论的环境。 公共卫生这个词，通过有组织的努力和有效的领导能力，被定义为预防疾病的科学和艺术,延长寿命和促进健康与福祉(Rowitz 2009)。这个概念关心人们的健康,而不是个人。有人说,公共卫生不仅仅是应对疾病,也看到了它在健康社会、经济、政治和环境因素等方面的影响,但也承认人类行为。 公共卫生与健康保护相关联。这两个概念通过有效的领导策略等预防和应急计划，在保护公众的健康中扮演着不可或缺的角色。 The emphasis on leadership in the National Health Service (NHS) Plan has been one of the most important priorities for nurses and their health professional colleagues. Leadership throughout organisation and across the whole health economy is viewed fundamental for implementing and sustaining change (Department of Health (DH 2002).The NHS Plan clearly articulates the need to modernise the healthcare service with the intention to improve public's health (DH 2000). The goal of public health is to fulfil society's interest in assuring conditions in which population can be healthy through organised efforts and informed choice. To achieve this, the NHS requires dynamic intelligent leaders at all levels of the organisation. The following paragraphs attempts to critically discuss how effective leadership strategies can contribute to the delivery of high quality health within contemporary public health through health protection in combating infectious diseases. Additionally, the paper presents a definition of public health, health protection, and leadership. Some leadership contemporary theories are examined before considering which theory is relevant to health protection and provides a rationale for choice. Key leadership competencies such as vision, communication and creating the environment will be outlined and discussed. The term Public health is defined as the science and art of preventing diseases, prolong life and promoting good health and well being through organised efforts and effective leadership skills (Rowitz 2009). The concept is concerned with the health of the population rather than individuals. It has been stated, that public health is not just dealing with illness, and looks at the impact on health of social, economic, political and environmental factors but also acknowledges human behaviour. Public health correlates with health protection. Both concepts play an integral role in protecting health of general public through effective leadership strategy such as prevention and emergency planning. As a consequent, reducing potential threats to health which includes infectious diseases both communicable or non communicable diseases, and environmental hazards such as chemical or radiation exposures. Furthermore, protecting the health of the public has emerged as a distinct area of practice as well as top priority on the government agenda (Reference). 什么是领导阶层——WHAT IS LEADERSHIP Leadership is imperative for the NHS to sustain success in Public health. Leadership is a very complex multidimensional concept and has been defined in various ways. The concept leadership and what makes an effective leader has evoked strong debates in the late 1970s and 1980s (Tamkin et al 2010). In addition, it was at this time that theorists started to defined leadership. From the wealth of available literature there appeared to be several common features central to the phenomenon of leadership. Leadership is a process (Bass 1990), involves influence, occurs within group context, involves goal attainment and leadership exist at all level (Northouse 2001). In other words leadership is seen as unifying people around values, constructing the social world for others around those values and helping people to mobilise change (Stanley 2009). 管理和领导——Management and leadership Cook (2004) has found that leadership and management are two concepts that are used interchangeably. However, these words describe two different concepts (Day 2001). Leadership is a process which is similar to management. Both functions involve working with people. While management have to do with providing order and consistency in organisations; leadership produces change. On the other hand, Cannella and Monroe (1997) argued the difference distinction between leaders and manager are narrowing. 情绪智力——Emotional intelligence In order to demonstrate and maintain effective leadership characteristics an individual has to utilise emotional intelligence. Furthermore research on emotion intelligence has confirmed that this concept is what differentiate the good from outstanding leader Goleman (2000) thinks that leaders who developed emotional intelligence becomes aware of the emotions of others and are more likely to promote a healthy working environment. Gould (2000), further argued that leaders who show characteristics associated with emotional intelligence are more likely to have a positive impact on staffs. Thus this will contribute to the delivery of high quality public health which could improve organisation outcomes. There are several types' contemporary theories of leadership such as the trait theories style theories and contingency theories. The trait theory developed from the great man theory assumes that effective leaders are born not made. This derives from the belief that there is a common set of trait of successful leaders. This theory provides foundation for considering the traits require of a leader. This theory is likely to be rejected by many people. Shaw (2007) argued that the trait approach is limited because the context in which leadership take place is not acknowledge. In contrast, the contingency theory which is based on situational theory argues that the effectiveness of leadership style depends on the particular situation and that leaders are more effective when they are able to change their style to adapt to different situations (Bolden et al 2003). The essence that underpinning this theory is that there is no single "best" style of leadership approach and that different situation will require different style of leadership (Bolden et al 2003) which is important in today's health service. For instant should an emergency situation arise, the leader would demonstrate autocratic leadership skill rather that participative. Effectiveness correlates with transactional and transformational leadership. Transformational leaders use transactional leadership strategies as well to be effective and this combination corresponds closely to ideal leadership (Lowe, Kroeck & Sivasubramaniam, 1996). 交易性的理论——Transactional theories Also, emotional intelligence has a strong connection with transformational leadership. Transformation leaders are well suited to today's fast changing health care environment where adaptation is extremely important. Within this leadership theory there is an emphasis on empowerment and the development of potential for the achievement of long term goals (Shaw 2007), through mobilisation in order to make change (Bolden et al 2003). Recent research states that transformational leadership style is positively associated with higher employee satisfaction and better performance thus would improve public health. According to Taylor (2009) it is possible to use transformation leadership skills within a transaction setting. On the other hand, transactional leadership is concerned with influencing others to achieve goals through rules corrective actions, and contingent rewards (Burn 1978 and Bass 1999). Transactional leader avoids risks, is result focused, not flexible and adaptive to situations. It could be said that the environment in which the NHS operates lends itself to transactional leadership for the achievement of targets, performance management and impact of competency or outcomes. Whereas, transformational leaders are creative, innovative, takes risks and influences and inspires others.. For this reason, many theorists in leadership theory advocate transformational approach in organisation to enable people and organisation to achieve their fullest potential. 领导风格——Leadership styles Theorist have indentified many different leadership styles. Firstly the trait theory as known as great man theory identifies characteristic that such as intellect, personality and class. The can be considered as genetic influences. Tamkin agrees that it is very difficult to teach people the traits they need but says that some of these can be learned. Some forms of management training, an example of this is psychometric profiling as this will give staffs an insight into what they are like and what might be areas for improvement |
