Bài giảng Lãnh đạo (Leadership) - Lê Hoàng Ninh

LÃNH ĐẠO  
( LEADERSHIP)  
PGS, TS LÊ HOÀNG NINH  
VI
Ệ
N V
Ệ
SINH Y T
Ế
CÔNG C
Ộ
NG  
ĐỊ
NH NGH
Ĩ
A  
„
Leadership is a word covering the human  
dimension of activities which initiate and  
foster the process of change  
„ Includes issues such as nature, cultivation  
of vision and values  
„ Understanding why change is needed,  
how it occurs, the role of leadership in  
managing and motivating change,  
importance of shared responsibilities  
CH
Ứ
C N
Ă
NG C
Ủ
A LÃNH
ĐẠ
O  
1. Conceptualizing/ understanding vision  
2. Projecting/ communicating vision in own  
context  
3. Initiating change/guiding change  
4. Mobilizing commitment and support for change  
5. Managing change-resolve conflicts and issues  
6. Building of trust  
7. Building sustainability-developing others  
8. Confidence in one’s vision and oneself  
Leadership in management  
„ Setting goals and objectives  
„ Obtaining the commitment of others to reaching them  
„ Require not only the manager’s basic ability but in  
addition the capacity to motivate, enthuse, energize  
them to work well and willingly towards goals in which  
they believe  
– “THE CAPACITY TO SECURE THE WILLING SUPPORT OF PEOPLE  
IN ACHIEVEMENT OF THE ORG.’S WORTHWHILE”  
„ Depend on the exercise of interpersonal influence  
„ The proactive approach : taking responsible initiatives to  
change situaion and attitudes through the people is  
essence of leadership in management  
Leadership responsibilities  
at different levels  
„
Different leadership functions evolve  
according to the leader position and  
nature of change sought  
„ Central level  
„ Intermediate level  
„ Community level  
DEVELOPING A VISION  
„ Organizational vision: view of future which  
leader has committed his energies and  
enthusiasm to achieving  
„ Vision statements are important ?: simply and  
clearly so that reflects the essence of what is  
required and is not diluted by various conditions  
and details  
„ Mission statement: what business are we in?  
„ Visions are derived from ?: analysis of the past,  
present and future  
COMMUNICATING THE VISION  
„
For the people know that the org. is trying  
to do they will be more likely to:  
– Work in team together in a spirit of  
cooperation  
– Set local and personal targets that relate to  
the vision  
– Handle conflict more constructively  
COMMUNICATING THE VISION  
1.
Verbal communication  
„ Sender --------------------Æ receiver  
Double messages  
filter  
a) filters: 
prejudices ; attitudes; expectations;  
self image  
b) Double message: body, tone, voice  
COMMUNICATING THE VISION  
„
2. Non-verbal behaviors:  
ƒ
ƒ
Eyes, head and shoulder, mouth, body arms  
ƒ The most important aspects are:  
– Eye contact  
– Smile  
– Position of head  
– Body posture  
„ Empathy, trust, confidence…  
LEADERSHIP AND  
MANAGEMENT FRAMEWORK  
1. Adequate number of managers  
2. Appropriate competences: ( K, A,S  
and behaviors)  
3. Enabling working environment (  
role, responsibilities, org. context  
and rule, supervision..)  
4. Functional support system (  
manage money, staff, information  
supplies…  
Ensuring adequate numbers  
„
A health manager: is someone who spends a  
substantial proportion of his/her time managing:  
– Volume and coverage of service ( planning,  
implementation and evaluation)  
– Resources : staff, budgets, drugs, equipments,  
buildings, information  
– External relation and partners including service users  
„
“ when we talk about manager, it is like a  
hat which fits all the heads”  
Appropriate competences  
„ “ we have learned the expensive way  
that training on its own does not  
solve management problems “  
Functional critical support system  
„ The main support system are:  
– Planning  
– Financial management  
– Information/monitoring  
– Human resource management  
– Management: stock, assets ( drugs, building, vehicles,  
equipment  
„ “ health centers in one country had to record 11  
full sheets of data every working day. This took  
on staff member who had other clinical tasks up  
to 8 hours a day “  
Creating an enabling working  
environment  
„
The immediate working environment (  
within health sector)  
„ The wider working environment  
„ The broad cultural, political and economic  
context  
„ “ We can’t wait until we have a perfect  
world to do something “  
GOOD PRACTICE PRINCIPLES FOR  
LEADERSHIP AND MANAGEMENT  
„
Health outcomes  
„ Evidence based  
„ Aligned  
„ Long term  
„ Transformational  
„
Harmonized  
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