Leading Leading Effective Effective Teams Teams

Ian Govier Ian Govier (Facilitator)(Facilitator)

Welsh Critical Care Improvement Programme

Workshop Aim: Workshop Aim:

nn

…to explore …to explore how we can how we can more effectively more effectively lead our team lead our team

What do I want to What do I want to ACHIEVEACHIEVE or or CHANGECHANGE as a result of as a result of

today’s workshop? today’s workshop?

The The Healthcare Healthcare

Leadership Leadership ChallenChallengege

Permanent White Water Permanent White Water (Vaill, 1996)(Vaill, 1996)

The ConstantsThe Constants

ChangeChange ChoiceChoice

PrinciplesPrinciples(Covey, 2006)

Leading Leading Effective Teams Effective Teams

- principles- principles

Time for Time for

a a BreakBreak

What is What is a team? a team?

Group Discussion

A team is more than just a group of A team is more than just a group of individuals who work together. individuals who work together.

A team is a small number of A team is a small number of individuals with complementary skills individuals with complementary skills

committed to a common purpose, committed to a common purpose, common performance goals and common performance goals and

an approach for which they hold an approach for which they hold themselves collectively accountable. themselves collectively accountable.

(2007)

A team is a group of individuals who work A team is a group of individuals who work together to produce products or deliver services together to produce products or deliver services

for which they are mutually accountable. for which they are mutually accountable.

Team members share goals and are Team members share goals and are mutually held accountable for meeting them, mutually held accountable for meeting them,

they are interdependent in their they are interdependent in their accomplishment, and they affect the accomplishment, and they affect the

results through their interactions with results through their interactions with one another. one another.

Because the team is held collectively Because the team is held collectively accountable, the work of integrating accountable, the work of integrating

with one another is included in the with one another is included in the responsibilities of each member.responsibilities of each member.

(Mohrman and Cohen, 1995)

Leadership in the new millennium Leadership in the new millennium has comprehensively come of age. has comprehensively come of age.

Where once leaders were aloof Where once leaders were aloof decision-makers, today they decision-makers, today they

are dedicated collaborators are dedicated collaborators whose role is to whose role is to give power give power

to their to their TEAMTEAM rather than rather than wield power to their own ends. wield power to their own ends.

Leaders on Leadership– an intimate view of life at the top of Europe plcLeaders on Leadership– an intimate view of life at the top of Europe plc

Development Dimensions International (DDI) Research Report, January 2006 Development Dimensions International (DDI) Research Report, January 2006

What are some of the What are some of the

characteristics of an characteristics of an effective team? effective team?

Group Work

The Five The Five Dysfunctions Dysfunctions

of a Teamof a Team(Lencioni, 2002)

Absence of Absence of TRUSTTRUST

Fear of Fear of CONFLICTCONFLICT

Lack of Lack of COMMITMENTCOMMITMENT

Avoidance of Avoidance of ACCOUNTABILITYACCOUNTABILITY

Inattention to Inattention to RESULTSRESULTS

Teams possessing the followingTeams possessing the followingcharacteristics are more effective characteristics are more effective

in delivering high quality care: in delivering high quality care:

• clarity of team objectivesclarity of team objectives

• high levels of participation high levels of participation from all team membersfrom all team members

• high emphasis on qualityhigh emphasis on quality

• high support for innovationhigh support for innovationHealth Care Team Effectiveness Project (Borrill and West ,2002)

How am I How am I doing as a doing as a

Team LeaderTeam Leader??

Self Checklist

It Takes It Takes a Team a Team

Coming together is a beginningComing together is a beginning

Keeping together is progressKeeping together is progress

Working together is successWorking together is success

John C. Maxwell

Lunch Lunch TimeTime

         

            

Defend Defend or or Destroy!Destroy!

Team Exercise

In health care In health care terms, what terms, what

difference does difference does EFFECTIVE EFFECTIVE

TEAM WORKING TEAM WORKING

really make?really make?

Borrill & West (2002) found that individuals who worked in well functioning teams had

lower levels of stress and better mental health.

Their research demonstrated a significant relationship between the percentage of staff working in teams and patient mortality.

Where more people work in teams, the death rate among patients is significantly lower. There is much to be gained by enhancing

team functioning and effectiveness!

What What differences differences have been made via have been made via

the the Welsh Critical Care Welsh Critical Care Improvement Improvement

ProgrammeProgramme??

Group Work

How do we How do we motivate teams motivate teams

to action? to action?

The ‘8 Rules’ for Motivating People:The ‘8 Rules’ for Motivating People:

• Be motivated yourselfBe motivated yourself

• Select motivated peopleSelect motivated people

• Treat each person as an individualTreat each person as an individual

• Set realistic but challenging targetsSet realistic but challenging targets

• Understand that progress itself motivatesUnderstand that progress itself motivates

• Create a motivating environmentCreate a motivating environment

• Provide relevant rewardsProvide relevant rewards

• Recognise successRecognise success

http://www.teambuilding.co.uk/john_adair.html

Real teams do not develop Real teams do not develop until the people in them work until the people in them work hard to overcome the barriers hard to overcome the barriers

of collective performance. of collective performance.

Overcoming barriers to Overcoming barriers to performance is how performance is how

groups become teams.groups become teams.Katzenbach (1993)

InitiatorInitiator beginning actions and processes that beginning actions and processes that

promote team development and performance promote team development and performance

Model Model shaping behaviour and performance that shaping behaviour and performance that

reflects the expectations set for the team reflects the expectations set for the team

CoachCoachserving as counsellor, mentor and tutor serving as counsellor, mentor and tutor

to help team members improve performance to help team members improve performance

The 3 important roles The 3 important roles of a Team Leader of a Team Leader

How am I How am I doing as a doing as a

Team LeaderTeam Leader??

Team Leader Checklist

‘‘Number Number Cruncher’Cruncher’

Team Exercise

““That which we persist in That which we persist in doing becomes easier -doing becomes easier -

- not that the nature of the - not that the nature of the task has changed, but our task has changed, but our

ability to do has increased.”ability to do has increased.”

Ralph Waldo Emerson

Time Time for for a Breaka Break

Code of Conduct Code of Conduct for NHS Managers for NHS Managers

• Patient-centredPatient-centred• AccountableAccountable• Performance orientedPerformance oriented• Responsive to local needsResponsive to local needs• Equal, diverse & values inclusionEqual, diverse & values inclusion• Partnership focusedPartnership focused

National Assembly for Wales (2006)

Once upon a time there was a very lonely old man who was

hungry. He lay awake at night his belly hurting. All he owned was a tall ladder which was of no use to

him now.

Next door lived another lonely old man who was also poor. All he owned was a very tall

apple tree whose branches stretched far out of reach.

Let’s work in partnership!

Unfortunately they never met.

TEAMS TEAMS - how do we - how do we

work work together?together?

Rocket Rocket Science Science

Team Exercise

Final Final

ThoughtsThoughts

The ConstantsThe Constants

ChangeChange PrinciplesPrinciples ChoiceChoice

(Covey, 2006)

What am I What am I (are we)(are we)

going to going to dodo differently differently

after today?after today?

If we always do If we always do what we’ve what we’ve

always done… always done…

……we’ll always we’ll always get what we’ve get what we’ve

always got!always got!

The The ‘Trim Tab’‘Trim Tab’ effect effect

‘‘Trim Tab’Trim Tab’

HMS WCCN HMS WCCN

Be a TRIM TABBER!Be a TRIM TABBER!

and and finally…finally…

……I’ll probably I’ll probably

do nothing about it!do nothing about it!

If I do nothing If I do nothing about it in 24 hours… about it in 24 hours…

Thank YouThank You

DiolchDiolchWebsite: www.ctrtraining.co.ukWebsite: www.ctrtraining.co.uk

http://www.ctrtraining.co.uk/resources.phphttp://www.ctrtraining.co.uk/resources.php