Tuesday, January 28, 2020

Emotional Intelligence And Healthcare Leadership

Emotional Intelligence And Healthcare Leadership Development of emotional intelligence in healthcare has been slower to progress than in other industries. This paper defines emotional intelligence and describes benefits related to developing the attributes of emotional intelligence. It explores physician, clinical, ancillary, and administrative use cases documenting the benefits of implementing emotional intelligence awareness. In addition, it describes how emotional intelligence can positively impact healthcare executives in leading their organizations to retain talent, improve patient satisfaction and clinical outcomes. Emotional Intelligence Healthcare Leadership A lot of research has been conducted on the topic of emotional intelligence. Emotional intelligence is the capacity for effectively recognizing and managing our own emotions and those of others (Pharmaceutical Information, 2007). The Harvard Business Review (HBR) released a number of articles which examine emotional intelligence. As described in the HBR article What Makes a Leader there are five key components to emotional intelligence including knowing ones emotions (Self-Awareness), managing ones emotions (Self-Regulation), motivating self (Motivation), recognizing the emotions of others on the team (Empathy), and developing / handling relationships (Social Skills), (Goldman 2004). Publication of emotional intelligence research started in 1990 and since that time companies have been working to integrate emotional intelligence into their employee selection processes (Freedman 2010). This work started in non-healthcare related industries and is increasingly stressed in healthcare beh avioral development today. In an article by the journal BMC Medical Education, Emotional Intelligence is the set of abilities (verbal and nonverbal) that enable a person to generate, recognize, express, understand, and evaluate their own, and others, emotions in order to guide thinking and action that successfully cope with environmental demands and pressures(Birks, Mckendree, Watt 2009). Are emotional intelligence attributes just a performance metric fad utilized by senior leadership to stimulate change within the organization? Or does it lead to enhanced effectiveness of healthcare executives and the organizations they lead? One of the reasons emotional intelligence is critical to success is that it is effective in handling stress. Healthcare is a multifaceted, evolving and stressful environment. Managing the stress of change management in healthcare is a skill that healthcare leaders must acknowledge. A study was performed at a large urban hospital with professional midwives and obstetricians. It found that emotional intelligence is predictive of performance 66 percent of the time, of stress up to 24 percent and of stress management 6.5 percent of the time. This study found in examining senior leadership in relation to the focus group that emotional intelligence made the biggest difference in the supervisory and leadership roles (Freeman 2010). This provides indication that emotional intelligence actually is more important to recognize as one is in transition to higher management and leadership levels. Another study performed indicated that emotional intelligence can actually be improved throughout life. The study focused on supporting staff of a large healthcare center. It utilized an emotional intelligence test focusing on emotional sensitivity, maturity, and competence. This study measured the ability to respond to interpretation of human expressions with empathy and scored competency of self-control against age / maturity. Findings revealed that maturity of emotional regulation tends to be after the age of forty and that emotional sensitivity grows with experience (ie. age) as well. The study also found a significant difference in the perception of emotion intelligence between gender showing that both men and women have equal ability to increase emotional intelligence but that women tended to be stronger than men as it relates to empathy and self-regulation (Freeman 2010). This provides evidence that emotional intelligence is learned with experiences. Therefore healthcare leade rs can influence supporting staffs development of emotional intelligence in handling operational stress management. It is important to ensure the development concentrates on the right part of the brain to achieve successful results. Emotional intelligence training must focus on the limbic system which requires motivation, extended practice and feedback on behalf of the student to advance capabilities (Goleman 2004). Healthcare leaders need to recognize the importance of emotional intelligence competency in order to make it a part of their organizations culture. There are a number of case examples showing that healthcare executives believe that their own development of emotional intelligence is imperative to successful implementation of initiatives for their organization. For example in the Journal of General Internal Medicine, the Cleveland Clinic Lerner College of Medicine designed an exploratory study in order compare leaders and physician perspectives with respect to required leadership qualities. The purpose of the study was to gauge what is necessary to develop current and future leaders. This study centered on leaders that expressed interest in gaining new academics and leadership skills. They structured interviews to gather data from leaders and found that both developmental and established leaders agreed that knowledge, people skills, emotional intelligence and vision are all characteris tics required for leaders to be successful. The interviews indicated that healthcare poses unique leadership challenges and the complexity of healthcare institutions is greater than other industries with respect to training. Physicians tend to be far less willing to receive direction and collaborate on training necessitating the need for healthcare leaders to possess mature emotional intelligence skills; especially in areas such as empathy, self-awareness and self-restraint. The study provided evidence that leaders need and desire emotional intelligence training. Healthcare leaders admitted in the interviews that often one is promoted based upon academic and clinical accomplishments. Therefore they lack and desire training in other skilled leadership competencies such as emotional intelligence. The leaders agreed that knowledge is important however 70 percent stated that emotional intelligence was the most admired attribute (Taylor, Taylor, Staller 2008). Healthcare leaders agree that emotional intelligence is important element for leadership. But there is also evidence that leaders should promote development of emotional intelligence for their clinicians as well. A study published in the March 2011 issue of Academic Medicine highlighted a study performed by Jefferson Medical College of Thomas Jefferson University. It was established in order to quantify if there is a relationship between physician empathy and clinical patient outcomes. Researchers measured 29 physicians associated with 891 diabetic patients by utilizing the Jefferson Scale of Empathy as an instrument to measure empathy. The scale rated and provided a physician score on their empathy awareness based on the context that patient care requires a cognitive attribute that involves understanding and intention to help. After scoring the physicians empathy skills, the study compared them with the patients ability to control hemoglobin Alc and LDL cholesterol levels. The study concluded that good control of A1c and LDL levels was significantly better with patients associated with physicians having high empathy scores than with patient of physicians with low empathy ratings. This suggests that empathy should be a key component in overall physician competence (Jefferson University Hospitals 2011). As referenced in a research study documented in the Journal of the Royal Society of Medicine (JRSM), healthcare policy and practices are trending towards emphasizing the principles of patient-centered care. Providing patient-centered care is a multi-dimensional concept which addresses patients needs for information, views the patient as a whole person, promotes concordance and enhances the professional-patient relationship(Birks Watt 2007). There is a variance in the level of patient-centered care provided by professionals practicing within healthcare organizations. Healthcare executives are therefore interested in ways to improve patient-centered outcomes. Training professional staff on emotional intelligence generates self-confidence, sensitivity to patient needs and trustworthiness. These attributes can actually play a part in improving outcomes (Birks Watt 2007). Evidence of this is documented in JRSM where a study involving 30 physicians and 138 patients provided evidence that emotional intelligence plays a role in patient satisfaction. An extensive study involving 213 dental students found that perceived stress is lower when the student possesses higher emotional intelligence scores. Decreasing stress levels help to retain talent and quality nursing staff is extremely important in patient-centered care. A correlation between low emotional intelligence scores and nursing burnout and attrition was found based on study conducted on 380 nurses. It indicated that emotional intelligence can improve the working relationships within the healthcare culture; increasing the likelihood of retaining talent (Birks Watt 2007) A Clinical Connections journal article written by Erik Swensson, MD, FACS agrees with the premise that emotional intelligence improves healthcare culture. He emphasizes the continual challenge for physicians and leadership professionals to routinely coach and hold peers accountable. The article stresses the need for professionals to possess emotional intelligence skills involving self-awareness, self-management, social awareness, and relationship management. Healthcare professionals need to move away from protecting our own and towards helping our own, he stated. Emotional intelligence establishes a foundation for building a caring environment and establishing a culture of collaborative safety (Swensson 2012). The International Journal of Collaborative Research on Internal Medicine and Public Health suggests that making emotional intelligence a core competency for the healthcare professional will result in enhancing clinician-patient relationships. Patients feeling empowered, knowledgeable and in control of their healthcare tend to make healthy lifestyle modifications. Clinicians whom are trained in emotional intelligence skills can help patients with self-awareness, self-regulation, and motivation. This requires time to listen to patient concerns (ie. empathy). Enhanced relationships will thereby result in an increase in desirable health outcomes (Coelho 2012). Cultivating the patient-clinician relationship may affect a patients emotional intelligence on initiating legal action against providers because the patient is part of the care solution and overall more satisfied with the care provided. Research indicates that more satisfied patients are the less likely they are to take legal actio n. Therefore cultivating emotional intelligence may be a mechanism towards a reduction in healthcare legal cases and costs associated. Todays healthcare environment demands pay for performance. Healthcare executives need to expand their overall emotional intelligence competencies in order to recognize and expect these attributes in leaders and clinical professionals within their organization. Executives have to establish and take ownership for their culture. In doing so they must consistently demonstrate the leadership qualities they expect to be exhibited by their administrative and clinical staff. As evidenced in the studies described above executives will benefit by investing in their own emotional intelligence education and should extend it to all levels within their organization. Doing so will provide a caring culture, reducing healthcare costs, retaining talent, and motivating clinicians to provide excellence in patient care.

Sunday, January 19, 2020

Shoot The Teacher :: essays research papers

Shoot The Teacher During the couple of days that pass in this book, lots of things happen. A boy in his mid teens becomes to heavy a burden for his mother to carry. She kicks him out. Her divorced husband gets to take care of Adam. Adam and his father, who Adam calles Simon, move to a new place with a new school where Simon is a teacher. The very first day they're involved in a shooting. But there is more to come! Three people are shot and killed in only a few days. There are many theories of hwo comitted the killings. Simon is the main suspect, however he's found innocent. Instead the find that the murderer is Adam's only friend Naomi, who was the stepdaughter of the first victim. Adam is in the beginning of the book a rebellious young man. The typical teenager in revolt. He's growing his hair long, refusing to go to school and talking back to his mother. He seemes to calm down quite a bit though in just a few days. As a matter of fact, as soon they arrive at the new school, Adam seemes to be more mature and calm. Maybe that's because he doesn't have any friends in the new school, maybe because he feels inferior being the new kid and outsider that he is. Adam's relationship to his father seemes to vary a lot. At first Adam looks at his father as if he was a perfect stranger.And he has all rights to do that since they practicly hadn't seen each other att all since Adam was born. Then some kind of a father-son friendship evolves, but I get the feeling that it's only because they feel they have to. When Simon is accused of murder, Adam starts to hate him. Perhaps stop caring about it, is a better way of describing Adam's feelings towards his dad. The author used a technique with many enviromental descriptions. He didn't use a lot of fancy words, probably because it is a youth book.

Saturday, January 11, 2020

Brooklyn Cop by Norman MacCaig Essay

â€Å"Brooklyn Cop† written by Scottish poet Norman McCaig, is a poem that conveys a police officer in Brooklyn to be an aggressive yet affectionate man. Throughout the poem McCaig uses word choice and imagery techniques to express the dual sided nature of the cop. We see that the way he behaves on the streets of Brooklyn contrasts with how he is at home with his wife. The dual sided nature of the cop is shown through the physical description that McCaig uses to convey him. McCaig does this with the use of imagery and word choice. In the poem the line ‘Built like a gorilla’ shows through the use of simile, the tough exterior of the cop and gives the reader a clear view on what his physical appearance is like. The comparison of the cop to a gorilla is effective as it shows the cop’s top heavy, muscular build and strength, meaning he could be potentially dangerous and violent like a gorilla. McCaig also shows in the metaphor ‘with two hieroglyphs on his face that mean trouble’ that his eyes are dark and fierce, causing the reader to believe that he is naturally a violent person. This is also conveyed in the line ‘Thick fleshed, steak coloured’ in which the use of metaphor conveys the physical appearance of the cop as ‘thick fleshed’ which shows that the cop is tough and can take a lot of abuse, along with ‘Steak coloured’ which shows the colour of skin associating it with the colour red to suggest he is red with fury and anger naturally. This highlights on his personality and the environment he works in where it is appropriate to be tough and brutal in order to cope. The dangerous environment in which the cop works shows how he has to be a violent person in order to cope in these rough areas and the people he will encounter. In the line ‘He walks the sidewalk and the thin tissue over violence’ the metaphor is affective as it shows the potential of criminal acts that could take part on the streets of Brooklyn and the threat that violence could erupt at any moment causing him to be an aggressive, tough man in order to deal with the trouble he faces to keep the streets of Brooklyn a safe environment for others. The use of alliteration in the ‘T’ makes a harsh sound which resembles the area and the lingering violence. The cop’s victims are shown to be treated violently and McCaig conveys this through the use of rhetorical question and word choice. This shows the aggressive, violent nature of the cop and his behaviour on the job. In the last two lines of the poem ‘And who would have to be his victims,’ McCaig uses a rhetorical question which is effective as it shows how savage the cop is when met with violence and crime. The word ‘have’ shows that he will not back down while dealing with criminals and that they are most likely to be hurt or violently treated when met with the cop, making it clear that no one wants to be involved with him on the streets and including the reader and their thoughts on being in the same place as a criminal. McCaig uses repetition and word choice to convey the cop’s dual sided personality from how he treats criminals on the tough streets as opposed to the way he treats his wife at home. This is conveyed in the line ‘This morning, when he said ‘See you babe to his wife, he hoped it, he truly hoped it.’ This is effective as the use of affectionate language in â€Å"babe† conveys his soft side as opposed to his tough nature while on the streets of Brooklyn, which is not expected as he is a violent savage. The use of repetition in ‘he hoped it, he truly hoped it’ Is effective as it shows the strong hope to return home safe and the genuine want to see his wife after an unpredictable day at work. This shows that he may seem fearless but in the inside he has a violent yet caring nature. In conclusion ‘Brooklyn Cop’ by Norman McCaig focuses on the dual sided nature of an aggressive police officer who works on the touch streets of Brooklyn. McCaig conveys the cop as savage and violent man while in the run down environment of ‘Brooklyn’ as opposed to his softer side where he shows love and affection towards his wife at home.

Friday, January 3, 2020

Hamlet Character Analysis - 995 Words

In William Shakespeare’s Hamlet, there are many events and characters that are ambiguous to the audience. They are interpreted in several ways as there are different view points on why a character decided to act like they did. Such examples in the play are Hamlet’s use of language is equivocal as he uses his words to confuse and insult other characters in the play. Moreover, the decisions that Hamlet makes to delay Claudius’ murder in the play can be interpreted to have various explanations. Hamlet’s personality is quite enigmatic as a result of his â€Å"antic disposition† and quick transitions to a different mood. Considering this, Hamlet seems to possess ambiguous traits that results in complexion in his motives. Throughout the whole play,†¦show more content†¦After Hamlet’s confrontation with the ghost, he promises to avenge his father by killing Claudius. However, he is illuding himself by doing acts that make him seem like he i s making progress. For example, Hamlet’s first step towards his vengeance is to prove Claudius’s guilt through the play of Gonzago. When Hamlet finally gets a reaction from Claudius, he is filled with joy as he thinks he has done something about his promise. Though, he makes no progress as he only proves the ghost’s words. Furthermore, during the prayer scene, Hamlet has the perfect chance to kill Claudius however, he withdraws as Claudius is asking for repentance. Hamlet killing him at that moment would guarantee that Claudius would go to heaven, which would be â€Å"hire and salary, not revenge.† (3.4.79). It would do no good as the ghost is not getting the proper vengeance he wants as he is in purgatory due to Claudius. Hamlet continues to delay his fulfillment of the promise to find the perfect moment, but it can also be interpreted as Hamlet procrastinating as well. Hamlet says that he will â€Å"with wings as swift/ As meditation or the thoughts of love,/ May sweep to my revenge.† (1.5.29-30). However, this is not the case as Hamlet delays and takes two months to come up with a plan. It is uncertain whether Hamlet is waiting for the perfect moment to strike or is too hesitant and scared to commit the murder. Hamlet’s personality seems to be his mostShow MoreRelatedAn Analysis of the Characters in Hamlet Essay1592 Words   |  7 PagesAn Analysis of the Characters in Hamlet Hamlet by William Shakespeare has been considered by many critics as one of the best plays in English literature. It has also been considered as one of the best tragedies among the many Shakespeare wrote. It is a story which revolves around this person called Hamlet, prince of Denmark. It is set in the Elizabethan times in the 16th century. It is a tragedy because it results in the deaths of many characters either accidentallyRead MoreHamlet Character Analysis Essay1014 Words   |  5 PagesNicole Ventzke Crystal Jensen 1102 T/H 2/14/11 Hamlet Character Analysis: Hamlet One aspect that makes William Shakespeare’s Hamlet alluring is how he broke the limiting mold of the one-dimensional character by representing characters in all of their human complexity. Hamlet, for example, is a compelling character because he is complicated. As Hamlet himself observes early in the play in, â€Å"Tis not alone my inky cloak/nor customary suits of solemn black, /Nor†¦forced breath/No, nor the fruitfulRead MoreCharacter Analysis Of Hamlet1065 Words   |  5 Pageswill be explaining where and when Hamlet talks about certain characters, to help explain how he thinks about them (ex: King Hamlet, Claudius, and Gertrude). This essay will help to explain Hamlet as well as his thought process throughout the book (story). In Act 1, Scene 2 (Gertrude) (Lines 141-145) Quote â€Å"That he might not beteem the winds of heaven Visit her face too roughly.—Heaven and earth, Must I remember?† In this first part from line 141 to 143 Hamlet says â€Å"Oh God, do I have to rememberRead MoreThe Analysis of the Character Ophelia on Hamlet Essay1297 Words   |  6 PagesIn William Shakespeare’s Hamlet, Ophelia is the most static character in the play. Instead of changing through the course of the play, she remains suffering in the misfortunes perpetrated upon her. She falls into insanity and dies a tragic death. Ophelia has issues surviving without a male influence, and her downfall is when all the men in her life abandon her. Hamlet’s Ophelia, is a tragic, insane character that cannot exist on her own. In Elizabethan times, Ophelia is restricted as a woman. SheRead MoreHamlet Character Analysis Essay1408 Words   |  6 Pagesout at the bond of brotherhood with a lethal blow is to tear at the foundations of an entire family, as members scramble in reaction to the completely distorted dynamic. The Bard’s magnum Opus, Hamlet, attempts to deal with the effects of such a blow after Claudius, the proverbial Cain, slays King Hamlet, the stand in for Abel. However, the familial relations affected are significantly more complicated, being elevated to the political stage and invlovling a perverted inscet. Furthermore, after killingRead MoreAnalysis of Ophelias Character in Shakespeares Hamlet Essay1159 Words   |  5 PagesIn the English play Hamlet, Shakespeare incorporates deep analytical thought in his writing by the use of character, symbolism, and motifs. Specifically, readers can find these characteristics through analytical reading of the character Ophelia. While initially r eading the story, Ophelia represents a character that is typical of the women in the 1600s, one who is too submissive and directed by the people around her. First impressions of Ophelias character seem much too simplistic- one that is emotionallyRead MoreEssay about A Character Analysis of Hamlet1897 Words   |  8 PagesHamlet fascinates many readers and the first thing to point out about him is that he is mysterious. Shakespeares work demonstrates Hamlets dilemma as the role of revenger showing a man of thought forced to be a man of action. Hamlet is extremely philosophical and introspective. He is particularly drawn to difficult questions or questions that cannot be answered with any certainty. Faced with evidence that his uncle murdered his father, Hamlet becomes obsessed with proving his uncles guilt beforeRead MoreCritical Analysis of Hamlet: Character Analysis and the Themes of Revenge and Manipulation1851 Words   |  8 PagesThe play Hamlet is a text that despite its age and Elizabethan linguistic style is still resoundingly relevant to today’s modern audience due to its ability to move past time related contextual barriers and capture the universality of the human condition with its infinite confusion as evident in the character of Prince Hamlet, its ability to influence and manipulate as well as its reaction to such manipulation, revenge. The character of Hamlet himself is very relatable today especially to youngRead MoreCharacter Analysis of Gertude in Shakespeares Hamlet607 Words   |  2 PagesI do believe that Gertrude is still a mother to Hamlet as well. Gertrude’s care for Hamlet is evident from her first lines in Act 1, wherein she begs Hamlet to â€Å"cast nighted color off† in an attempt to bring him out of two months of mourning. This shows her love for him in that she is concerned about him in his sad state of mourning. In Act 2, Gertrude asks Rosencrantz and Guildenstern â€Å"instantly to visit too much changed son† in order that they might discover the cause of his seeming insanity. ThisRead MoreCharacter Analysis of Ophelia in Hamlet by William Shakespeare808 Words   |  3 Pagesidentify with. Of all the characters in the play Hamlet, the one I liked the most is Ophelia. Shakespeare portrayed her beautifully and put all his emotions into Ophelia’s character. Ophelia showed the exact image of the majority of women from my home country. In the play Hamlet, Ophelia was the most innocent, meek, but distraught character. Ophelia was a young, innocent girl, who was spirited and was the age of daydreamers. Her dreams were all about the young prince Hamlet; she believed he was the