Cover photo for 7 powers  It happens routinely with often tragic results. Nurses & doctors train hard & pass multiple tests to gain certification in their profession. But, those promoted into leadership roles often have neither the training nor the potential for leadership. Some "D-" leaders were straight "A" students. 

   Thus tens of thousands of people who are not directors become one because the system misunderstands something crucial: Leadership requires completely different skills.

   Mark Twain wrote, "The difference between the right word & the nearly right word is the difference between lightning & a lightning bug." In leadership, the difference between the right leader & the wrong one is the difference between the sun & gloom. 

  So what? Every study shows that the biggest influence on caregiver satisfaction & performance is the boss. How caregivers feel & whether they respect their supervisor determines culture & performance.

   A bad boss sabotages morale & success. The right manager brings out the best. Effective caregiving is so crucial that bosses should be trained, selected & tested using enlightened methods.  

   This is so logical that one wonders why bad bosses survive. Why? Famed educator Sal Khan uses a simple analogy. In some martial arts beginning students are awarded a white belt. They only progress to yellow when they have demonstrated competency. Higher levels up to the black belt are progressively more difficult. 

   Of course, our school system is the opposite. Elementary & high school students are routinely promoted to the next grade regardless of whether they have mastered the material. This system also taints the school leadership process. Some gifted teachers are promoted to principals whether or not they possess leadership skills.

   Passing this column along to senior leadership & board members (& recommending the book pictured) can begin to help change this insidious process. Meanwhile, too many patients & caregivers suffer.

-Erie Chapman

4 responses to “Days 30-34 – Who Should Lead Caregivers?”

  1. Terry Chapman Avatar
    Terry Chapman

    My experience in health care; in higher education; and work with community agencies has confirmed, for me, what you so wisely write in your post and I’m sure in your book! It has been called the “Peter Principle: where typically a very good, caring teacher is promoted to Principal and fails miserably! Different skills indeed.
    We all have varying God-given gifts–some should teach and some should administer school programs and teachers. Seems logical but for centuries this fact has been ignored and resisted by those in hiring situation–to the detriment of those being cared for. Make sure you truly have demonstrated those supervisory, leadership skills before accepting that cherished promotion! Successful careers are not built on a ladder theory: up may not be better!!

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  2. Bobbye Terry Avatar

    Everything you say here is true, Erie. But there is more that goes along with this. What I have discovered with hospitals is that often they spend a good deal of money educating the middle managers about new techniques for managing, but the upper management doesn’t take the courses! So, if those upper managers were hired due to technical expertise and not management skills, all the education does for the middle managers is make them frustrated because they are trying to implement the new skills with no real support of upper management and are met with skepticism by the people they supervise.
    Also, the rapid technological advances we have faced during the past twenty years, and which are more rapidly advancing every day, also have left many managers “socially retarded.” They are used to texting, not talking.
    I wrote about this in the book I will have coming out later this year. Here is what I say in it with regard to too much technology and not enough time.
    “When I first started working at the hospital, I used a corded phone at work. I had access to reports off a mainframe computer and during my ten years there, I did finally get a DOS computer with a printer. However, it was only for reports and wasn’t located in my private office, but in the general department area outside.
    Now, at work, I usually have a cellphone which is hooked up to an Intranet. I have two computer screens so I can have two different applications open simultaneously. I get my company email on my cell phone, usually comprised of a couple of hundred per day. I get texts all day from field staff and corporate employees. Did I mention that there also is instant messaging on my Intranet?
    My superiors can reach me by phone, which they do, regardless of my schedule. They usually don’t consider the fact I may be in a meeting or unavailable because I had to go to an appointment, like the dentist. I have a short window in which to call them back. You’d think maybe I could rest at lunch, but no. Instead, I have to ask ‘what is lunch?’ I may get to go out to pick it up, but then I have to bring it back because otherwise I won’t finish the work that needs to be done that day. Most of the time, I end up eating at my desk while I multi-task.
    These texts, emails, and phone calls don’t stop at five, but usually continue. Some higher-ranking employees in the company may be answering their email until midnight and then sending out directives.
    We don’t have that many face-to-face meetings anymore. They are usually accomplished through conference calls or video-meeting formats. There may be weekly meetings for field staff, but other than that, the rest of the office communication is done at short intervals between tasks or for short impromptu meetings to ensure everyone is working on the same page. Then, everyone goes back to their work stations.
    What is the result of all this information overload? I, and those like me, have more stress, less time to relax and recover and we aren’t as productive as we could be with fewer interruptions.
    Additionally, since so much of the communication is in writing, through emails and texts, there is more of a chance of miscommunication and misunderstanding, which can then snowball into hurt feelings and office wars.”
    I honestly think that all of management is asked to do too much and that erodes their ability to manage well and spend the necessary time they need to with the employees individually.

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  3. ~liz Wessel Avatar

    This is a great essay Erie, or as my brother in law commented to me, “spot on.”
    I am one of those clinicians that as a young nurse was promoted to a manager position because of my clinical skills. I was totally unprepared for managing people and some of the seasoned nurses did not appreciate reporting to me. Over time I received education, mentoring and experience to gain competency.
    However, I really think my experiences in homecare prepared me the best for helping me to learn how to work with people. Patients taught me that people do not like being told what to do. Engaging people by finding out what matters to them is a great starting place.
    I’ve had some difficult encounters with people in a leadership position without the right skill set and the power went to their head. They seemed to love creating chaos by having people jump through unnecessary hoops as though everything was a crisis.
    For those of you who have not read Erie’s book yet, it is a fascinating read. I so enjoyed learning about the early lives of inspirational leaders and all the pearls of wisdom on visionary leadership…written by a visionary leader. I highly recommend Erie’s book for everyone.
    P.S. love the Mark Twain quote!

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  4. Todd Meador Avatar
    Todd Meador

    This is a very good read for anyone looking to improve their leadership skills.
    It is specifically written for people in the healthcare field, but the concepts are universal and applicable to all leaders and aspiring leaders.
    Thanks for sharing such much needed wisdom Erie Chapman!

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