Human service integration Essay Example | Topics and Well Written Essays - 2500 words

Human service integration - Essay Example scale." Historically, pilot programs and studies of best practices have not been widely replicated, not because they were "bad" strategies, but rather a critical component was missing: high-performance leadership. (Atkinson, 1999) Although we traditionally associate "leadership" with the work of the chief executive, the missing component in successfully integrating services is leadership work performed throughout the agency. An agency with sufficient leadership capacity to integrate services is made up of employees who all perform components of leadership work, management work, task/technical work, and team skills. (McLennan, Caza, 2003) Why Has Service Integration Been So Elusive We know why we need to integrate services, we know what we've learned from our successes and failures, and we know that we must build leadership capacity throughout the organization. Why, then, have we been unable to make service integration a reality In a nutshell, we are trying to get integrated performance from a hierarchical system that was designed for standardized production. There is no "standard" customer; each needs different things in different combinations at different times for different reasons. Nor are we doing production work. The hierarchical organizations we work in were designed 100 years ago for standardized production under drastically different economic, technological, social, and political conditions. The rate of change during that time was relatively slow. Service integration has been elusive because it requires that we create flexible, performance-based, integrated organizations despite our hierarchical history and structure. In a survey of APHSA members, today however, 86 percent of the respondents said they envision their agencies integrating or consolidating its... The need for public human service agencies to integrate services is well established. A large number of human service agencies be aware of that in order to achieve positive results for vulnerable families and children, they must focus holistically on the customer.Although service integration is well established in theory, making it an operational reality has remained elusive over the last 20 years, but not for lack of effort or creativity some agencies have made phenomenal progress toward service integration, despite complex and ever-changing political, economic, demographic, and technological conditions. Service integration is the ultimate transformational change for public human services. It will become a broadly exhibited reality only when the leadership work is done at all levels. We will not wake up tomorrow morning to find that service integration has "happened." Creating human service agencies that fit this description relies upon our ability to build and sustain the capacity to do leadership work throughout our organizations. Unfortunately, leadership development has historically been done "in the margins" as an add-on to our already busy schedules. As we have learned in 20 years of attempting to integrate services, we cannot fundamentally change the way we do business in the margins. We must view leadership development as the critical component it is because leadership for high performance is the bottom line to making service integration a reality.

The Evolution of leadership Essay Example | Topics and Well Written Essays - 1500 words

The Evolution of leadership - Essay Example These are very essential in ensuring patient's wellbeing. Workers in healthcare sectors also deserve to be treated fairly in order to serve patients well. Ethical issues in healthcare sector have also evolved with time. Initially, leaders in the healthcare sector were greatly concerned about the patients' welfare only. Later on the government made decisions that greatly helped in running of healthcare facility smoothly. (Bridgit, 2005) Leaders in healthcare facilities have to ensure that ethical issues have to be adhered to. Generally, there are moral values that have to adhere to in healthcare sector. Each judgment or decision that is made in healthcare facilities has to adhere to these rules. Ethics in the healthcare sector is an issue that has not been started today. This issue can be traced back to the eighteenth and the nineteenth centuries. During this time leadership has changed hands and the leaders that have been in power have in one way or the other influenced the decisions that are made in the healthcare sector. In the year eighteen forty seven, there was the overall adoption of the overall code of ethics in the healthcare sector by the American Medical Association. Between the sixties and seventies, there was such a dramatic shift in the ethics sector. There were major changes that were made including liberalization of the whole theoretical aspects. In fact there was reconfiguration from justice that was procedurally based to bioethics in general. There are various values that underpin the entire practice in healthcare sector. These are concerned with ethical decisions and actions taken in healthcare sector. The values actually provide a framework where conflicts can easily be understood in case of occurrence in the healthcare sector. They include the following. Dignity This aspect means that patients attending a healthcare facility have the right to dignity. This does not just refer to the patient only, but the doctor or the nurse too. Autonomy Another value in line with healthcare profession is overall acceptance of right of an individual making choices by him or herself but it should be an informed one in line with their care. This means that people have the right to make their own decisions in line with health care they prefer. (Kerridge, 2006) This however should be done after being given complete and accurate information by nurses etc. This means that nurse should inform patients about care available and then respect their decision. This is whereby the patient has the overall right to choose or even accept the treatment. This means that the patient is the final decision maker concerning his or her treatment. In case the patient I incapacitated, then a close relative can make the health decisions of their behalf. Beneficence This is whereby a medical practitioner is required to act to the patient's best interest. This means that whatever action is taken by a doctor or nurse has to enhance the well being of the patient. If the action that is to be taken is not to the patient's best interest, then it would not be ethical at all. This concerns all the actions that are taken including surgery. This concept is generally very much in line with the principles of humanity. Justice This aspect involves distribution of resources in healthcare facilities. This also concerns the resources that are scarce. In this case those that are involved or the medical practitioners have to ensure that they are fair when distributing such