Leadership and management are closely related concepts, but they are not identical. Leadership entails directing, inspiring, and inciting individuals or teams to attain a mutual objective. In fact, leaders invest their time in setting direction, aligning the company's direction, and communicating trust and emotional intelligence to motivate others (Liphadzi et al., 2017). Such people are visionary, people-oriented, and adaptive, and they inspire innovation and change.
Management, for instance, implies planning, organising and supervising the resources with the objective in view. Consequently, managers are task-oriented, giving precedence to systems, structures, procedures, and control to enact efficiency and consistency. They budget, staff, and monitor performance in these processes (Siyal, 2023). However, any organisation operating in practice necessitates leadership as well as management. For instance, in the healthcare setting, a nurse manager may show leadership in motivating their staff to embrace person-centred care and continuous improvement as well as leadership in the management including them within shift rotas, complying with the policy, and satisfying with the service targets.
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The NHS Leadership Model has nine dimensions: Inspiring shared purpose, leading with care, evaluating information, connecting our service, sharing the vision, engaging the team, holding to account, developing capability, and influencing for results. These dimensions support inclusive, compassionate leadership and high standards of patient care (Streeton et al., 2021).
Teamwork
The model is widely applied in the practice in healthcare settings to build leadership capacity at all levels. For example, my team leaders use ‘Leading with care’ to build on trust and emotional safety when there are staff shortages or high-pressure shifts in my workplace. It offers data-informed decisions by 'evaluating information' (e.g. patient feedback in use to improve service delivery). So to implement new protocols, it is very important to ‘engage the team’; promote collaboration and morale (Streeton et al., 2021). These dimensions can be applied daily by an individual as he can impact his team positively. For instance, I ‘share the vision’ by promoting our unit as being person-centred. By “Developing capability,” I can help them with peer learning and mentorship.
(What does a good team look like? How does a good team work together? To what extent does your own team meet this?)[U8.3.1]
The principles that enable effective team work are; clear communication, mutual respect, defined roles, shared goals, trust, and accountability. All these elements establish a framework for collaborative work which is crucial in healthcare as much as it is everywhere, considering that patient outcomes depend on the efficiency of coordinated care.
The definition of a good team is a team where members can understand and appreciate each other's contributions, communicate openly and work in an interdependent manner towards mutually agreed-upon goals (Paredes-Saavedra et al., 2024). Roles and responsibilities are clearly defined, and there is mutual support, in particular on high-pressure situations. They appreciate constructive feedback, and they are continuously learning. Team members understand that concerns and ideas can be voiced without fear that it will be regarded as stupid or unimportant.
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Structured handovers, regular team meetings, and joint care planning are how these principles rest in my organisation. For example, during multidisciplinary huddles, staff from various roles come together to discuss patient progress and readjustments in care for alignment and accountability. There is respect of each other's expertise, and leadership culture is built around open communication (Zajac et al., 2021). Effective teamwork is illustrated by many of the characteristics of my team.
A healthcare MDT is a group of different professionals who create an interdisciplinary team of healthcare professionals to give humanistic care by focusing on person-centered care (Taberna, 2020). Each member brings unique expertise to make each member stronger and to make the collective knowledge better and more coordinated to give better and more patient-focused care.
For example, in my work (or laboratory) area, the MDT usually has biomedical scientists, pathologists, clinical biochemists, microbiologists, haematologists, healthcare scientists, and the other administrative staff. Biomedical scientists and pathologists are highly important individuals who diagnose diseases by analysing samples and interpreting test results (Coleman 2021). The term clinical biochemists and microbiologists refers to people who specialise in biochemical marker identification and infection so that diagnoses are accurate. Haematologists concentrate on problems relating to blood and healthcare scientists ensure that laboratory procedures are done to strict quality standards.
A Medical Laboratory Assistant (MLA) job responsibilities include preparing specimens and operating laboratory equipment and making sure that samples get processed in the right way for analysing. (Barber et al., 2023). In addition, I help maintain the laboratory records and assist senior workers in diagnostic work. Sample tracking, report distribution, and communication between the laboratory and additional healthcare team members are managed by administrative staff.
Although LAs are not directly involved in patient discharge planning, our work is essential to explain research without proper diagnostic information that may influence a patient's treatment decision. We ensure efficient sample processing and good communication among the laboratory team, which reduces delays and improves the time the patient spends in the hospital. Even indirect cooperation within the MDT helps to minimise errors, maintain efficient working, and support effective patient care.
(What is the impact of your MDT on each of these areas? Can it do better? Are there times where an MDT may not work as well?)[U8.3.5][K23]
Recently, a multidisciplinary team (MDT) plays a key role in improving patient care, patient safety and quality outcomes (Rosewilliam et al., 2019). This is a close corporate effort between medical laboratory scientists, pathologists, phlebotomists and other healthcare providers in the laboratory setting. Despite not taking part in direct patient-facing MDT discussions, MLAs have an important contribution to make, so accurate specimen processing, timely results, and following quality control protocol can support in diagnostic and treatment decisions.
The MDT framework in my workplace helps achieve the main goal of integrating a laboratory result into a patient care plan effectively. This includes, for instance, clear communication between clinicians and the laboratory team, allowing the latter team to assess the urgency of tests to prioritise urgent tests, shortening the time of diagnosis and treatment (Coleman, 2021). While MLEs have no part in comprehensive patient assessments as do nurses or therapists, MLE work contributes indirectly to overall patient outcomes by reducing errors (e.g. mislabeling or incorrect sample handling) and by providing reliable data for clinical decision making. Collaboration is another culture that is strongly reinforced in laboratory medicine in which responsibilities are shared, reflective practices are used, and continuous learning is encouraged.
The first stage is forming, wherein team members team up and get to know one another. This time, people are polite, roles aren’t clear, and people depend heavily on their leadership for guidance. This can happen in healthcare when a new unit is set up or when the staff is onboarding.
Conflict or a power struggle occurs after storming. It is represented by people asserting their opinions and trying to find relevance to the team. There is room for misunderstandings or disagreements over responsibilities. If neglected, this stage can negatively affect morale and productivity (Rosewilliam et al., 2019).
At this time, the team starts to resolve conflicts, clarify roles, and strengthen relationships. As they trust each other, communication improves, and there is general cohesion. This is the time when teams in healthcare become as efficient as they can be, share workloads well, and support each other.
The most productive stage is performing. Such a team is efficient with minimal supervision, makes decisions collaboratively, and easily adapts to challenges. In this stage, high-performing healthcare teams provide excellent patient care, communicate clearly, and innovate to improve further.
If the team stops functioning, for example, due to the completion of a project or a rotation, Adjourning (or Mourning) occurs (Gao et al., 2023). When the team is effective and good friends, this may mean reflection, evaluation, and loss.
(Are you a team player? Do you demonstrate the principles of teamwork? Does your work make an impact on the team?)[U8.3.3][K27]
Why is it important to be aware of your own strengths and weaknesses, and how these affect your team?
In my job, I work hard every day to be effective in the team, showing the key principles of teamwork, which are collaboration, communication, reliability, and mutual respect. My tasks are always done to a high standard, and I consistently support colleagues, offer help during busy periods, and play my part in the smooth running of the service and improving patient outcomes.
I am a team player, or I consider myself to be one. I actively listen, give constructive feedback to myself and others, and remain open to learning from others. I attend handovers, participate in multidisciplinary meetings, and respond to emerging issues on the floor—my actions are all focused on clear communication and shared responsibility.
I help maintain continuity of care through a coordinated approach, and my work directly impacts the team. Specifically, I help others make informed decisions by accurately documenting care or highlighting patient concerns. I am not perfect, but I think about any areas I can improve on, whether time management or assertiveness, and lean in to help the team succeed.
Supervision and Mentoring
Knowing the strengths and weaknesses of yourself and the people you work with is important for building a successful team. Using intended strengths such as communication, empathy, or problem-solving to support others and acknowledging weaknesses for development so as not to adversely affect the team helps. Suppose someone is bothered by time pressure; by acknowledging this, they can realize that they need to ask for help or adjust their workload for people who may be at risk.
Both mentoring and supervision build junior team members’ skills, confidence, and competence. Structure support, which ensures that tasks are performed safely, properly, and per policy and best practice, is provided under supervision. In addition, it monitors performance, gives feedback, locates training needs, and safeguards the worker and service user. However, mentoring is more developmental and relationship-based (Gao et al., 2023). It facilitates senior staff to mentor juniors in managing challenges and discuss knowledge to pave a way for the professional growth of juniors. It is a safe space for learning, brings confidence, and encourages reflective practice. For instance, a mentor may demonstrate exemplars of person-centred care in person or provide a framework for dealing with difficult conversations.
(What is your own experience of being a supervisor/mentor and supervisee/mentee? How does it help you and your team achieve your objectives?)
Mentoring and supervision are essential aspects of working in my lab because of their importance in maintaining and fomenting high standards of laboratory practice, professional growth, and lab team effectiveness. As a supervisee and mentor myself, I have drawn from the 9 Cs of a Good Mentoring Relationship to inform the development and mentoring that I have contributed to and received (Patel, 2023). Here is my ‘alignment’ of the 9 C’s with my experiences:
Regular supervision sessions: This gives a space of open conversation that helps mentees reflect on their challenges (troubleshooting lab equipment) and get employee feedback. Both as a mentor and as a problem solver, I listen to people actively to see what they are concerned about and start guiding them in the problem solving.
Both mentors and mentees have to be committed to investing time and energy. One example is that I had promised to shadow senior staff and from my shadowing I learned complex lab protocols and that I spend my time training new MLAs.
Reflective practice is emphasised as a topic of mentorship, such as when reviewing mislabeled samples as learning opportunities and maintaining policy integrity while letting go of responsibility.
The main point of this theory is guided learning. This means that with support, learners can do more than unaided. In mentoring, this means the right amount of challenge and support to bring a mentee from dependency to independence, skill-building to increase confidence.
According to Bandura’s theory, observation, imitation, and modelling are emphasised. Mentees observe and practice the behaviours, values, and practical skills of experienced colleagues. Mentors who demonstrate best practices, professional manners, and role-model standards of care and ethical conduct help reinforce these standards (Nuis, Segers and Beausaert, 2023).
Consequently, Kolb describes learning as a cyclical process, where learning is concrete experience, change conceptualisation, and experimenting. This inherent hard work is effective, especially mentoring that identifies the mentee to turn through experiences, look at lessons cleared, and use new knowledge on future run in play. This promotes deep, personal learning.
The GROW model, which can be used in mentoring, is a practical coaching framework. It gives structure to conversations, helps clarify goals, explores existing challenges, determines solutions, and then commits to action (Nuis, Segers and Beausaert, 2023). This ensures that the mentoring sessions run on an outcome basis.
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