Waller D J, Smith S R, Warnock J T
Department of Pharmacy, Flower Memorial Hospital, Sylvania, OH 43560.
Am J Hosp Pharm. 1989 Nov;46(11):2335-41.
The situational theory of leadership and the LEAD instruments for determining leadership style are explained, and the application of the situational leadership theory to the process of planning for and implementing organizational change is described. Early studies of leadership style identified two basic leadership styles: the task-oriented autocratic style and the relationship-oriented democratic style. Subsequent research found that most leaders exhibited one of four combinations of task and relationship behaviors. The situational leadership theory holds that the difference between the effectiveness and ineffectiveness of the four leadership styles is the appropriateness of the leader's behavior to the particular situation in which it is used. The task maturity of the individual or group being led must also be accounted for; follower readiness is defined in terms of the capacity to set high but attainable goals, willingness or ability to accept responsibility, and possession of the necessary education or experience for a specific task. A person's leadership style, range, and adaptability can be determined from the LEADSelf and LEADOther questionnaires. By applying the principles of the situational leadership theory and adapting their managerial styles to specific tasks and levels of follower maturity, the authors were successful in implementing 24-hour pharmacokinetic dosing services provided by staff pharmacists with little previous experience in clinical services. The situational leadership model enables a leader to identify a task, set goals, determine the task maturity of the individual or group, select an appropriate leadership style, and modify the style as change occurs. Pharmacy managers can use this model when implementing clinical pharmacy services.
阐述了领导情境理论以及用于确定领导风格的LEAD工具,并描述了情境领导理论在组织变革规划与实施过程中的应用。早期对领导风格的研究确定了两种基本领导风格:任务导向型独裁风格和关系导向型民主风格。后续研究发现,大多数领导者表现出任务和关系行为的四种组合之一。情境领导理论认为,四种领导风格有效与无效的差异在于领导者行为与使用该行为的特定情境的适配性。还必须考虑被领导的个人或群体的任务成熟度;追随者的准备程度根据设定高但可实现目标的能力、接受责任的意愿或能力以及拥有特定任务所需的教育或经验来定义。一个人的领导风格、范围和适应性可以通过LEADSelf和LEADOther问卷来确定。通过应用情境领导理论的原则并使管理风格适应特定任务和追随者成熟度水平,作者成功实施了由此前几乎没有临床服务经验的药剂师提供的24小时药代动力学给药服务。情境领导模型使领导者能够识别任务、设定目标、确定个人或群体的任务成熟度、选择合适的领导风格,并随着变化的发生而调整风格。药房经理在实施临床药学服务时可以使用该模型。