Unit Lesson

One thing that José has discovered on his journey to learn about the role of healthcare administrator and how to advance his career in the field is that he has to learn to think differently and to approach reasoning from the point of view of others if he wants to be successful. In looking at a YouTube video about personality types called Discover Your Personality Type, he has learned that there are even ways to measure a person’s personality. He also has learned that the person’s personality type leads to different ways of thinking. José has learned that critical thinking is the key to good management. He asks Jane about her viewpoint on critical thinking, and Jane shares the following points with José, saying that it is really more about leadership than management. Jane said that critical thinking involves the following things:

• being able to analyze what another says and means, • reaching some kind of determination about that meaning, • looking at all options, • making a conclusion about what needs to be done, and • sharing the results with others in a clear manner.

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José tells Jane that he makes decisions differently from her, and she acknowledges that this is true from what she has observed. Jane tells José that he tends to think deductively because she sees him asking for facts about a situation and assumes that the facts are true. She says that it reminds her of someone going from A to B to C and so on to get to Z. José agrees that he does think that way, but he does not feel that Jane does. Jane agrees with his assessment. Jane tells José that she uses inductive reasoning a lot, which she likens to going from A to D to Q to F and then to Z. She says that this is something that she does based on what she feels and is less reliable at times than what José does, but both approaches are fine. She goes on to say that critical thinking is often based on deductive thinking, which is where one seeks out knowledge and keeps a healthy questioning attitude. She says that it is important to think critically when caring for patients in any healthcare organization and for leading those who provide that care to ensure quality and open communication. Jane tells José that she has seen his growth in this area over his time at the clinic and feels that it is time for him to advance in his career with the clinic. She feels that he is making solid decisions in his research about the role of healthcare administrator and feels he should definitely apply for the position she is vacating. Based on what José has learned about personalities and thinking, Jane feels it is time for them to discuss the decision-making process. José tells Jane that he has been thinking about this for some time as he considers how to advance his career as a healthcare administrator and formulates a plan to prepare to apply for the position she is vacating. He shares how he has discovered that there are actually well-defined steps in the decision-making process, which are listed below.

• Step 1: Define the opportunity with the mindset of the change being a positive experience. Ask the questions below. o How does this change affect the patients in our care? o How does this change influence the work environment and processes?

• Step 2: Generate ideas with the mindset that there are often more ways than one to address a change, and critical thinking about the change sets the tone. Ask the questions below. o How many different ideas can we generate? o Can we suspend the voice in our heads that says, “That is not how we do things here”?

• Step 3: Evaluate all possible ideas, and select the best by asking the questions below. o What are the pros of the different ideas we have generated? o What are the cons of the different ideas we have generated? o Which idea has the best chance for success, and why?

• Step 4: Implement the best idea in the best way possible so positive change results. Ask the questions below. o How should we implement this idea? o Who needs to know about the idea? o Who are key stakeholders relevant to the idea? o What strengths do we have that will help with implementing the idea? o What skills do we have that will aid in implementing the idea?

• Step 5: Evaluate the outcomes of the change by asking the questions below. o Were patients affected in a positive way? o Were the quality of care standards met? o Did the idea implemented have a positive outcome and make a positive change? o Can we continue with the idea?

Jane is pleased with the steps of the decision-making process that José shared with her. She feels that he has identified the key questions that ensure each step has a positive outcome. José has realized that he has always used the five steps in the decision-making process at the clinic and that using them now, as he decides what his next career goals and advancements should be, is key to the whole process. He clearly sees how he will plan for the job interview he faces for the new position, basing it on a systematic decision- making process.

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