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Leadership in Public Health

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Leaders need to be the champion of managing the tension between current reality and the ideals towards which an organization aims. Good leaders are often visionary. They are creative individuals who can inspire others to support their vision and mission and move an organization forward. Strong leaders need to negotiate a balance between creativity and organizational skills, and particularly, to manage the tension that exists between the current state of the organization and where it needs to go in the future. As Peter Senge noted in his model of change, this tension can be the energy that drives the organization and its employees towards positive change. Tensions can arise within public health or in an organization during times of change. Leaders can facilitate change and harness the tension that arises in a creative and beneficial way. Without vision there is no creative tension.
Heart disease is a chronic health issue that presents challenges to public health.
(Using a literature search as needed together with a bibliography address the following);

1. How do you foster the change process with regards to heart disease? (propose strategies to facilitate the change process with regards to heart disease within the community)
2. What is the â??creative tensionâ? with regards to heart disease? What are the tensions that arise from the difference between current reality and the public health goal regarding heart disease?

References :

Kotter, John P.(Jan2007) Leading Change Harvard Business Review; Jan2007, Vol. 85 Issue 1, p96-103.

Ceative tension. Senge peter (jan1999). Execute Excellence Vol. 16 Issue 1, p12,
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Heifetz, Ronald A.Laurie, Donald L.(2001).The work of leadership Harvard Business Review; Dec2001, Vol. 79 Issue 11, p131-141,

The social construction of chronicity â?" a key to understanding chronic care transformations. Full Text Available By: Martin, Carmel M.; Peterson, Chris. Journal of Evaluation in Clinical Practice, Jun2009, Vol. 15 Issue 3, p578-585, 8p; DOI: 10.1111/j.1365-2753.2008.01025.x

Nurse-led telephone interventions for people with cardiac disease: A review of the research literature .Snezana Stolic, Marion Mitchell and Judy Wollin. European Journal of Cardiovascular Nursing Volume 9, Issue 4, December 2010, Pages 203-217 .

Cardiovascular Disease: Overview and Trends .International Encyclopedia of Public Health, 2008, Pages 511-538
M.J.S. Zaman, E.J. Brunner, H. Hemingway.

Challenges and Opportunities for Cardiovascular Disease Prevention Review Article.The American Journal of Medicine, Volume 124, Issue 2, February 2011, Pages 95-102 .Manuel Franco, Richard S. Cooper, Usama Bilal, Valentín Fuster.
Creative tension. Senge peter (jan1999). Execute Excellence Vol. 16 Issue 1, p12, 2p,

Definition of high risk individuals to optimise strategies for primary prevention of cardiovascular diseases Nutrition, Metabolism and Cardiovascular Diseases, Volume 15, Issue 1, February 2005, Pages 79-85
Simona Giampaoli, Luigi Palmieri, Amalia Mattiello, Salvatore Panico.

Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION) for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: a paired, cluster-randomised controlled trial .The Lancet, Volume 371, Issue 9629, 14 June 2008-20 June 2008, Pages 1999-2012 DA Wood, K Kotseva, S Connolly, C Jennings, A Mead, J Jones, A Holden, D

Human rights and the liberation struggle...the importance of creative tension.Full Text Available By: Houser, George M.. Africa Today, 1992 4th Quarter, Vol. 39 Issue 4, p5, 13p.

Full Text Available Economist, 9/19/2009, Vol. 392 Issue 8649, p74-75, 2p INOVATION management; CREATIVE ability in business; TEAMS in the workplace; MANAGEMENT -- Employee participation; GOOGLE Inc.

International creative tension study of university students in South Korea and Finland.Full Text Available By: Yoon Chang; Eklund, Tomas; Kantola, Jussi I.; Vanharanta, Hannu. Human Factors & Ergonomics in Manufacturing, Nov/Dec2009, Vol. 19 Issue 6, p528-543, 16p,

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In order to foster the change process in regards to heart disease, there must be an innovative approach to enlightening the community about the benefits of changing their views of heart disease and its ramifications. In order to facilitate this change in an efficient and effective way, you must first develop a thorough knowledge base about heart disease, and become intimately familiar with all aspects of this disease. Once you have developed a great deal of knowledge about heart disease and its ramifications, then you can develop a detailed vision as to how you would enlighten the community about heart disease and its perils. Once you have developed a vision of what you want to accomplish, then it is essential that you develop a detailed strategy as to how you will make your vision a reality within the community. The strategy that has been developed in regards to fostering the change process in regards to help disease, should contain ...

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