How do you develop systems leadership in public health? Insights from a scoping study

Public Health ◽  
2021 ◽  
Vol 196 ◽  
pp. 24-28
Author(s):  
D. Evans ◽  
R. Bolden ◽  
C. Jarvis ◽  
R. Mann ◽  
M. Patterson ◽  
...  
Keyword(s):  
Public Health ◽  
Scoping Study ◽  
Systems Leadership

scholarly journals A scoping study of frameworks for adapting public health evidence-based interventions

2018 ◽  
Vol 9 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Cam Escoffery ◽  
Erin Lebow-Skelley ◽  
Hallie Udelson ◽  
Elaine A Böing ◽  
Richard Wood ◽  
...  
Keyword(s):  
Public Health ◽  
Evidence Based ◽  
Scoping Study

scholarly journals Systems leadership in practice: thematic insights from three public health case studies

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Charlotte Bigland ◽  
David Evans ◽  
Richard Bolden ◽  
Maggie Rae
Keyword(s):  
Public Health ◽  
Case Studies ◽  
Health Systems ◽  
System Structure ◽  
Health Improvement ◽  
Global Public Health ◽  
Structured Interviews ◽  
Public Health Systems ◽  
Systems Leadership ◽  
Indicators Of Success

Abstract Background ‘Systems leadership’ has emerged as a key concept in global public health alongside such related concepts as ‘systems thinking’ and ‘whole systems approaches.’ It is an approach that is well suited to issues that require collective action, where no single organisation can control the outcomes. While there is a growing literature on the theory of systems leadership in a number of fields, there remains a lack of published empirical studies of public health systems leadership for professionals to learn from. The aim of the current project was to conduct cases studies in UK public health to provide empirical evidence on the nature of effective systems leadership practice. Methods Three system leadership case studies were identified in the key domains of public health: health protection, healthcare public health and health improvement. A total of 27 semi-structured interviews were conducted. Data were thematically analysed to identify the components of effective systems leadership in each case and its impact. Results The thematic analysis identified themes around ‘getting started,’ ‘maintaining momentum’ and ‘indicators of success’ in systems leadership. In terms of getting started, the analysis showed that both a compelling ‘call to action’ and assembling an effective ‘coalition of the willing’ are important. To maintain momentum, the analysis identified themes relating to system structure, culture and the people involved. Regarding culture, the main themes that emerged were the importance of nurturing strong relationships, curiosity and a desire to understand the system, and promoting resilience. The analysis identified three components that could be used as indicators of success; these were a sense of enjoyment from the work, resource gains to the system and shifts in data indicators at the population level. Conclusions This study has provided insight into the nature of systems leadership in public health settings in the UK. It has identified factors that contribute to effective public health systems leadership and offers a thematic model in terms of establishing a systems leadership approach, maintaining momentum and identifying key success indicators.

scholarly journals Knowledge Transfer on Complex Social Interventions in Public Health: A Scoping Study

PLoS ONE ◽  
2013 ◽  
Vol 8 (12) ◽  
pp. e80233 ◽  
Author(s):  
Christian Dagenais ◽  
Marie Malo ◽  
Émilie Robert ◽  
Mathieu Ouimet ◽  
Diane Berthelette ◽  
...  
Keyword(s):  
Public Health ◽  
Knowledge Transfer ◽  
Scoping Study ◽  
Social Interventions

scholarly journals Case for rethinking system leadership and its development in public health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Smith
Keyword(s):  
Public Health ◽  
Leadership Development ◽  
Performance Management ◽  
System Development ◽  
Leadership Capacity ◽  
System Leadership ◽  
Systems Leadership ◽  
Management Staff ◽  
Leadership Research ◽  
Developing System

Abstract Background There is growing recognition of the importance of leadership in Public Health (PH) practice, and the need to embed it into the education and training of PH professionals. However the theoretical discourse within leadership research has changed significantly and there is recognition that previous conceptualisations of leadership, and our ways of developing it may be flawed, and need to be changed in practice. Objectives This presentation will discuss development of leadership theory, and system leadership. In particular it will highlight how System Leadership differs from previous understandings of leadership and the implications of this for ph practitioners and those charged with developing system leadership capacity within public health. Body of the session Leadership in organisations is mostly focused on current/anticipated internal challenges (strategy, performance management, staff engagement, etc.). Leaders are generally developed via individual leader development rather than a focus developing Leadership capacity across organisations/systems. Within PH it is increasingly realised that single organisations can no longer respond effectively to the “wicked” issues they face. They do not possess sufficient know-how to address the complex and multi-dimensional problems faced, so leadership models based on a single hierarchical organisation are not sustainable. There is a need to work collectively in an ecosystem-based approach (not an ego-based system). System Leadership development requires that participants are actively engaged in real attempts to improve PH System. Development requires that underlying values are made explicit, explored and diversity embraced. The emphasis will be on supporting learners in the doing rather than critiquing or talking about it. Conclusions There is need to appreciate fully the nature of systems leadership, together with implications for PH practice and the development of system leadership capacity throughout the PH workforce.

Models and frameworks that enable nurses to develop their public health practice—A scoping study

2020 ◽  
Vol 29 (13-14) ◽  
pp. 2150-2160
Author(s):  
Ivanka Ezhova ◽  
Lynn Sayer ◽  
Rita Newland ◽  
Nicola Davis ◽  
Shelley McLetchie‐Holder ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Practice ◽  
Health Practice ◽  
Scoping Study

scholarly journals Holding the keys to health? A scoping study of the population health impacts of automated vehicles

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jennifer Dean ◽  
Alexander J. Wray ◽  
Lucas Braun ◽  
Jeffrey M. Casello ◽  
Lindsay McCallum ◽  
...  
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Human Health ◽  
Population Health ◽  
Road Safety ◽  
Transportation Systems ◽  
Health Impacts ◽  
Automated Vehicles ◽  
Scoping Study ◽  
Health Implications

Abstract Background Automated Vehicles (AVs) are central to the new mobility paradigm that promises to transform transportation systems and cities across the globe. To date, much of the research on AVs has focused on technological advancements with little emphasis on how this emerging technology will impact population-level health. This scoping study examines the potential health impacts of AVs based on the existing literature. Methods Using Arksey and O’Malley’s scoping protocol, we searched academic and ‘grey’ literature to anticipate the effects of AVs on human health. Results Our search captured 43 information sources that discussed a least one of the five thematic areas related to health. The bulk of the evidence is related to road safety (n = 37), followed by a relatively equal distribution between social equity (n = 24), environment (n = 22), lifestyle (n = 20), and built environment (n = 18) themes. There is general agreement that AVs will improve road safety overall, thus reducing injuries and fatalities from human errors in operating motorized vehicles. However, the relationships with air quality, physical activity, and stress, among other health factors may be more complex. The broader health implications of AVs will be dependent on how the technology is adopted in various transportation systems. Regulatory action will be a significant determinant of how AVs could affect health, as well as how AVs influence social and environmental determinants of health. Conclusion To support researchers and practitioners considering the health implications of AVs, we provide a conceptual map of the direct and indirect linkages between AV use and health outcomes. It is important that stakeholders, including public health agencies work to ensure that population health outcomes and equitable distribution of health impacts are priority considerations as regulators develop their response to AVs. We recommend that public health and transportation officials actively monitor trends in AV introduction and adoption, regulators focus on protecting human health and safety in AV implementation, and researchers work to expand the body of evidence surrounding AVs and population health.

scholarly journals How to find lessons from the public health literature: Example of a scoping study protocol on the neighborhood environment

2016 ◽  
Vol 7 (1) ◽  
pp. 83 ◽  
Author(s):  
Mélanie Levasseur ◽  
Mélissa Généreux ◽  
Josiane Desroches ◽  
Annie Carrier ◽  
Francis Lacasse ◽  
...  
Keyword(s):  
Public Health ◽  
Study Protocol ◽  
Neighborhood Environment ◽  
Scoping Study ◽  
The Public ◽  
Health Literature ◽  
Public Health Literature

scholarly journals Lessons in Public Health Leadership

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Latif
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Public Health Systems ◽  
Health Leadership ◽  
Public Health Challenges ◽  
Competency Based ◽  
Systems Leadership ◽  
The Uk ◽  
The Right ◽  
Public Health Leadership

Abstract Background The UK Faculty of Public Health (FPH) is a world leader in developing a dynamic competency-based curriculum and delivering high quality training and professional development of a multidisciplinary public health specialist workforce in the UK. This includes capacity building and shaping tomorrow's public health leaders. Objectives Strong Leadership is increasingly the need of the day to deal with the complex public health challenges in a rapidly evolving and shifting global landscape. Can a public health curriculum and training (like that of the FPH) provide the framework for the knowledge, skills, attitudes and behaviours required for producing world class public health systems leaders? Body of the session Key principles of developing systems leadership include providing an enabling environment, developing the right skill mix, acquiring relevant knowledge, framing placements with experienced supervision and appropriate coaching and mentoring are some of the elements built into the training opportunities for public health registrars, their supervisors and new consultants. This presentation will give an overview of some lessons in public health leadership, the skills and knowledge base required to perform effectively as a public health systems leader and explore some of the challenges faced by the world of public health. The panel will encourage interactive discussion to share the learning from other countries and systems required to develop the next generation of public health leaders. Conclusions Public health, of all specialties, lends itself best to lead across and beyond organisational boundaries, lead without authority and create change whilst not being in charge. It is imperative that systems are put in place to train, develop and build public health leaders for tomorrow.

Vaccinating a billion people against COVID-19: India’s quest for systems leadership in exceptional times

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kamal Gulati ◽  
Jamiu Busari
Keyword(s):  
Public Health ◽  
Vaccination Programme ◽  
Vaccine Development ◽  
Vaccination Campaign ◽  
Grey Literature ◽  
Scale Up ◽  
System Level ◽  
Indian Government ◽  
Content Type ◽  
Systems Leadership

Purpose In January 2021, India launched the world’s most extensive vaccination campaign against COVID-19. It is estimated that India would need to vaccinate over a billion people to achieve herd immunity. Even though the Indian Government focuses on improving and delivering its vaccination programme, significant challenges still exist. This paper aims to discuss current challenges to scale up India’s vaccination campaign and addresses strategies for achieving this. Design/methodology/approach The paper is based on a review of secondary sources, including journal articles from scholarly and grey literature and information available in the public domain. The search focused explicitly on the COVID-19 scenario, vaccination programme, public health management and systems leadership in the Indian health care system. Findings The analysis revealed that various factors have disrupted India’s vaccination campaign, including shortage of vaccine doses, mandatory prior online registration, lack of infrastructure, safety concerns for older people, untrained workforce and absence of a solid public health framework. Furthermore, India appears to have struggled to reduce tensions and instill trust in its ability to effectively manage the COVID-19 pandemic and vaccination programme due to a lack of cooperation between union government, state governments and other stakeholders, namely, policymakers, hospitals, industry and community. Originality/value The findings indicate that scaling up India’s anti-COVID vaccination programme would require system-level leadership strategies that work within the country’s limited resources. Deeper reforms in vaccine development, storage, delivery, training and regulatory frameworks are also needed to extend the world’s largest anti-COVID-19 vaccination campaign.

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