Adaptive leadership of doctors during COVID-19

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sayoni Santra ◽  
Priya Alat
Keyword(s):  
Information Overload ◽  
Leadership Competencies ◽  
Adaptive Leadership ◽  
Structured Interviews ◽  
Content Type ◽  
Competency Frameworks ◽  
Adaptive Challenges ◽  
Organizational Linkages ◽  
Adaptive Work ◽  
Fourth Theme

Purpose This study aims to examine the adaptive leadership of doctors during COVID-19 to understand the leadership competencies required for adaptive events. Design/methodology/approach Phenomenology-based qualitative design was used. Data were collected from six doctors from the state of Kerala, India using semi-structured interviews. Findings Five themes were identified. The first theme, core leadership shows that doctors perceive leaders as educators, learners and social beings. The second theme, adaptive challenges, describes the ambiguous pandemic-related challenges that doctors are facing including, unusual occupational demands, information overload, sociocultural issues and personal intricacies. The third theme reflects that for doctors, adaptive work during the pandemic included – new learning to address unique issues, changing perspectives and establishing and maintaining a safe and engaging workplace environment. The fourth theme describes the adaptive leadership competencies such as regulating distress, providing direction, maintaining disciplined action, fostering collaboration, empowering, understanding organizational linkages, strategic vision and communication skills. The fifth theme elucidates the lacunae in leadership training as perceived by the doctors. Research limitations/implications The findings can help in developing and enhancing competency frameworks for doctors’ adaptive leadership. Originality/value This is one of the earliest studies to systematically examine components of adaptive leadership for doctors during COVID-19 and identify associated competencies.

Organisational and leadership competencies for successful service integration

2014 ◽  
Vol 27 (2) ◽  
pp. 150-180 ◽  
Author(s):  
Kim Aitken ◽  
Kathryn von Treuer
Keyword(s):  
Service Integration ◽  
Leadership Competencies ◽  
Reference Points ◽  
Structured Interviews ◽  
Content Type ◽  
Leadership Competency ◽  
Service Demand ◽  
Key Stakeholders ◽  
Competency Frameworks ◽  
Literature Reviews

Purpose – The purpose of this paper is to describe a two-part study that has explored the organisational and leadership competencies required for successful service integration within a health consortia in Australia. Preliminary organisational and leadership competency frameworks were developed to serve as reference points as the consortia it expanded to cater for increased service demand in the midst of significant health reform. Design/methodology/approach – The study design is outlined, which involved literature reviews and semi-structured interviews with key stakeholders to ascertain the key determinants of successful service integration at both organisational and leadership levels. Findings – The literature reviews revealed little existing research specifically focused on the organisational and leadership competencies that underpin successful service integration. The themes from the literature reviews and semi-structured interviews informed the preliminary organisational and leadership competency frameworks. Both frameworks are outlined in the paper. Key determinants of successful service integration – at both an organisational and individual leadership level – are also presented. Research limitations/implications – This is a one-organisation case study and the competency frameworks presented are preliminary. However, the study findings provide a foundation for further research focusing on the longer-term success of service integration. Originality/value – Service integration in health is a new and emerging area, and there is little extant research exploring the organisational and leadership competencies underpinning its success. The competency frameworks presented in the paper may be of interest to other consortia and organisations engaged in service integration and other forms of merger and collaboration.

Adaptive Challenges and Family Support: Patient Self-Management during Treatment for Chronic Hepatitis C

2021 ◽  
Vol 34 (4) ◽  
pp. 405-412
Author(s):  
Donald E. Bailey ◽  
Andrew J. Muir ◽  
Michael P. Cary ◽  
Natalie Ammarell ◽  
Sarah Seaver ◽  
...  
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Chronic Hepatitis C ◽  
Medical Records ◽  
Family Intervention ◽  
Adaptive Leadership ◽  
Self Management ◽  
Leadership Framework ◽  
Adaptive Challenges ◽  
Adaptive Work

The authors describe a family’s adaptive challenges and adaptive work during a family member’s treatment for Chronic Hepatitis C. We audiorecorded index and final clinical visits and interviewed participants (patients and providers) following the visits. We interviewed by telephone and reviewed medical records over the course of treatment. Transcripts were analyzed using directed content analysis. Three themes were identified: family adaptive challenges, patient-described aspects of family members’ adaptive challenges, and family adaptive work. There were four subthemes related to family adaptive work. The adaptive leadership framework for chronic illness provided direction for future family intervention.

Examining the dilution of the consumer-brand relationship on Facebook: the saturation issue

2017 ◽  
Vol 20 (3) ◽  
pp. 335-353 ◽  
Author(s):  
Zahy Ramadan
Keyword(s):  
Social Networking ◽  
Social Networking Sites ◽  
Information Quality ◽  
Information Overload ◽  
Social Networking Site ◽  
System Quality ◽  
Structured Interviews ◽  
Content Type ◽  
Positive Side ◽  
Brand Relationship

Purpose Brands have been progressively using social networking sites, namely, Facebook, as part of their strategy to engage their consumers and ultimately build long-term relationships with them. Nonetheless, with the overuse of “engagement ads” by brands, saturation related to information overload is expected to be reached leading to the dilution of the consumer–brand relationship. The purpose of this paper is to fill a gap in the literature which has predominantly focused on the positive side of social networking sites, and hence still lacks a thorough understanding of the potential risks brands face when using Facebook. Accordingly, this research examines the different risks brands would be facing from saturated consumers on social networking sites such as Facebook. Design/methodology/approach A qualitative study was conducted, with a total of 40 respondents using face-to-face semi-structured interviews over two stages. While the first stage of the study focused on examining the saturation risk and its potential negative effects, the second one explored these risks specifically on the consumer–brand relationship on Facebook. The interviews were recorded, transcribed and then coded for analysis using NVivo 8. Findings Brands are overloading their followers with passively endorsed brand messages, which are negatively affecting consumers’ experience on Facebook, as well as the relationship with these brands. This overall dilution of the consumer–brand relationship on Facebook was hence found to be affecting interaction, similarity with friends, the system quality of the social networking site, as well as information quality. Furthermore, this dilution was found to be affecting brand likability, brand trust and brand association. Originality/value The negative implications are still scarcely examined in the literature where social media engagement is predominantly discussed through a positive lens. Hence, this study has the peculiarity of discussing the risks that companies would face with Facebook’s engagement model along with their implications on the consumer-brand relationship.

scholarly journals Using a Theoretical Framework in a Qualitative Metasummary About Fatigue Adaptation After Stroke

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 171-171
Author(s):  
Ruth Anderson ◽  
Leslie Davis ◽  
Chiao-Hsin Teng
Keyword(s):  
Healthcare Professionals ◽  
Collaborative Work ◽  
Theoretical Framework ◽  
Adaptive Leadership ◽  
Basic Knowledge ◽  
Stroke Survivors ◽  
Care Partners ◽  
Physical Dysfunction ◽  
Adaptive Challenges ◽  
Adaptive Work

Abstract We describe how we used a theoretical framework, Adaptive Leadership Framework for Chronic Illness (ALFCI), to complete a qualitative metasummary in a scoping review of 26 articles. We abstracted and grouped qualitative findings relevant to fatigue adaptation in stroke survivors using constructs of the ALFCI as 4 main themes: 1) adaptive challenges, 2) adaptive work, 3) adaptive leadership and collaborative work, and 4) technical challenges and technical work. We found that stroke survivors encountered different aspects of challenges (e.g., physical dysfunction vs. mental distress) and utilized various adaptive work (e.g., conserving energy vs. restructuring normality) as well as what stroke survivors needed from healthcare professionals (e.g., basic knowledge about fatigue). The ALFCI provides a useful lens to synthesize qualitative findings regarding fatigue adaptation and therefore researchers can target different problems that need to be tackled for stroke survivors, care partners, or healthcare professionals, respectively.

Using adaptive leadership principles to support Public Health 3.0 in multidisciplinary undergraduate education

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Suzanne R. Hawley
Keyword(s):  
Public Health ◽  
Undergraduate Students ◽  
Systems Approach ◽  
Leadership Competencies ◽  
Adaptive Leadership ◽  
Public Health Workforce ◽  
Content Type ◽  
The Public ◽  
Health Nursing ◽  
Leadership Instruction

Purpose The COVID-19 pandemic has uncovered public health vulnerabilities worldwide, particularly in the hard-hit USA. US public health professionals, regardless of role, may need to exercise leadership in both planned and unexpected situations. This model of practice outside of traditional roles, known as Public Health 3.0, requires adaptive leadership – a systems approach to making progress on complex challenges. Educational programs should improve students’ adaptive leadership competency to prepare them for the public health workforce. This paper aims to provide an educational framework for implementing adaptive leadership instruction for undergraduate students. Design/methodology/approach This paper used experiential and traditional instructional strategies and adaptive leadership competencies to develop a semester-length leadership course for undergraduate students in health, nursing, social science, business and education. Adaptive leadership principles were learned and practiced, preparing students for systemic challenges through the lens of Public Health 3.0. Competencies were assessed pre- and post-semester. Findings Of 248 students, 72% were health professions majors. Students reported pre-post scores on 29 measures of competency, interest, learning and behavioral change. Quantitative evaluations identified statistically significant improvement in all domains. Additional quantitative feedback indicated improvement on the three Kirkpatrick levels of evaluation assessed (reaction, learning and behavior). Originality/value Tiered evaluation methods indicated that this leadership course enhanced participants’ self-reported adaptive leadership learning and competency, as well as intention and ability to translate learning into practice. A broad spectrum of competency development is needed for students entering practice in the Public Health 3.0 era, particularly related to pandemic response.

Task adherence: an agentic perspective on task-focused dedication in an interrupting work environment

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tanner Skousen ◽  
Justin Ames ◽  
James Gaskin
Keyword(s):  
Task Switching ◽  
Information Overload ◽  
Knowledge Workers ◽  
Management Strategies ◽  
Theory Approach ◽  
Task Management ◽  
Structured Interviews ◽  
Related Factors ◽  
Content Type ◽  
And Task

PurposeKnowledge workers live and work in a technology-enabled, push-notification world full of interruptions that create information overload, often requiring these workers to utilize task switching as a mechanism to meet multiple competing tasks' demands. Previous research has examined both the positive and, more often, negative effects from interruptions and task switching on knowledge workers' performance. However, this paper aims to examine knowledge workers' agentic approach to managing interruption signals and consequent task switching to remain dedicated to the task at hand.Design/methodology/approachUsing an inductive grounded theory approach, we analyzed data from semi-structured interviews with knowledge workers regarding their experiences with task management strategies in interruption-heavy environments.FindingsThe results indicate the emergence of a new construct that we define as “task adherence.” We identified behavioral and technological mechanisms that knowledge workers employ to adhere to tasks, and we also categorized a host of environmental, personal and task-related factors that influence a knowledge worker's task adherence level.Practical implicationsThis study offers a novel conceptualization of key determinants of knowledge workers' task management. Through insights into how knowledge workers purposefully prepare for and address potential interruption signals, as well as manage task switching from subsequent interruptions, managers may be able to design new work processes to improve task performance.Originality/valueIn a world of interruptions, task adherence adds to and clarifies a missing element in the time and task management dilemma that can enhance future efforts in designing strategies that enable knowledge workers to be more productive.

scholarly journals Understanding learning in senior public relations practices

2016 ◽  
Vol 20 (4) ◽  
pp. 312-327 ◽  
Author(s):  
Mandy Powell ◽  
Magda Pieczka
Keyword(s):  
Public Relations ◽  
Communities Of Practice ◽  
Explanatory Power ◽  
Cultural Learning ◽  
Structured Interviews ◽  
Content Type ◽  
Public Relations Practitioners ◽  
Social Legitimacy ◽  
Competency Frameworks ◽  
Development Trajectory

Purpose Over the last 50 years the social legitimacy of public relations has improved by standardising and monitoring the education and training of its practitioners. While successful in developing a professional development trajectory from novice to competent practitioner, the profession has struggled to fully understand the development trajectory of its senior public relations practitioners. The diversity of occupational contexts in which public relations is practised, the condition of professional seniority and the knowledge and tools required for working at occupational boundaries is challenging for senior public relations practitioners. It is also a challenge therefore, for the profession to develop and support the learning required for senior practice beyond competency frameworks. The paper aims to discuss these issues. Design/methodology/approach This paper employs socio-cultural learning theory and supporting empirical evidence gained in semi-structured interviews with senior practitioners in the field to explore what senior practice entails and how senior professionals learn. Findings Communities of practice is useful for understanding novice practitioner learning but has insufficient explanatory power for understanding senior practitioner learning. There is an urgent need for support for senior public relations learning that moves beyond reified competency frameworks and enables senior practitioners to function autonomously outside the core community of practice. Seniority requires its learners to embrace uncertainty and confront the challenge of creating new knowledges and in the everyday practices of their professional lives. Originality/value “Communities of practice” has been influential in the fields of management and organisations (Bolisani and Scarso, 2014). This paper employs the idea of a learning process that takes place in “constellations of practices” (Wenger, 1998) to offer a view of senior practice as boundary dwelling (Engestrom, 2009) rather than boundary spanning and learning as situated (Lave and Wenger, 1991) in the liminal spaces those boundaries provide.

Leadership and public financial management reforms in Jamaica

2018 ◽  
Vol 14 (4) ◽  
pp. 297-308
Author(s):  
Sonia D. Gatchair
Keyword(s):  
Financial Management ◽  
Adaptive Leadership ◽  
Organizational Boundaries ◽  
Environmental Pressures ◽  
Content Type ◽  
Study Approach ◽  
Public Financial Management ◽  
Adaptive Challenges ◽  
Critical Skills ◽  
Complex Adaptive

Purpose The purpose of this paper is to assess the utility of complex adaptive leadership to public financial management reforms in Jamaica and provide insights to advance theoretical perspectives on leadership in public organizations. Design/methodology/approach The study is qualitative and adopts a case study approach with data collected using document analyses and interviews. Findings The study highlights that leaders need to both drive and respond to directional forces and environmental pressures, which require them to balance or oscillate between leader and follower roles, and even demonstrate both simultaneously in order to achieve change successfully. Practical implications In developing states faced with technical and adaptive challenges, the inputs of followers assume greater importance as they are integral to innovation and flexibility needed for problem solving. Communication, negotiation, bargaining and teamwork are critical skills that must be included in the repertoire of leadership and followership training. Originality/value The study connects leadership to pubic finance, fiscal decision-making, and reforms to public fiscal systems in a small developing state, Jamaica. The paper highlights that increased attention to the context is necessary, especially in participatory democracies, which demand responsiveness to powerful or influential interests, reduce autonomy and give rise to unclear organizational boundaries and hierarchies. It establishes a nexus between adaptive leadership and social identity theories, which demonstrate the emergence, contribution, and importance of group identities to distributed leadership. The roles of leadership and followership can interchange, which increases the fluidity and dynamism of the leadership process.

Practical strategies and the need for psychological support: recommendations from nurses working in hospitals during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jody Ralph ◽  
Laurie A. Freeman ◽  
A. Dana Ménard ◽  
Kendall Soucie
Keyword(s):  
Leadership Style ◽  
Information Overload ◽  
The United States ◽  
Psychological Support ◽  
Employee Assistance ◽  
Pay Equity ◽  
Structured Interviews ◽  
Content Type ◽  
Hospital Administrators ◽  
Depth Interviews

PurposeNurses working during the coronavirus disease 2019 (COVID-19) pandemic have reported elevated levels of anxiety, burnout and sleep disruption. Hospital administrators are in a unique position to mitigate or exacerbate stressful working conditions. The goal of this study was to capture the recommendations of nurses providing frontline care during the pandemic.Design/methodology/approachSemi-structured interviews were conducted during the first wave of the COVID-19 pandemic, with 36 nurses living in Canada and working in Canada or the United States.FindingsThe following recommendations were identified from reflexive thematic analysis of interview transcripts: (1) The nurses emphasized the need for a leadership style that embodied visibility, availability and careful planning. (2) Information overload contributed to stress, and participants appealed for clear, consistent and transparent communication. (3) A more resilient healthcare supply chain was required to safeguard the distribution of equipment, supplies and medications. (4) Clear communication of policies related to sick leave, pay equity and workload was necessary. (5) Equity should be considered, particularly with regard to redeployment. (6) Nurses wanted psychological support offered by trusted providers, managers and peers.Practical implicationsOver-reliance on employee assistance programmes and other individualized approaches to virtual care were not well-received. An integrative systems-based approach is needed to address the multifaceted mental health outcomes and reduce the deleterious impact of the COVID-19 pandemic on the nursing workforce.Originality/valueResults of this study capture the recommendations made by nurses during in-depth interviews conducted early in the COVID-19 pandemic.

Leadership competencies: qualitative insight into non-profit sport organisations

2017 ◽  
Vol 13 (3) ◽  
pp. 166-181 ◽  
Author(s):  
Majd Megheirkouni
Keyword(s):  
Qualitative Method ◽  
Leadership Competencies ◽  
Leadership Positions ◽  
Content Type ◽  
Non Profit ◽  
General Management ◽  
Competency Frameworks ◽  
Sport Leadership ◽  
Practical Implications ◽  
Insight Into

Purpose The purpose of this paper is to explore the competencies of leadership used and the reasons behind their use in an attempt to understand the nature of leadership competencies in non-profit sports organisations, and guide the experts to focus on specific competencies for general purposes. Design/methodology/approach The current study adopts a qualitative method to achieve the aim of the study. Findings The results revealed that four groups of competencies, namely, understanding the whole,communication, general management relation, and change tend to be specific competencies for general purposes in different leadership positions. The findings demonstrate the value of the approach in discoveringinsights that would not have emerged from more commonly utilised methodologies. Practical implications Overall, these findings suggest that individuals, in different sport leadership positions, need four groups of competencies to overcome internal and external challenges effectively. Implications of this research may exist in business and other domains. Specifically, several competency frameworks are suggested in business for leaders to meet their internal and external challenges. Originality/value This research represents the first attempt to understand and explore the nature of leadership competencies in non-profit sports organisations in the Middle East.

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