To dictate or collaborate? A phenomenological exploration of physiotherapists’ leadership styles

BMJ Leader ◽  
2021 ◽  
pp. leader-2020-000403
Author(s):  
Victoria Smith ◽  
Claire Maxwell ◽  
Lisa Robinson

ObjectivesSelection of effective leadership styles within healthcare is linked to high quality, safe care for patients. Within the literature attention has been given to medical and nursing professions, failing to acknowledge the contribution made by physiotherapy leaders. This study aims to consider the leadership styles used by physiotherapists in a designated leadership role, specifically exploring the barriers they face and the strategies employed to overcome current leadership dilemmas.DesignA qualitative, phenomenological design was used. Consent was obtained from each participant for one semistructured interview which was audio recorded and transcribed verbatim. Framework analysis was used to analyse the data.SettingA large National Health Service Foundation Trust within the North East of England.ParticipantsA purposive sample of ten physiotherapy team leaders.ResultsThe theoretical leadership framework that emerged demonstrated the daily tensions experienced by physiotherapy team leaders in regard to being a transactional or transformational leader. Within this, three superordinate themes exist: the individual, the team and the organisation and beyond. Each theme contained barriers and enablers which related to transactional and transformational leadership styles, respectively.ConclusionsThe framework identified gives insight into a group of clinical leaders not yet explored and provides a foundation for the development of leadership behaviours throughout physiotherapy. These clinicians should be supported by senior leaders to develop more transformational styles which have the potential to impact on staff well-being and patient care. Future research should compare these findings with studies involving larger sample sizes that span the health and social care system.

2021 ◽  
pp. 1-11
Author(s):  
Thelma S. Horn

This paper is based on a Senior Scholar presentation delivered at the 2020 annual meeting of the North American Society for the Psychology of Sport and Physical Activity. The paper begins with a summary of the research work completed by the author and coinvestigators in regard to the influences that significant others (parents, peers, and coaches) exert on the psychosocial well-being of individuals in sport and physical activity. In each of these three areas, illustrative research studies are summarized in a predominantly chronological order with a commentary at the end of each section that identifies unanswered questions and suggests future research directions. In the second section, four particular lessons learned by the author over the course of a scholarly career are identified and explained.


2011 ◽  
Vol 50 (4II) ◽  
pp. 895-911 ◽  
Author(s):  
Farah Said ◽  
Tareena Musaddiq ◽  
Mahreen Mahmud

The study explores the spatial patterns of poverty in Pakistan through two dimensions: asset accumulation and basic needs. For this purpose Pakistan Standard of Living Measurement 08-09 is employed to construct an Asset Index and a Basic Needs index, at a district level, through the use of household level indicators. The study finds a clear north south divide, with particular concentration of better off districts in the north east of the country. Additionally, regression analysis is carried out to help identify the macro level factors contributing towards the observed pattern. Results reveal infrastructural and industrial development to be significant factors behind a district‘s well-being. This indicates that public policy directed towards developing deprived districts should be cantered on these factors, specifically expanding road networks, and incentives for industrial development in those districts. JEL classifications: I32, O53 Keywords: Measurement and Analysis of Poverty, District Level Analysis, Pakistan


2020 ◽  
pp. 109634802097855
Author(s):  
Paula Danby ◽  
Dasha Grajfoner

This article critically explores insights into human–equine touristic experiences and acknowledges how such interconnectivity underline nature-based solutions (NBS) to mutually enhance psychological well-being. Despite the growing interest in NBS limited accounts have explored human–animal relations within the realm of touristic encounters. Drawing upon multispecies ethnographic accounts, participant observations, diaries, and in-depth interviews were held with 21 participants, with topics themed around human–equine experiences, relational encounters, and well-being. The sample was taken from participants located in the North East of England who engaged in equestrian tourism. Findings revealed life-changing transformations as a result of multispecies encounters. Deep emotional elements were experienced through intersubjectivity where participants spoke of the psychological benefits of being immersed in natural landscapes with their equine companions. This article demonstrates human–equine experiences as a positive NBS and illustrates that for the two species to effectively interact in equine-assisted psychological interventions requires mutual trust, empathy, and effective communication.


2020 ◽  
Vol 43 (127) ◽  
Author(s):  
Shona Haining ◽  
Joanne Naughton ◽  
Mark Lambert

In 2016 Sustainability and Transformation Partnerships were formed across the whole of England, bringing together care providers with commissioners and local authorities to plan local delivery of health and social care. Within this context, a small group of leaders working in broadly “evidence roles” within healthcare in the North East and North Cumbria (NENC), began discussing how those with the skills to support evidence-based practice might be able to better support healthcare decision-making at the system-wide level. The group focussed on the need for cultural change and making personal connections. Rather than provide “evidence products”, our aim was to build relationships between policy and decision makers and those in evidence roles. We agreed that we needed to: Develop a network of local people working in evidence roles in the healthcare field (STEMClub). Link local health library and knowledge services staff (LKS) into the work streams of the Sustainability and Transformation Partnership (now the Integrated Care System). Raise awareness and gain support among senior stakeholders in the ICS, NHS England (NHSE), Public Health England (PHE) and Health Education England (HEE) of the aims of STEMClub. This case study describes our progress to date in developing the network and supporting the work of healthcare decision-makers and policy makers in the North East and North Cumbria.


2018 ◽  
Author(s):  
Shefaly Shorey ◽  
Esperanza Debby Ng

BACKGROUND Transitioning into parenthood can be stressful as parents struggle to cope with new parenting responsibilities. Although perinatal care in hospitals aims to improve parental outcomes, there is a general consensus that it is suboptimal and insufficient. Therefore, many studies have designed intervention methods to supplement support for parents during this stressful period. However, studies often focus on parental outcomes as indicators of their interventions’ success and effectiveness. Studies evaluating participants’ experiences and feedback are limited. OBJECTIVE This study aimed to examine the experiences and perceptions of participants who participated in a supportive education parenting program intervention study. METHODS A qualitative semistructured interview was conducted with 16 mothers (6 control and 10 intervention) from a randomized controlled trial. The supportive education parenting program received by the intervention group included 2 phone-based perinatal educational sessions, a phone-based educational session after childbirth, and a 1-month postpartum access to a mobile health app. The interviews were approximately 30- to 60-min long, audiotaped and transcribed verbatim, and analyzed using thematic analysis. Study findings were reported according to the Consolidated Criteria for Reporting Qualitative Research checklist. RESULTS The 3 main themes evaluating mothers’ experiences and perceptions were generated: (1) changed perspective toward parenthood, (2) journey from pregnancy to after birth, and (3) a way forward. Mothers from the intervention group mostly had good perinatal experiences with sufficient support received, which elevated their emotional well-being and increased parenting involvement. Mothers in the control group, although satisfied with the hospital care received, were more stressed and shared a need for professional advice and extra support. Apart from technical enhancements, mothers also requested extended social support during early pregnancy up to 1 year postpartum, taking into consideration Asian cultural practices. CONCLUSIONS Mothers who received the intervention were overall satisfied with the support provided by the technology-based supportive educational parenting program. The success of the educational program in this study highlights the need to supplement standard care in hospitals with technology-based educational programs. Future research should include fathers’ perceptions to attain an in-depth understanding of overall participants’ experiences and needs in the future development of supportive and educational programs.


2016 ◽  
Vol 4 (2) ◽  
pp. 156-164
Author(s):  
Shiva Ji ◽  
◽  
Ravi Mokashi Punekar ◽  

Building industry is the largest world energy consumer at 40% of total world energy. Various agencies across the world have formulated Sustainability Assessment (SA) methods for its assessment. In India, TERI and Ministry of New and Renewable Energy, Govt. of India, have established GRIHA as the assessment guideline for the built environment. SA methods recommend a pre-design check list and post completion assessment of the projects. The major parameters of evaluation aim to address environmental, social and economic impact on well- being of society. A comparison is drawn on the broader definition of sustainability which has been adopted world over and it is felt by local practitioners that the parameters need to be adapted to deal with local situations and conditions for effective results. This paper attempts to review the various assessment parameters considered under the GRIHA model in the design evaluation of the built environment considering local conditions in specific locations in the north east. The paper infers to devise a normalization factor to help achieve equalized balance in achieving sustainability.


2017 ◽  
Vol 35 (2) ◽  
pp. 110-117
Author(s):  
Isabelle Sjoberg ◽  
Jason D. Pole ◽  
Marilyn Cassidy ◽  
Claudette Boilard ◽  
Sharon Costantini ◽  
...  

Background: Childhood cancer affects the entire family. Siblings experience similar stress to that of the ill child, including anger, depression, jealousy, guilt, and social isolation. School reentry programs are shown to be positive interventions for patients, it is hypothesized that similar outcomes exist for siblings. Objective: To examine the feasibility of studying the impact of the Ontario Oncology Nurse School Visitation Program on the well-being and school adjustment of siblings of pediatric cancer patients. Methods: Fourteen sibling participants and parents completed a semistructured interview and the PedsQL® questionnaire before and after a nurse school visit. School attendance was also compared and data were collected for logistics of study procedures. Results: The mode of data collection was agreeable and easy to plan and execute. School attendance showed a reduction of days missed; there was no significant impact on PedsQL results but the interviews yielded positive feedback. Conclusions: The outlook for siblings improves with the support of family members and health care professionals. This pilot study provides hypotheses and design for future research.


Author(s):  
Elena Tsarouha ◽  
Felicitas Stuber ◽  
Tanja Seifried-Dübon ◽  
Natalia Radionova ◽  
Susanne Schnalzer ◽  
...  

Abstract Background Mental health and stress prevention aspects related to workplace in hospitals are gaining increasingly more attention in research. The workplace hospital is characterized by high work intensity, high emotional demands, and high levels of stress. These conditions can be a risk for the development of mental disorders. Leadership styles can hinder or foster work-related stress and influence the well-being of employees. Through leadership interventions, leaders may be encouraged to develop a stress-preventive leadership style that addresses both, the well-being of the leaders and of the subordinates. A comprehensive qualitative description of leaders’ experiences with interventions on the topic of stress-preventive leadership is yet missing in the literature. Therefore, we address leaders of middle management regarding the development of stress-preventive leadership styles through supporting interventions. The research questions are: How do leaders of middle management perceive their leadership role in terms of effectiveness in stress prevention? Which potentials and limits in the implementation of stress-preventive leadership are experienced? Methods The study follows a qualitative research design and content analysis. We conducted individual interviews with leaders of middle management (n = 30) of a tertiary hospital in Germany for the participatory development of an intervention. This intervention, consisting of five consecutive modules, addressed leaders of middle management in all work areas within one hospital. After participation in the intervention, the leaders were asked to reflect on and evaluate the implementation of the contents learned within focus group discussions. Overall 10 focus group discussions with leaders (n = 60) were conducted. Results The results demonstrate that leaders of middle management perceived potentials for a stress-preventive leadership style (e.g., reflection on leadership role and leadership behavior, awareness/mindfulness, and conveying appreciation). However, limits were also mentioned. These can be differentiated into self-referential, subordinate-related, and above all organizational barriers for the implementation of stress-preventive leadership. Conclusions Some of the organizational barriers can be addressed by mid-level leadership interventions (e.g., lack of peer-exchange) or possibly by adapted leadership interventions for top management (e.g., lack of stress-preventive leadership styles in top level management). Other organizational limits are working conditions (e.g., staff shortage) that can only be influenced by health policy decisions.


2021 ◽  
Vol 29 (4) ◽  
pp. 2691-2707
Author(s):  
Khansa ◽  
Shazia Khalid ◽  
Fahad Riaz Choudhry

Kindness, a basic element of morality, has been observed to have a greater impact on individuals’ general well-being, societal development, and integration of humanity. However, despite its phenomenal acceptance in all religions and cultures worldwide, the concept remained understudied. Therefore, qualitative research was planned to explore the phenomenon of kindness, its enabling factors, inhibiting factors, and to identify the recipients of kindness in Pakistani adolescents. An interview guide was developed in Study 1 through two Focus Group Discussions with eight girls and eight boys of 18 and 19 years to achieve the objectives. The interpretative phenomenological analysis method developed seven questions for the interview guide and then finalized through committee approach and pilot testing. In the main study, in-depth interviews were conducted on a total sample of 14 adolescents. Among which 50% were girls between 18 and 19 years (M= 18.5, SD= 0.51). The data were collected from Rawalpindi and Islamabad using a convenient sampling technique and analyzed through thematic framework analysis. The results suggested that Pakistani adolescents conceptualized kindness as benefitting oneself and others with goodness and withholding harm. Religion and socialization were reported as the prime enabling factors for being kind. In addition, the availability of resources and the perception of the recipient’s deservedness also determined kindness. Among the inhibitory factors, self-detaining tendencies, family and peer pressure, and non-availability of resources emerged. It is hoped that the present study may enhance the understanding of kindness for future research.


1999 ◽  
Vol 85 (2) ◽  
pp. 689-696
Author(s):  
Leslie J Francis ◽  
Carolyn Wilcox ◽  
Susan H. Jones

A sample of 242 students between the ages of 16 and 18 years, attending schools in the North East of England, completed the Bradburn Balanced Affect Scale together with the abbreviated form of the Revised Eysenck Personality Questionnaire. The findings show that scores on the Bradburn scale (indicating psychological well-being as assessed by balanced affect) are correlated significantly and positively with scores for Extraversion (.25), negatively with Neuroticism (.52) and nonsignificantly with Psychoticism. The implications of these Endings are discussed for the assessment of psychological well-being among introverts.


Sign in / Sign up

Export Citation Format

Share Document