Enhanced model for leadership development for trainees and early career health professionals: insights from a national survey of UK clinical scientists

BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000465
Author(s):  
Sharon Buckley ◽  
Megan Smith ◽  
Jaimini Patel ◽  
Sandie Gay ◽  
Ian Davison
Keyword(s):  
Leadership Development ◽  
Health Professionals ◽  
Learning By Doing ◽  
Early Career ◽  
Leadership Education ◽  
Clinical Expertise ◽  
Structured Interviews ◽  
Online Questionnaire ◽  
Clinical Leadership ◽  
The Uk

IntroductionThe importance of shared or distributed leadership in healthcare is recognised; however, trainees, early career professionals and others for whom the exercise of leadership is a recent development report being underprepared for leadership roles. Trainee clinical scientists exemplify such groups, being both early in their career and in a profession for which clinical leadership is less well established. Their insights can inform understanding of appropriate forms of leadership development for health professionals.MethodsWe explored perceptions of leadership and its development for trainee clinical scientists on the UK preregistration Scientist Training Programme through semi-structured interviews with trainees, training officers, academic educators and lead healthcare scientists; and through an online questionnaire based on the UK multiprofessional Clinical Leadership Competency Framework (CLCF). Responses were analysed statistically or thematically as appropriate.ResultsForty interviews were undertaken and 267 valid questionnaire responses received. Stakeholders recognised clinical expertise as integral to leadership; otherwise their perceptions aligned with CLCF domains and ‘shared leadership’ philosophy. They consider learning by ‘doing’ real tasks (leadership activities) key to competency acquisition, with leadership education (eg, observation and theory) complementing these. Workplace affordances, such as quality of departmental leadership, training officer engagement and degree of patient contact affect trainees’ ability to undertake leadership activities.ConclusionsFrom our research, we have developed an enhanced model for leadership development for trainee and early career clinical scientists that may have wider applicability to other health professions and groups not traditionally associated with clinical leadership. To foster their leadership, we argue that improving workplace affordances is more important than improving leadership education.

Asking the Hard Questions: Psychologists’ Discomfort With Inquiring About Sexual Abuse Histories

2021 ◽  
pp. 107780122110145
Author(s):  
Belinda Nixon ◽  
Elly Quinlan
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Mental Health Professionals ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Early Career ◽  
Evidence Based ◽  
Structured Interviews ◽  
Early Career Psychologists ◽  
University Training

The literature on sexual abuse indicates low rates of inquiry by mental health professionals. This study explores early career psychologists’ experiences of inquiry into their clients’ sexual abuse histories. Twelve Australian psychologists participated in semi-structured interviews with transcripts analyzed using thematic analysis. The vast majority of participants reported that they did not routinely inquire about sexual abuse with barriers including not knowing what to do, discomfort, stigma, and fear of negative outcomes. Participants asserted that their university training in sexual abuse inquiry was inadequate. Findings emphasize the need for the development of an evidence-based framework for sexual abuse training.

scholarly journals Student engagement with sustainability: understanding the value–action gap

2014 ◽  
Vol 15 (4) ◽  
pp. 404-417 ◽  
Author(s):  
Gareth Chaplin ◽  
Paul Wyton
Keyword(s):  
Design Methodology ◽  
Strong Association ◽  
Structured Interviews ◽  
Online Questionnaire ◽  
Sustainable Living ◽  
Content Type ◽  
Lack Of Information ◽  
Significant Barrier ◽  
The Uk ◽  
Insight Into

Purpose – The purpose of this paper is to present the findings of research that aimed to determine what university students living in Unite accommodation in the UK understand about the concept of sustainable living. It considers what barriers they perceive to be standing in the way of following sustainable living practices. In particular, the research aimed to explore any value–action gap for the student population with a view to informing future actions to help close any gap. Design/methodology/approach – The study was completed through an online questionnaire survey of students living in halls of residence operated by provider The Unite Group Plc. The survey informed semi-structured interviews and focus groups that explored the issues raised in greater detail. Findings – It was found that students living in Unite properties believed sustainable living to be important, yet levels of understanding were very low and there appeared to be a wide value–action gap. Reasons for this are varied; however, an unexpected theme emerged around the association of effort and importance. There was a very strong association between sustainable living and recycling, which, therefore, saw the lack of adequate recycling facilities as a significant barrier to sustainable living. There were also issues around a lack of information, cost and respondents’ flatmates as further barriers. However, the most significant barrier was the displacement of responsibility for sustainable living to other people or organisations. Originality/value – Gaining an insight into the complexity of attitude and behaviour of students with the sustainability agenda will enable understanding that can be applied to activities that promote sustainability.

scholarly journals International Approaches to Management of CFTR-Related Metabolic Syndrome/Cystic Fibrosis Screen Positive, Inconclusive Diagnosis

2022 ◽  
Vol 8 (1) ◽  
pp. 5
Author(s):  
Jane Chudleigh ◽  
Jürg Barben ◽  
Clement L. Ren ◽  
Kevin W. Southern
Keyword(s):  
Metabolic Syndrome ◽  
Cystic Fibrosis ◽  
Health Professionals ◽  
Online Survey ◽  
Transmembrane Conductance Regulator ◽  
Transmembrane Conductance ◽  
Online Questionnaire ◽  
The Us ◽  
The Uk ◽  
Cystic Fibrosis Transmembrane

The main aim of the present study was to explore health professionals’ reported experiences and approaches to managing children who receive a designation of cystic fibrosis transmembrane conductance regulator-related metabolic syndrome/cystic fibrosis screen positive inconclusive diagnosis following a positive NBS result for cystic fibrosis. An online questionnaire was distributed via Qualtrics Survey Software and circulated to a purposive, international sample of health professionals involved in managing children with this designation. In total, 101 clinicians completed the online survey: 39 from the US, six from Canada, and 56 from Europe (including the UK). Results indicated that while respondents reported minor deviations in practice, they were cognizant of recommendations in the updated guidance and for the most part, attempted to implement these into practice consistently internationally. Where variation was reported, the purpose of this appeared to be to enable clinicians to respond to either clinical assessments or parental anxiety in order to improve outcomes for the child and family. Further research is needed to determine if these findings are reflective of both a wider audience of clinicians and actual (rather than reported) practice.

Healthcare leadership development during a pandemic: do not stop, adapt

2022 ◽  
pp. 1-9
Author(s):  
Judy McKimm ◽  
David Johnstone ◽  
Chloe Mills ◽  
Mohammed Hassanien ◽  
Abdulmonem Al-Hayani
Keyword(s):  
Leadership Development ◽  
Real Life ◽  
Early Career ◽  
Self Awareness ◽  
Leadership Theories ◽  
Healthcare Leadership ◽  
Clinical Leadership ◽  
Clinical Exposure ◽  
Global Pandemic ◽  
Healthcare Crisis

Research carried out in 2016 by two of the authors of this article investigated the role that leadership ‘theory’ plays within an individual's leadership development and identified other components of clinical leadership programmes that are key to enabling the development of future leaders. While early career doctors identified leadership theories and concepts as important within their development as clinical leaders, these must be closely tied to real-life practices and coupled with activities that aim to develop an increased self-awareness, understanding of others, clinical exposure and leadership tools that they can use in practice. During a healthcare crisis, such as a global pandemic, maintaining a focus on leadership development (particularly for more junior clinicians) might not be seen as important, but leadership is needed to help people and organisations ‘get through’ a crisis as well as help develop leadership capacity for the longer term. This article, drawing from contemporary literature, the authors' own research and reflections, discusses how leadership development needs to continually adapt to meet new demands and sets out tips for those involved with clinical leadership development.

scholarly journals Implementing IFRSs in the UK devolved administrations

2016 ◽  
Vol 29 (2) ◽  
pp. 198-225 ◽  
Author(s):  
Anthony Wall ◽  
Ciaran Connolly
Keyword(s):  
Public Sector ◽  
Financial Reporting ◽  
Structured Interviews ◽  
Online Questionnaire ◽  
Content Type ◽  
Minimal Impact ◽  
Financial Reporting Standards ◽  
New Information ◽  
Privatisation Programme ◽  
The Uk

Purpose – Utilising concepts drawn from the governmentality literature, the purpose of this paper is to examine the adoption of International Financial Reporting Standards (IFRSs) in the UK’s devolved administrations of Northern Ireland, Scotland and Wales in order to assess why they were adopted and how their introduction has been governed. Design/methodology/approach – This research applies a combination of three different approaches, namely: a content analysis; an anonymous online questionnaire; and semi-structured interviews. Findings – These include: the transition has had minimal impact upon policy setting and the information produced to aid budgeting and decision making; IFRSs are not entirely appropriate for the public sector; the time, cost and effort involved outweighed the benefits; public sector accounting has become overly-complicated; and the transition is not perceived as part of a wider privatisation programme. Research limitations/implications – As this study focuses upon the three UK devolved administrations, the findings may not be applicable in a wider setting. Practical/implications – Public sector change must be adequately resourced, carefully planned, with appropriate systems, trained staff and interdisciplinary project teams; accounting change should be based on value for money; and a single, coherent financial regime for the way in which government uses budgets, presents estimates to Parliament and publishes its resource accounts should be implemented. Originality/value – This study highlights that accounting change is not just a technical issue and, while it can facilitate a more business-like environment and enhance accountability, all those affected by the changes may not have the requisite skills to fully utilise the (new) information available.

scholarly journals International Approaches to Management of CFTR-Related Metabolic Syndrome / Cystic Fibrosis Screen Positive, Inconclusive Diagnosis

2021 ◽  
Author(s):  
Jane Chudleigh ◽  
Jürg Barben ◽  
Clement L Ren ◽  
Kevin W Southern
Keyword(s):  
Metabolic Syndrome ◽  
Cystic Fibrosis ◽  
Health Professionals ◽  
Online Survey ◽  
Transmembrane Conductance Regulator ◽  
Transmembrane Conductance ◽  
Online Questionnaire ◽  
The Us ◽  
The Uk ◽  
Cystic Fibrosis Transmembrane

The main aim of the present study was to explore health professionals’ reported experiences and approaches to managing children who receive a designation of cystic fibrosis transmembrane conductance regulator-related metabolic syndrome/cystic fibrosis screen positive inconclusive diagnosis following a positive NBS result for cystic fibrosis. An online questionnaire was distributed via Qualtrics Survey Software and circulated to a purposive, international sample of health professionals involved in managing children with this designation. In total, 101 clinicians completed the online survey; 39 from the US, six from Canada and 56 from Europe (including the UK). Results indicated that while respondents reported minor deviations in practice, they were cognizant of recommendations in the updated guidance and for the most part, attempted to implement these into practice consistently internationally. Where variation was reported, the purpose of this appeared to be to enable clinicians to respond to either clinical assessments or parental anxiety in order to improve outcomes for the child and family. Further research is needed to determine if these findings are reflective of both a wider audience of clinicians and actual (rather than reported) practice.

A long and winding road: non-traditional routes into medical leadership

BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000528
Author(s):  
Steve Gulati ◽  
Christiane Shrimpton
Keyword(s):  
Leadership Development ◽  
Medical Profession ◽  
Leadership Education ◽  
Doctor Who ◽  
Development Activity ◽  
Leadership Practice ◽  
Clinical Leadership ◽  
Self Image ◽  
Personal Reflections ◽  
Medical Leadership

IntroductionClinicians enter the medical profession through a variety of routes. This paper explores how non-traditional routes into the medical profession can follow through into subsequent medical leadership practice, influencing issues of confidence, self-image and assumptions about leadership as a concept.MethodThe first-person reflections of a doctor who entered the profession and the National Health Service from the German system and with a non-standard background are considered. We then discuss how those involved in leadership education can use diversity as a developmental tool. The article starts and ends with personal reflections and observations from a Consultant Opthalmologist, interposed with insights from the pedagogy of leadership development by a University academic.ConclusionsWe conclude that medical leadership development can be enriched through recognising the value that non-traditional routes in clinical leadership can bring, and that educators can use the leverage of difference and diversity to create positive loops of development activity.

Building the confidence of first-time middle leaders in New Zealand primary schools

2018 ◽  
Vol 32 (5) ◽  
pp. 749-760
Author(s):  
Martin Bassett ◽  
Nicholas Shaw
Keyword(s):  
New Zealand ◽  
Leadership Development ◽  
Primary Schools ◽  
School Context ◽  
Early Career ◽  
Leadership Role ◽  
Structured Interviews ◽  
Content Type ◽  
First Time ◽  
Middle Leaders

Purpose Middle leaders play an important role in the education landscape, first and foremost as teachers, and second as leaders. The purpose of this paper is to identify the expectations and challenges experienced by first-time middle leaders in New Zealand primary schools, and identify the leadership development and support they were provided with. Design/methodology/approach This was a small qualitative study designed to collect data from the perspectives of first-time middle leaders and principals in New Zealand primary schools. Three methods were employed. Semi-structured interviews were conducted with six middle leaders who had been in the role for one to three years. These participants were identified through an analysis of recent public appointment records and then e-mailed with an invitation. Four principals from a local principals’ association were invited to comprise a focus group and relevant documents were analysed. Findings The findings from this study are presented in three sections: expectations, challenges and leadership development and support. Whilst the principals described wide and varied role expectations the middle leaders highlighted the importance of their teaching role with leadership responsibilities as secondary. From both perspectives time to do the administrative work was an overwhelming difficulty. A key finding was related to a lack of confidence to undertake the role in spite of efforts to provide and receive support. Overall, there was agreement that further development for new middle leaders was essential. Research limitations/implications This small, limited study highlights the central role that middle leaders play in leading learning and teaching, and the existence of a lack of confidence. Further research is needed to delve into conditions that would enable new middle leaders to manage the challenges of time and confidence. Practical implications The research recommends that practitioners who are new to a middle leadership role be allocated dedicated time for performing the administrative tasks and participating in an ongoing induction programme. The middle leaders themselves and their schools would benefit from efforts to strengthen middle leadership development. Originality/value Although a great deal has been written about middle leadership, there is only a small amount of research about primary schools. This research adds valuable new information in a primary school context and breaks new ground in researching early career, first-time middle leaders in this context.

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