Centre for Clinical Governance Research, Australian Institute of Health Innovation, University of New South Wales, Level 1, AGSM Building, Kensington, Australia.
Implement Sci. 2013 Oct 11;8:122. doi: 10.1186/1748-5908-8-122.
Leadership behaviour in complex networks is under-researched, and little has been written concerning leadership of translational research networks (TRNs) that take discoveries made 'at the bench' and translate them into practices used 'at the bedside.' Understanding leaders' opportunities and behaviours within TRNs working to solve this key problem in implementing evidence into clinical practice is therefore important. This study explored the network position of governing body members and perceptions of their role in a new TRN in Sydney, Australia. The paper asks three questions: Firstly, do the formal, mandated leaders of this TRN hold key positions of centrality or brokerage in the informal social network of collaborative ties? Secondly, if so, do they recognise the leadership opportunities that their network positions afford them? Thirdly, what activities associated with these key roles do they believe will maximise the TRN's success?
Semi-structured interviews of all 14 governing body members conducted in early 2012 explored perceptions of their roles and sought comments on a list of activities drawn from review of successful transdisciplinary collaboratives combined with central and brokerage roles. An on-line, whole network survey of all 68 TRN members sought to understand and map existing collaborative connections. Leaders' positions in the network were assessed using UCInet, and graphs were generated in NetDraw.
Social network analysis identified that governing body members had high centrality and high brokerage potential in the informal network of work-related ties. Interviews showed perceived challenges including 'silos' and the mismatch between academic and clinical goals of research. Governing body members recognised their central positions, which would facilitate the leadership roles of leading, making decisions, and providing expert advice necessary for the co-ordination of effort and relevant input across domains. Brokerage potential was recognised in their clearly understood role of representing a specialty, campus or research group on the governing body to provide strategic linkages. Facilitation, mentoring and resolving conflicts within more localised project teams were spoken of as something 'we do all the time anyway,' as well as something they would do if called upon. These leadership roles are all linked with successful collaborative endeavours in other fields.
This paper links the empirical findings of the social network analysis with the qualitative findings of the interviews to show that the leaders' perceptions of their roles accord with both the potential inherent in their network positions as well as actual activities known to increase the success of transdisciplinary teams. Understanding this is key to successful TRNs.
复杂网络中的领导行为研究不足,关于将“在实验室发现”转化为“在临床应用”的转化研究网络(TRN)的领导作用,相关研究也很少。因此,了解领导者在努力解决将证据应用于临床实践这一关键问题的 TRN 中的机会和行为非常重要。本研究探讨了澳大利亚悉尼一个新的 TRN 中治理机构成员的网络地位以及他们对自身角色的看法。本文提出了三个问题:首先,这个 TRN 的正式、指定的领导者是否在协作关系的非正式社交网络中处于中心或中介的关键位置?其次,如果是这样,他们是否认识到自己的网络地位所带来的领导机会?第三,他们认为哪些与这些关键角色相关的活动将最大限度地提高 TRN 的成功?
2012 年初,对所有 14 名治理机构成员进行了半结构化访谈,探讨了他们对自身角色的看法,并就从成功的跨学科合作回顾中提取的一系列活动征求了意见,这些活动结合了中心和中介角色。对所有 68 名 TRN 成员进行了在线全网络调查,以了解和绘制现有的协作关系图。使用 UCInet 评估领导者在网络中的地位,并在 NetDraw 中生成图形。
社会网络分析表明,治理机构成员在与工作相关的关系的非正式网络中具有较高的中心度和较高的中介潜力。访谈显示,存在一些挑战,包括“筒仓”和学术与临床研究目标之间的不匹配。治理机构成员认识到自己的核心地位,这将有助于他们发挥领导、决策和提供专家建议等领导角色,以协调跨领域的努力和相关投入。他们还认识到自己在治理机构中代表一个专业、校园或研究小组的中介潜力,以提供战略联系。在更本地化的项目团队内部,促进、指导和解决冲突被认为是“我们一直在做的事情”,如果需要,他们也会这样做。这些领导角色都与其他领域成功的协作努力有关。
本文将社会网络分析的实证发现与访谈的定性发现联系起来,表明领导者对自身角色的看法既符合其网络地位所固有的潜力,也符合增加跨学科团队成功的实际活动。了解这一点是成功建立 TRN 的关键。