Cruz-Oliver Dulce M, Bernacki Rachelle, Cooper Zara, Grudzen Corita, Izumi Seiko, Lafond Deborah, Lam Daniel, LeBlanc Thomas W, Tjia Jennifer, Walter Jennifer
1 Division of Geriatrics Medicine, Saint Louis University , St. Louis, Missouri.
2 Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute , Boston, Massachusetts.
J Palliat Med. 2017 Aug;20(8):804-812. doi: 10.1089/jpm.2017.0182. Epub 2017 May 19.
There is a pressing workforce shortage and leadership scarcity in palliative care to adequately meet the demands of individuals with serious illness and their families. To address this gap, the Cambia Health Foundation launched its Sojourns Scholars Leadership Program in 2014, an initiative designed to identify, cultivate, and advance the next generation of palliative care leaders. This report intends to summarize the second cohort of Sojourns Scholars' projects and their reflection on their leadership needs.
This report summarizes the second cohort of sojourns scholars' project and their reflection on leadership needs.
After providing a written reflection on their own projects, the second cohort participated in a group interview (fireside chat) to elicit their perspectives on barriers and facilitators in providing palliative care, issues facing leadership in palliative care in the United States, and lessons from personal and professional growth as leaders in palliative care. They analyzed the transcript of the group interview using qualitative content analysis methodology.
Three themes emerged from descriptions of the scholars' project experience: challenges in palliative care practice, leadership strategies in palliative care, and three lessons learned to be a leader were identified. Challenges included perceptions of palliative care, payment and policy, and workforce development. Educating and collaborating with other clinicians and influencing policy change are important strategies used to advance palliative care. Time management, leading team effort, and inspiring others are important skills that promote effectiveness as a leader.
Emerging leaders have a unique view of conceptualizing contemporary palliative care and shaping the future.
Providing comprehensive, coordinated care that is high quality, patient and family centered, and readily available depends on strong leadership in palliative care. The Cambia Scholars Program represents a unique opportunity.
姑息治疗领域存在紧迫的劳动力短缺和领导力匮乏问题,难以充分满足重症患者及其家庭的需求。为填补这一差距,坎比亚健康基金会于2014年启动了其“旅居学者领导力项目”,该倡议旨在识别、培养和提升下一代姑息治疗领导者。本报告旨在总结第二批旅居学者的项目及其对领导力需求的反思。
本报告总结第二批旅居学者的项目及其对领导力需求的反思。
在对自己的项目进行书面反思后,第二批学者参加了一次小组访谈(炉边谈话),以了解他们对提供姑息治疗的障碍和促进因素、美国姑息治疗领导力面临的问题以及作为姑息治疗领导者在个人和职业成长方面的经验教训的看法。他们使用定性内容分析方法分析了小组访谈的文字记录。
从学者们的项目经历描述中出现了三个主题:姑息治疗实践中的挑战、姑息治疗中的领导策略以及作为领导者学到的三个经验教训。挑战包括对姑息治疗的认知、支付和政策以及劳动力发展。与其他临床医生进行教育和合作以及影响政策变化是推进姑息治疗的重要策略。时间管理、引领团队努力和激励他人是提高领导者效能的重要技能。
新兴领导者对当代姑息治疗的概念化和塑造未来有着独特的见解。
提供全面、协调、高质量、以患者和家庭为中心且易于获得的护理取决于姑息治疗领域强大的领导力。坎比亚学者项目是一个独特的机会。