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培养母婴健康领域的合作型领导者:对国家母婴健康劳动力发展中心的描述性研究

Developing Collaborative Maternal and Child Health Leaders: A Descriptive Study of the National Maternal and Child Health Workforce Development Center.

作者信息

Clarke Alina Nadira, Cilenti Dorothy

机构信息

The National MCH Workforce Development Center, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.

Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.

出版信息

Matern Child Health J. 2018 Jan;22(1):17-23. doi: 10.1007/s10995-017-2399-4.

Abstract

Purpose An assessment of the National Maternal and Child Health Workforce Development Center (the Center) was conducted to describe (1) effects of the Center's training on the use of collaborative leadership practices by MCH leaders, and (2) perceived barriers to collaboration for MCH leaders. The Center provides services to strengthen MCH professionals' skills in three core areas: Change Management/Adaptive Leadership, Evidence-Based Decision Making, and Systems Integration. Description This descriptive qualitative study compares eight interview responses from a sample of the Center's participants and findings from a document review of the training curriculum against an existing framework of collaborative leadership themes. Assessment Systems thinking tools and related training were highly referenced, and the interviewees often related process-based leadership practices with their applied learning health transformation projects. Perceived barriers to sustaining collaborative work included: (1) a tendency for state agencies to have siloed priorities, (2) difficulty achieving a consensus to move a project forward without individual partners disengaging, (3) strained organizational partnerships when the individual representative leaves that partnering organization, and (4) difficulty in sustaining project-based partnerships past the short term. Conclusion The findings in this study suggest that investments in leadership development training for MCH professionals, such as the Center, can provide opportunities for participants to utilize collaborative leadership practices.

摘要

目的

对国家妇幼卫生人力发展中心(以下简称“该中心”)进行评估,以描述(1)该中心的培训对妇幼卫生领域领导者运用协作式领导实践的影响,以及(2)妇幼卫生领域领导者在协作方面所感知到的障碍。该中心提供服务,以加强妇幼卫生专业人员在三个核心领域的技能:变革管理/适应性领导、循证决策和系统整合。

描述

这项描述性定性研究将该中心参与者样本中的八份访谈回复,以及对培训课程文档审查的结果,与现有的协作式领导主题框架进行了比较。

评估

系统思维工具及相关培训被高度提及,受访者经常将基于过程的领导实践与他们应用于健康转型项目的学习联系起来。协作工作持续存在的感知障碍包括:(1)州机构倾向于有各自为政的优先事项;(2)在没有个别合作伙伴退出的情况下,难以达成推进项目的共识;(3)当个别代表离开合作组织时,组织间的伙伴关系紧张;(4)难以在短期内维持基于项目的伙伴关系。

结论

本研究结果表明,对妇幼卫生专业人员进行领导力发展培训的投资,如该中心所提供的培训,可为参与者提供运用协作式领导实践的机会。

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