Isibor Efosa, Kanmodi Kehinde, Adebayo Oladimeji, Olaopa Olusegun, Igbokwe Martin, Adufe Iyanu, Oduyemi Ibiyemi, Adeniyi Makinde Adebayo, Oiwoh Sebastine Oseghae, Omololu Ayanfe, Egbuchulem Ifeanyichukwu Kelvin, Kpuduwei Selekeowei Peter Kespi, Efuntoye Oluwafemi, Egwu Onuwabuchi, Ogunsuji Oluwaseyi, Grillo Elizabeth O, Rereloluwa Babalola
Irrua Specialist Teaching Hospital, Irrua 310112, Nigeria.
Kebbi Medical Centre, Kebbi 860223, Nigeria.
Eur J Investig Health Psychol Educ. 2020 Feb 14;10(1):441-454. doi: 10.3390/ejihpe10010033.
(1) Background: leadership behaviour is a poorly explored phenomenon among early-career doctors (ECDs). Good leadership is vital in maximising the effective management of patients in a clinical setting. While a good number of studies, though with small sample surveys, have researched the role of leadership in clinical setting quantitatively, qualitative investigations are yet to be done in Nigeria. This study aims to explore the attitudes, skills, and experience of ECDs in Nigeria on issues pertaining to leadership in a medical setting, using a mixed-method approach. (2) Methods: we conducted two sessions of key informant focus group discussion (FGD) that involved 14 ECD leaders in Nigeria, exploring their leadership experience in a clinical setting. Furthermore, we used a self-administered questionnaire to quantitatively survey 474 ECDs from seven Nigerian teaching hospitals to explore their attitudes, skills, and experience on issues pertaining to medical leadership. (3) Results: taking on leadership roles is a common phenomenon (52.7%) among the surveyed ECDs; however, the medical leadership position can be very challenging for ECDs in Nigeria. Despite the fact that many (91.1%) of the surveyed ECDs perceived leadership skills as essential skills needed by a doctr, many (44.1%) of them were yet to be formally trained on medical leadership. About three out of every 10 (23.6%) of surveyed ECDs that have ever held leadership positions in a medical setting experienced major leadership challenges while in such office due to their lack of training on leadership skills. Leadership skill acquisition programmes are highly recommended to become an integral part of medical training programmes in Nigeria. (4) Conclusion: there is a need for a structured leadership skill acquisition programme for ECDs in Nigeria. This programme will help in the robust delivery of highly effective healthcare services in Nigeria, as effective leadership is crucial to patient care services.
(1) 背景：领导行为在初出茅庐的医生（ECDs）中是一个研究较少的现象。良好的领导力对于在临床环境中最大限度地有效管理患者至关重要。虽然有大量研究（尽管样本调查规模较小）对领导力在临床环境中的作用进行了定量研究，但尼日利亚尚未进行定性调查。本研究旨在采用混合方法探讨尼日利亚初出茅庐的医生在医疗环境中与领导力相关问题上的态度、技能和经验。(2) 方法：我们进行了两轮关键信息提供者焦点小组讨论（FGD），涉及14位尼日利亚的初出茅庐的医生领导者，探讨他们在临床环境中的领导经验。此外，我们使用自填式问卷对来自尼日利亚七家教学医院的474位初出茅庐的医生进行了定量调查，以探讨他们在与医疗领导力相关问题上的态度、技能和经验。(3) 结果：在所调查的初出茅庐的医生中，担任领导角色是一种常见现象（52.7%）；然而，医疗领导职位对尼日利亚的初出茅庐的医生来说可能极具挑战性。尽管许多（91.1%）被调查的初出茅庐的医生认为领导技能是医生所需的基本技能，但其中许多人（44.1%）尚未接受过医疗领导力的正式培训。在曾经在医疗环境中担任过领导职位的被调查的初出茅庐的医生中，每10人中有约3人（23.6%）由于缺乏领导技能培训，在担任该职位时经历了重大的领导挑战。强烈建议领导力技能获取计划成为尼日利亚医疗培训计划的一个组成部分。(4) 结论：尼日利亚需要为初出茅庐的医生制定结构化的领导力技能获取计划。该计划将有助于在尼日利亚有力地提供高效的医疗服务，因为有效的领导力对患者护理服务至关重要。
