Nieuwboer Minke, Van der Sande Rob, Olde Rikkert Marcel, Van der Marck Marjolein, Perry Marieke
Department of Geriatric Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.
Academy Health and Vitality, HAN University of Applied Sciences, Nijmegen, The Netherlands.
Integr Healthc J. 2022 Sep 12;4(1):e000086. doi: 10.1136/ihj-2021-000086. eCollection 2022.
To explore how a clinical leadership training programme contributes to successful implementation of integrated dementia care in local primary care networks.
A qualitative design was used in local primary care networks in the Netherlands. Twenty-six primary care professionals, nurses (n=22), general practitioners (n=2) and occupational therapists (n=2) followed a 2-year practice-based educational programme including individual coaching and interactive group training. Embedded leadership training created opportunities for direct application of acquired leadership skills. Reports of coaching sessions and transcripts of semi-structured interviews with 20 leadership trainees, 8 network members and a focus group interview with 9 leadership trainees were thematically analysed.
They identified 50 learning goals, mostly associated with personal leadership competences. These professionals perceived some improvement in their leadership behaviour and preferred a duo-network leadership arrangement. Individual coaching sessions and group training sessions were perceived as fruitful support. Coaching sessions were found to facilitate learning processes regarding personal competencies, collaboration issues and role clarification. Group meetings were appreciated for exercises on transformational leadership behaviour and exchange of experiences. Network leaders and members observed improved quality of care and mentioned continuity of leadership, perseverance of leaders and a sufficient time period to bring about change as important facilitating factors.
Clinical leadership training to stimulate integrated primary care is promising as it was positively valued and contributed to improved perceived leadership competencies. Network leaders and members experienced improved quality of care when at least continuity in leadership was warranted.
探讨临床领导力培训项目如何有助于在当地初级保健网络中成功实施综合性痴呆症护理。
在荷兰的当地初级保健网络中采用了定性设计。26名初级保健专业人员，包括护士（n = 22）、全科医生（n = 2）和职业治疗师（n = 2）参加了一个为期两年的基于实践的教育项目，该项目包括个人辅导和互动小组培训。嵌入式领导力培训为直接应用所学领导技能创造了机会。对辅导课程报告以及与20名领导力培训学员、8名网络成员的半结构化访谈记录和与9名领导力培训学员的焦点小组访谈记录进行了主题分析。
他们确定了50个学习目标，大多与个人领导能力相关。这些专业人员认为他们的领导行为有了一些改进，并倾向于双网络领导安排。个人辅导课程和小组培训课程被认为是富有成效的支持。发现辅导课程有助于个人能力、协作问题和角色澄清方面的学习过程。小组会议因变革型领导行为练习和经验交流而受到赞赏。网络领导者和成员观察到护理质量有所提高，并提到领导的连续性、领导者的毅力以及有足够的时间来实现变革是重要的促进因素。
旨在促进综合初级保健的临床领导力培训很有前景，因为它得到了积极评价，并有助于提高感知到的领导能力。当至少保证领导的连续性时，网络领导者和成员体验到了护理质量的提高。
