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如何促进英国国家医疗服务体系专业人员在返回英国劳动力队伍时识别和利用从全球卫生参与中获得的技能?一个参与式行动研究项目,旨在设计、试点和评估一系列在线领导力研讨会。

How to facilitate NHS professionals to recognise and use skills gained from global health engagement when back in the UK workforce? A participatory action research project to design, pilot and evaluate a series of online leadership workshops.

机构信息

Peninsula Medical School, University of Plymouth, Plymouth, UK.

Peninsula Medical School, University of Plymouth, Plymouth, UK

出版信息

BMJ Open. 2024 Mar 15;14(3):e079160. doi: 10.1136/bmjopen-2023-079160.

DOI:10.1136/bmjopen-2023-079160
PMID:38490658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10946370/
Abstract

OBJECTIVES

Leadership knowledge and skills are known to be developed by health professionals during global health experiences overseas. However, volunteers struggle to recognise and use these new skills on return to their workplace. A series of bespoke leadership workshops were designed, delivered and evaluated by leadership experts to help enhance the transferability of leadership skills back to the UK National Health Service.

DESIGN

A mixed-methods participatory action research methodology was employed to explore the impact of the workshops. This approach lends itself to a complex, situated project involving multiple partners. Quantitative and qualitative descriptive data were collected via online survey (n=29 participants) and focus groups (n=18 focus groups) and thematically analysed.

SETTING

The authors delivered the tailored leadership workshops online to globally engaged National Health Service (NHS) healthcare professionals based in England who had all worked overseas within the past 5 years.

PARTICIPANTS

29 participants attended: 11 medical doctors; 6 nurses/midwives; 10 allied health professionals; 1 NHS manager and 1 student nurse (who was also working as a healthcare assistant).

RESULTS

Participants were able to network both during the large group discussions and while in smaller breakout groups. Data highlighted the substantial benefits obtained from this networking, with 91% of participants reporting it enriched their learning experience, particularly within a multi-disciplinary context, and by having the time and space for facilitated reflection on leadership. Furthermore, 78% agreed that they learned new skills for influencing change their position and 76% reported they could maximise the impact of this change for themselves their employer. Participants also reported the development of systems and ethical leadership knowledge that they felt they could transfer to their NHS roles.

CONCLUSIONS

This study extends explorations of global health experiences by moving beyond the skills gained while working in low-income and middle-income countries. The innovative online leadership workshops gave agency to individuals to recognise and use the skills gained from global health placements on return to the NHS.

摘要

目的

众所周知,卫生专业人员通过海外全球卫生体验来发展领导知识和技能。然而,志愿者在返回工作场所时难以识别和使用这些新技能。一系列定制的领导力研讨会由领导力专家设计、提供和评估,以帮助提高领导力技能向英国国民保健系统(NHS)的可转移性。

设计

采用混合方法参与式行动研究方法来探索研讨会的影响。这种方法适用于涉及多个合作伙伴的复杂、特定环境的项目。通过在线调查(n=29 名参与者)和焦点小组(n=18 个焦点小组)收集定量和定性描述性数据,并进行主题分析。

设置

作者在线向在英格兰工作的具有全球参与经验的、过去 5 年内曾在海外工作过的英国国民保健服务(NHS)医疗保健专业人员提供定制的领导力研讨会。

参与者

29 名参与者参加了研讨会:11 名医生;6 名护士/助产士;10 名联合保健专业人员;1 名 NHS 经理和 1 名实习护士(同时担任医疗保健助理)。

结果

参与者在大型小组讨论和小型分组讨论中都能够建立联系。数据突出了这种联系带来的巨大好处,91%的参与者报告说这丰富了他们的学习体验,特别是在多学科背景下,并为领导力提供了促进反思的时间和空间。此外,78%的参与者同意他们学习了影响变革的新技能——在他们的职位上,76%的参与者报告说他们能够为自己——他们的雇主——最大限度地发挥这种变革的影响。参与者还报告说发展了系统和道德领导力知识,他们认为这些知识可以转移到他们在 NHS 的角色中。

结论

本研究通过超越在低收入和中等收入国家工作时获得的技能,扩展了对全球卫生体验的探索。创新的在线领导力研讨会赋予个人权力,使其能够识别和使用从全球卫生安置返回 NHS 时获得的技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c9/10946370/d3a34fd32d49/bmjopen-2023-079160f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c9/10946370/69a0a8b705a4/bmjopen-2023-079160f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c9/10946370/e2a868702737/bmjopen-2023-079160f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c9/10946370/d3a34fd32d49/bmjopen-2023-079160f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c9/10946370/69a0a8b705a4/bmjopen-2023-079160f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c9/10946370/e2a868702737/bmjopen-2023-079160f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08c9/10946370/d3a34fd32d49/bmjopen-2023-079160f03.jpg

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