Department of Management Science and Entrepreneurship, Moi University, Eldoret, Kenya.
Deparment of Mental Health and Behavioural Sciences, Moi University, Eldoret, Kenya.
PLoS One. 2024 May 31;19(5):e0302066. doi: 10.1371/journal.pone.0302066. eCollection 2024.
Clinical leaders in health systems play critical roles in making decisions that impact patient care and health system performance. Current literature has focused on the importance of clinical leaders' roles in healthcare settings and has not addressed the leadership aspect that clinical leaders engage in day-to-day decision-making in HIV facilities while providing HIV patient care. Therefore, identifying the leadership roles that wclinical leaders perform at HIV primary facilities is of critical importance.
The study explored the views of healthcare providers working in AMPATH-MTRH HIV facility on what they perceived as the roles of clinical leaders at the HIV primary care facility.
We conducted a qualitative exploratory study between December 2019 to May 2020, involving in-depth interviews with (n = 22) healthcare providers working in AMPATH-MTRH HIV facility, who were purposively and conveniently sampled to participate in in-depth interviews to explore perceptions regarding the leadership roles of clinical leaders. The collected data were analyzed thematically and Nvivo vs.12 software was used for data management.
The following themes were identified from the analysis regarding perceived clinical leaders' roles in an HIV primary care facility: 1) Strategic roles: providing direction and guidance, ensuring goals and objectives of the department are achieved within the set timelines, planning, and budgeting for adequate resources to support patient HIV care 2) Interconnecting health systems levels and supervisory oversight roles: a link between management, staff, and patients, solving problems, organizing and attending departmental meetings, facilitate staff training, accountable, collaborating with other departments and leaders, defines and assigns responsibilities, ensure quality patient service, coordination, and management of daily activities 3) Research roles: data collation, analysis, generation, review and reporting to the management.
Clinical leaders in the HIV care system perform leadership roles that are characterized by strategic, middle-level, supervisorial and research which reflects the model of the leadership and management style of the HIV care system. The understanding of these roles contributes valuable insights to HIV leaders and managers to recognize the important contribution of clinical leaders and consider reviewing Standard Operating Procedures to include these leadership roles and strengthen their capacity to maximize clinicians' contribution to improve HIV care and enhance responsive health systems.
医疗系统中的临床领导者在做出影响患者护理和医疗系统绩效的决策方面发挥着关键作用。现有文献侧重于临床领导者在医疗保健环境中的角色重要性，而没有解决临床领导者在提供 HIV 患者护理的同时，日常决策中的领导方面。因此，确定临床领导者在 HIV 初级保健机构中所扮演的领导角色至关重要。
本研究探讨了在 AMPATH-MTRH HIV 机构工作的医疗保健提供者对他们认为在 HIV 初级保健机构中临床领导者角色的看法。
我们于 2019 年 12 月至 2020 年 5 月期间进行了一项定性探索性研究，对 AMPATH-MTRH HIV 机构的 22 名医疗保健提供者进行了深入访谈，他们是根据目的和方便抽样的原则选择参加深入访谈，以探讨他们对临床领导者领导角色的看法。收集的数据进行了主题分析，并使用 Nvivo vs.12 软件进行数据管理。
在对 HIV 初级保健机构中临床领导者的感知角色进行分析后，确定了以下主题：1）战略角色：提供方向和指导，确保部门的目标和目标在设定的时间内实现，规划和预算充足的资源以支持患者的 HIV 护理；2）连接卫生系统各级和监督监督角色：管理、员工和患者之间的联系，解决问题，组织和参加部门会议，促进员工培训，负责，与其他部门和领导合作，定义和分配责任，确保提供优质的患者服务，协调和管理日常活动；3）研究角色：数据收集、分析、生成、审查和向管理层报告。
HIV 护理系统中的临床领导者发挥的领导角色具有战略性、中层、监督和研究性，反映了 HIV 护理系统的领导和管理风格模式。对这些角色的理解为 HIV 领导者和管理人员提供了有价值的见解，使他们认识到临床领导者的重要贡献，并考虑审查标准操作程序，以包括这些领导角色，并加强他们的能力，最大限度地发挥临床医生的贡献，以改善 HIV 护理并加强对响应性卫生系统的支持。
