School of Medicine, University College Dublin, Dublin, Ireland.
National Rehabilitation Hospital, Dublin, Ireland.
J Health Organ Manag. 2024 Aug 19;38(9):297-312. doi: 10.1108/JHOM-04-2023-0104.
The aim of this study was to explore and understand the leadership experiences of medical consultants prior to a major hospital move. Health and care is becoming increasingly complex and there is no greater challenge than the move to a new hospital. Effective leadership has been identified as being essential for successful transition. However, there is very little evidence of how medical consultants experience effective leadership.
DESIGN/METHODOLOGY/APPROACH: A qualitative methodology was utilized with one-to-one semi-structured interviews conducted with ten medical consultants. These were transcribed verbatim and analyzed using inductive thematic analysis. The research complied with the consolidated criteria for reporting qualitative research (COREQ).
Four themes were found to influence medical consultants' experience of leadership: collaboration, patient centredness, governance and knowledge mobilization. Various factors were identified that negatively influenced their leadership effectiveness. The findings suggest that there are a number of factors that influence complexity leadership effectiveness. Addressing these areas may enhance leadership effectiveness and the experience of leadership in medical consultants.
RESEARCH LIMITATIONS/IMPLICATIONS: This study provides a rich exploration of medical consultants' experience of collective leadership prior to a transition to a new hospital and provides new understandings of the way collective leadership is experienced in the lead up to a major transition and makes recommendations for future leadership research and practice.
The findings suggest that there are a number of factors that influence complexity leadership effectiveness. Addressing these areas may enhance leadership effectiveness and the experience of leadership in medical consultants.
Clinical leadership is associated with better outcomes for patients therefore any interventions that enhance leadership capability will improve outcomes for patients and therefore benefit society.
ORIGINALITY/VALUE: This is the first research to explore medical consultants' experience of collective leadership prior to a transition to a new hospital.
本研究旨在探讨和了解医学顾问在医院重大搬迁前的领导经验。医疗保健变得越来越复杂，没有比搬迁到新医院更大的挑战了。人们已经认识到有效的领导对于成功过渡至关重要。然而，几乎没有证据表明医学顾问是如何体验到有效的领导的。
设计/方法/方法：采用定性方法，对 10 名医学顾问进行一对一的半结构化访谈。这些访谈被逐字转录，并使用归纳主题分析进行分析。该研究符合定性研究报告的统一标准（COREQ）。
发现四个主题会影响医学顾问的领导经验：协作、以患者为中心、治理和知识调动。确定了一些对他们领导效能产生负面影响的因素。研究结果表明，有许多因素会影响复杂性领导的有效性。解决这些问题可能会提高领导效能和医学顾问的领导体验。
研究局限性/影响：本研究深入探讨了医学顾问在向新医院过渡前的集体领导经验，并提供了对集体领导在重大过渡前的体验方式的新理解，并为未来的领导研究和实践提出了建议。
研究结果表明，有许多因素会影响复杂性领导的有效性。解决这些问题可能会提高领导效能和医学顾问的领导体验。
临床领导与患者的更好结果相关，因此任何增强领导能力的干预措施都将改善患者的结果，从而使社会受益。
原创性/价值：这是第一项研究，探讨了医学顾问在向新医院过渡前的集体领导经验。
