Literature DB >> 25013095

Perspectives on clinical leadership: a qualitative study exploring the views of senior healthcare leaders in the UK.

Edward D Nicol1, Kay Mohanna2, Jenny Cowpe3.   

Abstract

INTRODUCTION: Clinicians are being asked to play a major role leading the NHS. While much is written on about clinical leadership, little research in the medical literature has examined perceptions of the term or mapped the perceived attributes required for success.
OBJECTIVE: To capture the views of senior UK healthcare leaders regarding their perception of the term `clinical leadership' and the cultural backdrop in which it is being espoused.
SETTING: UK Healthcare sector PARTICIPANTS: Senior UK Healthcare leaders
METHODS: Twenty senior healthcare leaders including a former Health Minister, NHS Executives, NHS Strategic Health Authority, PCT and Acute Trust chief executives and medical directors, Medical Deans and other key actors in the UK medical leadership arena were interviewed between 2010 and 2011 using a semi-structured interview technique. Using grounded theory, themes were identified and subsequently analysed in an attempt to answer the broad questions posed. MAIN OUTCOME MEASURES: Not applicable for a qualitative research project
RESULTS: A number of themes emerged from this qualitative study. First, there was evidence of changing attitudes among doctors, particularly trainees, towards becoming involved in clinical leadership. However, there was unease over the ambiguity of the term 'clinical leadership' and the implications for the future. There was, however, broad agreement as to the perceived attributes and skills required for success in healthcare leadership.
CONCLUSIONS: Clinical leadership is often perceived to be doctor centric and 'Healthcare Leadership' may be a more inclusive term. An understanding of the historical medico-political context of the leadership debate is required by all healthcare leaders to fully understand the challenges of changing healthcare culture. Whilst the broad attributes deemed essential for success as a healthcare leaders are not new, significant effort and investment, including a physical Healthcare Academy, are required to best utilise and harmonise the breadth of leadership talent in the NHS. © The Royal Society of Medicine.

Entities:  

Keywords:  clinical leadership; healthcare leadership; leadership

Year:  2014        PMID: 25013095      PMCID: PMC4093754          DOI: 10.1177/0141076814527274

Source DB:  PubMed          Journal:  J R Soc Med        ISSN: 0141-0768            Impact factor:   5.344


  6 in total

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Authors:  Oliver J Warren; Ruth Carnall
Journal:  Postgrad Med J       Date:  2010-10-10       Impact factor: 2.401

2.  Recognizing and defining clinical nurse leaders.

Authors:  David Stanley
Journal:  Br J Nurs       Date:  2006 Jan 26-Feb 8

3.  Proposed changes for nurse education in England (UK) as a result of the Darzi report (DoH, 2008a) Health Quality Care for All--NHS next stage review final report: some initial observations.

Authors:  Karen Holland
Journal:  Nurse Educ Pract       Date:  2008-09       Impact factor: 2.281

4.  Capitalising on leadership fellowships for clinicians in the NHS.

Authors:  Edward D Nicol
Journal:  Clin Med (Lond)       Date:  2011-04       Impact factor: 2.659

5.  A critical account of the rise and spread of 'leadership': the case of U.K. healthcare.

Authors:  Graham P Martin; Mark Learmonth
Journal:  Soc Sci Med       Date:  2010-12-15       Impact factor: 4.634

6.  Leadership development for clinicians: what are we trying to achieve?

Authors:  Judy McKimm; Tim Swanwick
Journal:  Clin Teach       Date:  2011-09
  6 in total
  2 in total

1.  Exploring the Concept of Leadership from the Perspective of Physical Therapists in the United States.

Authors:  Jennifer Green-Wilson; Diane Clark; Barbara Tschoepe; Stacey L Zeigler; Chris A Sebelski
Journal:  Physiother Can       Date:  2021-06-11       Impact factor: 1.037

Review 2.  Medical leadership: boon or barrier to organisational performance? A thematic synthesis of the literature.

Authors:  Mairi Savage; Carl Savage; Mats Brommels; Pamela Mazzocato
Journal:  BMJ Open       Date:  2020-07-21       Impact factor: 2.692

  2 in total

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