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1 – 5 of 5Tony Smith, Sally Fowler-Davis, Susan Nancarrow, Steven Mark Brian Ariss and Pam Enderby
The purpose of this study is to review evidence on the nature of effective leadership in interprofessional health and social care teams.
Abstract
Purpose
The purpose of this study is to review evidence on the nature of effective leadership in interprofessional health and social care teams.
Design/methodology/approach
A critical review and thematic synthesis of research literature conducted using systematic methods to identify and construct a framework to explain the available evidence about leadership in interprofessional health and social care teams.
Findings
Twenty-eight papers were reviewed and contributed to the framework for interprofessional leadership. Twelve themes emerged from the literature, the themes were: facilitate shared leadership; transformation and change; personal qualities; goal alignment; creativity and innovation; communication; team-building; leadership clarity; direction setting; external liaison; skill mix and diversity; clinical and contextual expertise. The discussion includes some comparative analysis with theories and themes in team management and team leadership.
Originality/value
This research identifies some of the characteristics of effective leadership of interprofessional health and social care teams. By capturing and synthesising the literature, it is clear that effective interprofessional health and social care team leadership requires a unique blend of knowledge and skills that support innovation and improvement. Further research is required to deepen the understanding of the degree to which team leadership results in better outcomes for both patients and teams.
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Stavroula Kalaitzi, Katarzyna Czabanowska, Sally Fowler-Davis and Helmut Brand
The purpose of this paper is to map the barriers to women leadership across healthcare, academia and business, and identify barriers prevalence across sectors. A barriers thematic…
Abstract
Purpose
The purpose of this paper is to map the barriers to women leadership across healthcare, academia and business, and identify barriers prevalence across sectors. A barriers thematic map, with quantitative logic, and a prevalence chart have been developed, with the aim to uncover inequalities and provide orientation to develop inclusion and equal opportunity strategies within different work environments.
Design/methodology/approach
A systematic literature review method was adopted across five electronic databases. Rigorous inclusion/exclusion criteria were applied to select relevant publications, followed by critical appraisal of the eligible articles. The geographical target was Europe, with a publication time range spanning the period from 2000 to 2015. Certain specialized international studies were also examined. The key themes were identified using summative content analysis and the findings were analyzed using qualitative meta-summary method to formulate hypotheses for subsequent research.
Findings
In total, 26 barriers were identified across the aforementioned sectors. A high degree of barriers commonalities was identified, with some striking differences between the prevalence of barriers across sectors.
Research limitations/implications
The results of this study may need further validation using statistical methodology given the knowledge base gaps regarding the range of barriers and the differences in their prevalence. Bias and interpretation in reporting anchored in different theoretical frameworks ought to be further examined. Additional variables such as ambiguously stated barriers, sector overlap, women’s own choices, cultural and educational background and analysis in the context of the economic crisis, ensuing austerity and migratory pressure, are also worth exploring.
Practical implications
Women’s notable and persisting underrepresentation in top leading positions across sectors reflects a critical drawback in terms of organizational and societal progress particularly regarding inclusion and balanced decision making. Practice-related blind spots may need to be further examined and addressed through specific policies.
Originality/value
The comparative nature of barriers to women leadership across three sectors allows the reader to contrast the differences in gender inequalities and to comprehend inclusion challenges in healthcare, academia and business. The authors draw attention to varying degrees of barriers prevalence that have been understudied and deserve to be further explored. This gap in knowledge extends to policy, thus, highlighting the need to address the gender equality and inclusion challenges in a context-specific manner across work environments.
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The aim of this paper is to examine an early articulation of some of the key factors in building capacity and the potential for knowledge exchange (KE) within a small, learning…
Abstract
Purpose
The aim of this paper is to examine an early articulation of some of the key factors in building capacity and the potential for knowledge exchange (KE) within a small, learning and teaching‐oriented organization.
Design/methodology/approach
An action research study is planned as a practical enquiry. In common with other action research, this study is being carried out in a single organization and is aiming to devise and plan changes in practice.
Findings
A reorganization of the institution in line with policy is critical to ensure that the university insulates itself from the significant risk of knowledge isolation, The context, a relatively static workforce, a learning and teaching focus and the size of an organization may effect its ability to be responsive and knowledge productive in KE.
Research limitations/implications
Early insights relate to a reorganization of systems to support KE and the context in which that change will take place. The paper seeks to propose a way to research organizational change in a university in the face of new policy and strategic drivers.
Practical implications
A critical understanding of policy promoting KE is a sound underpinning to practice and strategic improvement in the area. The purpose and values underpinning enterprise initiatives can legitimate a university to reclaiming a pivotal social and commercial role in regional regeneration.
Originality/value
KE supported by a small university requires “strategic capability”, as proposed by Harrison and Kessells. A workforce competent to deliver on three critical factors within the organization; economic performance, knowledge productivity and learning capability.
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John Adie, Wayne Graham, Kerron Bromfield, Bianca Maiden, Sam Klaer and Marianne Wallis
This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland.
Abstract
Purpose
This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland.
Design/methodology/approach
This retrospective chart audit describes patient demographic characteristics, types of presentations and management for Sundays in 2015.
Findings
The majority of patients (97%) did not require admission to hospital or office investigations (95%) and presented with one condition (94%). Of the presentations, 66.5% were represented by 30 conditions. Most patients received a prescription (57%), some were referred to the pathology laboratory (15%) and some were referred to radiology (12%). A majority (54%) of patients presented in the first three hours. Approximately half (51%) of patients presenting were aged under 25. More females (53%) presented than males. A majority (53%) lived in the same postcode as the clinic. The three most common office tests ordered were urinalysis, electrocardiogram (ECG) and urine pregnancy test. Some patients (19%) needed procedures, and only 3% were referred to hospital.
Research limitations/implications
The study offers analysis of the client group that can be served by an urgent care clinic in a GP super clinic on a Sunday. The study provides an option for emergency department avoidance.
Originality/value
Despite calls for more research into community-based urgent care clinics, little is known in Australia about what constitutes an urgent care clinic. The study proposes a classification system for walk-in presentations to an urgent care clinic, which is comparable to emergency department presentations.
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