Oral Presentations - Late-Breaking Proffered Abstracts最新文献

{"title":"O-11 Future-proofing the palliative care clinical nurse specialist workforce","authors":"Sue Griffith, Alison Gray","doi":"10.1136/spcare-2023-hunc.11","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.11","url":null,"abstract":"<h3>Background</h3> The shortfall in health care professionals at all levels has been accentuated in the specialist palliative care workforce recently (Buchanan &amp; Campbell. BMJ. 2013; 347:f6201). Internationally, this is described as reaching a ‘crisis’ (Mahase. BMJ. 2023; 380: 713), whilst simultaneously, the population needing palliative care is increasing (Sleeman, de Brito, Etkind, et al. Lancet Glob Health. 2019; 7:e883–92). Retirement of Clinical Nurse Specialists (CNSs) led to unfilled vacancies in our specialist team, which could not be filled locally with experienced CNSs. <h3>Aim</h3> To employ fully competent CNSs to work in the CNS team in the first instance, whilst training new CNSs to fill the gap in the long-term. <h3>Methods</h3> With more people working remotely through the COVID-19 pandemic, successfully supporting patients, it was decided to create several Virtual CNS (VCNS) roles. Appointing experienced CNSs from across the UK and Europe, to work remotely, triaging, taking and making calls and offering virtual CNS visits through technology, addressed this gap. Alongside this, a trainee programme was devised to train and offer progression for less experienced nurses wanting to advance their careers in palliative care. Four very experienced VCNSs, and five TCNSs were successfully recruited into the team. Whilst the TCNSs undertook a two-year training programme, the VCNSs filled the immediate workforce gap. <h3>Results</h3> The hospice experienced a 50% increase in referrals over the last eighteen months. The VCNSs and TCNSs augment the existing team, allowed the hospice to cope with the increased need to triage these referrals and manage a subsequent 25% increase in caseloads. The training of CNSs, alongside the augmentation to the experienced team, means that this increased capacity is set to continue and will help address the predicted increase in future numbers of local people requiring hospice care. <h3>Conclusion</h3> Although the problem of an ageing workforce remains, we have found a solution which allows us to address the immediate problem and simultaneously created a career pathway for less experienced nurses.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"59 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-23 Patterns of acute hospital and specialist palliative care use among people with non-curative upper gastrointestinal cancer","authors":"Elaine Boland, Khek Tjian Tay, Fliss EM Murtagh","doi":"10.1136/spcare-2023-hunc.23","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.23","url":null,"abstract":"<h3>Background and aim</h3> Upper gastrointestinal (GI) cancers contribute to 16.7% of UK cancer deaths. These patients make high use of acute hospital services. The aim of this study is to determine the patterns of use of acute hospital and hospital palliative care services in patients with advanced upper GI cancer. <h3>Methods</h3> We conducted a secondary analysis of routinely-collected hospital data (2019–2022) for all patients with non-curative upper GI cancer in Hull University Teaching Hospitals NHS Trust. We captured all subsequent hospital admissions within the time period (except out-of-area acute hospital use). <h3>Results</h3> The total number with non-curative upper GI cancer was 960 (see table 1). 832 (86.7%) had at least one hospital admission over 4-years, with 1,239 admissions in total. 635/1239 (51.3%) admissions were unplanned via emergency department (ED), 283/1239 (22.9%) were unplanned not via ED, and 320/1239 (25.8%) were elective. Length of stay (LOS) varied by admission route; unplanned via ED, LOS = median 10 days (range 0–73); unplanned not via ED, LOS = median 10 days (range 0–48); elective, LOS = median 4 days (range 0–71). Among the 832 patients admitted at least once, we examined patterns of hospital re-admission in relation to hospital specialist palliative care (HSPC) referral, with: For the whole 4 years: 120 re-admissions among 229 patients referred to HSPC (rate 0.52 readmissions/patient/4 years) versus 884 re-admissions among 603 patients not referred to HSPC (rate 1.47 readmissions/patient/4 years). For last-year-of-life only: 38 re-admissions among 61 patients referred to HSPC (rate 0.62 readmissions/patient/year) versus 293 re-admissions among 170 patients not referred to HSPC (rate 1.72 readmissions/patient/year). <h3>Discussion</h3> Patients referred to hospital specialist palliative care were notably less likely to be re-admitted, although may be closer to death and/or have more complex needs (not adjusted for in this analysis). Nevertheless, this evidence supports early and more frequent referral to hospital specialist palliative care.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-19 Embedding the United Nations convention for the rights of the child into a palliative care setting","authors":"Emma Aspinall, Susan Hayward, Sarah Jasper","doi":"10.1136/spcare-2023-hunc.19","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.19","url":null,"abstract":"<h3>Background</h3> Children’s Rights are central to the work of all children’s services across statutory or voluntary sectors. In 2019 Acorns commenced a journey with UNICEF’s Rights Respecting Program to embed the United Nations Convention on the Rights of the Child (UNCRC) in all we do through the charity; this journey took over three years and has resulted in Acorns being the first non-education organisation to received Bronze, Silver and Gold Awards for our Rights Respecting work. <h3>Aims</h3> To share our experience of embedding the UNCRC informing our direct work with children and governance process. Highlight the impact for our workforce as Duty Bearers and for the children who have embraced being Rights Holders. <h3>Methods</h3> 2019 – UNICEF Champions from each of the hospices were identified, a steering group developed. Champions went on training, meeting with other organisations also participating in the programme. Mar. 2020 – Received the Bronze Award in recognition of the strategic and operational planning being put in place to support the transformational change required. Dec. 2021 – Received the Silver Award for the visibility of the UNCRC within the hospices and via support provided to children. Apr. 2023 – Acorns was awarded GOLD award for demonstrating the impact UNCRC had on children and young people empowering them to know their Rights and to champion for others. <h3>Results</h3> Evidence of increased confidence and empowerment for children and young people. Young people actively planning their end of life and after death care. Children challenging decisions and identifying their own wishes. Campaigning for others using the UNCRC as a reference. <h3>Conclusions</h3> To embed the UNCRC there needed to be a strategic approach from the Executive putting UNCRC at the core of the hospice’s ethos. <h3>How innovative or of interest is the abstract?</h3> We hope that sharing our learning will benefit colleagues from across the wider palliative care sector.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"38 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-12 Hospiscare escalation in activity tool (HEAT) – balancing safe staffing with palliative patient complexity","authors":"Ann Rhys","doi":"10.1136/spcare-2023-hunc.12","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.12","url":null,"abstract":"<h3>Background</h3> When the UK went into COVID-19 lockdown, we had no foresight into how our referrals would change in the forthcoming years. Average time on caseload has reduced to eleven days (Hospiscare. 2023. Clinical Quality Presentation Q1) and increases in complexity are evident (All-Party Parliamentary Group. The Lasting impact of COVID-19 on death, dying and bereavement. 2023). This meant increasing concern for patient safety and staff wellbeing. <h3>Aim</h3> To identify and design a hospice specific tool that considers safe staffing alongside patient complexity to always ensure clinically safe and effective patient care. <h3>Methods</h3> Hospiscare worked with an independent company to develop a risk management framework alongside clinical acumen that triangulates safe staffing, patient complexity, and demand on the service. For the purposes of planning, four levels of RAG escalation were identified. Each team input their staffing levels daily, and dependency data is extrapolated from our EPR. An email is then sent to all clinical staff ensuring an awareness of our organisational level and actions can be taken to mitigate any risk in real time. If a BLACK status is recognised, a prepared statement is utilised by teams to communicate with external colleagues. <h3>Results</h3> From commencing the HEAT tool, we have been able to extract data which demonstrates pressure points enabling us to be agile and responsive as a service. This includes: Actively managing staffing levels from 70% to 20% in the RED during times of pressure within our clinical service. Gaining an understanding of the complexities of our patients on any day. For example, by utilising OACC measurements we identify that 80% of our patients are either unstable or deteriorating within our caseload. In addition we can monitor fluctuation in activity levels across our clinical coordination centre, monitor bank usage and understand on a daily basis level of referrals coming into the organisation. <h3>Conclusion</h3> By utilising HEAT, we have greater overview and are able to respond quickly to changes in staffing and demand within our service using the data to make evidence-based decisions. By considering information from this tool, we have been able to safely make temporary changes in operational provision and consider future service need through ICB discussions.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-18 Evaluation of the school bereavement programme in Northern Ireland (Phase 1 pilot)","authors":"Susannah Baines, Katarzyna Patynowska, Joan McEwan, Eleanor Ellerslie, Ann Scanlon, Christine Irvine, Austin Orr, Ashleigh Maynard, Megan Canning, Rachel Ward, Tracey McConnell, Giles Skerry","doi":"10.1136/spcare-2023-hunc.18","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.18","url":null,"abstract":"<h3>Background</h3> Northern Ireland is one of the worst regions of the UK at acknowledging and talking about death and dying. This creates a barrier to children and young people impacted by a terminal illness receiving the care and support they need (Marie Curie. Creating a death literate society. The importance of boosting understanding and awareness of death, dying and bereavement in Northern Ireland. 2022). A recent report found that half of children in Northern Ireland have not received support from their school or college after a bereavement (The UK Commission on Bereavement. Bereavement is everyone’s business. 2022) Marie Curie partnered with Cruse to address this gap through a school bereavement teacher training programme. <h3>Aim(s)</h3> The evaluation examined the impact of the training on the confidence and knowledge of the teaching staff, impact on pupils, changes in school policy and practice since the training, and the barriers and enablers of impact. <h3>Methods</h3> We compared the 86 pre and 23 six-month post responses to assess the difference the training had and verified the results using a Mann-Whitney U test for significance. Eight qualitative interviews with teaching staff and trainers were analysed using thematic analysis. <h3>Results</h3> The programme was attended by 96 teachers from primary and secondary schools across Northern Ireland. The training had several statistically significant impacts on teachers’ ability to support pupils affected by bereavement, including being able to recognise when a conversation around grief is needed (33% pre and 87% post training). It also increased their confidence, knowledge and ability to support pupils. Training broke down social taboos around talking about death and dying and there were examples of shared learning and changes to policy. Recommendations were made to extend the training to more teaching staff and inform the next stage of training. <h3>Conclusions</h3> Evidence suggests that the school bereavement programme had positive outcomes for teaching staff and pupils by improved teachers’ confidence, creating an open environment that supported pupils and parents to deal with their grief.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-10 Embedding palliative education and learning into care homes: a prospective pilot study of observational feedback and role modelling","authors":"Wendy Freeman, Nicky Wood","doi":"10.1136/spcare-2023-hunc.10","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.10","url":null,"abstract":"<h3>Background</h3> The Ambitions for Palliative and End of Life Care (2021) highlight the need for all staff to be prepared to care. This includes ensuring staff working in care homes can support their patients’ palliative care needs. Palliative education is a good first step to ensure this quality care and prevent inappropriate admissions to hospital from care homes echoed in a report by Public Health England (2014) which noted increases in care home deaths and called for training in end of life care recognition. But how do we guarantee this education is embedded? Bandura’s social learning model (1986) highlights the importance of learning within the care setting. <h3>Aims</h3> This pilot study aims to harness an educational approach which will consist of observational feedback and role modelling. Intention is to give real time education that will be embedded. <h3>Methods</h3> A pilot has been designed taking place from May 2023 to June 2023. The care home educator gained agreement of two homes to deliver this pilot over two sessions. The educator will create a transparent real-time observational and role modelling approach. Feedback will be offered to individuals and overall, to the care home. Consent has been obtained from both homes to conduct this pilot. All learning will be documented within an observational template collating evidence of observations and resulting learning. Embedding of learning will be monitored on subsequent sessions. This evidence will be reviewed to highlight themes and findings. All evidence will be anonymised. <h3>Conclusion</h3> A observational and role modelling approach could allow embedding of real time learning into practice. The aim is to ensure all care home staff are prepared to give high quality palliative care to their residents. This pilot aims to provide evidence to allow further such initiatives within other care homes.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135325807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-15 Making end of life planning accessible – evaluating talking mats to support advance care planning with people living with neurological conditions","authors":"Sally Boa, Lois Cameron, Julie Mardon","doi":"10.1136/spcare-2023-hunc.15","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.15","url":null,"abstract":"<h3>Background</h3> People with neurological conditions can find it difficult to communicate effectively through speech, and some have cognitive difficulties that make it challenging to process complex issues. A range of resources are available for developing Advance Care Plans (Healthcare Improvement Scotland. Anticipatory care planning toolkit; What Matters Conversations. What matters most charter; Planning ahead tool – hosted on Hospice UK website). Many of these require literacy and an ability to talk about and consider emotive issues through words. Talking Mats is a visual communication tool that can support these conversations in an accessible way (Stans, Dalemans, de Witte, et al.Tech. Disab. 2019; 30(4):153–76). <h3>Aim</h3> To find out to how the ‘Thinking ahead’ Talking Mats resource can be used to support people with neurological conditions to have conversations about future plans. <h3>Methods</h3> We trained 18 people to use Talking Mats through a foundation session, then a face-to-face simulation day using the ‘Thinking ahead’ resource. Sessions were planned with people with neurological conditions, and covered issues they prioritised. Participants were asked to have three Talking Mats conversations and provide feedback. They were invited to attend a focus group exploring the barriers and facilitators to using Talking Mats. Care Measures (Mercer, McConnachie, Maxwell, et al. Fam Pract. 2005;22(3):328–34) were completed after each session. <h3>Results</h3> To date, 26 reflections have been returned. Care Measure results show high levels of engagement and involvement. Talking Mats (card or digital) has enabled people to see what they need to do in relation to planning ahead. Though emotional, this is useful and powerful. Barriers include professional gatekeeping around who should have these conversations (e.g. care and treatment). Further work is needed to explore the best ways to introduce Talking Mats. <h3>Conclusions</h3> Initial feedback suggests that people with neurological conditions benefitted from using Talking Mats to plan ahead. Training is required to ensure professionals can use Talking Mats and hand over control to the person and their family.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-05 Lancashire South Cumbria hospices join forces for a bold new vision – you won’t believe what happens next!","authors":"Howerd Booth","doi":"10.1136/spcare-2023-hunc.5","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.5","url":null,"abstract":"<h3></h3> Lancashire South Cumbria is one of the most deprived areas of the country with some of the worst health outcomes. We also receive some of the lowest grant funding from the NHS. However, our communities deserve much better and they are demanding improvement. We know there is no silver bullet, white knight, magic formula or money tree. So our hospices decided to take matters into their own hands and work together. It has not been the easiest thing to do because previously we’ve competed and sometimes not got on. However, now all nine of the adult and children hospices in Lancashire and South Cumbria (LSC) have come together to form a new hospice provider collaborative that we call Lancashire South Cumbria Hospices Together (LSCHT). LSCHT are the new regional focus for end of life care and, in response to the NHS regional changes, we’ve jointly invested to make working with our hospices easier. We realise hospices are well represented at local and national levels, but that an ocean of opportunities exist from learning and working more closely with each other at a regional level. Of course, we also want excellent patient care, better finance settlements, more sustainable working practices and improved staff outcomes. Our story is about how we created a shared vision and jointly developed, funded and delivered our regional partnership, our successes and failures and future plans. How we infiltrated our ICB and made ‘Dying Well’ one of our five regional priorities.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"26 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135327051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-09 When less is more – the positive impact of low-fidelity simulation in a hospice setting","authors":"Vikki Rata","doi":"10.1136/spcare-2023-hunc.9","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.9","url":null,"abstract":"<h3>Background</h3> Simulation is considered a mainstay methodology for healthcare education (Jeffries. Simulation in nursing education: From conceptualization to evaluation. 2020), however, it has been under-utilised in end of life care (Bassah, Seymour, Cox. BMC Palliat Care. 2014; 13(1):1–0). Challenges exist surrounding the design of end of life simulations in non-traditional environments who lack ultramodern equipment and space to run high fidelity simulations. High fidelity simulation is often pursued by the simulation community in the belief that it leads to greater learning (Carey &amp; Rossler. The how when why of high-fidelity simulation.) Simulation, however, is a technique not a technology (Gaba. BMJ Qual Saf. 2004; 13(S1): i2–10), and there is significant evidence to suggest that low fidelity simulation may be superior (Massoth, Röder, Ohlenburg, et al. BMC Medical Educ. 2019; 19:1–8) as it is less anxiety-provoking and leads to a less burdensome cognitive load for participants (Lapierre, Arbour, Maheu-Cadotte, et al. Simulation &amp; Gaming. 2022; 53(5):538–63). <h3>Aims</h3> To design and deliver a low-fidelity simulation programme for roll out across the hospice, with relevant subject matter that engages both our clinical and non-clinical teams across the organisation, leading to clear learning. <h3>Methods</h3> A rolling simulation programme with sessions at least twice a month was run from March 2022 to Dec. 2022. Our sample was 160 participants who took part in 29 simulations. Prior to the beginning of the simulation programme, baseline data was collected via questionnaire. After 10 months of simulation implementation, the questionnaire was repeated to analyse the impact of low- fidelity simulation on the organisation. <h3>Results</h3> Baseline questionnaires showed 35% of the organisation had never heard the term ‘simulation’, and over 40% felt anxious around simulation. Following participation in simulations, the repeat questionnaire showed awareness of simulation within the organisation had increased to over 90%. Anxiety around simulation participation dropped by 10%, and we saw a 30% increase in the confidence of staff to undertake challenging conversations. Based on our significant findings, we also developed Cards against Calamity – an end of life simulation game – and began to share this with other hospices. <h3>Conclusion</h3> Low-fidelity end of life simulation can be used with positive effect for clinical and non-clinical staff in the hospice setting.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"44 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135327334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-08 Leading with purpose – sustainably transforming charity leadership","authors":"Maria Timon Samra","doi":"10.1136/spcare-2023-hunc.8","DOIUrl":"https://doi.org/10.1136/spcare-2023-hunc.8","url":null,"abstract":"<h3></h3> The traditional charity sector is under threat due to a number of socioeconomic factors (Cordery, Smith &amp; Berger. Public Money Manage. 2017; 37(3):189–196) further complicated by the pandemic (NCVO, 2021). It must assert itself in a sustainable manner to survive and thrive (MacMillan &amp; McLaren. 2012). Harrison, Murray and Comforth (2013) posit that leadership and organisational innovation are key to supporting such transformation. Hodges and Howieson (Eur Manage J. 2017; 35: 69–77) note a sector-specific leadership model is required to address the changing context of the third sector. Seeking to contribute to such framework, this research innovates by linking four core themes, i.e., Purpose, Innovation and learning, Authentic Leadership and Governance in an inter-generational study in the sector. The overarching aim is to understand whether amplifying Purpose can provide the key to unlocking an innovative, well governed sector that attracts and retains the talent necessary to continue to meet the needs of its stakeholders in a sustainable manner. With Millennials transitioning into leadership roles (Deloitte, 2018), this study also seeks to explore their unique generational perspectives to inform such a model, addressing a significant gap in the literature on the sector that has hitherto focused on the role of Millennials as volunteers and charitable donors. Informed by the insights of 20 Millennial and Generation X leaders in the sector, the findings highlight interlinkages between all four themes and a further theme of Values is revealed. Together, these underpin Purpose-led leadership, considered vital to the sustainability of the sector. Authentic, purpose-led leadership particularly resonates with Millennials who have a strong social conscience and see the charity ‘brand’ as an extension of their personal brand and value set. This could provide competitive advantage over the for-profit sector in terms of attracting and retaining Millennial talent. Innovations to create Purpose-led Governance are suggested to improve stakeholder engagement and inclusivity. A bespoke Purpose-led model that encapsulates emergent findings is proposed to support sector sustainability.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"32 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135327805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}