BMJ Leader最新文献

{"title":"Development of home-based care educational programme for the family caregivers of activity limited older people: an educational programme model for community nurses.","authors":"H S Maliga S K Wijesiri","doi":"10.1136/leader-2023-000965","DOIUrl":"10.1136/leader-2023-000965","url":null,"abstract":"<p><strong>Background/aim: </strong>A home-based care educational programme for family caregivers of activity-limited older people was developed and implemented to provide caregiver education and to teach basic caregiving techniques. The purpose of the home-based care educational programme was to improve the caregivers' knowledge, skills and attitudes necessary to perform the caregiving tasks with reduced physical strain.</p><p><strong>Methods: </strong>The educational programme model comprises the knowledge and skills necessary to carry out the caretaking responsibilities of older people, especially those with limited activities. It was conducted as an interventional study recruiting two groups (n=72) as intervention (n=36) and control group (n=36), and the knowledge of the caregivers was evaluated. The teaching sessions were planned considering the adult educational learning theories and guided by a developed educational handbook.</p><p><strong>Results: </strong>The pre and post mean±SD knowledge scores of the intervention group (43.78±12.41; 89.78±5.61) showed a significant difference (p<0.001), whereas the pre and post knowledge mean±SD scores of the control group (50.69±17.90; 51.43±17.79) showed no significant improvement (p>0.05). The difference between the pre-test and post-test between the two groups was significant (p<0.0001).</p><p><strong>Conclusions: </strong>At the end of the educational programme, participants valued the opportunity that they received, and the assessment of knowledge before and after the programme showed an improvement in caregivers' knowledge. The study suggests conducting home-based or community-based health education programmes for caregivers of older people with limited activities, with the involvement of responsible healthcare professionals and leaders.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"105-109"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355678","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":"Engaging nursing and midwifery policymakers and practitioners in digital transformation: an international nursing and midwifery perspective.","authors":"Vanessa Ann Heaslip, Michael Shannon, Gillian Janes, Natasha Phillips, Clayton Hamilton, Joanne Reid, Rolf Andre Oxholm, Bente Lüdemann, Joao Gentil, Margrieta Langins","doi":"10.1136/leader-2024-000990","DOIUrl":"10.1136/leader-2024-000990","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"185-189"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262790","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":"Lived experience matters: transforming healthcare through kindness and collaboration.","authors":"Jason Wolf","doi":"10.1136/leader-2024-001090","DOIUrl":"10.1136/leader-2024-001090","url":null,"abstract":"<p><p>As I reflect on my leadership journey, I have learnt that when we actively seek and purposefully engage with the knowledge others bring, we express the highest levels of respect, we elevate engagement, we get smarter ourselves, and we achieve better results. I have learnt that collaboration is not just a nice concept; it is a fundamental value to all we can achieve and must commit to in healthcare. When we are willing to be vulnerable and open, to learn from others, and share our successes, not for praise, but in the interest of others achieving similar success, we are truly leading with purpose. I have learnt when we honour the human being in front of us in every moment, we build bridges, relationships, stronger capacity to communicate, better listening, we express compassion, and show dignity and respect. I have learnt that in honouring lived experience, fostering collaboration and ensuring kindness, we can create a transformational space, a community of action and purpose and that with a commitment to lived experience, collaboration and kindness, we can truly transform healthcare.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"94-96"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019042","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":"Obesity, laypeople's beliefs and implications for clinicians and leaders of healthcare organisations.","authors":"Aneel Karnani, Brent McFerran, Anirban Mukhopadhyay","doi":"10.1136/leader-2024-001077","DOIUrl":"10.1136/leader-2024-001077","url":null,"abstract":"<p><strong>Background/aim: </strong>Overweight and obesity (OAO) is a major and growing public health crisis in the world. There is convincing medical evidence that caloric overconsumption, rather than lack of exercise, is the primary driver of OAO.</p><p><strong>Methods: </strong>In this translation piece, we summarise our programme of research on laypeople's beliefs about the primary cause of OAO, the origins of these beliefs and implications for clinicians and leadership in healthcare organisations.</p><p><strong>Results: </strong>In contrast to the medical consensus, our research conducted in several countries has found that approximately half of the population mistakenly believes that lack of exercise is the primary cause of obesity. These misbeliefs have consequences: people who mistakenly believe that exercise is the most important factor are more likely to be overweight or obese than people who correctly believe that diet is the primary cause of obesity. We argue that these misbeliefs are caused in part by systematic and multipronged communications efforts by the food and beverage industry-a phenomenon we term 'leanwashing'.</p><p><strong>Conclusions: </strong>Not only does leanwashing require public policy intervention by the government, healthcare professionals also need to respond appropriately. In this article, we focus on the implications of leanwashing for leaders of public health organisations, health delivery organisations and clinicians.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"117-121"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883129","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":"Performance-related pay for NHS consultants: exploring views and perceived impacts in one NHS Trust in England.","authors":"Mark Exworthy, Julia Gauly, Jo Parsons, Katlyn Green, Nick Murphy","doi":"10.1136/leader-2024-001000","DOIUrl":"10.1136/leader-2024-001000","url":null,"abstract":"<p><strong>Background/aim: </strong>To investigate senior doctors' (consultants) views about local clinical excellence awards (CEAs; a form of performance-related pay (PRP)) in theory and in practice.</p><p><strong>Methods: </strong>Online survey of consultants in one National Health Service Trust in England which had implemented new variations to local CEAs. 31% response rate, comprising 250-500 applicants and non-applicants. Descriptive statistics were conducted with quantitative data and content analysis with qualitative data.</p><p><strong>Results: </strong>Most consultants (57%) were supportive of CEAs in theory and in practice. A minority was not supportive (21%). This was justified by not applying (due to opposition, limited time to apply or being apathetic about them); 22% were neutral. About one-third (32%) of respondents had not applied for local CEAs in 2022, mainly because they thought they would be unsuccessful (30%). Two-thirds (67%) of respondents felt that CEAs provided recognition for their work, with female respondents and those working less than full-time expressing most recognition. Respondents were not supportive of the idea that CEAs should be paid fully for those working less than full-time (45% disagreed, 35% agreed, 21% neutral).</p><p><strong>Conclusions: </strong>The exploratory study found mixed support for CEAs. Engagement with CEAs was complicated by pension and tax issues, claims of limited time to apply, and equity concerns about current and previous applications. However, CEAs offered some consultants some recognition for their work. These findings are more nuanced than existing evidence and elaborate extant theoretical perspectives of PRP in relation to doctors.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"140-146"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018469","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":"Logistics and administration-related stressors among young physicians working in the emergency medicine (EM) department and their perceived job satisfaction in EM department across hospitals of India: a nationwide multicentric digital survey.","authors":"Murtuza Ghiya, Alok A Gangurde, Jilshy Varghese, Mohamed M A Hishaam, Balamurali Krishna, Jeffrey Pradeep Raj, Manu Mathew Lal","doi":"10.1136/leader-2023-000919","DOIUrl":"10.1136/leader-2023-000919","url":null,"abstract":"<p><strong>Objective: </strong>Emergency medicine (EM) is a growing specialty in India with the board approving training programme commencing only since 2009. This study aimed to identify the challenges faced by EM department personnel in the country and to obtain valuable insight into the concerns and problems experienced by them.</p><p><strong>Methods: </strong>This study was a cross-sectional digital survey conducted among EM department personnel in teaching institutions across India. The study involved 170 respondents, who completed an online questionnaire that covered various aspects of their work and identified the challenges they faced. It also captured potential solutions as perceived by the respondents.</p><p><strong>Results: </strong>A total of n=170 participants completed the survey of which N=164 fulfilled the eligibility criteria. The study revealed significant challenges faced by EM personnel in India. Administrative and clerical work consumed a considerable amount of respondents' time. Understaffing (n=144/164; 87.8%), followed by complains about delay due to hospital administrative processes and policies (n=141/164; 85.9%), and delay in interhospital transfers (n=139/164; 84.8%) were the primary concerns spelt out by the respondents. Additionally, respondents experienced interpersonal conflicts, and verbal/physical abuse and inappropriate behaviour from patients and their family members. Potential key solutions suggested were to improve resources including manpower and take steps to prevent violence against EM staff.</p><p><strong>Conclusion: </strong>The study's results call for policy-makers and hospital administrators to address the issues faced by EM department staff. Improving EM department operations can improve patient care and staff well-being. Future research should examine challenges in non-teaching institutions and potential solutions.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"160-166"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437634","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":"Evaluation of the first 5 years of the Next Generation GP leadership programme: balancing autonomy and accountability.","authors":"Steve Gulati, Judith A Smith","doi":"10.1136/leader-2024-000985","DOIUrl":"10.1136/leader-2024-000985","url":null,"abstract":"<p><strong>Background: </strong>In 2017, a group of trainee general practitioners (GPs) came together to design and deliver a six-session leadership development programme for their peer trainee and early career GPs: the Next Generation GP programme. Over 2500 GPs took part in Next Generation GP between 2017 and 2022.</p><p><strong>Aim: </strong>To evaluate the origins and development of the Next Generation GP programme, its early impact on individuals and general practice, and what it reveals about GPs' needs for career and leadership development at a time of major workforce and demand pressures.</p><p><strong>Methods: </strong>A rapid review of evidence on general practice workforce and career trends informed the design of qualitative research interviews (n=28) with a purposive sample of programme participants, primary care leaders and educational experts. This was supplemented by analysis of secondary data from participant evaluations of programme workshops.</p><p><strong>Results: </strong>Many programme participants reported: improved competence in leadership skills, increased understanding of the health system, having new support networks and more energy for their GP role. Respondents pointed out the strengths of the programme, also highlighting ways in which it could be adapted to enable a transition to a more sustainable position within broader clinical and leadership career development.</p><p><strong>Conclusions: </strong>Next Generation GP has to date largely fulfilled its programme objectives. It now needs more tangible, longer-term objectives against which to assess outcomes. This evaluation has contributed to evidence about primary care leadership needing more policy attention, for the balance of autonomy and accountability within GP leadership needs careful and sustained support.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"147-152"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617303","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":"Role of medical regulators in physician wellness: leading or lagging? A brief report on physician wellness practices.","authors":"Iris Reijmerink, Maarten J van der Laan, Dave Dongelmans, Fokie Cnossen, Ian Leistikow","doi":"10.1136/leader-2023-000828","DOIUrl":"10.1136/leader-2023-000828","url":null,"abstract":"<p><strong>Background: </strong>Physician wellness remains a growing concern, not only affecting the physicians' quality of life but also the quality of care delivered. One of the core tasks of medical regulatory authorities (MRAs) is to supervise the quality and safety of care. This brief report aimed to evaluate the practices of MRAs regarding physician wellness and their views on residents as a high-risk group for decreased physician wellness.</p><p><strong>Methods: </strong>A questionnaire was sent to MRAs worldwide, related to four topics: the identification of physician wellness as a risk factor for quality of care, data collection, interventions and the identification of residents as high risk for poor physician wellness. 26 responses were included.</p><p><strong>Results: </strong>23 MRAs consider poor physician wellness a risk factor for quality of care, 10 collect data and 13 have instruments to improve physician wellness. Nine MRAs identify residents as a high-risk group for poor physician wellness. Seven MRAs feel no responsibility for physician wellness.</p><p><strong>Conclusion: </strong>Although almost all MRAs see poor physician wellness as a risk factor, actively countering this risk does not yet appear to be common practice. Given their unique position within the healthcare regulatory framework, MRAs could help improve physician wellness.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"194-197"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120798","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":"'Can you have it all?' Exploring perceived gender roles in leadership through the lens of the Chief Pharmaceutical Officer's clinical fellows 2023/24.","authors":"Ashifa Trivedi, Kaniksha Aggarwal, Amira Chaudry, Summer Ibrahim, Amna Khan-Patel, Natasha Lal, Maria Nasim, HoJan Senya, Shy Teli, Nisha Thakrar, Clare Thomson","doi":"10.1136/leader-2024-001066","DOIUrl":"10.1136/leader-2024-001066","url":null,"abstract":"<p><strong>Background: </strong>Women often face the challenge of balancing professional growth with societal expectations around family and household responsibilities. Conversely, men encounter limitations due to restrictive paternity leave policies, often receiving undue praise for basic parenting duties. Through the lens of the Chief Pharmaceutical Officer's clinical fellows 2023/24, we explore the question: 'Can you have it all?'</p><p><strong>Methods: </strong>We explore stereotypical gender norms alongside the challenges and expectations faced by individuals of all genders on their leadership journeys. Through personal reflections, literature review and informal conversations with senior leaders, we explore how societal expectations and gendered norms shape the professional and personal lives of women in leadership roles.</p><p><strong>Results: </strong>Commitment to reflection provides opportunities to pause and assess our journeys. Peer support networks are invaluable for professional development, helping to break down barriers and hierarchies. Coaching and mentoring offer significant support and guidance to aspiring leaders from underrepresented backgrounds providing new perspectives.</p><p><strong>Conclusion: </strong>Balancing leadership and family responsibilities is challenging but achievable with the right support systems and a shift in workplace culture. However, we recognise, through all of this, self-care and prioritisation of mental well-being must be at the forefront to sustain a healthy balance. As clinical fellows, we have had the unique opportunity to share the complexities faced in the workplace. Through collective effort, we aim to foster environments that empower individuals on their leadership journeys, illustrating that, with the right support and conditions, it is possible to truly 'have it all'.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"100-104"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509739","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":"Resident doctors: return of the lost tribe.","authors":"Waqas Akhtar, Vivek Trivedi","doi":"10.1136/leader-2025-001229","DOIUrl":"10.1136/leader-2025-001229","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"167-169"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986568","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}