BMJ Leader最新文献_第5页

Gender and ethnicity intersect to reduce participation at a large European hybrid HIV conference. 性别和种族交叉，减少了参加一个大型欧洲艾滋病毒混合会议的人数。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000848

Alice Howe, Yize I Wan, Yvonne Gilleece, Karoline Aebi-Popp, Rageshri Dhairyawan, Sanjay Bhagani, Sara Paparini, Chloe Orkin

{"title":"Gender and ethnicity intersect to reduce participation at a large European hybrid HIV conference.","authors":"Alice Howe, Yize I Wan, Yvonne Gilleece, Karoline Aebi-Popp, Rageshri Dhairyawan, Sanjay Bhagani, Sara Paparini, Chloe Orkin","doi":"10.1136/leader-2023-000848","DOIUrl":"10.1136/leader-2023-000848","url":null,"abstract":"Objective: To evaluate how gender and ethnicity of panel members intersect to effect audience participation at a large European hybrid conference.Design: An observational cross-sectional study design was used to collect data at the conference and descriptive survey was used to collect data retrospectively from the participants.Setting: European AIDS Clinical Society 18th Conference; a 3223-delegate, hybrid conference held online and in London over 4 days in October 2021.Main outcome measures: We observed the number and type of questions asked at 12 of 69 sessions and described characteristics of the panel composition by ethnicity, gender and seniority. A postconference survey of conference attendees collated demographic information, number of questions asked during the conference and the reasons for not asking questions.Results: Men asked the most questions and were more likely to ask multiple questions in the observed sessions (61.5%). People from white ethnic groups asked >95% of the questions in the observed sessions. The fewest questions were asked in the sessions with the least diverse panels in terms of both ethnicity and gender. Barriers to asking questions differed between genders and ethnicities.Conclusions: Our study aims to provide evidence to help conference organisers improve leadership, equality, diversity and inclusion in the professional medical conference setting. This will support equitable dissemination of knowledge and improve education and engagement of delegates. To our knowledge, this is the first study describing conference participation by both ethnicity and gender in panellists and delegates within a hybrid conference setting.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"227-233"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522756","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}

引用次数: 0

Inclusive leadership in the health professions and health professions education. 卫生专业和卫生专业教育中的包容性领导。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000868

Rashmi A Kusurkar

{"title":"Inclusive leadership in the health professions and health professions education.","authors":"Rashmi A Kusurkar","doi":"10.1136/leader-2023-000868","DOIUrl":"10.1136/leader-2023-000868","url":null,"abstract":"WHAT IS INCLUSION AND INCLUSIVE LEADERSHIP?: In this article, based on the literature and my own experiences, I try to shed light on the concepts of inclusion and inclusive leadership, as well as what leaders need to do in order to be inclusive. Inclusion means the act of including or being included in a group, which creates a sense of belonging as well as empowers individuals to contribute in an authentic and meaningful manner. Inclusive leadership is important in the health professions and health professions education so that health professionals and faculty in health professions education are able to contribute to their work in ways that they find meaningful. WHAT DO LEADERS NEED TO DO TO BE INCLUSIVE?: To be inclusive leaders need to to do the following: truly believe in inclusion, define the boundaries of acceptable behaviours, make difficult diversity conversations possible, build authentic diverse relationships, develop shared leadership, drive and role model inclusive practices in the organisation, and find the right balance between individual and institutional EDI initiatives. Driving inclusion in a health professions (education) organisation demands changes in the concept of leadership, as well as the organisational policy and culture.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"191-195"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106766","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}

引用次数: 0

Evaluation of the promotion criteria in an academic medical centre in Singapore. 评估新加坡一家学术医疗中心的晋升标准。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000881

May May Yeo, Shih-Hui Lim, Anshul Kumar, Anne W Thompson

{"title":"Evaluation of the promotion criteria in an academic medical centre in Singapore.","authors":"May May Yeo, Shih-Hui Lim, Anshul Kumar, Anne W Thompson","doi":"10.1136/leader-2023-000881","DOIUrl":"10.1136/leader-2023-000881","url":null,"abstract":"Introduction: Academic medical centres (AMCs) have the tripartite mission of performing research to advance healthcare delivery, educating future clinicians and providing healthcare services. This study investigates the criteria associated with being promoted in a Singaporean AMC.Methods: Using a dataset of 255 candidates for promotion at the studied AMC, we employ logistic regression to determine if these factors are associated with the likelihood of promotion. Further, we use interaction effects to test if the relationship between the H-index and likelihood of promotion differs across the academic levels of the candidates.Results: The logistic regression results based on the best of our three tested models suggest that the H-index is positively associated with promotion for those applying to become clinical associate professors (OR=1.43, p=0.01). Moreover, candidates who provide well-developed education portfolios (OR=3.61, p=0.02) and who have held service/leadership roles (OR=6.72, p<0.001) are more likely to be promoted.Conclusions: This study affirms the correlation between promotion and the advancement criteria outlined by the AMC. This is important for transparency and trust between the AMC and its faculty in their applications for promotion and success in an academic career. Further, our study is one of the few empirical studies linking promotion criteria to promotion outcomes.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"222-226"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61565583","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}

引用次数: 0

Rethinking leadership approaches for community-wide opioid crisis intervention: harnessing positive inquiry to unearth front-line insight. 重新思考社区阿片类药物危机干预的领导方法:利用积极的调查来挖掘一线洞察力。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000862

Thomas Patrick Huber

{"title":"Rethinking leadership approaches for community-wide opioid crisis intervention: harnessing positive inquiry to unearth front-line insight.","authors":"Thomas Patrick Huber","doi":"10.1136/leader-2023-000862","DOIUrl":"10.1136/leader-2023-000862","url":null,"abstract":"Background/aim: The opioid crisis presents a complex and widespread health challenge for communities, necessitating a deeper exploration beyond simple solutions. To address this crisis, it is crucial to identify and disseminate best practices. In this study, we focused on positive deviance narratives from Columbus, Ohio, a community deeply affected by the opioid crisis.Methods: Employing an appreciative inquiry framework, we conducted purposive sampling to interview 47 frontline professionals and individuals grappling with opioid use disorder (OUD).Results: Our research revealed several key insights, highlighting successful themes through positive narratives. First, perceiving OUD as a chronic disease emerged as a critical perspective, acknowledging the long-term nature of the condition and the need for sustained care. Second, re-humanising and de-stigmatising opioid users played a vital role in facilitating their recovery and reintegration into society. Embracing inclusive care delivery was another important aspect, ensuring that individuals from diverse backgrounds receive equitable access to effective treatment. Moreover, re-energising professionals to combat burnout proved essential, emphasising the importance of supporting and motivating healthcare providers in their efforts. Finally, fostering cross-institutional relationship building and collaboration emerged as a significant factor, as it encouraged a coordinated approach to addressing the crisis. Designing adaptive organisational structures also played a crucial role, enabling healthcare institutions to respond effectively to evolving challenges.Conclusions: Using a positive deviance approach to a challenging public health crisis like OUD can help us discover new and innovative care management approaches for community wide interventions.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"234-239"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048097","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}

引用次数: 0

UK trainees' perceptions of leadership and leadership development. 英国受训人员对领导力和领导力发展的看法。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000771

Iain Snelling, Hilary Brown, Louise Hardy, Lara Somerset, Samantha Bosence, Jane Thurlow

{"title":"UK trainees' perceptions of leadership and leadership development.","authors":"Iain Snelling, Hilary Brown, Louise Hardy, Lara Somerset, Samantha Bosence, Jane Thurlow","doi":"10.1136/leader-2023-000771","DOIUrl":"10.1136/leader-2023-000771","url":null,"abstract":"Purpose: This paper reports on trainees' perceptions of leadership and leadership development, to inform the support that may be provided to them. It draws on a formative evaluation of the new role of clinical leadership mentor (CLM), introduced by Health Education England South-West in 2018. CLMs are responsible for 'overseeing the process and progress of leadership development among the trainees within their Trust/Local Education Provider'.Methods: The evaluation was a formative evaluation, based on interviews with CLMs, trainees and trainers and a survey of trainees and trainers. Recruitment was through 8 of the 19 CLMs in the South West. A report for each participating CLM was available to support the development of their individual role. In exploring trainees' perceptions of leadership and leadership development, this paper draws on data from trainees: 112 survey returns which included over 7000 words of free text data and 13 interviews.Findings: Our findings suggest a more nuanced understanding of leadership in medical trainees than was previously reported in the literature, and a wider acceptance of their leadership role. We highlight the problem of considering postgraduate doctors as a homogeneous group, particularly with reference to specialty. We also highlight that the organisational context for leadership development can be supportive or non-supportive. Leadership learning through genuine leadership experience with appropriate support from trainers and the wider Trust offers opportunities for both trainees and Trusts.Practical implications: Trainees are accepting of their roles as leaders. The value of leadership learning through genuine leadership experience was highlighted. Improving the environment for leadership development offers Trusts and trainees opportunities for genuine service improvement.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"215-221"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215032","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}

引用次数: 0

Health and social care professional standards need to be updated to advance leadership and action for environmental sustainability and planetary health. 需要更新卫生和社会保健专业标准，以促进环境可持续性和地球健康方面的领导力和行动。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000889

Sarah Walpole, Aneka Popat, Emma Pascale Blakey, Eleanor Holden, Ben Whittaker, Ravijyot Saggu, Amarantha Fennell-Wells, Kirsten Armit, Daljit Hothi

{"title":"Health and social care professional standards need to be updated to advance leadership and action for environmental sustainability and planetary health.","authors":"Sarah Walpole, Aneka Popat, Emma Pascale Blakey, Eleanor Holden, Ben Whittaker, Ravijyot Saggu, Amarantha Fennell-Wells, Kirsten Armit, Daljit Hothi","doi":"10.1136/leader-2023-000889","DOIUrl":"10.1136/leader-2023-000889","url":null,"abstract":"Background: Human health is inextricably linked to planetary health. The desire to nurture and protect both concurrently requires the mitigation of healthcare-associated environmental harms and global initiatives that support sustainable lifestyles. Health leadership is important to bring adequate attention and action to address planetary health challenges. Health professionals are central to this endeavour, but the will and energy of a few will not be adequate to address this urgent challenge.Study: We present an appraisal of the current UK health professional standards, frameworks and curricula to identify content related to planetary health and environmental sustainability.Results: No current UK health professional standard provides statements and competencies to guide practising and trainee health professionals to focus on and advance the sustainability agenda within their clinical practice and across wider healthcare systems.Conclusion: Update of health professional standards is needed to ensure that health professionals in every specialty are supported and encouraged to lead the implementation of environmentally sustainable practices within the health sector and advocate for planetary health.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"260-263"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485716","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}

引用次数: 0

Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. 调查选定领导风格对患者安全和护理质量的影响：一项系统综述和荟萃分析。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000846

Ankit Singh, Rajiv Yeravdekar, Sammita Jadhav

{"title":"Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis.","authors":"Ankit Singh, Rajiv Yeravdekar, Sammita Jadhav","doi":"10.1136/leader-2023-000846","DOIUrl":"10.1136/leader-2023-000846","url":null,"abstract":"Background: There is a popular belief that transformational leadership (TL) and servant leadership (SL) styles are influential in establishing a patient safety (PS) culture and improving the quality of care (QC). However, there are very few review articles investigating this phenomenon.Purpose: This study performs a systematic review and meta-analysis to ascertain the influences of TL and SL on PS and QC.Methods: Published research work indexed in the two popular databases, that is, Scopus and PubMed, was selected based on the inclusion criteria. The systematic review was performed as per Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data such as country of publication, year, data type, research design, target population, sample size and conclusion were selected from the studies.Results: There are pieces of evidence suggesting a medium to strong effect of TL on PS. At the same time, the effect of TL on QC is not direct but indirect and is mediated through variables such as fostering positive organisational culture and enhancing organisational outcomes such as job satisfaction, leader effectiveness and willingness of nurses to spend some extra effort. A total of 27 studies were selected for final evaluation and 11 reported a relationship between TL and PS. The 'Fisher r-to-z transformed correlation coefficients' ranged from 0.3769 to 0.8673. Similarly, a total of four studies reported the relationship between TL and QC, 'Fisher r-to-z transformed correlation coefficients' ranged from 0.0802 to 0.5101, with most estimates being positive (80%).Conclusion: TL has a strong and positive effect on PS but a positive and weak effect on the QC. There is not much evidence to establish SL's influence on PS and QC.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"208-214"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215030","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}

引用次数: 0

Calculator for predicting the probability of faculty promotion in an academic medical centre. 用于预测学术医疗中心教员晋升概率的计算器。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000861

May May Yeo, Shih-Hui Lim, Anshul Kumar, Anne W Thompson

{"title":"Calculator for predicting the probability of faculty promotion in an academic medical centre.","authors":"May May Yeo, Shih-Hui Lim, Anshul Kumar, Anne W Thompson","doi":"10.1136/leader-2023-000861","DOIUrl":"10.1136/leader-2023-000861","url":null,"abstract":"Objective: The academic medical centre (AMC), with over 2200 faculty members, annually manages approximately 300 appointments and promotions. Considering these large numbers, we explored whether machine learning could predict the probability of obtaining promotional approvals.Methods: We examined variables related to academic promotion using predictive analytical methods. The data included candidates' publications, the H-index, educational contributions and leadership or service within and outside the AMC.Results: Of the five methods employed, the random forest algorithm was identified as the 'best' model through our leave-one-out cross-validation model evaluation process.Conclusions: To the best of our knowledge, this is the first study on the AMC. The developed model can be deployed as a 'calculator' to evaluate faculty performance and assist applicants in understanding their chances of promotion based on historical data. Furthermore, it can act as a guide for tenure and promotion committees in candidate review processes. This increases the transparency of the promotion process and aligns faculty aspirations with the AMC's mission and vision. It is possible for other researchers to adopt the algorithms from our analysis and apply them to their data.","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"203-207"},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152178","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}

引用次数: 0

Planetary health leadership: why BMJ Leader will focus on it 行星健康领导力：《BMJ 领导者》为何要关注它

IF 2.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2024-001132

Rammina Yassaie, Andrew N Garman

{"title":"Planetary health leadership: why BMJ Leader will focus on it","authors":"Rammina Yassaie, Andrew N Garman","doi":"10.1136/leader-2024-001132","DOIUrl":"https://doi.org/10.1136/leader-2024-001132","url":null,"abstract":"Healthcare professionals have always cared for the well-being of the patients they serve. Since a healthy ecosystem is foundational to human health, its care is also critical to the work of anyone caring for human health. In recent decades, numerous scientific disciplines have made tremendous strides towards understanding the limits of our planet to maintain resilience as a host for life. Earth system science has progressed towards ever-greater precision in understanding the specific planetary boundaries we need to strive to live within in order to maintain planetary health. This work began to formalise in 2009, with a planetary boundaries framework emerging as a means for quantifying these limits.1 In 2012, economist Raworth2 added social dimensions to the framework, creating a ‘doughnut economics’ model balancing resource use with human needs. In 2020, McKimm and McLean3 coined the term ‘eco-ethical’ leadership as a highly relevant approach in relation to the planetary health emergency. In 2021, MacNeill et al 4 introduced the notion of ‘Planetary Health Care’ to describe health systems’ responsibilities for pursuing operations consistent with preserving planetary health. As the science progresses, pressure is increasing on health leaders to incorporate a planetary health lens into …","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":"50 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253116","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}

引用次数: 0

Protecting patients and learners: educational leadership on the fringes. 保护患者和学习者：边缘的教育领导力。

IF 1.7

BMJ Leader Pub Date : 2024-09-18 DOI: 10.1136/leader-2023-000907

Sanjiv Ahluwalia, Elizabeth Hughes

引用次数: 0