BMJ Leader最新文献

{"title":"Optimising doctor-administrator leadership dyads in healthcare organisations.","authors":"Vilert Loving","doi":"10.1136/leader-2024-001127","DOIUrl":"https://doi.org/10.1136/leader-2024-001127","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805020","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":"Clearing the air: a systematic review on leadership challenges with sustainable inhaler prescribing.","authors":"Sten Kajitani, Anthony Goodings, Yasmina Richa, Asis A Babun, Allison Chhor, Roberto Velasco, Juan Trujillo","doi":"10.1136/leader-2025-001257","DOIUrl":"https://doi.org/10.1136/leader-2025-001257","url":null,"abstract":"<p><strong>Background: </strong>The environmental impact of inhalers, particularly pressurised metered dose inhalers with high global warming potential, poses significant challenges in the context of planetary health. Although dry powder inhalers (DPIs) offer a more sustainable alternative, entrenched prescribing practices prevail. This systematic review evaluates patient and physician perspectives on inhaler environmental impacts and examines barriers and opportunities for leadership in adopting sustainable practices.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a comprehensive literature search was performed from inception to 12 June 2024, across Medline via EBSCO, EMBASE via Elsevier and Web of Science. Four studies were included, surveying 433 participants. Data extraction and risk-of-bias assessment were conducted using a standardised form and the Newcastle-Ottawa Scale.</p><p><strong>Results: </strong>Findings indicate that while both patients and providers express environmental concerns, limited awareness and entrenched clinical practices hamper the transition to DPIs. Leadership insights reveal that a fragmented sense of responsibility, insufficient training and low confidence in discussing environmental impacts are significant barriers. However, targeted education and interprofessional collaboration have been shown to increase the willingness to adopt sustainable inhaler practices.</p><p><strong>Conclusions: </strong>The results underscore the need for leadership in healthcare to champion sustainable prescribing. Empowering clinicians through education, clear clinical guidelines and eco-ethical leadership initiatives is essential. Health leaders have the opportunity to transform practice by integrating environmental considerations into routine care, ultimately advancing planetary health.</p><p><strong>The prospero registration number: </strong>CRD42024552555.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795790","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":"Proposed model of empathic leadership to address crises in contemporary management.","authors":"Jeremy Howick, Sean Heneghan, Jodi Halpern, Sue Carr, Sheona MacLeod, Rich Withnall","doi":"10.1136/leader-2024-001203","DOIUrl":"https://doi.org/10.1136/leader-2024-001203","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765623","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":"Work styles and career development of hospital pharmacists in Japan: a cross-sectional questionnaire survey.","authors":"Masami Tsuchiya, Hitoshi Kawazoe, Hirotake Ohashi, Akemi Ogasawara, Yukiko Miyoshi, Manabu Sasuga, Kumiko Kasashi","doi":"10.1136/leader-2025-001260","DOIUrl":"https://doi.org/10.1136/leader-2025-001260","url":null,"abstract":"<p><strong>Objectives: </strong>Hospital pharmacists play vital roles in patient care, with career satisfaction influenced by work environment, career advancement opportunities and personal aspirations. Addressing these factors in Japan is essential to attract and retain hospital pharmacists. This study aimed to identify factors associated with hospital pharmacists' satisfaction with their current careers in Japan.</p><p><strong>Methods: </strong>A nationwide cross-sectional questionnaire survey was distributed through the Japanese Society of Hospital Pharmacists website, journal and newsletter. Responses were collected from 14 June to 31 July 2024, using Google Forms. Ordinal logistic regression analysis was applied to evaluate the association between career satisfaction and individual-related factors, including background, work style and environment.</p><p><strong>Results: </strong>Of the 712 respondents, 710 provided consent for analysis. Pharmacists in their 30s, 40s and 50s reported significantly higher career satisfaction than those in their 20s (OR: 2.311, 95% CI: 1.323 to 4.038; OR: 2.148, 95% CI: 1.128 to 4.092; and OR: 2.077, 95% CI: 1.048 to 4.116, respectively). Conversely, mid-level and senior managerial roles and certifications were associated with lower satisfaction (OR: 0.354, 95% CI: 0.200 to 0.627; OR: 0.258, 95% CI: 0.158 to 0.421; and OR: 0.668, 95% CI: 0.478 to 0.934, respectively).</p><p><strong>Conclusions: </strong>Structured mentorship programmes, financial support for advanced training and systems to reduce workload and improve flexibility could enhance career satisfaction among hospital pharmacists in Japan.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761666","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":"Evaluating diabetes camps for children with type 1 diabetes in Japan: leaders' perspectives from a qualitative study.","authors":"Xinyi Chang, Atsushi Ogihara","doi":"10.1136/leader-2024-001137","DOIUrl":"https://doi.org/10.1136/leader-2024-001137","url":null,"abstract":"<p><strong>Objective: </strong>Diabetes camps (DCs) provide a safe and engaging environment for children and adolescents with type 1 diabetes mellitus (T1DM) worldwide. Despite the positive impacts of DCs on disease management, the lack of formal guidelines for designing activities and strategies for sustainable development remains unexplored.</p><p><strong>Methods: </strong>Using Japan as a case study, we conducted a qualitative study involving semistructured interviews with eight DC organisers. A discussion guide with four open-ended questions was developed to facilitate the interviews. All sessions were recorded, transcribed verbatim and analysed thematically using NVivo V.12 Plus software.</p><p><strong>Results: </strong>Thematic analysis highlighted three core themes: (1) Objective of DCs; (2) Planning and implementation of DCs and (3) Challenges and future expectations. All participants reported that DCs were fun and improved understanding of self-management of T1DM. However, organisers indicated that they encountered some challenges, such as establishing the content of the activities, testing the effectiveness and safety issues.</p><p><strong>Conclusions: </strong>Our findings emphasise that ensuring the safety of DC activities while fostering collaboration with healthcare professionals and researchers is essential for the sustainable development of DCs. Future implementation of DC programmes is expected to provide broader support and health benefits for a larger population of children with T1DM.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761662","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":"Key metaphors in understanding career and leadership barriers in healthcare.","authors":"Jacqueline Harley","doi":"10.1136/leader-2024-001154","DOIUrl":"https://doi.org/10.1136/leader-2024-001154","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761664","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":"Planetary health leadership: overcoming the triple bind to achieve clarity and confidence.","authors":"Janaka Jayawickrama, Arnab Chakraborty, Yong-An Zhang","doi":"10.1136/leader-2025-001278","DOIUrl":"https://doi.org/10.1136/leader-2025-001278","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761665","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":"Investigating the relationship between nurse managers' leadership style and predicted nurses' turnover.","authors":"Kawthar Alsaleh, Taibah Mohammed Ali, Fatimah Alhalafi, Faten Ali, Mashael Alfotais, Olfat Salem","doi":"10.1136/leader-2024-001021","DOIUrl":"https://doi.org/10.1136/leader-2024-001021","url":null,"abstract":"<p><strong>Aim: </strong>Nurse turnover presents a significant challenge globally, impacting healthcare costs, patient outcomes and quality of care. This profound issue is very alarming in Saudi Arabia, necessitating an urgent need for effective strategies to mitigate such challenges. Effective management and leadership styles have emerged as pivotal determinants influencing nurse turnover and the intention to leave the profession. This research seeks to explore the relationship between the impact of three distinct leadership styles, transformational, transactional and passive-avoidant leadership, as implemented by nurse managers and the anticipated turnover among nurses, as well as investigate the relationship between the demographic characteristics and anticipated nurse turnover.</p><p><strong>Methods: </strong>This study used a quantitative cross-sectional correlational design. Using a convenience sampling method, nurses from a tertiary governmental hospital in Makkah Province, Saudi Arabia, were included. The self-administered questionnaire consists of participant demographic inquiries, the Multifactor Leadership Questionnaire and the Anticipated Turnover Scale (ATS).</p><p><strong>Results: </strong>The study involved a total of 192 nurses. The study analysis showed a significant positive relationship between passive-avoidant leadership and the predicted nurse turnover. The proximity in mean scores of both transactional and transformational leadership styles indicated a relatively balanced prevalence of the two leadership styles among nurse managers, whereas the passive-avoidant leadership style was the least prevalent leadership style. Markedly, the data indicated that 77.6% of the participants had high ATS scores, signalling high turnover intentions. The results also revealed that two demographic variables, nationality and qualification level, have a statistically significant relationship with anticipated turnover.</p><p><strong>Conclusion: </strong>The investigation concluded that the leadership style implied by nurse managers has a significant relationship with the predicted turnover level of nurses. This study suggests fostering the growth of transformational leaders while discouraging the passive-avoidant style. Implementing targeted leadership development programmes can empower nurse managers to adopt effective leadership approaches and ultimately mitigate turnover rates.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761663","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":"Integrating planetary health considerations into health guidelines: decision-making bodies must show leadership.","authors":"Maria-Inti Metzendorf, Mehdi Aloosh, Lorna Benton, Javier Bracchiglione Pérez, Miranda Cumpston, Francesca K de'Donato, Sylvie Laot, Thomas Piggott, K M Saif-Ur Rahman, Airton Tetelbom Stein","doi":"10.1136/leader-2025-001277","DOIUrl":"https://doi.org/10.1136/leader-2025-001277","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745374","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":"Navigating turbulent waters: resilience and recovery of a tertiary care hospital in Sri Lanka during economic crisis through situational leadership.","authors":"Ranga Sabhapathige, Dilrukshi Deerasinghe","doi":"10.1136/leader-2024-001082","DOIUrl":"https://doi.org/10.1136/leader-2024-001082","url":null,"abstract":"<p><p>Sri Lanka has been going through its worst economic crisis ever since April 2022. The economic crisis had a significant impact on a tertiary care hospital in Sri Lanka (THS), and the main challenges faced included a severe shortage of medical supplies, a lack of funding, staff transportation issues due to a nationwide fuel shortage, a shortage of reagents, human resource issues due to the outmigration of hospital staff and a lack of a business continuity plan in place. This perspective article aimed to describe how the economic crisis affected a THS in Sri Lanka and how the hospital's administration overcame it by employing a leadership style similar to situational leadership. THS implemented situational leadership style, directing, coaching, supporting and delegating to effectively address the above challenges. The directing style strategies such as withholding renovation projects, purchasing drugs locally, hiring consultants, providing extra duty payments and prioritising resources were employed to guide the team through immediate challenges. The establishment of a crisis management committee served as a coaching approach. Enhancing communication among workers and implementing emotional support initiatives were key aspects of our supportive leadership, creating a positive work environment. We emphasised delegation, empowerment and teamwork, encouraging team members to take ownership of their roles and collaborate effectively. It is recommended that a business continuity plan to manage hospitals during an economic crisis be included. Medical supplies should be buffered in a larger hospital like THS for a minimum of 6 months. The government ought to enact new legislation and require applicants to sign bonds in order to retain healthcare professionals in the nation.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733657","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}