BMJ Leader最新文献

{"title":"Moving beyond net-zero to a nature-positive healthcare sector.","authors":"Sara Soraya Eriksen, David Vernon Brasfield, Ola Løkken Nordrum, Trond Heir","doi":"10.1136/leader-2025-001252","DOIUrl":"10.1136/leader-2025-001252","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"198-199"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972631","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":"Redefining the primary role of healthcare boards: to advance careful and kind care.","authors":"Leonard Berry, Dominique Allwood, Sheila Delaney Moroney, Maggie Breslin, Richard M Levy, Donald M Berwick, Victor M Montori","doi":"10.1136/leader-2024-001208","DOIUrl":"10.1136/leader-2024-001208","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"192-197"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070978","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":"Burning to the edge: healthcare leadership in a time of climate-driven wildfires.","authors":"Dana Mathew, Attila J Hertelendy, Gregory R Ciottone","doi":"10.1136/leader-2025-001308","DOIUrl":"10.1136/leader-2025-001308","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"187-191"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253096","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":"Transcending geographic and disciplinary borders: leadership lessons from a century of the Harkness Fellowship.","authors":"Molly Fitzgerald, Mathew Kelley, Reginald Williams","doi":"10.1136/leader-2025-001463","DOIUrl":"10.1136/leader-2025-001463","url":null,"abstract":"<p><strong>Background: </strong>Founded in 1925 as a 'reverse Rhodes Scholarship', the Harkness Fellowship was designed to foster international collaboration through transatlantic academic exchange. Over a century, it has evolved into a leadership programme uniting mid-career professionals from nine countries and a range of professional backgrounds to improve health systems through a year of immersion in the USA. As the fellowship marks its centennial, we reflect on what its history reveals about leading and learning across borders.</p><p><strong>Methods: </strong>This centennial reflection draws upon archival research, programme documentation, alumni interviews and individual case studies. The analysis synthesises historical shifts, strategic pivots and leadership development outcomes over the programme's 100-year history.</p><p><strong>Results: </strong>Three core lessons emerged: (1) challenge assumptions-fellows consistently innovated by questioning entrenched practices and applying cross-cultural insights; (2) harness the power of fellowship-sustained relationships and a shared mission drive collaborative outcomes across borders and (3) embrace a multidisciplinary mindset-fellows from diverse fields have advanced more holistic approaches to healthcare reform. Real-world examples illustrate the fellowship's tangible impact and provide practical lessons for healthcare leaders across countries and sectors.</p><p><strong>Conclusions: </strong>The Harkness Fellowship demonstrates that leadership in healthcare demands curiosity, humility and sustained collaboration. The fellowship's story is a reminder that the ability to learn across differences remains one of the most powerful tools for change. As the programme enters its second century, its relevance will rest on staying true to its core values: shared purpose, openness to difference and collaboration across borders to drive systemic change.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"217-219"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planetary health leadership to drive climate action across pharmaceutical supply chains: insights from qualitative research and a call to action.","authors":"Amy Booth, Liz Breen, Sietse Wieringa, Sara Elizabeth Shaw","doi":"10.1136/leader-2025-001253","DOIUrl":"10.1136/leader-2025-001253","url":null,"abstract":"<p><strong>Introduction: </strong>Pharmaceutical manufacture, delivery and use produces an estimated 10%-55% of national healthcare greenhouse gas emissions. Addressing pharmaceutical supply chain emissions is essential to mitigating healthcare's climate impact. Our research aimed to explore the constraints to pharmaceutical supply chain climate action and how planetary health leadership can overcome these challenges.</p><p><strong>Methods: </strong>We conducted 21 narrative interviews with representatives from pharmaceutical companies and industry and health system stakeholders. Interviews explored perspectives on climate action across pharmaceutical supply chains. Analysis was informed by argumentative discourse analysis, enabling the identification of key storylines.</p><p><strong>Results: </strong>Climate action across pharmaceutical supply chains is sporadic and insufficient to achieve health system climate goals. Critical constraints to climate action include (a) structural constraints, particularly complex, fragmented, global supply chains as well as limited renewable energy infrastructure in some countries where supply chains operate and (b) conceptual constraints, the 'patient-profit-planet dilemma', where climate action is perceived to conflict with patient well-being and financial considerations.Planetary health leadership can help overcome these constraints in three key ways. First, planetary health leadership can help reconceptualise healthcare delivery, and the role of pharmaceuticals, to align patient and planetary well-being while meeting financial pressures. Second, planetary health leadership can mobilise collective climate action across pharmaceutical supply chains, reframing climate change as a shared problem and challenging issues of transparency, competition and blame. Third, planetary health leadership can challenge wider systems that constrain climate action, leveraging the economic and political power of pharmaceutical supply chains to drive global decarbonisation efforts.</p><p><strong>Conclusion: </strong>Planetary health leadership must confront considerable constraints to embed planetary health considerations across pharmaceutical supply chains. Leaders in this space must be willing to go against the status quo and challenge entrenched norms and systems to enable wider spread and support for sustainable healthcare delivery.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"165-171"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609859","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":"My COVID 'planetary health' epiphany: restoration of our planet requires an Indigenous lens in health professions education and healthcare.","authors":"Michelle McLean","doi":"10.1136/leader-2025-001280","DOIUrl":"10.1136/leader-2025-001280","url":null,"abstract":"<p><strong>Introduction: </strong>In their 2024 editorial, Yassaie and Garman called on health professionals to be planetary health leaders. Responding to their call for articles, this submission reflects my COVID-19 'planetary health' epiphany during the Australian lockdowns while curating sustainable healthcare and climate change education submissions. COLLECTIVE COVID-19 LEARNINGS: As a global collective, we could have learnt much from the pandemic. Despite our broken relationship with Nature, during lockdown, most of us spent considerable time in Nature. This should have heightened our awareness of our interdependence with our natural environment. The United Nations has asked us to Make Peace with Nature and be the #GenerationRestoration in the 2021-2030 Decade of Restoration. A PERSONAL COVID-19 EPIPHANY: My COVID-19 epiphany happened while curating sustainable healthcare education articles for a medical education journal. An article reflecting Indigenous perspectives introduced me to Natural and First Laws. My newfound awareness of Indigenous communities' deep spiritual connection to and stewardship of Country or Land changed the lens with which Planetary Health was integrated across our curriculum.</p><p><strong>Advancing planetary health: </strong>This 'epiphany' also led to advocacy for advancing planetary stewardship in health professions education, such as the development of a Consensus Statement on Planetary Health and Education for Sustainable Healthcare, and contributing to the revision of the Australian Medical Council's Accreditation Standards.</p><p><strong>Restoration of the planet: </strong>Individually and collectively, as health professionals and health professions educators and as #GenerationRestoration, current and yet unborn generations of all 'beings' are relying on us to be inclusive eco-ethical leaders and planetary stewards.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"220-224"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640672","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":"Mattering at work: a scoping review with implications for the healthcare work environment.","authors":"Katy Hall, Amanda Datesman, Julie Haizlip, Beth Epstein","doi":"10.1136/leader-2025-001409","DOIUrl":"10.1136/leader-2025-001409","url":null,"abstract":"<p><strong>Background: </strong>Mattering, defined as making a difference and feeling significant to others, is endorsed by the US Surgeon General as an essential component of a healthy work environment. This concept is particularly relevant for healthcare leaders whose workforce face challenges such as burnout and turnover due to the demanding nature of the healthcare work environments. Research on mattering within the context of work environments can provide valuable insights into how mattering can be understood in relation to employees' work experiences.</p><p><strong>Objectives: </strong>This scoping review aims to explore the concept of mattering within the work environment to identify key concepts and relationships between mattering and work-related factors.</p><p><strong>Methods: </strong>A comprehensive search was conducted across PubMed, ERIC, CINAHL, EMBASE, Business Source Complete and PsycINFO for peer-reviewed studies that investigated mattering at work.</p><p><strong>Results: </strong>The review included 33 articles covering a diverse range of work environments in seven different countries. Employees' perceptions of mattering at work were influenced by their role and status, interpersonal relationships, peer and organisational support and societal impact. Several studies reported significant relationships between mattering and employee well-being, job satisfaction and organisational culture.</p><p><strong>Conclusion: </strong>Employees' perceptions of their significance and the importance of their work are shaped by interpersonal, societal and organisational interactions. To foster healthy work environments, healthcare leaders can examine these interactions and prioritise employee mattering. Future research should build on these findings by exploring mattering within the healthcare work environment, measuring healthcare worker mattering and developing interventions to enhance mattering and well-being.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"123-130"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716117","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":"Student leadership in planetary health: insights from the planetary health report card leadership team.","authors":"James Lee, Jessica Mo, Shivam Singhal, Arya Pontula, Aghna Wasim, Emily May Coady, Roma A Kankaria, Monisha Chinthala, Rebecca McEwen, Prasoon Pattanaik, Sila Gürbüz, Emmanuel Ifechukwude Benyeogor","doi":"10.1136/leader-2025-001287","DOIUrl":"10.1136/leader-2025-001287","url":null,"abstract":"<p><strong>Introduction: </strong>Student leadership plays a crucial role in the development of planetary health education. The Planetary Health Report Card (PHRC) is an established model of student-led initiative that is advancing planetary health education internationally.</p><p><strong>Methods: </strong>In this collection of personal reflections and informal discussions from 12 members of the PHRC's leadership team, we share a narrative analysis of the unique perspectives of student leaders working to advance planetary health education. The aim of this piece is to explore the value of student leadership in the development of Education for Sustainable Healthcare.</p><p><strong>Results: </strong>Students have a unique leadership role in this space, bringing a shared passion and collective responsibility for action while balancing academic studies and having finite course durations in which to enact change. Challenges exist in engaging other students and changing faculty perspectives; nevertheless, participation in this work is identified as both rewarding and personally fulfilling through international networking, working relationships and collective empowerment.</p><p><strong>Conclusions: </strong>Student leadership is a strong and necessary driver in the development of planetary health education and can be rewarding for those involved. However, student time must be respected; more work is required to break down negative perceptions and barriers to this work.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"213-216"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337706","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":"Impact and outcomes of the Emerging Leaders Programme: a mixed-methods evaluation of a leadership development programme for healthcare professionals.","authors":"Oscar Lyons, Juliette Phillipson, Mary Fenwick, Thomas Swinburn, Jacobus Charles Bender Kotze, Joao R Galante, Karandeep Nandra, Nicholas Fahy, Richard Canter","doi":"10.1136/leader-2024-001152","DOIUrl":"10.1136/leader-2024-001152","url":null,"abstract":"<p><strong>Background: </strong>The significance of effective medical leadership in enhancing healthcare outcomes has been widely acknowledged. This study evaluates the Emerging Leaders Programme, a multidisciplinary leadership development initiative for healthcare professionals at a UK Hospital Trust.</p><p><strong>Methods: </strong>The evaluation spanned three cohorts (2017-2019) and a total of 54 participants, employing mixed methods to assess participant reactions, learning, behaviour changes and organisational impact. Quantitative pre-/post-measures included the Primary Colours Questionnaire (PCQ), Medical Leadership Competency Framework Questionnaire (MLCFQ) and Brief Resilience Scale (BRS), while qualitative data were gathered via free-text comments and long-term follow-up interviews.</p><p><strong>Results: </strong>The programme had high satisfaction ratings, with particularly positive feedback relating to the multidisciplinary cohort and experiential learning via Quality Improvement projects. Findings indicated improvements in participants' leadership skills, knowledge, confidence and job satisfaction. Organisational outcomes included increased organisational interest in quality improvement and individual career progression.</p><p><strong>Conclusion: </strong>The results highlight the value of a structured leadership programme in developing healthcare leaders and driving organisational improvements, with long-term effects. Recommendations for future programmes include multidisciplinary involvement, experiential learning, inspiring speakers and embedded mixed-methods evaluation.</p>","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"137-144"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217153","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 at a time of a triple planetary crisis and breached planetary boundaries.","authors":"Michelle McLean","doi":"10.1136/leader-2025-001281","DOIUrl":"10.1136/leader-2025-001281","url":null,"abstract":"","PeriodicalId":36677,"journal":{"name":"BMJ Leader","volume":" ","pages":"209-212"},"PeriodicalIF":2.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972562","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}