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Leadership development in complex health systems: a qualitative study.
Leslie A Curry1,2, Adeola A Ayedun3,2, Emily J Cherlin3,2
1Health Policy and Management, Yale School of Public Health, New Haven, Connecticut, USA leslie.curry@yale.edu.
BMJ Open
|April 9, 2020
Summary
Participants found leadership development programs valuable for sustained professional growth and addressing complex healthcare challenges. Key program features, professional networks, and practical tools amplified learning over time.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Leadership Studies
Background:
- Leadership is crucial for healthcare organizational performance, impacting patient quality, safety, and outcomes.
- Leadership development programs are widespread, but in-depth analysis of participant experiences and long-term impact is limited.
- Understanding how leadership learnings sustain and evolve in complex systems is essential.
Purpose of the Study:
- To explore participant experiences in an interdisciplinary leadership development program.
- To investigate the application and sustainability of skills and competencies gained.
- To assess how program impact changes with career progression.
Main Methods:
- Qualitative study employing in-depth interviews with participants from three cohorts.
- Participants were leaders in UK health and social care sectors (2013/2014, 2015/2016, 2017/2018).
- A high response rate (81%) was achieved with 26 interviews conducted.
Main Results:
- Specific program features significantly enhanced professional development across multiple levels.
- The combination of a professional network and practical tools enabled novel approaches to systemic problems.
- Participants reported sustained and amplified learning as their roles grew in complexity.
Conclusions:
- Leadership development programs can be designed to maximize relevance and impact through specific features.
- Learnings from these programs are transferable to practice and can amplify benefits over time.
- Effective leadership development contributes to sustained, rather than diminishing, positive effects in healthcare.
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