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Peer coaching, implementation support and organisational power.

Richard Boulton1,2, Annette Boaz3

  • 1Institute for Medical and Biomedical Education, St George's, University of London, Kingston, London.

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|May 10, 2023
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Summary
This summary is machine-generated.

Organizational power dynamics hinder peer coaching collaborations in healthcare settings. Implementing evidence-based programs like Patient and Family Centred Care (PFCC) faced challenges due to hierarchy and staff turnover.

Keywords:
CollaborationPFCCimplementation scienceimplementation supportorganisational powerpeer coachingtechnical assistance

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Implementation Science

Background:

  • Peer coaching is crucial for implementing evidence-based programs.
  • Understanding power dynamics is key to successful interprofessional collaboration.
  • Patient and Family Centred Care (PFCC) aims to enhance end-of-life services.

Purpose of the Study:

  • To examine the impact of organizational power on peer coaching relationships.
  • To evaluate the challenges faced by peer coaches in interprofessional settings.
  • To explore how power structures affect the implementation of the PFCC program.

Main Methods:

  • Ethnographic observations
  • Semi-structured interviews
  • Documentary analysis
  • Drawing on critical management studies perspectives.

Main Results:

  • Organizational power structures presented significant difficulties for interprofessional peer-coaching collaborations.
  • Peer coaches struggled to integrate advice within existing organizational ethos and hierarchies.
  • Staff turnover and time management issues further complicated collaborative efforts.

Conclusions:

  • Divergence between successful peer-coaching collaborations and program implementation success was observed.
  • Organizational power significantly impacts the effectiveness of peer coaching in healthcare settings.
  • Addressing power dynamics is essential for successful implementation of evidence-based programs.