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Updated: Jul 30, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Seven leadership and followership lessons from kidney transplantation during lockdown
Megan Joffe1, Stephen O'Neill2,3, Zachery Ahmed2
1Edgecumbe Consulting Group Ltd, Bristol, UK megan.joffe@edgecumbe.co.uk.
Background:
The renal transplant team in Northern Ireland performed 70 transplants in 61 days during the first wave of COVID-19, an 8-fold increase in their typical activity. Mobilising diverse professional skills to achieve this number, especially under COVID-19 conditions, required extraordinary effort on the part of everyone involved along the transplant patient pathway, management and staff from other patient groups.
Methods:
Fifteen transplant team members were interviewed to explore their experiences during this time.
Results:
Seven key leadership and followership lessons, contextualised within The Healthcare Leadership model, were learnt from these experiences.
Conclusions:
While circumstances were untypical, the achievement and motivation of staff were no less commendable. We contend that this was not only because of the unusual circumstances but as a result of extraordinary leadership and followership, teamworking and individual agility.Recommendations for those leading services which require a quick response and collaborative effort are made.
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Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
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Acute Kidney Injury VI: Nursing Management
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