背景和复杂性:对综合护理系统领导层的现实评估
Lisa Knight1, Rafaela Neiva Ganga1, Matthew Tucker1
1Liverpool Business School, Liverpool John Moores University, Liverpool, UK.
有效的综合护理系统 (ICS) 领导力需要强有力的目标意识和支持性可见性,特别是在流行病后. 财务压力可能会阻碍医疗和社会护理领域的响应能力和创新.
科学领域:
- 医疗保健管理的管理
- 系统领导力 系统领导力
- 公共卫生政策 公共卫生政策
背景情况:
- 综合护理系统 (ICS) 对于协调卫生和社会护理服务至关重要.
- 在这些复杂系统中的领导力面临着独特的挑战,特别是在后COVID-19时代.
- 了解有效的领导力对于改善患者结果和系统效率至关重要.
研究的目的:
- 在英语综合护理系统 (ICS) 中对领导力进行现实的评估.
- 为了确定有效的领导层方面,目标受益者,机制和上下文条件.
- 为导航ICS领导的复杂性提供实用见解.
主要方法:
- 采用了一个现实的评估方法,遵循RAMESES标准.
- 数据收集包括23次与ICS领导人的采访,7次会议观察和文档分析 (2023年1月至11月).
- 之前的现实主义审查结果作为理论框架.
主要成果:
- 关键的背景包括COVID-19后遗产和不同的健康/社会护理监管和金融环境.
- 强烈的目标意识促进了心理安全和承担风险;共同的愿景有助于确定优先事项.
- 领导层的知名度提高了员工的士气,但财务限制阻碍了响应和创新,特别是在解决健康不平等问题方面.
结论:
- 这项研究为ICS中的系统领导提供了有价值的见解.
- 调查结果强调了目标,可见性和财务/监管背景在领导力有效性的相互作用.
- 这项研究为复杂的综合护理环境中的领导者提供了实际指导.
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