Dimensions, discourses and differences: trainees conceptualising health care leadership and followership.
Context As doctors in all specialties are expected to undertake leadership within health care organisations, leadership development has become an inherent part of medical education. Whereas the leadership literature within medical education remains mostly focused on individual, hierarchical leadersh...
| Publicado en: | Medical Education Vol. 49; no. 12; pp. 1248 - 1263 |
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| Autores principales: | , , , |
| Formato: | glossary research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111238813&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 111238813 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Dec2015 vid: 49 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 111238813 111238813 111238813 10.1111/medu.12832 111238813 ppf: 1248 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Dimensions, discourses and differences: trainees conceptualising health care leadership and followership. aug: au: Gordon, Lisi J Rees, Charlotte E Ker, Jean S Cleland, Jennifer affil: Medical Education Institute, School of Medicine, University of Dundee, Dundee UK sug: subj: Leadership Education Student Attitudes Education, Medical Psychosocial Factors Social Constructionism Qualitative Studies Students, Medical United Kingdom Semi-Structured Interview United Kingdom Audiorecording Thematic Analysis Discourse Analysis Personality Personal Values Skill Mix Accountability Human Male Female Multicenter Studies United Kingdom Students, Medical Adult Funding Source Adult: 19-44 years Male Female ab: Context As doctors in all specialties are expected to undertake leadership within health care organisations, leadership development has become an inherent part of medical education. Whereas the leadership literature within medical education remains mostly focused on individual, hierarchical leadership, contemporary theory posits leadership as a group process, which should be distributed across all levels of health care organisation. This gap between theory and practice indicates that there is a need to understand what leadership and followership mean to medical trainees working in today's interprofessional health care workplace. Methods Epistemologically grounded in social constructionism, this research involved 19 individual and 11 group interviews with 65 UK medical trainees across all stages of training and a range of specialties. Semi-structured interviewing techniques were employed to capture medical trainees' conceptualisations of leadership and followership. Interviews were audiotaped, transcribed verbatim and analysed using thematic framework analysis to identify leadership and followership dimensions which were subsequently mapped onto leadership discourses found in the literature. Results Although diversity existed in terms of medical trainees' understandings of leadership and followership, unsophisticated conceptualisations focusing on individual behaviours, hierarchy and personality were commonplace in trainees' understandings. This indicated the dominance of an individualist discourse. Patterns in understandings across all stages of training and specialties, and whether definitions were solicited or unsolicited, illustrated that context heavily influenced trainees' conceptualisations of leadership and followership. Conclusions Our findings suggest that UK trainees typically hold traditional understandings of leadership and followership, which are clearly influenced by the organisational structures in which they work. Although education may change these understandings to some extent, changes in leadership practices to reflect contemporary theory are unlikely to be sustained if leadership experiences in the workplace continue to be based on individualist models. pubtype: Academic Journal doctype: glossary research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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