Affiliation:
1. Griffith Business School Griffith University Gold Coast Queensland Australia
2. Emergency Department Austin Hospital Melbourne Victoria Australia
3. Management and Marketing Swinburne University of Technology Hawthorn Victoria Australia
Abstract
AbstractObjectiveThe ability to lead change is well recognised as a core leadership competency for clinicians, including emergency physicians. However, little is known about how emergency physicians' think about change leadership. The present study explores Australasian emergency physicians' beliefs about the factors that help and hinder efforts to lead change in Australasian EDs.MethodsAn online modified Delphi study was conducted with 19 Fellows of the Australasian College for Emergency Medicine. To structure the process, participants were sorted into four panels. Using a three‐phase Delphi process, participants were guided through a process of brainstorming, narrowing down and ranking the factors that help and hinder attempts to lead change. Reflexive thematic analysis was used to code and interpret the qualitative data set emerging from participants' responses through the final ranking phase.ResultsA wide array of self‐, ED‐ and hospital‐related enablers and barriers of leading change were identified, the relative importance of which varied as a function of panel. Five core themes characterised emergency physicians' conceptions of change leadership in hospitals: challenging environments of competing interests and tribalism; need for trust and psychological safety to sustain collaboration; challenges of navigating complex hierarchies; need to garner executive leadership support and; need to maintain a growth mindset and motivation to practice change leadership.ConclusionThe findings of our study provide new insight into emergency physicians' conceptions of the nature, barriers to and enablers of change and point to new directions in leadership development to support emergency physicians' aspirations in the context of quality, organisation and health systems improvement.
Funder
Australasian College for Emergency Medicine
Reference26 articles.
1. Priorities and challenges for health leadership and workforce management globally: a rapid review
2. Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare
3. Health LEADS Australia and implications for medical leadership
4. ACHSM.Master Health Service Management Competency Framework.2016. [Cited 17 Oct 2023.] Available from URL:https://www.achsm.org.au/Portals/15/documents/education/competency-framework/2020_competency_framework_A4_full_brochure.pdf
5. National Center for Healthcare Leadership.Health Leadership Competency Model 3.0.2018. [Cited 20 Oct 2023.] Available from URL:https://www.nchl.org