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Article
Publication date: 19 August 2021

Carolyn Jackson, Tamsin McBride, Kim Manley, Belinda Dewar, Beverley Young, Assumpta Ryan and Debbie Roberts

This paper aims to share the findings of a realist evaluation study that set out to identify how to strengthen nursing, midwifery and allied health professions (NMAHP) leadership…

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Abstract

Purpose

This paper aims to share the findings of a realist evaluation study that set out to identify how to strengthen nursing, midwifery and allied health professions (NMAHP) leadership across all health-care contexts in the UK conducted between 2018 and 2019. The collaborative research team were from the Universities of Bangor, Ulster, the University of the West of Scotland and Canterbury Christ Church University.

Design/methodology/approach

Realist evaluation and appreciative inquiry were used across three phases of the study. Phase 1 analysed the literature to generate tentative programme theories about what works, tested out in Phase 2 through a national social media Twitter chat and sense-making workshops to help refine the theories in Phase 3. Cross-cutting themes were synthesised into a leadership framework identifying the strategies that work for practitioners in a range of settings and professions based on the context, mechanism and output configuration of realist evaluation. Stakeholders contributed to the ongoing interrogation, analysis and synthesis of project outcomes.

Findings

Five guiding lights of leadership, a metaphor for principles, were generated that enable and strengthen leadership across a range of contexts. – “The Light Between Us as interactions in our relationships”, “Seeing People’s Inner Light”, “Kindling the Spark of light and keeping it glowing”, “Lighting up the known and the yet to be known” and “Constellations of connected stars”.

Research limitations/implications

This study has illuminated the a-theoretical nature of the relationships between contexts, mechanisms and outcomes in the existing leadership literature. There is more scope to develop the tentative programme theories developed in this study with NMAHP leaders in a variety of different contexts. The outcomes of leadership research mostly focussed on staff outcomes and intermediate outcomes that are then linked to ultimate outcomes in both staff and patients (supplemental). More consideration needs to be given to the impact of leadership on patients, carers and their families.

Practical implications

The study has developed additional important resources to enable NMAHP leaders to demonstrate their leadership impact in a range of contexts through the leadership impact self-assessment framework which can be used for 360 feedback in the workplace using the appreciative assessment and reflection tool.

Social implications

Whilst policymakers note the increasing importance of leadership in facilitating the culture change needed to support health and care systems to adopt sustainable change at pace, there is still a prevailing focus on traditional approaches to individual leadership development as opposed to collective leadership across teams, services and systems. If this paper fails to understand how to transform leadership policy and education, then it will be impossible to support the workforce to adapt and flex to the increasingly complex contexts they are working in. This will serve to undermine system integration for health and social care if the capacity and capability for transformation are not attended to. Whilst there are ambitious global plans (WHO, 2015) to enable integrated services to be driven by citizen needs, there is still a considerable void in understanding how to authentically engage with people to ensure the transformation is driven by their needs as opposed to what the authors think they need. There is, therefore, a need for systems leaders with the full skillset required to enable integrated services across place-based systems, particularly clinicians who are able to break down barriers and silo working across boundaries through the credibility, leadership and facilitation expertise they provide.

Originality/value

The realist evaluation with additional synthesis from key stakeholders has provided new knowledge about the principles of effective NMAHP leadership in health and social care, presented in such a way that facilitates the use of the five guiding lights to inform further practice, education, research and policy development.

Details

Leadership in Health Services, vol. 34 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 17 August 2021

Carolyn Jackson, Kim Manley and Mayur Vibhuti

This paper aims to present the impact evaluation findings from a multiprofessional leadership programme commissioned in the South East of England to support primary care networks…

Abstract

Purpose

This paper aims to present the impact evaluation findings from a multiprofessional leadership programme commissioned in the South East of England to support primary care networks (PCNs) to lead system improvement together. It identifies programme impact at micro and meso system levels; a leadership impact continuum that can be used by individuals and teams to evidence impact of improvements in PCN practices; the learning and development strategies that were effective and proposes implications for other networks.

Design/methodology/approach

Mixed methods underpinned by practice development methodology were used to explore the impact of the programme on two practitioner cohorts across 16 PCNs. Data were collected at the start, mid-point and end of the eight-month programme.

Findings

Results illustrate an innovative approach to collective leadership development. A continuum of impact created with participants offers insight into the journey of transformation, recognising that “change starts with me”. The impact framework identifies enablers, attributes and consequences for measuring and leading change at micro, meso and macro levels of the health-care system. Participants learned how to facilitate change and collaboratively solve problems through peer consulting which created a safe space for individuals to discuss workplace issues and receive multiprofessional views through action learning. These activities enabled teams to present innovative projects to commissioners for service redesign, enabling their PCN to be more effective in meeting population health needs. The authors believe that this programme may provide a model for other PCNs England and other place-based care systems internationally.

Originality/value

This study offers insight into how to enable a journey of transformation for individuals and PCN teams to enhance team effectiveness and collective leadership for system-wide transformation required by the National Health Service Long Term Plan (2019).

Contribution to Impact

Details

Leadership in Health Services, vol. 35 no. 3
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 1 June 2002

Penny Tinkler and Carolyn Jackson

In a climate of tightening quality controls and audits within higher education, the transparency of doctoral examination practices is increasingly the subject of scrutiny…

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Abstract

In a climate of tightening quality controls and audits within higher education, the transparency of doctoral examination practices is increasingly the subject of scrutiny. Examines quality and standards issues that arise in relation to setting up, and preparing for, the examination of the research PhD. Specifically, the ways in which the examination is organised and the ways in which candidates prepare for the viva are addressed. The discussion draws on three sets of data collected between 1999 and 2001: institutional policy data; questionnaire data from PhD candidates, examiners and supervisors; and interview data with candidates before and after their PhD vivas.

Details

Quality Assurance in Education, vol. 10 no. 2
Type: Research Article
ISSN: 0968-4883

Keywords

Book part
Publication date: 12 November 2018

Amanda Washington Lockett and Marybeth Gasman

This chapter focuses on the presence and accomplishments of Black women across the leadership spectrum within the context of historically Black colleges and universities.

Abstract

This chapter focuses on the presence and accomplishments of Black women across the leadership spectrum within the context of historically Black colleges and universities.

Details

Underserved Populations at Historically Black Colleges and Universities
Type: Book
ISBN: 978-1-78754-841-1

Keywords

Book part
Publication date: 22 November 2017

Gaëtane Jean-Marie and Tickles

Many Black women continue to negotiate their way within higher education institutions, which are influenced by social class, race, and gender biases. Several scholars contend that…

Abstract

Many Black women continue to negotiate their way within higher education institutions, which are influenced by social class, race, and gender biases. Several scholars contend that Black women’s objectification as the “other” and “outsider within” (Collins, 2000; Fitzgerald, 2014; Jean-Marie, 2014) is still apparent in today’s institutions yet many persist to ascend to top leadership positions (Bates, 2007; Epps, 2008; Evans, 2007; Hamilton, 2004; Jean-Marie, 2006, 2008). In particular, the inroads made by Black women administrators in both predominantly white colleges (PWIs) as well as historically black colleges and universities (HBCUs) depict a rich and enduring history of providing leadership to effect social change in the African American community (i.e., uplift the race) and at large (Bates, 2007; Dede & Poats, 2008; Evans, 2007; Hine, 1994; Miller & Vaughn, 1997). There is a growing body of literature exploring Black women’s leadership in higher education, and most research have focused on their experiences in predominantly white institutions (Bower & Wolverton, 2009; Dixon, 2005; Harris, Wright, & Msengi, 2011; Jordan, 1994; Rusher, 1996; Turner, 2008). A review of the literature points to the paucity of research on their experiences and issues of race and gender continue to have an effect on the advancement of Black women in the academy. In this chapter, we examine factors that create hindrance to the transformation of the composition, structure, and power of leadership paradigm with a particular focus on Black women administrators and those at the presidency at HBCUs. From a review of the literature, our synthesis is based on major themes and subthemes that emerged and guide our analysis in this chapter. The chapter concludes with recommendations for identifying and developing Black women leaders to diversify the leadership pipeline at HBCUs and other institutions for the future.

Details

Black Colleges Across the Diaspora: Global Perspectives on Race and Stratification in Postsecondary Education
Type: Book
ISBN: 978-1-78635-522-5

Keywords

Article
Publication date: 28 June 2013

Tim Aron, Nathaniel Lalone and Carolyn Jackson

The purpose of this paper is to explain the European Market Infrastructure Regulation, known as EMIR, adopted on July 4, 2012 as the Regulation on OTC Derivatives, Central…

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Abstract

Purpose

The purpose of this paper is to explain the European Market Infrastructure Regulation, known as EMIR, adopted on July 4, 2012 as the Regulation on OTC Derivatives, Central Counterparties and Trade Repositories.

Design/methodology/approach

The paper explains EMIR's clearing and reporting requirements, who is within the scope of those requirements, who is a financial and non‐financial counterparty, the clearing thresholds, the clearing and reporting obligations, when those obligations will begin, the risk mitigation obligations, and a range of potential questions anyone trading in OTC derivatives should consider.

Findings

EMIR requires that all standardized OTC derivatives contracts be cleared through a central counterparty and reported to a trade repository.

Originality/value

The paper provides practical guidance by experienced financial services lawyers.

Article
Publication date: 1 February 1996

Karen Watkins

Information technology in New Mexico has not yet become an integral part of education, government, or library functions. In recent years, however, diverse local and regional…

Abstract

Information technology in New Mexico has not yet become an integral part of education, government, or library functions. In recent years, however, diverse local and regional efforts have started to come together, and significant planning and implementation activities are being undertaken, funded by the state as well as local and regional entities. With all connectivity initiatives, there is a focus on partnerships and a concern about shared infrastructure. Libraries have taken the path of host‐to‐host connectivity instead of developing a centralized system with a statewide catalog supported by mainframe. Statewide library networking has been and continues to be largely based on local initiatives.

Details

Library Hi Tech, vol. 14 no. 2/3
Type: Research Article
ISSN: 0737-8831

Abstract

Details

Supervising Doctoral Candidates
Type: Book
ISBN: 978-1-83797-051-3

Article
Publication date: 1 March 1977

HELEN M. MACKIE

THIS bibliography is an attempt at bringing together some of the current or most useful writings on women and employment in Britain, to facilitate much needed research and also as…

Abstract

THIS bibliography is an attempt at bringing together some of the current or most useful writings on women and employment in Britain, to facilitate much needed research and also as a practical aid to those actively involved in campaigning for women's equality in employment. Since it has been necessary to limit the scope of this piece of work, I have excluded material on women's work inside the home and on the situation in other countries. I have also tended to concentrate on current sources of information dealing with the general situation, disregarding the historical dimension and material on one occupation only.

Details

Library Review, vol. 26 no. 3
Type: Research Article
ISSN: 0024-2535

Book part
Publication date: 17 October 2005

Arthur P. Bochner

Carolyn Ellis and I have been partners for more than a decade. Shortly after we met in 1990, Carolyn sent me a draft copy of a book manuscript she had written entitled Final

Abstract

Carolyn Ellis and I have been partners for more than a decade. Shortly after we met in 1990, Carolyn sent me a draft copy of a book manuscript she had written entitled Final Negotiations (Ellis, 1995). The book described in detail the history of Carolyn's nine-year relationship with Gene Weinstein who died of emphysema in 1985 (Ellis, 1995). As I read through the chapter in which Carolyn told the story of her brother's death in an airplane crash, I felt as if all my senses were being pricked. I had never before read a social science article in which the researcher wrote from the source of her own grief, openly expressing what it felt like to be stricken so suddenly, refusing to gloss the layers of conflicting feelings, the exciting rush of adrenalin countered by the deadening fog of numbness, the waves of hope and despair, and finally, the struggle first to choke down, then to grope toward an understanding of the meaning of her suffering and loss.

Details

Studies in Symbolic Interaction
Type: Book
ISBN: 978-0-7623-1186-6

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