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Article
Publication date: 9 November 2021

Ming-Ka Chan, Graham Dickson, David A. Keegan, Jamiu O. Busari, Anne Matlow and John Van Aerde

The purpose of this paper was to determine the complementarity between the Canadian Medical Education Directions for Specialists (CanMEDS) physician competency and LEADS

Abstract

Purpose

The purpose of this paper was to determine the complementarity between the Canadian Medical Education Directions for Specialists (CanMEDS) physician competency and LEADS leadership capability frameworks from three perspectives: epistemological, philosophical and pragmatic. Based on those findings, the authors propose how the frameworks collectively layout pathways of lifelong learning for physician leadership.

Design/methodology/approach

Using a qualitative approach combining critical discourse analysis with a modified Delphi, the authors examined “How complementary the CanMEDS and LEADS frameworks are in guiding physician leadership development and practice” with the following sub-questions: What are the similarities and differences between CanMEDS and LEADS from: An epistemological and philosophical perspective? The perspective of guiding physician leadership training and practice? How can CanMEDS and LEADS guide physician leadership development from medical school to retirement?

Findings

Similarities and differences exist between the two frameworks from philosophical and epistemological perspectives with significant complementarity. Both frameworks are founded on a caring ethos and value physician leadership – CanMEDS (for physicians) and LEADS (physicians as one of many professions) define leadership similarly. The frameworks share beliefs in the function of leadership, embrace a belief in distributed leadership, and although having some philosophical differences, have a shared purpose (preparing for changing health systems). Practically, the frameworks are mutually supportive, addressing leadership action in different contexts and where there is overlap, complement one another in intent and purpose.

Originality/value

To the best of the authors’ knowledge, this is the first paper to map the CanMEDS (physician competency) and LEADS (leadership capabilities) frameworks. By determining the complementarity between the two, synergies can be used to influence physician leadership capacity needed for today and the future.

Details

Leadership in Health Services, vol. 35 no. 1
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 25 April 2018

Graham Dickson and John Van Aerde

The purpose of this paper is to provide a case study demonstrating that LEADS in a Caring Environment Capabilities Framework in Canada can assist physicians to be partners in…

Abstract

Purpose

The purpose of this paper is to provide a case study demonstrating that LEADS in a Caring Environment Capabilities Framework in Canada can assist physicians to be partners in leading health reform.

Design/methodology/approach

A descriptive case-based approach was followed, relying on existing documents, research papers and peer-reviewed articles, to substantiate the effect of LEADS on physician leadership in Canada.

Findings

The Canadian LEADS framework enables physicians to lead by providing them with access to best practices of leadership, acting as an antidote to fragmented leadership practice, setting standards for development and accountability and providing opportunities for efficient and effective system-wide leadership development and change.

Research limitations/implications

A formal systematic review of the literature was not conducted. Findings can only be generalized to other cases if the reader sees contextual similarities between the present study context and the other case’s context.

Practical implications

This case demonstrates that national leadership frameworks have a role in facilitating physician leadership. Other national jurisdictions may wish to explore the Canadian case to determine how to use a common leadership language to engage physicians in health reform.

Social implications

Leadership is a key component of health reform. A common language and set of standards (LEADS) that can engage physicians will benefit patients and citizens in Canada.

Originality/value

This national case study shows how a nationally endorsed leadership framework such as LEADS can facilitate better physician leadership for health reform.

Details

Leadership in Health Services, vol. 31 no. 2
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 7 December 2021

Kumar Saurabh, Ridhi Arora, Neelam Rani, Debasisha Mishra and M. Ramkumar

Digital transformation (DT) leverages digital technologies to change current processes and introduce new processes in any organisation’s business model, customer/user experience…

1760

Abstract

Purpose

Digital transformation (DT) leverages digital technologies to change current processes and introduce new processes in any organisation’s business model, customer/user experience and operational processes (DT pillars). Artificial intelligence (AI) plays a significant role in achieving DT. As DT is touching each sphere of humanity, AI led DT is raising many fundamental questions. These questions raise concerns for the systems deployed, how they should behave, what risks they carry, the monitoring and evaluation control we have in hand, etc. These issues call for the need to integrate ethics in AI led DT. The purpose of this study is to develop an “AI led ethical digital transformation framework”.

Design/methodology/approach

Based on the literature survey, various existing business ethics decision-making models were synthesised. The authors mapped essential characteristics such as intensity and the individual, organisational and opportunity factors of ethics models with the proposed AI led ethical DT. The DT framework is evaluated using a thematic analysis of 23 expert interviews with relevant AI ethics personas from industry and society. The qualitative data of the interviews and opinion data has been analysed using MAXQDA software.

Findings

The authors have explored how AI can drive the ethical DT framework and have identified the core constituents of developing an AI led ethical DT framework. Backed by established ethical theories, the paper presents how DT pillars are related and sequenced to ethical factors. This research provides the potential to examine theoretically sequenced ethical factors with practical DT pillars.

Originality/value

The study establishes deduced and induced ethical value codes based on thematic analysis to develop guidelines for the pursuit of ethical DT. The authors identify four unique induced themes, namely, corporate social responsibility, perceived value, standard benchmarking and learning willingness. The comprehensive findings of this research, supported by a robust theoretical background, have substantial implications for academic research and corporate applicability. The proposed AI led ethical DT framework is unique and can be used for integrated social, technological and economic ethical research.

Details

Journal of Information, Communication and Ethics in Society, vol. 20 no. 2
Type: Research Article
ISSN: 1477-996X

Keywords

Article
Publication date: 6 October 2014

Andi Sebastian, Liz Fulop, Ann Dadich, Anneke Fitzgerald, Louise Kippist and Anne Smyth

The purpose of this paper is to call for strong medical co-leadership in transforming the Australian health system. The paper discusses how Health LEADS Australia, the Australian…

2698

Abstract

Purpose

The purpose of this paper is to call for strong medical co-leadership in transforming the Australian health system. The paper discusses how Health LEADS Australia, the Australian health leadership framework, offers an opportunity to engage medical clinicians and doctors in the leadership of health services.

Design/methodology/approach

The paper first discusses the nature of medical leadership and its associated challenges. The paper argues that medical leaders have a key role in the design, implementation and evaluation of healthcare reforms, and in translating these reforms for their colleagues. Second, this paper describes the origins and nature of Health LEADS Australia. Third, this paper discusses the importance of the goal of Health LEADS Australia and suggests the evidence-base underpinning the five foci in shaping medical leadership education and professional development. This paper concludes with suggestions on how Health LEADS Australia might be evaluated.

Findings

For the well-being of the Australian health system, doctors need to play an important role in the kind of leadership that makes measurable differences in the retention of clinical professions; improves organisational cultures; enhances the engagement of consumers and their careers; is associated with better patient and public health outcomes; effectively addresses health inequalities; balances cost effectiveness with improved quality and safety; and is sustainable.

Originality/value

This is the first article addressing Health LEADS Australia and medical leadership. Australia is actively engaging in a national approach to health leadership. Discussions about the mechanisms and intentions of this are valuable in both national and global health leadership discourses.

Details

Leadership in Health Services, vol. 27 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 12 April 2023

Sonia Udod, Pamela Baxter, Suzanne Gagnon, Vicki Charski and Saba Raja

The purpose of this paper is to assess the extent to which the LEADS Framework guided health-care leaders through organizational change and the COVID-19 pandemic in a western…

Abstract

Purpose

The purpose of this paper is to assess the extent to which the LEADS Framework guided health-care leaders through organizational change and the COVID-19 pandemic in a western Canadian province.

Design/methodology/approach

A qualitative exploratory inquiry assessed the extent to which health leaders applied competencies that aligned with the LEADS Framework. A purposeful sample of 22 health-care leaders participated in the study representing senior, mid-level and front-line health-care leaders in various health-care organizations to ensure diverse representation of leader competencies. The authors conducted semi-structured interviews to collect the data and used Braun and Clarke’s (2006) six-phase approach to guide data analysis.

Findings

The analysis suggests that health-care leaders found Engaging with Others and Developing Coalitions were the most critical themes of the LEADS Framework for change management and for navigating the COVID-19 pandemic. Findings reveal that during transformational change and a crisis context, leaders embrace relational approaches to adapt and improve performance in dynamic organizations.

Practical implications

These findings have implications for a relational approach to improve teamwork and decrease emotional strain; a focus on mobilizing and sharing power with nurses; and educational programs to advance relational and self-management skills, shared leadership, communication, change management, human resource and talent development as critical learning components for current and future health-care leaders.

Originality/value

The LEADS Framework is used to examine how health-care leaders responded to transformational change in the organization while situated in a pandemic context.

Details

Leadership in Health Services, vol. 36 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 11 May 2018

Elizabeth Shannon and Andi Sebastian

Leadership, and leadership development, in health and human services is essential. This review aims to draw conclusions from practice within the Australian context.

1345

Abstract

Purpose

Leadership, and leadership development, in health and human services is essential. This review aims to draw conclusions from practice within the Australian context.

Design/methodology/approach

This review is an overview of health leadership development in Australia, with a particular focus on the implementation of the national health leadership framework, Health LEADS Australia (HLA).

Findings

Since its inception, the HLA has influenced the development of health leadership frameworks across the Australian states and territories. Both the National Health Leadership Collaboration and individuals with “boundary-spanning” roles across state government and the university sector have contributed to the development of collaborative online communities of practice and professional networks. Innovation has also been evident as the HLA has been incorporated into existing academic curricula and new professional development offerings. Ideas associated with distributed leadership, integral to the HLA, underpin both sets of actions.

Practical implications

The concept of a national health leadership framework has been implemented in different ways across jurisdictions. The range of alternative strategies (both collaborative and innovative) undertaken by Australian practitioners provide lessons for practice elsewhere.

Originality/value

This article adds to the body of knowledge associated with policy implementation and provides practical recommendations for the development and promotion of health leadership development programmes.

Details

Leadership in Health Services, vol. 31 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Open Access
Article
Publication date: 27 September 2022

Indra Abeysekera

A sustainability reporting framework must demonstrate that resources are fairly bought and used to support diverse life on earth within habitable ranges. The purpose of this paper…

10119

Abstract

Purpose

A sustainability reporting framework must demonstrate that resources are fairly bought and used to support diverse life on earth within habitable ranges. The purpose of this paper is to propose a principle-based sustainability reporting framework that measures, audits and reports based on sustainability outcomes and impacts as part of the corporate reporting framework.

Design/methodology/approach

This paper draws on the United Nations Sustainable Development Goals (UN SDGs) and targets for preparing a reporting framework. It uses Gaia Theory and the Theory of Distributive Justice constructs that align with sustainable development principles to delineate a reporting approach.

Findings

Frameworks that promote sustainability reporting have increasingly embraced UN SDGs but overly focus on performance promoting inter-firm comparisons. This framework introduces principle-based sustainability reporting where firms demonstrate their chosen contribution to sustainable development using 17 UN SDGs as goal posts.

Research limitations/implications

This conceptual paper presents theoretical constructs that future research can empirically validate to enhance sustainability reporting.

Practical implications

This principle-based sustainability reporting framework is implementable for corporate reporting, where sustainability reporting integrates with the financial and economic intellectual capital reporting frameworks.

Social implications

This framework highlights the importance of acquiring and using resources to distribute justice and fairness. It is a joint project between firms and stakeholders.

Originality/value

This framework promotes integrated thinking for firms to engage in principle-based sustainability reporting and provides a roadmap for sustainability reporting using the SDG Compass logic model.

Details

Sustainability Accounting, Management and Policy Journal, vol. 13 no. 6
Type: Research Article
ISSN: 2040-8021

Keywords

Article
Publication date: 7 June 2013

Dawn Ringrose

The purpose of this paper is to describe the development of the Organizational Excellence Framework, which consolidates the principles and practices of leading management…

2268

Abstract

Purpose

The purpose of this paper is to describe the development of the Organizational Excellence Framework, which consolidates the principles and practices of leading management frameworks that are practiced in Australia, Europe, the USA and Canada. It is intended to fill a void that exists, to date, for having an implementation guideline for industries’ consultants and quality practitioners.

Design/methodology/approach

The paper consolidates the principles and practices of the leading excellence frameworks and provides the results worked out with a team of management consultants and quality professionals that adds to the existing body of knowledge (BoK), giving state‐of‐the‐art implementation guidelines, additional resources and references.

Findings

Subjective and objective data gathering for the case study was carried out to gather responses from management consulting and quality practitioners on the potential value to practitioners and organizations.

Originality/value

The research combines the content of leading frameworks and provides implementation guidelines for the management consulting group and quality practitioners. The value of the Organizational Excellence Framework is to deliver benefits similar to other award program schemes that are realized when practitioners use the framework and organizations implement it and apply for excellence awards, nationally or internationally.

Article
Publication date: 15 January 2022

Everett Spain, Lara Brennecke and Lissa Young

It can be difficult for students to digest and learn complex theories of organizational culture and change without being able apply the steps to a real or imagined scenario…

Abstract

It can be difficult for students to digest and learn complex theories of organizational culture and change without being able apply the steps to a real or imagined scenario. Oftentimes, they lack experience and can’t imagine the components of each phase or step without a practical example. This article discusses the theoretical background of leading positive organizational change and then uses a case study to help students apply their knowledge. It highlights the fictional leadership dilemma of a young Army officer, First Lieutenant Jordan Baker, upon arrival to her new duty location. Instructors can use the case to teach the 4-Phase Leading Change Framework which incorporates Kotter’s eight-step model to enact positive change. The purpose of this case is to give instructors a framework to teach students in a stepwise fashion, making concepts easier for students to visualize.

Details

Journal of Leadership Education, vol. 21 no. 1
Type: Research Article
ISSN: 1552-9045

Article
Publication date: 24 March 2022

Mahmoud El Samad, Sam El Nemar, Georgia Sakka and Hani El-Chaarani

The purpose of this paper is to propose a new conceptual framework for big data analytics (BDA) in the healthcare sector for the European Mediterranean region. The objective of…

Abstract

Purpose

The purpose of this paper is to propose a new conceptual framework for big data analytics (BDA) in the healthcare sector for the European Mediterranean region. The objective of this new conceptual framework is to improve the health conditions in a dynamic region characterized by the appearance of new diseases.

Design/methodology/approach

This study presents a new conceptual framework that could be employed in the European Mediterranean healthcare sector. Practically, this study can enhance medical services, taking smart decisions based on accurate data for healthcare and, finally, reducing the medical treatment costs, thanks to data quality control.

Findings

This research proposes a new conceptual framework for BDA in the healthcare sector that could be integrated in the European Mediterranean region. This framework introduces the big data quality (BDQ) module to filter and clean data that are provided from different European data sources. The BDQ module acts in a loop mode where bad data are redirected to their data source (e.g. European Centre for Disease Prevention and Control, university hospitals) to be corrected to improve the overall data quality in the proposed framework. Finally, clean data are directed to the BDA to take quick efficient decisions involving all the concerned stakeholders.

Practical implications

This study proposes a new conceptual framework for executives in the healthcare sector to improve the decision-making process, decrease operational costs, enhance management performance and save human lives.

Originality/value

This study focused on big data management and BDQ in the European Mediterranean healthcare sector as a broadly considered fundamental condition for the quality of medical services and conditions.

Details

EuroMed Journal of Business, vol. 17 no. 3
Type: Research Article
ISSN: 1450-2194

Keywords

1 – 10 of over 198000