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The purpose of this paper is to determine the impact of an integrated Medical Leadership Programme (MLP) on a cohort of participating specialty doctors and the NHS…
The purpose of this paper is to determine the impact of an integrated Medical Leadership Programme (MLP) on a cohort of participating specialty doctors and the NHS services with which they were engaged.
This was a qualitative study designed to obtain rich textual data on a novel training intervention. Semi-structured interviews were conducted with participating MLP trainees at fixed points throughout the programme in order to capture their experiences. Resulting data were triangulated with data from extant documentation, including trainees’ progress reports and summaries of achievements. Recurring discourses and themes were identified using a framework thematic analysis.
Evidence of the positive impact upon trainees and NHS services was identified, along with challenges. Evidence of impact across all the domains within the national Medical Leadership Competency Framework was also identified, including demonstrating personal qualities, working with others, managing services, improving services and setting direction.
Data were drawn from interviews with a small population of trainees undertaking a pilot MLP in a single deanery, so there are inevitable limitations for generalisability in the quantitative sense. Whilst the pilot trainees were a self-selected group, it was a group of mixed origin and ability.
The study has provided valuable lessons for the design of future leadership programmes aimed at doctors in training.
Identifying the effectiveness of an innovative model of delivery with regard to the Medical Leadership Curriculum may assist with medical staff engagement and support health service improvements to benefit patient care.
The purpose of this paper is to explore different factors of recycling behaviour with evidence from Malta in order to determine which of these factors emerge as…
The purpose of this paper is to explore different factors of recycling behaviour with evidence from Malta in order to determine which of these factors emerge as significant predictors of the recycling participation of Maltese residents.
For this study, the recycling behaviour of 400 Maltese residents selected at random from the e‐Electoral Register for general elections and local councils was investigated. A behavioural framework was adopted and the questionnaire used incorporates elements from the Theory of Planned Behaviour (TPB), the Model of Altruistic Behaviour (MAB) as well as other determinants of recycling behaviour (e.g. inconveniences and demographic variables). The participants had the option of answering the questionnaire by telephone or via an online survey which was e‐mailed directly to the participants.
The study shows that nine factors – “personal recycling attitudes, norms and skills”, “satisfaction with service provided”, “inconveniences”, “awareness of consequences”, “knowledge of issues”, “social recycling attitudes and norms”, “motivating factors”, “intentions to act” and “scheme preference” – account for 68.5 per cent of the variability in the recycling behaviour of Maltese residents. Additionally, the first three factors highlighted above emerged as significant predictors of recycling participation and together accounted for 48.5 per cent of the variability in recycling participation. In the light of the findings, the issue of adopting a corporate communications programme emerges as a possible strategy aimed at putting mandatory EU recycling targets for Malta back on track.
This study provides empirical evidence from Malta that the incorporation of elements from the Theory of Planned Behaviour, the Model of Altruistic Behaviour as well as other additional variables (e.g. situational factors and demographic factors) makes a significant contribution to the understanding of the recycling behaviour and the recycling participation of Maltese residents.