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ABC of Clinical Leadership von Swanwick, Tim (eBook)

  • Erscheinungsdatum: 10.01.2017
  • Verlag: Wiley-Blackwell
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ABC of Clinical Leadership

The ABC of Clinical Leadership explores and develops the key principles of leadership and management. It outlines the scope of clinical leadership, emphasising its importance in the clinical context, especially for improving patient care and health outcomes in rapidly changing health systems and organisations. Using short illustrative case studies, the book takes a systematic approach to leadership of clinical services, systems and organisations; working with others and developing individual leadership skills. This second edition has been fully updated to reflect recent developments in the field, including current thinking in leadership theory, as well as a focus throughout on workforce development and working in multidisciplinary healthcare teams. International examples are used to reflect global practice and two new chapters on leading projects and followership have been added. Combining theory and practical clinical examples, and written by clinical educators with a wealth of experience of leadership in the clinical and educational environment, the ABC of Clinical Leadership is an ideal resource for all healthcare professionals, both during training and for continuing professional development.


    Format: ePUB
    Kopierschutz: AdobeDRM
    Seitenzahl: 104
    Erscheinungsdatum: 10.01.2017
    Sprache: Englisch
    ISBN: 9781119134336
    Verlag: Wiley-Blackwell
    Serie: ABC Series
    Größe: 14423 kBytes
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ABC of Clinical Leadership

The Importance of Clinical Leadership

Sarah Jonas 1, Layla McCay 2 and Sir Bruce Keogh 3

1 Sussex Partnership NHS Trust, UK

2 University of Tokyo, Japan

3 NHS England, UK

Clinical leadership is vital to the success of healthcare organisations.
Strong clinical leadership is associated with high-quality and cost-effective care.
Clinical leadership means healthcare professionals engaging in setting direction and implementing change.
Effective clinical leadership is collaborative and multidisciplinary
Clinical leadership is needed at every level.
Healthcare is a huge, important and inherently complex business; every person in the world needs it, every country spends substantial proportions of their gross domestic product (GDP) on it, governments are judged by it, populations are determined by it and almost everyone has a personal interest in how it is delivered. The USA spent 17% and the UK 9% of its GDP on healthcare in 2013. Healthcare organisations also provide employment for a substantial sector of the population; for instance, the UK's National Health Service (NHS) employs 1.4 million people, making it the third largest civilian organisation in the world.

To enable organisations of such magnitude to deliver high-quality healthcare, high-quality leadership and management are vital at every level, from the national to the local, all the way down to the orchestration of individual interactions between patients and healthcare professionals. To be truly effective, this leadership must come not just from professional managers, but from across the clinical professions ( Figure 1.1 ).

Figure 1.1 Truly effective clinical leadership is multidisciplinary.

Copyright iStockphotos.
What is clinical leadership?

The terms 'leadership' and 'management' are often used synonymously or as overlapping concepts. But as Chapter 2 describes, they are two distinct but interdependent ways in which organisations, groups or individuals set about creating change while maintaining stability. Leadership involves creating a vision, setting strategic direction and establishing organisational values. Management is more focused on directing people and resources to deliver the strategic aims established and propagated by leadership. A lack of either - leadership or management - makes it difficult for an organisation to effect change or bring about improvement.

Clinical leadership refers to the concept of healthcare professionals, as opposed to professional managers, undertaking the leadership task: setting, inspiring and promoting values and vision, and using their clinical experience and skills to ensure the needs of the patient are the central focus in their organisation's aims and delivery. Clinical leadership is key in both promoting high-quality care and transforming services to meet evolving population needs. And there is a role for clinical leadership at every level in healthcare organisations and systems; leadership is a process, not a position.
Why is clinical leadership important?

Globally, healthcare organisations must balance the need for financial sustainability and competitiveness with the need to deliver safe and effective care. There is mounting international evidence that good clinical engagement is associated with high organisational performance, and that strong clinical leadership leads to care of higher quality ( Box 1.1 ). Effective leadership in healthcare occurs at distinct levels: the strategic, the organisational and the frontline. And just as multidisciplinary approaches benefit face-to-face patient care, drawing on diverse experience and skills can also help achieve high-quality healthcare at these vario

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