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Woodard, Fran; Weller, Gordon (2011)
Publisher: Middlesex University
Languages: English
Types: Article
Clinical leadership and engagement across organisational boundaries has been gaining significant attention over the last few years. Within the NHS, there has been an increased focus within policy directives and the literature on partnership working, collaborations, cross-organisation and cross-profession working. These innovative ways of working are a means of improving the quality and co-ordination of patient care across the pathway, thus influencing the patients’ experience.\ud Despite this focus, the evidence of what constitutes and therefore what can deliver effective inter-organisational clinical leadership and engagement within this context is sparse. This paper identifies the characteristics and impact of effective clinical leadership, clinical engagement and team effectiveness when working across organisational boundaries.\ud The paper demonstrates that there are significant improvements in the delivery of healthcare and patient experience when clinicians work effectively across the whole of the patient pathway, spanning organisational boundaries. Guidelines on critical areas for future development and sustainability is expounded upon as an outcome of this study.
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    • Alimo-Metcalfe, B. (2004). Spotlight. Interview with Beverley Alimo-Metcalfe. Journal of Health Organisation and Management, 18 (6), 393-398.
    • Armstrong, D. (2002). 'Clinical Autonomy, Individual and Collective: The Problem of Changing Doctors' Behaviour'. Social Science and Medicine, 55, 1771-1777.
    • Audet, A., Doty, M., Shamasdin, J., & Schoenbaum, S. (2005). Physicians' Views on Quality of Care Findings. Commonwealth Fund National Survey of Physicians and Quality of Care. New York: The Commonwealth Fund.
    • Barnett, V. (1991). Sample Survey Principles and Methods. London: Hodder.
    • Beech, M. (2002). 'Leaders or Managers: the Drive for Effective Leadership'. Nursing Standard. 16 (30), 35-36.
    • Bolster, L. (2006). What Mechanisms Need to be in Place to Develop an Effective Team Culture? MA thesis. York St John.
    • Britten, N. (1995). 'Qualitative Research: Qualitative interviews in Medical Research'. BMJ, 311: 215-253.
    • Buchanan, D. A., Addicott, R., Fitzgerald, L., Ferlie, E., & Baeza, J.I. (2007). 'Nobody in Charge: Distributed Change Agency in Healthcare', Human Relations, 60 (7), 1065- 1090.
    • Care Services Improvement Partnership. (2006). Strengthening Service User and Carer Involvement: A Guide for Partnership. A Discussion Paper. London: Stationery Office.
    • Coghlan, D., & Brannick, T. (2001). Doing Action Research in Your Own Organization. London: Sage Publications.
    • Collins, M. (1991). Human Resource Management Audit. Birmingham: North Western and West Midlands Regional Health Authorities.
    • Connors, R., & Smith, T. (1999). Journey to the Emerald City. New York: Prentice Hall Press.
    • Connors, R., Smith, T., & Hickman, C (2004). The Oz Principle. New York: Penguin Group.
    • Cook, M.J. (1999). 'Improving Care Requires Leadership in Nursing'. Nursing Education Today, 19, 306-312.
    • Cook, M.J., & Leathard, H.L. (2004). 'Learning for Clinical Leadership'. Journal of Nursing Management, 12, 436-444.
    • DoH. (Department of Health). (2003). Tool-kit for Producing Patient Information. London: Stationery Office.
    • DoH. (Department of Health). (2004). Improving Chronic Disease Management. London: Stationery Office.
    • DoH. (Department of Health). (2005).Health Reform in England: Update and Next Steps. London: Stationery Office.
    • DoH. (Department of Health). (2010). Equity and excellence: Liberating the NHS. HMSO.
    • Dopson, S., Locock, L., Gabbay, J., Ferlie, E. & Fitzgerald, L. (2003). 'Evidence-based Medicine and the Implementation Gap'. An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 7 (3), 311-330.
    • Dopson, S., Fitzgerald, L., Ferlie, E., Gabbay, J., & Locock, L. (2002). 'No Magic Targets! Changing Clinical Practice to become more Evidence Based'. Health care Management Review, 27 (3), 35-47.
    • Edmonstone, J. (2005). 'What is Clinical Leadership?' in, Edmonstone, J. (ed). Clinical Leadership Development. A Book of Readings. Chichester (UK): Kingsham.
    • Fitzgerald, L., Ferlie, E., Wood, M., & Hawkins, C. (2002). 'Interlocking Interactions, the Diffusion of Innovations in Healthcare'. Human Relations, 55 (12), 1429-1449.
    • Fitzgerald, L., Ferlie, E., Addicott, R., Baeza, J., Buchanan, D., & McGivern, G. (2007). 'Service Improvement in Healthcare: Understanding Change Capacity and Change Context'. Clinician in Management, 15, 61-74.
    • Fletcher, G., & Bradburn, L. (2001). Voices in Action Resource Book. Training and Support for User Representatives in the Health Service. London: College of Health.
    • Gill, J., & Johnson, P. (1997). Research Methods for Managers. (2nd ed). London: Paul Chapman Publishing Ltd.
    • Gittell, J., Weiss, L., & Wimbush, J. (2005). Linking Co-ordination Networks and Organizational Design to Improve the Coordination of Work. In Press.
    • Govier, I. (2004). 'Advancing Excellence in Leadership'. Nursing Management, 10 (9), 13-15.
    • Graham, A., & Steele, J. (2001). Optimising Value. London: Public Management Foundation.
    • Greenhalgh, T., Humphrey, C., & Woodard F. (2010). User Involvement in Healthcare. Oxford. Wiley-Blackwell BMJ Books.
    • Guba, E., & Lincoln, Y. (1989). Fourth Generation Evaluation. Newbury Park, CA: Sage.
    • Ham, C. (2003). 'Improving the Performance of Health Services: The Role of Clinical Leadership'. Lancet 25th March 2003. Available at: http://image.thelancet.com/extras/02art8342wed.pdf [Accessed May 3rd 2005].
    • Holmes, J. (2006). 'Sexual Health on the High Street - Redesigning Sexual Health Services'. Snakes and Ladders. Poster Abstract at the Institute of Health Improvement. European conference, Prague. Available at: http://www.southwarkpct.nhs.uk/documents/2681.pdf [Accessed December 02 2010].
    • Institute of Medicine. (2003). Crossing the Quality Chasm: A New Healthcare System for the 21st Century. National Academies Press: Washington DC.
    • James, L. (Updated by Booth, A. and Mead, T.) (2007). Clinical Leadership. Department of Health. January. Available from: http://www.library.nhs.uk/healthmanagement/ViewResource.aspx?resID=64789 [Accessed December 22nd 2007].
    • Keen, J., & Packwood, T. (2000). 'Using Case Studies in Health Services and Policy Research' in, Pope, C., & Mays, N. (eds). Qualitative Research in Health Care. London: BMJ Books.
    • Kenagy, J., Berwick, D., & Shore, M. (1999). 'Service Quality in Health Care'. Journal of the American Medical Association. 281, 661-665.
    • Kenny, D., & Adamson, B. (1992). 'Medicine and the Health Professions: Issues of Dominance, Autonomy and Authority'. Australian Health Review, 15 (3), 319-334.
    • Kitzinger, J. (1999). 'Focus Groups with Users and Providers of Health Care' in, Pope, C., & Mays, N. (eds). London: BMJ Books, p20-29.
    • Kotter, J. (1999). 'What Leaders Really Do?'. Harvard Business Review Book. Boston: Harvard Press.
    • Meyer, J., & Spilsbury, K. (2000). 'Comparison of Findings from a Single Case in Relation to those from a Systematic Review of Action Research'. Nurse Researcher, 7 (2), 37-53.
    • Morgan, D., & Krenger, R.A. (1998). The Focus Group Toolkit. London: Sage Publications.
    • NCCSDO. (2002). User and Carer Involvement in Change Management in a Mental Health Context: Review of the Literature. London: NCCSDO.
    • NHS Modernisation Agency. (2005). Improvement Leaders' Guide: Building and Nurturing an Improvement Culture. London: Department of Health Stationery Office.
    • Oppenheim, A. (1992). Questionnaire Design, Interviewing and Attitude Measurement. London: Continuum.
    • Oshagbemi, T., & Gill, R. (2004). 'Differences in Leadership Styles and Behaviour across Hierarchical Levels in UK Organisations'. Leadership and Organisation Development Journal, 25 (1), 93-106.
    • Pettigrew, A., Ferlie, E., Fitzgerald, L., & Wensley. R. (1991). 'The Leadership Role of the New Health Authorities: An Agenda for Research and Development'. Public Money and Management. Spring, 39-43.
    • Pope, C., & Mays, N. (1995). 'Qualitative Research: Rigour and Qualitative Research'. BMJ. July 8th, 311, 109-112.
    • Rippon, S., & Monaghan, A. (2001). 'Clinical Leadership; Embracing a Bold New Agenda'. Nursing Management, 8 (6), p6-9.
    • Ritchie, J., & Spencer, L. (1993). 'Qualitative Data Analysis for Applied Policy Research' in, Bryman, A. & Burgess, R. (eds). Analysing Qualitative Data. London: Routledge, p173- 194.
    • Robson, C. (2002). Real World Research. (2nd Ed). Oxford: Blackwell.
    • Schein, E. (1997). Organisational Culture and Leadership. Oxford: Jossey-Bass.
    • Senge, P. (2000). The Dance of Change: Sustaining Momentum in a Learning Organisation. London: Nicholas Brearley Publishing.
    • Shortell, S. (1998). 'Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What Will it Take to Accelerate Progress?' Millbank Quarterly, 76 (4), 593-624.
    • Shortell, M., Marsteller, J., Lin, M., Pearson, M., Wu, S., Mendel, P., Cretin, S., & Rosen, M. (2004). 'The Role of Perceived Team Effectiveness in Improving Chronic Illness Care'. Medical Care, 42 (11), 1040-1048.
    • Siriwardena, A., & Niroshan, B. (2006). 'Releasing the Potential of Health Services: Translating Clinical Leadership into Healthcare Quality Improvement'. Quality in Primary Care. 14, 125-128.
    • Spurgeon, P. (2001). 'Involving Clinicians in Management: A Challenge of Perspective'. [Online]. Healthcare Care Informatics Review. 5 (4). Available from: http://hcro.enigma.co.nz [Accessed August 27th 2005].
    • Vengen, S., & Huxham. C. (2003). 'Enacting Leadership for Collaborative Advantage: Dilemmas of Ideology and Pragmatism in the Activities of Partnership Managers'. The British Journal of Management, 14, 61-76.
    • Walliman, N. (2001). Your Research Project: A Step-by-Step Guide for the first time Researcher. London: Sage Publications.
    • Weber, M. (1947). Max Weber: The Theory of Social and Economic Organization. Translated by A. M. Henderson and Talcott Parsons. NY: The Free Press.
    • Wheelan, S. (1999). Creating Effective Teams: A Guide for Members and Leaders. London: Sage Publications.
    • Whitmore, E. McKee, C. (2001). 'Six Street Youth Who Could' in, Reason, P. & Bradbury, H. (eds). Handbook of Action Research. London: Sage, p396-402.
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