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What are the effective ways to translate clinical leadership into health care quality improvement?

机译：将临床领导力转化为医疗质量改善的有效方法是什么？

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The presence and/or absence of effective leaders in health care can have a stark consequence on the quality and outcomes of care. The delivery of safe, quality, compassionate health care is dependent on having effective clinical leaders at the frontline. In light of the Kirkup and Francis reports, this article explores some ways of translating clinical leadership into health care quality improvement. This is achieved by exploring what is clinical leadership and why and how this is important to health care quality improvement, clinical leadership, and a duty of candor, along with the importance clinical leadership plays in the provision of quality care improvement and outcomes. Clinical leaders are not predefined roles but emerge from the complex clinical setting by gaining an acquired expertise and from how they then internalize this to develop and facilitate sound relationships within a team. Clinical leaders are effective in facilitating innovation and change through improvement. This is achieved by recognizing, influencing, and empowering individuals through effective communication in order to share and learn from and with each other in practice. The challenge for health care organizations in regard to creating organizational cultures where a duty of candor exists is not to reinvent the wheel by turning something that is simple into something complex, which can become confusing to health care workers, patients, and the public. By focusing on the clinical leader’s role and responsibilities we would argue they play a crucial and pivotal role in influencing, facilitating, supporting, and monitoring that this duty of candor happens in practice. This may be possible by highlighting where and how the duty of candor can be aligned within existing clinical governance frameworks.
机译：有效的领导者在卫生保健中的存在和/或缺乏可能对卫生保健的质量和结果产生重大影响。提供安全，优质，富有同情心的医疗保健取决于在一线有有效的临床领导者。根据Kirkup和Francis的报告，本文探讨了将临床领导力转化为医疗质量改善的一些方法。这是通过探索什么是临床领导力以及为什么以及这对提高医疗保健质量，临床领导力和坦率义务的重要性以及临床领导力在提供优质保健改善和结果方面的重要性来实现的。临床领导者不是预先定义的角色，而是通过获得专业知识而从复杂的临床环境中脱颖而出的，以及他们随后将其内部化以发展和促进团队内部良好关系的能力。临床领导者可以有效地促进创新和通过改进而改变。这是通过有效的沟通来认识，影响和赋予个人力量，以便在实践中彼此共享和相互学习而实现的。对于医疗组织而言，在创造一种存在坦率义务的组织文化方面所面临的挑战不是通过将简单的事情变成复杂的事情来重新发明轮子，这可能会使医护人员，患者和公众感到困惑。通过专注于临床负责人的角色和责任，我们认为他们在影响，促进，支持和监测这种坦率的责任在实践中发挥着至关重要的作用。通过强调在现有的临床治理框架内何处以及如何协调坦诚的职责，这可能是可能的。

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