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首页> 外文期刊>BMC Health Services Research >Healthcare middle managers` experiences developing leadership capacity and capability in a public funded learning network
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Healthcare middle managers` experiences developing leadership capacity and capability in a public funded learning network

机译：卫生保健中层经理在公共资助的学习网络中体验领导能力的培养

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Healthcare middle managers (HMMs) have, as the leaders closest to clinical practice, a crucial position in healthcare today. There is broad knowledge about the demands on HMMs’ capacity, their situation in general, and the challenges this presents for the improvement of healthcare quality. There is less knowledge about how to facilitate HMMs` capacity and capability with regard to their leadership and how to handle this in a complex context. The purpose of this study was to identify and discuss the facilitation of HMMs’ development of capacity and capability for leadership. A critical hermeneutic design was chosen. Data were collected through three focus group interviews with Norwegian HMMs who participated in a learning network. A user representative (from among the recipients of public healthcare), involved in the same learning network, participated in all three interviews. A qualitative interpretive approach guided the analysis. The results show two main themes: 1. Trusted interaction despite organizational and structural frames and 2. Knowledgeable understanding of a complex context. This learning network facilitated HMMs` development of capacity and capability for leadership. The development included a combination of understanding the complex context, knowledge, trust, and confidence. The approaches in the learning network were based on transformative learning, coherence, reflection, discussion, repetition, knowledge sharing, and short lectures. These approaches can be recommended for the facilitation and support of HMMs.
机译：作为最接近临床实践的领导者，医疗保健中层管理人员（HMM）在当今医疗保健中具有至关重要的地位。人们对HMM的能力要求，总体状况以及对改善医疗质量提出的挑战有广泛的了解。关于如何增强HMM的领导能力以及如何在复杂的环境中处理这些问题的知识很少。这项研究的目的是确定并讨论对HMM领导能力和能力发展的促进。选择了关键的诠释学设计。通过与参加学习网络的挪威HMM进行的三个焦点小组访谈收集了数据。参与同一学习网络的用户代表（来自公共卫生保健的接受者）参加了所有三个采访。定性解释方法指导了分析。结果显示出两个主要主题：1.尽管具有组织和结构框架，但仍可信任的交互作用;以及2.对复杂上下文的了解。这个学习网络促进了HMM领导能力的发展。开发包括对复杂环境的理解，知识，信任和信心的结合。学习网络中的方法基于变革性学习，连贯性，反思，讨论，重复，知识共享和短期讲座。可以推荐这些方法来促进和支持HMM。

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