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Using video-reflexive ethnography to capture the complexity of leadership enactment in the healthcare workplace

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Gordon_AdvHealthSciEduc_Video_reflective_CC.pdf (901.8Kb)
Date
12/2017
Author
Gordon, Lisi Jane
Rees, Charlotte
Ker, Jean
Cleland, Jennifer
Keywords
Leadership
Leadership education
Video-reflexive ethnography
Interprofessional
Complexity theory
HD28 Management. Industrial Management
NDAS
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Abstract
Current theoretical thinking asserts that leadership should be distributed across many levels of healthcare organisations to improve the patient experience and staff morale. However, much healthcare leadership education focusses on the training and competence of individuals and little attention is paid to the interprofessional workplace and how its inherent complexities might contribute to the emergence of leadership. Underpinned by complexity theory, this research aimed to explore how interprofessional healthcare teams enact leadership at a micro-level through influential acts of organising. A whole (interprofessional) team workplace-based study utilising video-reflexive ethnography occurred in two UK clinical sites. Thematic framework analyses of the video data (video-observation and video-reflexivity sessions) were undertaken, followed by in-depth analyses of human–human and human–material interactions. Data analysis revealed a complex interprofessional environment where leadership is a dynamic process, negotiated and renegotiated in various ways throughout interactions (both formal and informal). Being able to “see” themselves at work gave participants the opportunity to discuss and analyse their everyday leadership practices and challenge some of their sometimes deeply entrenched values, beliefs, practices and assumptions about healthcare leadership. These study findings therefore indicate a need to redefine the way that medical and healthcare educators facilitate leadership development and argue for new approaches to research which shifts the focus from leaders to leadership.
Citation
Gordon , L J , Rees , C , Ker , J & Cleland , J 2017 , ' Using video-reflexive ethnography to capture the complexity of leadership enactment in the healthcare workplace ' , Advances in Health Sciences Education , vol. 22 , no. 5 , pp. 1101-1121 . https://doi.org/10.1007/s10459-016-9744-z
Publication
Advances in Health Sciences Education
Status
Peer reviewed
DOI
https://doi.org/10.1007/s10459-016-9744-z
ISSN
1382-4996
Type
Journal article
Rights
Copyright © The Author(s) 2016 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Description
This research was part of LG’s Ph.D. research which was generously funded by NHS Education for Scotland through SMERC.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/10040

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