Dataset Information

Coleadership Among Chief Residents: Exploration of Experiences Across Specialties.

ABSTRACT:

Background

Many departments have multiple chief residents. How these coleaders relate to each other could affect their performance, the residency program, and the department.

Objective

This article reports on how co-chiefs work together during the chief year, and what may allow them to be more effective coleaders.

Methods

A phenomenological research design was used to investigate experiences of outgoing chief residents from 13 specialties at the University of Iowa Hospitals and Clinics over a 2-year period from 2012 through 2013. Thematic analysis of semistructured interviews was conducted to investigate commonalities and recommendations.

Results

Face-to-face interviews with 19 chief residents from 13 different specialties identified experiences that helped co-chiefs work effectively with each other in orienting new co-chiefs, setting goals and expectations, making decisions, managing interpersonal conflict, leadership styles, communicating, working with program directors, and providing evaluations and feedback. Although the interviewed chief residents received guidance on how to be an effective chief resident, none had been given advice on how to effectively work with a co-chief, and 26% (5 of 19) of the respondents reported having an ineffective working relationship with their co-chief.

Conclusions

Chief residents often colead in carrying out their multiple functions. To successfully function in a multichief environment, chief residents may benefit from a formal co-orientation in which they discuss goals and expectations, agree on a decision-making process, understand each other's leadership style, and receive feedback on their efficacy as leaders.

SUBMITTER: Pettit JE

PROVIDER: S-EPMC4512790 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature

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Publications

Coleadership Among Chief Residents: Exploration of Experiences Across Specialties.

Pettit Jeffrey E JE

Journal of graduate medical education 20150601 2

<h4>Background</h4>Many departments have multiple chief residents. How these coleaders relate to each other could affect their performance, the residency program, and the department.<h4>Objective</h4>This article reports on how co-chiefs work together during the chief year, and what may allow them to be more effective coleaders.<h4>Methods</h4>A phenomenological research design was used to investigate experiences of outgoing chief residents from 13 specialties at the University of Iowa Hospitals ...[more]

PMID: 26221435

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Project description:Pressure ulcers are injuries to the skin and underlying tissue and are associated with a negative impact on well-being and health-related quality of life. This explorative, qualitative study aimed to explore the true meaning of elderly nursing home residents' perspectives and critical success factors when implementing a new non-powered static air mattress overlay to prevent pressure ulcers. Individual, loosely structured interviews were conductedin 12 nursing homes in Flanders, the Northern region of Belgium, a convenience sampling of 14 nursing home residents were selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chair-bound, aged >65 years, and use of an alternating air pressure mattress previous to the application of the non-powered static air mattress overlay. Interviews were conducted in the participants' personal rooms between June 2017 and March 2018. Interviews included broad, open-ended questions, to invite and encourage participants to openly discuss their perspectives and experiences. Participants were interviewed once during the 14-day observation period between day 3 and day 14. All interviews were audio-recorded and fully transcribed by an experienced transcriber. Interviews were read several times to reveal emerging patterns and were marked with codes into NVivo 10 qualitative data analysis software. During the process, (sub) themes were discussed by the authors until a consensus was reached. Three main themes emerged from the analysis process: rest and sleep; mobility; and discomfort and pain associated with the use of the support surface. Themes were divided into multiple subthemes: motion, noise, sensation, repositioning, and transfer in and out of bed. Through interviews, critical success factors associated with the implementation were identified, including the lack of information and time needed to evaluate the functionality and effects of a new mattress overlay. Implementation of a non-powered static air mattress overlay to prevent pressure ulcers has a far-reaching impact on nursing home residents' experiences. This study provides insight into the true meaning of patients' perspectives by focusing on learning from the patients' experiences that provide valuable information for healthcare professionals and other stakeholders.

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Dataset Information

Coleadership Among Chief Residents: Exploration of Experiences Across Specialties.

Background

Objective

Methods

Results

Conclusions

Publications

Coleadership Among Chief Residents: Exploration of Experiences Across Specialties.

Similar Datasets

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