Exploring leadership styles utilised by advanced clinical practitioners to initiate positive change within clinical practice : A reflective account from a primary care perspective
Abstract
Introduction
Article # 5
Title : Exploring leadership styles utilised by advanced clinical practitioners to initiate positive change within clinical practice : A reflective account from a primary care perspective
Author : Joanne Holland
Coventry and Warwickshire Partnership Trust
Keywords : Transformational , Change processes , Advanced clinical practice
DOI : https :// doi . org / 10.21252 / yjbj-5k05
Exploring leadership styles utilised by advanced clinical practitioners to initiate positive change within clinical practice : A reflective account from a primary care perspective
Abstract
The concept of advanced practice has been developed to not only enhance the capacity and dimension of the healthcare workforce but improve clinical continuity , demonstrate high quality , patient-focused care and provide visible leadership in the hope of shaping organisational culture whilst advocating evidencebased change to continually improve the way healthcare is delivered .
Advanced practice is demonstrated across four pillars : advanced clinical practice , education , clinical leadership and management , and research . The focus of this paper is on leadership in a primary care context and will present a reflective account of an Advanced Clinical Practitioner ’ s journey in initiating a new service within a primary care setting . The paper will define leadership ; consider the impacts of existing cultures whilst exploring contemporary leadership styles to determine which best reflects the fundamental values of advanced practice and therefore most appropriate to apply when initiating change . It will conclude on the purpose and value of reflective practice in this health care context , building on the personal experiences of the author .
Introduction
Ambulance crews are left with a decision to either admit a patient into secondary care or refer to an alternative primary care pathway if the patient is deemed safe at point of assessment to be managed within the home environment . Unfortunately , it has been identified that there is a national medical shortfall within primary care , with overstretched General Practitioners ( GPs ) simply unable to respond as an alternative pathway in a safe and timely manner ( NHS England , 2016 , Majeed , 2017 ). This has impacted significantly on the increased numbers of patients presenting to Accident and Emergency ( A & E ) departments ( Kings Fund , 2012a , 2018 ) with the magnitude of the issue reflected in the National Health