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In which context and for whom can interventions improve leadership of surgical trainees, surgeons and surgical teams and why : a realist review protocol

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Gauly, Julia, Court, Rachel A., Seers, Kate, Currie, Graeme and Grove, Amy L. (2023) In which context and for whom can interventions improve leadership of surgical trainees, surgeons and surgical teams and why : a realist review protocol. Open Research . (In Press)

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Official URL: https://openresearch.nihr.ac.uk/

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Abstract

Background:
Improving effective leadership of individuals, groups, and healthcare organisations is essential for improving surgical performance and indirectly improving health outcomes for patients. Numerous systematic reviews have been conducted which seek to determine the effectiveness of specific leadership interventions across a range of disciplines and healthcare outcomes. The purpose of this realist review is to systematically synthesise the literature which examines in which context and for whom leadership interventions improve leadership of surgeons, surgical teams, and trainees.

Methods:
Several approaches will be sued to iteratively search the scientific and grew literature to identify relevant evidence. Selected articles will inform the development of a programme theory that seeks to explain in which context and for whom interventions can improve leadership of surgical trainees, surgeons, and surgical teams. Next, empirical studies will be searched systematically in order to test and, where necessary, refine the theory. Once theoretical saturation has been achieved, recommendations for advancing leadership in surgery will be developed. Stakeholder and patient and public consultations will contribute to the development of the programme theory. The review will be written up according to the Realist And Meta-narrative Evidence Synthesis: Evolving Standards publication standards. No ethical review will be required for the conduct of this realist review.

Discussion:
The knowledge gained from this review will provide evidence-based guidance for those planning or designing leadership interventions in surgery. The recommendations will help policymakers, educationalists, healthcare providers, and those delivering or planning leadership development programmes across the surgical disciplines to design interventions that are acceptable to the surgical community and successful in improving surgical leadership.

Item Type: Submitted Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Social Sciences > Warwick Business School
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Leadership -- Great Britain, Development leadership -- Great Britain, Health services administration -- Great Britain, Surgeons -- Great Britain
Journal or Publication Title: Open Research
Publisher: NIHR
Official Date: 2023
Dates:
DateEvent
2023Published
27 January 2023Accepted
Status: Peer Reviewed
Publication Status: In Press
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
AF-300060[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
NIHR200165[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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