Budhoo, Misra R. and Spurgeon, Peter (2012) Views and understanding of clinicians on the leadership role and attitude to coaching as a development tool for clinical leadership. The International Journal of Clinical Leadership , 17 (3). pp. 123-129. ISSN 1757-207X.

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Abstract

Background: Coaching is a recognised method of leadership development which is utilised for leaders in many organisations but is less so with clinical leaders in healthcare. Coaching has demonstrated potential in leadership development with high returns on investment. This could be transferred to healthcare and may be of benefit in improving quality of care cost-effectively. This would require long-term changes to develop a coaching culture in healthcare.

Aim: The aim of this study is to understand the views of clinicians on leadership roles and the use of coaching as a development tool.

Method: The study was questionnaire-based with ethical approval from the organisation where the study was done. The study had both qualitative and quantitative elements. Analysis of quantitative measures was done by Chi square test. P = 0.05 regarded as significant. The views on key aspects of leadership were coded against the medical leadership competency framework.

Results: Forty questionnaires were sent out and 22 returned (55% response rate). Most of the respondents were in post for at least 10 years and viewed their clinical role as leadership. Significantly more respondents were in post for longer than 10 years and those in post under 10 years were significantly more likely to consider other training tools apart from coaching. The majority rated their leadership at six or higher on a scale of 1–10. Fifty-nine percent had training in leadership and this is reflected in low scores on the need for further training, although most would accept training and that it has a role in leadership development. Regarding leadership roles, respondents' views were coded to the medical leadership competency framework with setting direction having the highest match (30%). The views also had aspects of charismatic and transformational leadership styles. Coaching was felt to be a useful tool in developing leadership although there were some concerns in ensuring confidentiality and match between coach and coached. Most would consider use of a coach but expressed as a whole the view that the coach should be experienced, from outside the organisation and have a healthcare background.

Conclusions and recommendations: The study indicates that training in leadership for development is supported by clinicians in leadership roles and that there is support for coaching as a developmental tool with a preference for external coaches with a healthcare background. This appears to be primarily due to seniority of clinicians and concerns around confidentiality and independence. Further work should be explored to promote a coaching culture amongst clinicians.

Item Type:	Journal Article
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title:	The International Journal of Clinical Leadership
Publisher:	Radcliffe Publishing Ltd.
ISSN:	1757-207X
Official Date:	1 December 2012
Dates:	Date Event 1 December 2012 Published
Volume:	17
Number:	3
Page Range:	pp. 123-129
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access

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