TY - JOUR
T1 - Exploring issues and challenges of leadership among early career doctors in nigeria using a mixed-method approach
T2 - Charting study
AU - CHARTING investigators
AU - Isibor, Efosa
AU - Kanmodi, Kehinde
AU - Adebayo, Oladimeji
AU - Olaopa, Olusegun
AU - Igbokwe, Martin
AU - Adufe, Iyanu
AU - Oduyemi, Ibiyemi
AU - Adeniyi, Makinde Adebayo
AU - Oiwoh, Sebastine Oseghae
AU - Omololu, Ayanfe
AU - Egbuchulem, Ifeanyichukwu Kelvin
AU - Kpuduwei, Selekeowei Peter Kespi
AU - Efuntoye, Oluwafemi
AU - Egwu, Onuwabuchi
AU - Ogunsuji, Oluwaseyi
AU - Grillo, Elizabeth O.
AU - Rereloluwa, Babalola
N1 - Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2020/2/14
Y1 - 2020/2/14
N2 - (1) Background: leadership behaviour is a poorly explored phenomenon among early-career doctors (ECDs). Good leadership is vital in maximising the effective management of patients in a clinical setting. While a good number of studies, though with small sample surveys, have researched the role of leadership in clinical setting quantitatively, qualitative investigations are yet to be done in Nigeria. This study aims to explore the attitudes, skills, and experience of ECDs in Nigeria on issues pertaining to leadership in a medical setting, using a mixed-method approach. (2) Methods: we conducted two sessions of key informant focus group discussion (FGD) that involved 14 ECD leaders in Nigeria, exploring their leadership experience in a clinical setting. Furthermore, we used a self-administered questionnaire to quantitatively survey 474 ECDs from seven Nigerian teaching hospitals to explore their attitudes, skills, and experience on issues pertaining to medical leadership. (3) Results: taking on leadership roles is a common phenomenon (52.7%) among the surveyed ECDs; however, the medical leadership position can be very challenging for ECDs in Nigeria. Despite the fact that many (91.1%) of the surveyed ECDs perceived leadership skills as essential skills needed by a doctr, many (44.1%) of them were yet to be formally trained on medical leadership. About three out of every 10 (23.6%) of surveyed ECDs that have ever held leadership positions in a medical setting experienced major leadership challenges while in such office due to their lack of training on leadership skills. Leadership skill acquisition programmes are highly recommended to become an integral part of medical training programmes in Nigeria. (4) Conclusion: there is a need for a structured leadership skill acquisition programme for ECDs in Nigeria. This programme will help in the robust delivery of highly effective healthcare services in Nigeria, as effective leadership is crucial to patient care services.
AB - (1) Background: leadership behaviour is a poorly explored phenomenon among early-career doctors (ECDs). Good leadership is vital in maximising the effective management of patients in a clinical setting. While a good number of studies, though with small sample surveys, have researched the role of leadership in clinical setting quantitatively, qualitative investigations are yet to be done in Nigeria. This study aims to explore the attitudes, skills, and experience of ECDs in Nigeria on issues pertaining to leadership in a medical setting, using a mixed-method approach. (2) Methods: we conducted two sessions of key informant focus group discussion (FGD) that involved 14 ECD leaders in Nigeria, exploring their leadership experience in a clinical setting. Furthermore, we used a self-administered questionnaire to quantitatively survey 474 ECDs from seven Nigerian teaching hospitals to explore their attitudes, skills, and experience on issues pertaining to medical leadership. (3) Results: taking on leadership roles is a common phenomenon (52.7%) among the surveyed ECDs; however, the medical leadership position can be very challenging for ECDs in Nigeria. Despite the fact that many (91.1%) of the surveyed ECDs perceived leadership skills as essential skills needed by a doctr, many (44.1%) of them were yet to be formally trained on medical leadership. About three out of every 10 (23.6%) of surveyed ECDs that have ever held leadership positions in a medical setting experienced major leadership challenges while in such office due to their lack of training on leadership skills. Leadership skill acquisition programmes are highly recommended to become an integral part of medical training programmes in Nigeria. (4) Conclusion: there is a need for a structured leadership skill acquisition programme for ECDs in Nigeria. This programme will help in the robust delivery of highly effective healthcare services in Nigeria, as effective leadership is crucial to patient care services.
UR - http://www.scopus.com/inward/record.url?scp=85104460249&partnerID=8YFLogxK
U2 - 10.3390/ejihpe10010033
DO - 10.3390/ejihpe10010033
M3 - Article
AN - SCOPUS:85104460249
SN - 2174-8144
VL - 10
SP - 441
EP - 454
JO - European Journal of Investigation in Health, Psychology and Education
JF - European Journal of Investigation in Health, Psychology and Education
IS - 1
ER -