The delivery of high quality, compassionate care is imperative for all healthcare organisations and systems. Current thought leadership explores the necessity for compassionate and inclusive leadership as a prerequisite to develop the culture within which this can be achieved. In this article, we explore the background to this thinking and how it might work in practice.
The introduction of Physician Associates (PAs) into the UK health workforce is one of the most significant examples of disruptive innovation in many years, and lessons can be learned from research into the introduction of advanced nurse practitioners (ANPs). Positive, forward-looking healthcare leadership is required at all levels to ensure the success of introducing the PA workforce in the UK. This review found that organisational culture had an enormous impact on the introduction of ANPs and likewise will affect the introduction of PAs. The most effective strategies facilitated interprofessional, collaborative, collective and inclusive leadership and promoted high staff engagement, the development of proficient interprofessional practitioners, and a clear vision for collaborative practice. In terms of PAs, such an approach will improve interprofessional and collaborative practice and create the supportive, motivated environment needed to facilitate the introduction of PAs. Key messages Organisational culture, which is primarily influenced by leadership, had an enormous impact on the introduction of ANPs and likewise will affect the introduction of PAs. Leaders must provide clarity on the role, purpose, scope of autonomy, supervision and responsibility of PAs; and offer education, training and induction specific to the speciality or role. Knowledge of interprofessional and collaborative practice, and enacting the shared leadership necessary to achieve these closely-related ideals, will help to facilitate the introduction of PAs and help create a culture of acceptance within teams and organisations for the role of PAs
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