An innovative leadership development initiative to support building everyday resilience in health systems

by Jacinta Nzinga, Mwanamvua Boga, Nancy Kagwanja, Dennis Waithaka, Edwine Barasa, Benjamin Tsofa, Lucy Gilson and Sassy Molyneux

Effective management and leadership are essential for everyday health system resilience, but actors charged with these roles are often underprepared and undersupported to perform them. Particular challenges have been observed in interpersonal and relational aspects of health managers’ work, including communication skills, emotional competence and supportive oversight. Within the Resilient and Responsive Health Systems (RESYST) consortium in Kenya, the authors worked with two county health and hospital management teams to adapt a package of leadership development interventions aimed at building these skills. This article provides insights into: (1) the content and co-development of a participatory intervention combining two core elements: a complex health system taught course, and an adapted communications and emotional competence process training; and (2) the findings from a formative evaluation of this intervention which included observations of the training, individual interviews with participating managers and discussions in regular meetings with managers.

25th June 2021 • comment

Nursing is central to the provision of hospital-based care and is particularly so in the treatment of newborns. Continuous, effective provision of a basic set of interventions can have a highly positive impact on neonatal mortality, and most of these key interventions are delivered by nurses.  Unfortunately, neonatal wards in low income settings are typified by a high ratio of sick infants to nurses, which makes it difficult to deliver even basic care and limits the level of quality that is achievable. In the context of neonatal nursing in low-income countries, nursing stress is of particular concern because workloads are higher and the demands on individuals are greater. While a great deal of research has been directed towards nursing stress, the study of how stress affects nursing practice at the ward level has not been a priority, particularly in LMIC settings. Instead, the study of nursing over-work, burnout and resilience has largely been focused on individuals and their personal, psychological characteristics. In the course of this study, the authors found that theories of individualised burnout and resilience did not help to explain the practices that seemed most important in reducing nurses' exposure to stress. Their research question asks instead how nurses collectively cope with workload and stress and how this affects nursing practice. 

3rd December 2020 • comment

How mental health care should change as a consequence of the COVID-19 pandemic

by Carmen Moreno, Til Wykes, Silvana Galderisi, Merete Nordentoft, Nicolas Crossley, Nev Jones, Mary Cannon, Christoph U Correll, Louise Byrne, Sarah Carr, Eric Y H Chen, Philip Gorwood, Sonia Johnson, Hilkka Kärkkäinen, John H Krystal, Jimmy Lee, Jeffrey Lieberman, Carlos López-Jaramillo, Miia Männikkö, Michael R Phillips, Hiroyuki Uchida, Eduard Vieta, Antonio Vita, Celso Arango
23rd September 2020 • comment

The need for empathetic healthcare systems

by Angeliki Kerasidou, Kristine Bærøe, Zackary Berger, Amy E Caruso Brown
23rd September 2020 • comment

Occupational Stress Among Health Worker in a National Dermatology Hospital in Vietnam, 2018

by Anh Nguyen Ngoc, Xuan Thi Thanh, Hue Le Thi, Anh Vu Tuan, Thanh Nguyen Van
14th August 2020 • comment

Prevalence and associated factors of depression, anxiety and stress among health staff in the hospital of tropical diseases - Ho Chi Minh city-Vietnam

by Phạm Ngọc Thanh, Nguyễn Thị Kim Ngọc, Mary Chambers, Phùng Khánh Lâm, Nguyễn Văn Vĩnh Châu, Nguyễn Thị Lệ Hồng
14th August 2020 • comment
13th August 2020 • comment
13th August 2020 • comment
13th August 2020 • comment
13th August 2020 • comment

Cách hóa giải kiệt sức | How to overcome burnout

by OUCRU Healthcare Engagement Team
13th August 2020 • comment
13th August 2020 • comment

Evolving friendships and shifting ethical dilemmas: fieldworkers' experiences in a short term community based study in Kenya

by Dorcas Kamuya, Sally Theobold, Patrick K Munywoki, Dorothy Koech, Wenzel P Geissler, Sassy Molyneux

In this paper, we draw on qualitative observation and interview data collected alongside a six month basic science study which involved a team of FWs regularly visiting 47 participating households in their homes. The qualitative study documented how relationships between field workers and research participants were initiated, developed and evolved over the course of the study, the shifting dilemmas FWs faced and how they handled them. 

23rd March 2018 • comment