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Dates: Last 2 Years Language: English

You searched for +publisher:"University of Cape Town" +contributor:("Gilson, Lucy"). Showing records 1 – 3 of 3 total matches.

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University of Cape Town

1. Laenen, Inneke. What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions.

Degree: MPH, Public Health and Family Medicine, 2020, University of Cape Town

Health systems, like commercial enterprises, face wide-ranging challenges and need to develop an adaptive capacity in order to remain effective. There is increasing recognition in the health sector that the concept of the learning organisation, which has long been popular in the business management field, could be a key strategy to develop this adaptive capacity in health systems. Although examples exist of the application of learning organisation principles to health care facilities, there is little guidance for how units or groups responsible for health policy and strategies can apply them more widely. In order to provide some initial guidance to the Western Cape Department of Health, which has expressed an interest in developing into a learning organisation, this project sought to identify the enablers of, and barriers to learning organisation creation by conducting a systematic review of learning organisation interventions across multiple sectors. As multiple definitions and models of a learning organisation exist in the literature, this systematic review was complemented by an initial review of conceptual literature which synthesised the existing definitions and models of a learning organisation and identified a core set of learning organisation dimensions. Findings indicate that a foundation of good organisational software such as a shared understanding of, and commitment to a learning organisation vision, a culture which is conducive to learning organisation creation, and a secure, supportive and interpersonally non-threatening environment, is essential for learning organisation creation. Building on this foundation it is then important to invest in staff time (i.e. that staff are officially allowed, and incentivised, to spend time on learning during work hours), and the infrastructure and processes necessary to support knowledge transfer, such as physical meeting spaces, online learning databases, mentorship programmes, and feedback mechanisms. Advisors/Committee Members: Gilson, Lucy (advisor).

Subjects/Keywords: Health System

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Laenen, I. (2020). What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/32384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Laenen, Inneke. “What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions.” 2020. Thesis, University of Cape Town. Accessed April 22, 2021. http://hdl.handle.net/11427/32384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Laenen, Inneke. “What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions.” 2020. Web. 22 Apr 2021.

Vancouver:

Laenen I. What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions. [Internet] [Thesis]. University of Cape Town; 2020. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/11427/32384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Laenen I. What are the enablers of and barriers to the creation of Organisations with an enhanced learning capacity? A systematic Review of learning organisation interventions. [Thesis]. University of Cape Town; 2020. Available from: http://hdl.handle.net/11427/32384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation


University of Cape Town

2. Reddy, Mishka. Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system.

Degree: Master Thesis, Public Health and Family Medicine, 2020, University of Cape Town

In the transition from the Millennium Development Goals to the Sustainable Development Goals, the importance of an integrated health system in which all health activities interact - including the multiple actors within the system - has gained greater recognition. In light of these transitions, the World Health Organisation and the Alliance for Health Policy and System Research called for a participatory leadership model, which engages with multiple health system actors in and out of the health system. It is a leadership model, which seeks to be inclusive of diverse and currently underrepresented stakeholders such as women. This leadership model is aligned with the gender equality movement in health leadership, which has rightfully gained global prominence over the last decade. However, it would be an oversimplification to assume all women in leadership positions have had to overcome similar obstacles. Treating women as a homogenous group tends to leave people out given the evidence that social identities culminate to produce unique experiences and therefore challenge feminist notions of the homogeneity of women. Drawing on data from a primary study on gender and leadership in South Africa, this study sought to explore the influence of gender, as it intersects with race and professional cadre, on the experiences of female health managers in the South African health system. The primary study noted that black females felt as though they were "left behind" throughout their leadership journey. This secondary analysis was undertaken using Bilge's intersectionality approach. It is a two-step qualitative analysis approach, which uses an understanding of intersectionality to extract data related to social identity and intersecting social identities. The analysis assessed 1) how gender, race and professional cadre discretely inform each participant's account and 2) how gender intersects with other social identities to create unique barriers for different women. It explored how intersecting identities might leave certain people behind - and how then to conduct health policy and systems research that can produce qualitative data necessary for creating formalised initiatives that address potential barriers. While recognising the enormous potential of participatory leadership, this study focused on the experiences of formally designated health managers who were able to reflect on their journey towards their current position and explain the barriers in this journey, related to their entangled social identities. Advisors/Committee Members: Gilson, Lucy (advisor), Shung-King, Maylene (advisor).

Subjects/Keywords: Health Systems

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Reddy, M. (2020). Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system. (Masters Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/32522

Chicago Manual of Style (16th Edition):

Reddy, Mishka. “Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system.” 2020. Masters Thesis, University of Cape Town. Accessed April 22, 2021. http://hdl.handle.net/11427/32522.

MLA Handbook (7th Edition):

Reddy, Mishka. “Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system.” 2020. Web. 22 Apr 2021.

Vancouver:

Reddy M. Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system. [Internet] [Masters thesis]. University of Cape Town; 2020. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/11427/32522.

Council of Science Editors:

Reddy M. Exploring the influence of intersecting social identities on the leadership experience of female managers in the South African health system. [Masters Thesis]. University of Cape Town; 2020. Available from: http://hdl.handle.net/11427/32522


University of Cape Town

3. Singh, Yesheen. Communication and collaboration: an exploration of clinical governance Interventions in the Western Cape Department of Health over the past twenty years.

Degree: MPH, Public Health and Family Medicine, 2020, University of Cape Town

Background: The tension between the increasing cost of healthcare provision and the need to provide a quality level of care to a rising number of people is a global phenomenon. A focus on one over the other could result in a rise in adverse patient outcomes, or a health system too costly to be sustainable. Clinical governance is an approach policymakers can use to walk the middle line of creating a healthcare service that meets quality of care standards in a cost-effective manner, as has been done in Australia, Burundi, Egypt, Spain, UK and Yemen (Goyet et al, 2019; Abd El Fatah et al, 2019, Mannion et al, 2015; Aguilar Martin et al, 2019). This study examines the practice of clinical governance in one LMIC setting that has been able to successfully do this balancing walk for 20 years. Understanding how this was done in the Western Cape province of South Africa helps inform how clinical governance can be used to continue adding value as the health system moves towards universal healthcare. In addition, this South African experience adds to the still small pool of relevant experience from low- and middle-income countries reported in the international literature. Methods: A mixed methods qualitative design was used for data collection and involved three phases: (1) a document review of all policies in the province to identify clinical governance structures; (2) observation of these structures in action, comparing lived to written experience of clinical governance; and (3) interviews with key stakeholders in the province to get their perspectives on past, present and future forms of clinical governance. The Donabedian model was used to frame analysis into three dimensions of care, viz. structure, process and outcome. Results: Beyond a comprehensive policy framework, collaborative structures and consultative leadership styles facilitated strengthened clinical governance in the Western Cape. For example, although corporate-governance-inspired structures, such as clinical audits and M&E events, may become punitive and corrosive, the potential negative impact on clinical governance outcomes and organisational culture was tempered by healthy communication and supportive relationships between colleagues. Family physicians have become the champions of clinical governance in a decentralized health system and when supported in this by policy and management, the quality of care in health systems thrive. Conclusions Clinical governance is an effective strategy or tool LMICs can use to ensure quality of care is maintained or improved upon, even in resource-challenged settings. But while some structures, processes and outcomes may be borrowed from other LMIC or HIC settings, these need to be contextualized to local conditions. Appropriate clinical governance champions need to be identified and given the appropriate mandate. Human relationships are key to the successful implementation of interventions of this nature and space needs to be created in policy for this to be cultivated. Advisors/Committee Members: Gilson, Lucy (advisor).

Subjects/Keywords: family medicine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Singh, Y. (2020). Communication and collaboration: an exploration of clinical governance Interventions in the Western Cape Department of Health over the past twenty years. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/32979

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Singh, Yesheen. “Communication and collaboration: an exploration of clinical governance Interventions in the Western Cape Department of Health over the past twenty years.” 2020. Thesis, University of Cape Town. Accessed April 22, 2021. http://hdl.handle.net/11427/32979.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Singh, Yesheen. “Communication and collaboration: an exploration of clinical governance Interventions in the Western Cape Department of Health over the past twenty years.” 2020. Web. 22 Apr 2021.

Vancouver:

Singh Y. Communication and collaboration: an exploration of clinical governance Interventions in the Western Cape Department of Health over the past twenty years. [Internet] [Thesis]. University of Cape Town; 2020. [cited 2021 Apr 22]. Available from: http://hdl.handle.net/11427/32979.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Singh Y. Communication and collaboration: an exploration of clinical governance Interventions in the Western Cape Department of Health over the past twenty years. [Thesis]. University of Cape Town; 2020. Available from: http://hdl.handle.net/11427/32979

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

.