Cent Eur J Public Health 2012, 20(3):174-184 | DOI: 10.21101/cejph.a3720

Leadership in Community Partnerships: South African Study and Experience

Walid El Ansari
Faculty of Applied Sciences, University of Gloucestershire, Gloucester, United Kingdom

Aims: This study examined the influence of leadership in multi-stakeholder partnerships. Four W.K. Kellogg-funded community partnerships in South Africa were evaluated. Participants included community, academic and health service partners. The partnerships aimed to achieve interprofessional community-sensitive health professions education.

Methods: We undertook: 1) quantitative assessment (survey, N = 529) of whether leadership skills were systematically associated with three partnership factors (satisfaction, sense of ownership and commitment); and the individual contributions of these factors to the partnerships' outcomes; and 2) qualitative assessment (semi-structured interviews, N = 46) of the extent of coalition members' ratings of their leadership, the likelihood of concerns about their leaders; and the nature of these concerns.

Results: Quantitatively, partner's positive ratings of their leadership were consistently and significantly attended by better sense of ownership, commitment to and satisfaction with the partnerships. Variance in partnership outcomes was accounted for by leadership skills (26%), ownership (21%), commitment (20%) and satisfaction (11%). Partnership members who rated their leadership highly expressed fewer concerns (qualitatively) about their leaders. These concerns were: leadership visibility, openness and legitimacy; leadership features, styles and characteristics; the consequences of lack of appropriate leadership; and management procedures that were lacking.

Conclusions: Coalition efforts would benefit from focusing on factors that are conducive to effective leadership.

Klíčová slova: interprofessional education, leadership, community-based, partnership outcomes, mixed method evaluation

Vloženo: 14. září 2011; Revidováno: 19. duben 2012; Přijato: 19. duben 2012; Zveřejněno: 1. září 2012  Zobrazit citaci

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El Ansari W. Leadership in Community Partnerships: South African Study and Experience. Cent Eur J Public Health. 2012;20(3):174-184. doi: 10.21101/cejph.a3720. PubMed PMID: 23285517.
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    Reference

    1. Gannon-Leary P, Baines S, Wilson R. Collaboration and partnership: a review and reflections on a national project to join up local services in England. J Interprof Care. 2006 Dec;20(6):665-74. Přejít k původnímu zdroji... Přejít na PubMed...
    2. Glasby J, Dickinson H. Greater than the sum of our parts? Emerging lessons for UK health and social care. Int J Integr Care. 2008;8:e67. Přejít k původnímu zdroji... Přejít na PubMed...
    3. El Ansari W, Phillips CJ. Interprofessional collaboration: a stakeholder approach to evaluation of voluntary participation in community partnerships. J Interprof Care. 2001 Nov;15(4):351-68. Přejít k původnímu zdroji... Přejít na PubMed...
    4. Sitzia J, Cotterell P, Richardson A. Interprofessional collaboration with service users in the development of cancer services: the Cancer Partnership Project. J Interprof Care. 2006 Jan;20(1):60-74. Přejít k původnímu zdroji... Přejít na PubMed...
    5. Anonson J, Leischner C, Manahan C, Randal J, Wejr R. Interdisciplinary collaborative approach to health education: a partnership addressing community health needs and laying the groundwork for long term planning in health education. J Interprof Care. 2008 Jan;22(1):107-9. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Ho K, Buote D, Jarvis-Selinger S, Lauscher HN, Ferdinands L, Parboosingh J, et al. Achieving social accountability through interprofessional collaboration: the Canadian medical schools experience. J Interprof Care. 2008;22 Suppl 1:4-14. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Jarvis-Selinger S, Ho K, Lauscher HN, Liman Y, Stacy E, Woollard R, et al. Social accountability in action: University-community collaboration in the development of an interprofessional Aboriginal health elective. J Interprof Care. 2008;22 Suppl 1:61-72. Přejít k původnímu zdroji... Přejít na PubMed...
    8. ElAnsariW, Phillips CJ, Hammick M. Collaboration and partnerships: developing the evidence base. Health Soc Care Community. 2001;9(4):21527. Přejít k původnímu zdroji...
    9. Clark NM, Doctor LJ, Friedman AR, Lachance LL, Houle CR, Geng X, et al. Community coalitions to control chronic disease: Allies Against Asthma as a model and case study. Health Promot Pract. 2006 Apr;7(2 Suppl):14S-22S. Přejít k původnímu zdroji... Přejít na PubMed...
    10. Oandasan I, Reeves S. Key elements of interprofessional education. Part 2: Factors, processes and outcomes. J Interprof Care. 2005 May;19 Suppl 1:39-48. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Steenbergen G, El Ansari W. The power of partnership. Geneva: WHO; 2003.
    12. ElAnsari W, Oskrochi R, Phillips CJ. One size fits all partnerships? What explains community partnership leadership skills? Health Promot Pract. 2010 Jul;11(4):501-14. Přejít k původnímu zdroji... Přejít na PubMed...
    13. Butterfoss FD, Lachance LL, Orians CE. Building allies coalitions: why formation matters. Health Promot Pract. 2006 Apr;7(2 Suppl):23S-33S. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Butterfoss FD, Gilmore LA, Krieger JW, Lachance LL, Lara M, Meurer JR, et al. From formation to action: howAlliesAgainstAsthma coalitions are getting the job done. Health Promot Pract. 2006;7(2 Suppl):34S-43S. Přejít k původnímu zdroji... Přejít na PubMed...
    15. El Ansari W. Community development and professional education in South Africa. In: Mitchell S, editor. Effective educational partnerships: experts, advocates, and scouts. Westport: Praeger; 2002.
    16. Laraia BA, Dodds J, Eng E. A framework for assessing the effectiveness of antihunger advocacy organizations. Health Educ Behav. 2003 Dec;30(6):756-70. Přejít k původnímu zdroji... Přejít na PubMed...
    17. Zakocs RC, Edwards EM. What explains community coalition effectiveness?: a review of the literature.Am J Prev Med. 2006Apr;30(4):351-61. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Kumpfer KL, Turner C, Hopkins R, Librett J. Leadership and team effectiveness in community coalitions for the prevention of alcohol and other drug abuse. Health Educ Res. 1993;8(3):359-74. Přejít k původnímu zdroji...
    19. El Ansari W. An Introduction to the structural and operational underpinnings of partnership work. In: Goede H, ElAnsari W, editors. Partnership work: the health service-community interface for the prevention, care and treatment of HIV/AIDS : report of a WHO consultation. Geneva: WHO; 2003. p. 10.
    20. Granner ML, Sharpe PA. Evaluating community coalition characteristics and functioning: a summary of measurement tools. Health Educ Res. 2004 Oct;19(5):514-32. Přejít k původnímu zdroji... Přejít na PubMed...
    21. Goede H, El Ansari W, editors. Partnership work: the health servicecommunity interface for the prevention, care and treatment of HIV/AIDS: report of a WHO consultation. Geneva: WHO; 2003.
    22. Prestby JE, Wandersman A. An empirical exploration of a framework of organisational viability: maintaining block organisations. J Appl Behav Sci.1985;21(3):287-305. Přejít k původnímu zdroji...
    23. Wandersman A, Florin P, Friedmann R, Meier R. Who participates, who does not, and why?An analysis of voluntary neighborhood organizations in the United States and Israel. Sociol Forum. 1987;2(3):534-55. Přejít k původnímu zdroji...
    24. Giamartino GA,WandersmanA. Organisational climate correlates of viable urban block organisations.Am J Community Psychol. 1983;11(5):529-41. Přejít k původnímu zdroji...
    25. Lazarus J. Towards a model for transforming health personnel education, research and service: the South African experience. Health Syst Trust [Internet]. 1996 May [cited 2012 Apr 19];(16). Available from: http://www.hst.org.za/uploads/files/update16.pdf.
    26. Lumague M, Morgan A, Mak D, Hanna M, Kwong J, Cameron C, et al. Interprofessional education: the student perspective. J Interprof Care. 2006 Jun;20(3):246-53. Přejít k původnímu zdroji... Přejít na PubMed...
    27. Goodrow B, Olive KE, Behringer B, Kelley MJ, Bennard B, Grover S, et al. The Community partnerships experience: a report of institutional transition at East Tennessee State University. Acad Med. 2001 Feb;76(2):134-41. Přejít k původnímu zdroji... Přejít na PubMed...
    28. El Ansari W. Joint working for health and social outcomes: the partnership-leadership mantra. Int J Leadersh Public Serv. 2009;5(1):29-36. Přejít k původnímu zdroji...
    29. Sheaff R, Schofield J, Mannion R, Dowling B, Marshall M, Mcnally R. Organisational factors and performance: a review of the literature. London: The National Co-ordinating Centre for NHS Service Delivery and Organisation R&D; 2004.
    30. Huxham C, Vangen S. Ambiguity, complexity and dynamics in the membership of collaboration. Hum Relat. 2000;53(6):771-806. Přejít k původnímu zdroji...
    31. Vangen S, Huxham C. Enacting leadership for collaborative advantage: dilemmas of ideology and pragmatism in the activities of partnership managers. Brit J Manage. 2003;14(s1):S61-S76. Přejít k původnímu zdroji...
    32. Kreuter MW, Lezin NA, Young LA. Evaluating community-based collaborative mechanisms: implications for practitioners. Health Promot Pract. 2000;1(1):49-63. Přejít k původnímu zdroji...
    33. Butterfoss FD. The coalition technical assistance and training framework: helping community coalitions help themselves. Health Promot Pract. 2004 Apr;5(2):118-26. Přejít k původnímu zdroji... Přejít na PubMed...
    34. Robinson KL, Driedger MS, Elliott SJ, Eyles J. Understanding facilitators of and barriers to health promotion practice. Health Promot Pract. 2006 Oct;7(4):467-76. Přejít k původnímu zdroji... Přejít na PubMed...
    35. Rogers T, Howaerd-Pitney B, Fieghery EC, Altman DG, Endres JM, Roeseler AG. Characteristics and participant perceptions of tobacco control coalitions in California. Health Educ Res. 1993;8(3):345-57. Přejít k původnímu zdroji...
    36. Gottlieb NH, Brink SG, Gingiss PL. Correlates of coalition effectiveness: the Smoke Free Class of 2000 Program. Health Educ Res. 1993 Sep;8(3):375-84. Přejít k původnímu zdroji...
    37. Minnesota Department of Health. A self-assessment form for use by a community health committee (Community Health Services Administration Work Group Draft Interim Report). Minneapolis: Department of Health; 1990.
    38. WK Kellogg Foundation. Health profession education and community partnership study. Lansing: Michigan State University, Survey Research Division of the Institute for Public Policy and Social Research; 1994.
    39. Prestby JE, Wandersman A, Florin P, Rich R, Chavis D. Benefits, costs, incentive management and participation in voluntary organisations: a means to understanding and promoting empowerment.Am J Community Psychol. 1990;18(1):117-49. Přejít k původnímu zdroji...
    40. Zapka JG, Marrocco GR, Lewis B, McCusker J, Sullivan J, McCarthy J, et al. Inter-organizational responses toAIDS: a case study of the Worcester AIDS Consortium. Health Educ Res. 1992 Mar;7(1):31-46. Přejít k původnímu zdroji...
    41. Strauss A, Corbin J. Grounded theory methodology: an overview. In: Denzin NK, Lincoln YS, editors. Handbook of qualitative research. Thousand Oaks, CA: Sage; 1994. p. 273-85.
    42. Vangen S, Huxham C. Nurturing collaborative relations: building trust in inter-organizational collaboration. J Appl Behav Sci. 2003;39(1):5-31. Přejít k původnímu zdroji...
    43. Bowling A. Research methods in health: investigating health and health services/Ann Bowling. Buckingham, UK: Open University Press; 1997.
    44. El Ansari W, Weiss ES. Quality of research on community partnerships: developing the evidence base. Health Educ Res. 2006Apr;21(2):175-80. Přejít k původnímu zdroji... Přejít na PubMed...
    45. Zakocs RC, Guckenburg S. What coalition factors foster community capacity? Lessons learned from the Fighting Back Initiative. Health Educ Behav. 2007 Apr;34(2):354-75. Erratum in: Health Educ Behav. 2007 Jun;34(3):551. Přejít k původnímu zdroji... Přejít na PubMed...
    46. Buys N, Bursnall S. Establishing university - community partnerships: processes and benefits. J Higher Educ Pol Manage. 2007;29(1):73-86. Přejít k původnímu zdroji...
    47. Alexander MP, Zakocs RC, Earp JAL, French E. Community coalition project directors: what makes them effective leaders? J Public Health Manag Pract. 2006 Mar-Apr;12(2):201-9. Přejít k původnímu zdroji... Přejít na PubMed...
    48. Chrislip DD, Larson CE. Collaborative leadership: how citizens and civic leaders can make a difference. American Leadership Forum Book. San Francisco: Jossey-Bass, American Leadership Forum Series; 1994.
    49. El Ansari W, Phillips CJ, Zwi AB. Narrowing the gap between academic professional wisdom and community lay knowledge: perceptions from partnerships. Public Health. 2002 May;116(3):151-9. Přejít k původnímu zdroji... Přejít na PubMed...
    50. Bolden R, Gosling J. Leadership competencies: time to change the tune? Leadership. 2006;2(2):147-63. Přejít k původnímu zdroji...
    51. Richter AW, West MA, Van Dick R, Dawson JF. Boundary spanners' identification, intergroup contact, and effective intergroup relations.Acad Manage J. 2006;49(6):1252-69. Přejít k původnímu zdroji...
    52. Eden C, Huxham C. The negotiation of purpose in multi-organizational collaborative groups. J Manage Stud. 2001;38(3):373-91. Přejít k původnímu zdroji...
    53. Hosking DM, Morley IE. A Social psychology of organizing: people, processes and contexts. New York: Harvester/Wheatsheaf; 1991.
    54. Kegler MC, Norton BL, Aronson RE. Strengthening community leadership: evaluation findings from the California Healthy Cities and Communities Program. Health Promot Pract. 2008 Apr;9(2):170-9. Přejít na PubMed...

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