This qualitative research informed by the interpretivist paradigm analyses how senior management team members in the Irish public and independent mental health sectors have influenced the evolution of clinical governance. A 54 item schedule (the Organisational Progress in Clinical Governance schedule) [OPCG] is utilised to inform a process of semi-structured interviews. A review of the-clinical governance and-other literature is undertaken to frame the research question, to highlight originality and position expectations. Newell and Burnard's 'Pragmatic Approach to Schematic Content Analysis' in conjunction with NVivo is used as the data analysis framework. A reference group is utilised in advance of the study and 25 executive and director level senior management team members are interviewed in their capacity as senior leaders and experts in the research area of clinical governance evolution. 5 separate healthcare organisations (3 public and 2 independent) were purposively selected. Participants completed the OPCG prior to participating in semi-structured interviews. The interview schedule was informed by the results of the OPCG and the literature review. Senior management team members were drawn from an interdisciplinary perspective. Processes to establish the rigour and plausibility of the study are outlined including the use of multiple coding, a reflexive diary and respondent validation. Following data analysis, findings are distilled and presented. Recommendations for education, practice, management and governance are expounded. These refer to strategies to enhance leadership capacity, commentary on the expanding role of regulation in healthcare, discussion of the differences apparent between HSE and independent sector mental health providers and the implementation of key national policies specifically ICT. Additionally, current issues in recruitment, staff and staff management processes, formal and informal power structures, in-service training and education, evaluation of health service re-structuring at national and regional levels and the re-imagining of strategic alliances with the higher education sector are explored.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:680116 |
| Date | January 2015 |
| Creators | Frawley, Timothy Martin |
| Publisher | Queen's University Belfast |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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