PurposeThe purpose of this paper is to integrate senior managers' personal experiences of leadership development with theory to provide insights into leadership development for aspiring and developing leaders.Design/methodology/approachA qualitative research design was adopted. Empirical data were gathered from 11 semi‐structured interviews with senior leaders in the Irish public, voluntary (non‐profit) and private sectors.FindingsThe analysis led to the identification of development‐oriented themes in the leadership literature, and the provision of insights regarding the developmental influences, core activities (vision and mobilisation) and the contextual influences (sectoral and societal) which affect appropriate leadership behaviour.Research limitations/implicationsAlthough the study is limited by its small sample it provides a basis for further research and draws attention to personal leader development processes. In particular the importance of formative experiences on leaders' development, their struggle to attain balance, the need for advanced emotional management skills, the capacity to work with collectives of people and to adapt to contextual demands are emphasised. The study suggests that future research investigate how contextual factors influence the adoption of certain leadership styles.Practical implicationsThe study explores personal perspectives on fundamental leadership development themes, of pragmatic value to established and aspiring leaders interested in enhancing their capacity to lead.Originality/valueThis paper considers leader development from the viewpoint of front‐line actors. As such it adopts an intrapersonal focus, considering the development journeys of individual leaders. The paper extends the traditional focus on the transactional and relational dimensions of leadership behaviours to incorporate the formative experiences and contextual factors that influence leadership.
Readmissions are a complex phenomenon with not only medical conditions contributing but also system, cultural and environmental factors exerting a significant influence. It is possible that the heterogeneity of the population and health care systems may prohibit the creation of a simple prediction tool that can be used internationally.
There is no consensus between readmitted patients, their carers and treating professionals about predictability and preventability of readmissions, nor associated risk factors. A readmitted patient reporting not feeling ready for discharge at index admission was strongly associated with preventability/predictability. Therefore, healthcare workers should question patients' readiness to go home timely before discharge.
Acute respiratory tract infections are a major cause of morbidity and mortality worldwide and exert a considerable economic burden on healthcare systems. Acute respiratory tract infections of the upper and lower respiratory tract are caused by a wide variety of viral and bacterial pathogens, which require comprehensive laboratory investigations. Conventional serological and immunofluorescence-based diagnostic methods for acute respiratory tract infections lack sensitivity when compared to polymerase chain reaction (PCR)-based approaches and the development of new diagnostic methodologies is required, to provide accurate, sensitive and rapid diagnoses. In the present study, a PCR-based low density oligonucleotide microarray was developed for the detection of 16 viral and two atypical bacterial pathogens. The performance of this DNA microarray-based analysis exhibited comparable sensitivities and specificities to multiplex real-time reverse transcription polymerase chain reactions (rtPCRs) confirming the potential diagnostic utility of the method. In contrast to routine multiplex PCR, the microarray incorporates an intrinsic redundancy as multiple and non-identical probes per target on the array allow direct intra-assay confirmation of positives. This study demonstrates that microarray technology provides a viable alternative to conventional serological-based approaches and multiplex PCR for pathogen identification in acute respiratory tract infections.
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