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J Palliat Med. 2019 Jul;22(7):823-829. doi: 10.1089/jpm.2018.0523. Epub 2019 Feb 27.

The Cambia Sojourns Scholars Leadership Program: Projects and Reflections on Leadership in Palliative Care.

Author information

1
1 Hospice and Palliative Nurses Association, Pittsburgh Pennsylvania.
2
2 Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, and Ariadne Labs, Boston, Massachusetts.
3
3 Division of Palliative Medicine, Department of Medicine, University of California-San Francisco, San Francisco, California.
4
4 William F. Connell School of Nursing, Boston College, Boston, Massachusetts.
5
5 School of Nursing, Touro University of California, Vallejo, California.
6
6 Massachusetts General Hospital Cancer Center, Boston, Massachusetts.
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7 Division of Palliative Care and Division of Nephrology, Department of Medicine, New York University School of Medicine, New York, New York.
8
8 Division of General Internal Medicine and Health Services Research, Department of Medicine, Division of Palliative Medicine, Department of Medicine, University of California-Los Angeles, Los Angeles, California.
9
9 VA Greater Los Angeles Healthcare System, Los Angeles, California.
10
10 Division of Geriatrics, Department of Medicine, University of California-San Francisco, San Francisco, California.

Abstract

Background: Effective leadership is necessary to meet the complex care needs of patients with serious, life-limiting illness. The Cambia Health Foundation Sojourns Scholars Program is advancing leadership in palliative care through supporting emerging leaders. The 2016 Cohort has implemented a range of projects to promote their leadership development. Objective: To describe the leadership themes emerging from individual project implementation of the 2016 Sojourns Leadership. Methods: We summarize the synthesized leadership themes derived from both remote and in-person meetings and written reflections of the 2016 Cambia Sojourn Leadership Cohort. Results: The 2016 Cambia Sojourn Leadership Scholar Cohort projects are described. We identified three leadership themes related to palliative care initiatives: openness and flexibility, partnership and team building, and leveraging expertise and risk. Discussion: Unprecedented challenges in a rapidly changing health environment demand palliative care leadership to influence care quality, delivery, policy, and clinical care. Flexibility and openness; partnership and team building; and expertise to implement change emerged as critical themes to advancing the care of patients with serious, life-limiting illness. These leadership themes are consistent with both previous Cambia Sojourns Scholar cohorts and the literature, are essential for the next generation of leaders to implement new models of quality palliative care, payment for palliative care, and education for patients, caregivers, and health care providers. Conclusion: In order to design and implement quality palliative care, leadership development is essential. Use of flexibility and openness; partnership and team building; and expertise to implement change are important themes for success. Whether through the Cambia Health Foundation Sojourns Leadership Program or opportunities within professional organizations, cultivation of the next generation of leaders is critical.

KEYWORDS:

Cambia Sojourns Leadership Program; emerging; leadership; leadership development; palliative care

PMID:
30810459
DOI:
10.1089/jpm.2018.0523

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