Collaborative Leadership Challenges in School Based Health Clinics: A Delphi Study

Collaborative Leadership Challenges in School Based Health Clinics: A Delphi Study

Author: 
Mariah M. Emond
Program of study: 
D.H.A.
Abstract: 
School Based Health Centers (SBHC) are a collaborative, integrative health clinic partnership between a school district and medical/health providers (School-Based Health Alliance, 2013). The specific problem is that a community may demonstrate the need for a SBHC, but may not be able to resolve the lack of community engagement needed to form the required partnerships to develop a SBHC. In Colorado, one out of five pre-planning or planning grantees do not move forward into the start-up grantee position each year with a loss of access to critical health care to students within those communities (CDPHE, 2015). To fill the gap in the existing literature, more information about leadership challenges is needed to overcome the practical obstacles within the planning stage. The purpose of this study was to better understand the leadership challenges when developing SBHCs, add context to the problem, and share the findings in order to create a comprehensive collaborative leadership model. An eDelphi survey was selected to capture the panelists’ responses to implementation challenges, have them prioritize the challenges, and finally offer solutions. The panelists reported challenges associated with the use of collaborative leadership skills of compromise, developing rapport, creating a vision, group facilitation, and openness to new ideas; all skills that workgroups struggled to use to navigate the multisector ventures required to form SBHCs. Recommendations for professionals starting a SBHC implementation are the development of skill sets that include collaborative leadership characteristics to effectively manage the strategic alliances needed to build and sustain a SBHC. A recommendation to national and state associations is the inclusion of collaborative leadership guidance through written information or in training to assist new teams.
Dedication: 
I dedicate this dissertation to the children growing up in this century all over the world. May you find justice, peace, and harmony from within yourself and throughout the community of many communities that surround you. May we all help to grow a generation of peaceful and happy children so that they can grow up to be excellent stewards of this earth and all beings whom inhabit our Graceful Mother.
Acknowledgements: 
I would like to acknowledge my chair, Dr. Marcia Griffiths-Prince, for working so diligently with me, inside and outside of class time. Your support and assistance was invaluable. I am appreciative of your time. I also would like to thank my committee members, Dr. Maureen Daly and Dr. Mercedes Lopez. You both have been supportive and responsive! A special acknowledgement to Dr. Daly as she continues to support the ongoing implementation of new school based health clinics in the State of Colorado. I appreciate your consulting knowledge and the time you spent as my mentor. Thank you for the supportive nature of your kind heart, exceptional intelligence, and the push to birth another fine SBHC in rural Colorado. Another special acknowledgement to Dr. Phillip Davidson for his helpful expertise in the Delphi methodology. Thank you to all the sites and panelists who agreed to participate. Your voice was heard and ever so helpful! I cannot express enough gratitude for your volunteerism to share your thoughts for this study. Thank you for your time and diligence to stick through the rounds. To my colleagues, Dr. Erika McElroy, Dr. Shauna Acker, and Dr. Lyn Taylor, thank you for your tremendous support, kind words, and the reminders to finish it all up! I love you all, as you well know. As always, to my lovely friends that reminded me to keep going, bought me coffee, and shared my stories, you were ALL more helpful than I could have imagined in this process. I am EVER so thankful dear ones. And finally to my family and my husband for putting up with my three years of homework and inattentiveness to dusting. I am appreciative of all the daycare and daddy time you afforded me while reaching a dream come true. My deepest gratitude to you all!