Literature Review & Synthesis
After refining our initial model, we conducted a focused literature review. We drew from literature within health systems leadership, followership and organizational development, contrasting our own newly formulated conceptualization with other existing models. We engaged in iterative rounds of revisions. Ultimately, we crystalized our thinking into one conceptual model (see results section), which we refined through persona-driven testing (i.e. cognitive simulations with various types of simulated characters that used to elucidate each role in various scenarios) and knowledge user consultation.23,24 We then developed personas that were based on exemplars from our collective experiences test and prototype our model.23–25 The vignettes are found in the online supplemental appendix.