A Systematic Review of Behavioral Outcomes for Leadership Interventions Among Health Professionals.
Journal
The journal of nursing research : JNR
ISSN: 1948-965X
Titre abrégé: J Nurs Res
Pays: China (Republic : 1949- )
ID NLM: 101128757
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
pubmed:
10
8
2020
medline:
25
6
2021
entrez:
10
8
2020
Statut:
ppublish
Résumé
Healthcare requires effective leadership to improve patient outcomes, manage change, and achieve organizational goals. The purpose of this study was to evaluate interventions aimed at improving leadership behavior in health professionals. A systematic literature review of key databases (PubMed, CINAHL, Embase, and Scopus) was performed in September 2018. Data were extracted and synthesized. Thirty-three articles from 31 studies met the inclusion criteria. Self-reported leadership behavior showed a significant postprogram improvement. Objective observations were more likely to show improved leadership behavior than subjective observations. Face-to-face delivery of leadership development was more effective than online delivery. Interventions incorporating the elements of personal development planning, self-directed learning, workplace-based learning, and reflection were more likely to develop leadership behavior. Leadership interventions had a beneficial effect on the leadership behaviors of participants based on both subjective and objective changes in behavior. In addition to focusing on individual skill development, interventions that aim to develop leadership should consider the organizational, social, cultural, and political contexts in which behavioral change is expected. Workplace-based learning should be included in program development.
Sections du résumé
BACKGROUND
BACKGROUND
Healthcare requires effective leadership to improve patient outcomes, manage change, and achieve organizational goals.
PURPOSE
OBJECTIVE
The purpose of this study was to evaluate interventions aimed at improving leadership behavior in health professionals.
METHODS
METHODS
A systematic literature review of key databases (PubMed, CINAHL, Embase, and Scopus) was performed in September 2018. Data were extracted and synthesized.
RESULTS
RESULTS
Thirty-three articles from 31 studies met the inclusion criteria. Self-reported leadership behavior showed a significant postprogram improvement. Objective observations were more likely to show improved leadership behavior than subjective observations. Face-to-face delivery of leadership development was more effective than online delivery. Interventions incorporating the elements of personal development planning, self-directed learning, workplace-based learning, and reflection were more likely to develop leadership behavior.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE
CONCLUSIONS
Leadership interventions had a beneficial effect on the leadership behaviors of participants based on both subjective and objective changes in behavior. In addition to focusing on individual skill development, interventions that aim to develop leadership should consider the organizational, social, cultural, and political contexts in which behavioral change is expected. Workplace-based learning should be included in program development.
Identifiants
pubmed: 32769553
doi: 10.1097/JNR.0000000000000397
pii: 00134372-202010000-00009
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e118Références
Ackerman M., Malloch K., Wade D., Porter-O'Grady T., Weberg D., Zurmehly J., Raderstorf T. (2019). The master in healthcare innovation: A new paradigm in healthcare leadership development. Nurse Leader, 17(1), 49–53. https://doi.org/10.1016/j.mnl.2018.09.010
doi: 10.1016/j.mnl.2018.09.010
Agius S. J., Brockbank A., Baron R., Farook S., Hayden J. (2015). The impact of an integrated medical leadership programme. Journal of Health Organization and Management, 29(1), 39–54. https://doi.org/10.1108/JHOM-09-2013-0188
doi: 10.1108/JHOM-09-2013-0188
Barr J., Dowding L. (2019). Leadership in health care (4th ed.). Sage Publications Limited.
Bergman D., Fransson-Sellgren S., Wahlström R., Sandahl C. (2009). Healthcare leadership: Impact of short-term intensive and long-term less intensive training programmes. Leadership in Health Services, 22(2), 161–175. https://doi.org/10.1108/17511870910953805
doi: 10.1108/17511870910953805
Blaney P. (2012). Senior nursing leadership—Capacity building at the global level. International Nursing Review, 59(1), 40–47. https://doi.org/10.1111/j.1466-7657.2011.00953.x
doi: 10.1111/j.1466-7657.2011.00953.x
Boomer C. A., McCormack B. (2010). Creating the conditions for growth: A collaborative practice development programme for clinical nurse leaders. Journal of Nursing Management, 18(6), 633–644. https://doi.org/10.1111/j.1365-2834.2010.01143.x
doi: 10.1111/j.1365-2834.2010.01143.x
Boyle D. K., Kochinda C. (2004). Enhancing collaborative communication of nurse and physician leadership in two intensive care units. Journal of Nursing Administration, 34(2), 60–70. https://doi.org/10.1097/00005110-200402000-00003
doi: 10.1097/00005110-200402000-00003
Brown S. T., Kirkpatrick M. K., Wrisley C. D. (2003). Evaluative parameters of a web-based nursing leadership course from the learners' perspectives. Journal of Nursing Education, 42(3), 134–137.
Castillo C., James S. (2013). How to turn ward managers into leaders. Nursing Times, 109(9), 18–19.
Cleary M., Freeman A., Sharrock L. (2005). The development, implementation, and evaluation of a clinical leadership program for mental health nurses. Issues in Mental Health Nursing, 26(8), 827–842. https://doi.org/10.1080/01612840500184277
doi: 10.1080/01612840500184277
Cleary M., Kornhaber R., Thapa D. K., West S., Visentin D. (2018). The effectiveness of interventions to improve resilience among health professionals: A systematic review. Nurse Education Today, 71, 247–263. https://doi.org/10.1016/j.nedt.2018.10.002
doi: 10.1016/j.nedt.2018.10.002
Collins D. B., Holton E. F. (2004). The effectiveness of managerial leadership development programs: A meta-analysis of studies from 1982 to 2001. Human Resource Development Quarterly, 15(2), 217–248. https://doi.org/10.1002/hrdq.1099
doi: 10.1002/hrdq.1099
Cunningham G., Kitson A. (2000a). An evaluation of the RCN clinical leadership development programme: Part 1. Nursing Standard, 15(12), 34–37. https://doi.org/10.7748/ns2000.12.15.12.34.c2953
doi: 10.7748/ns2000.12.15.12.34.c2953
Cunningham G., Kitson A. (2000b). An evaluation of the RCN clinical leadership development programme: Part 2. Nursing Standard, 15(13–15), 34–40. https://doi.org/10.7748/ns2000.12.15.13.34.c2956
doi: 10.7748/ns2000.12.15.13.34.c2956
Cutcliffe J., Cleary M. (2015). Nursing leadership, missing questions, and the elephant (s) in the room: Problematizing the discourse on nursing leadership. Issues in Mental Health Nursing, 36(10), 817–825. https://doi.org/10.3109/01612840.2015.1042176
doi: 10.3109/01612840.2015.1042176
Daly J., Jackson D., Mannix J., Davidson P. M., Hutchinson M. (2014). The importance of clinical leadership in the hospital setting. Journal of Healthcare Leadership, 6, 75–83. https://doi.org/10.2147/JHL.S46161
doi: 10.2147/JHL.S46161
Dannels S. A., Yamagata H., McDade S. A., Chuang Y.-C., Gleason K. A., McLaughlin J. M., Richman R. C., Morahan P. S. (2008). Evaluating a leadership program: A comparative, longitudinal study to assess the impact of the Executive Leadership in Academic Medicine (ELAM) program for women. Academic Medicine, 83(5), 488–495. https://doi.org/10.1097/ACM.0b013e31816be551
doi: 10.1097/ACM.0b013e31816be551
Debono D., Travaglia J. F., Dunn A. G., Thoms D., Hinchcliff R., Plumb J., Milne J., Erez-Rein N., Wiley J., Braithwaite J. (2016). Strengthening the capacity of nursing leaders through multifaceted professional development initiatives: A mixed method evaluation of the 'Take the Lead' program. Collegian, 23(1), 19–28. https://doi.org/10.1016/j.colegn.2014.09.005
doi: 10.1016/j.colegn.2014.09.005
Dellve L., Skagert K., Vilhelmsson R. (2007). Leadership in workplace health promotion projects: 1- and 2-year effects on long-term work attendance. European Journal of Public Health, 17(5), 471–476. https://doi.org/10.1093/eurpub/ckm004
doi: 10.1093/eurpub/ckm004
Duffield C. (2005). A master class for nursing unit managers: An Australian example. Journal of Nursing Management, 13(1), 68–73. https://doi.org/10.1111/j.1365-2834.2004.00489.x
doi: 10.1111/j.1365-2834.2004.00489.x
Fennimore L., Wolf G. (2011). Nurse manager leadership development: Leveraging the evidence and system-level support. Journal of Nursing Administration, 41(5), 204–210. https://doi.org/10.1097/NNA.0b013e3182171aff
doi: 10.1097/NNA.0b013e3182171aff
Ford P., Wynne M., Rice M., Grogan C. (2008). A partnership approach to leadership development for directors of nursing in older people's services in Ireland—Articulating the impact. Journal of Nursing Management, 16(2), 159–166. https://doi.org/10.1111/j.1365-2834.2007.00840.x
doi: 10.1111/j.1365-2834.2007.00840.x
Frich J. C., Brewster A. L., Cherlin E. J., Bradley E. H. (2015). Leadership development programs for physicians: A systematic review. Journal of General Internal Medicine, 30(5), 656–674. https://doi.org/10.1007/s11606-014-3141-1
doi: 10.1007/s11606-014-3141-1
Gagliano N. J., Ferris T., Colton D., Dubitzky A., Hefferman J., Torchiana D. (2010). A physician leadership development program at an academic medical center. Quality Management in Healthcare, 19(3), 231–238. https://doi.org/10.1097/QMH.0b013e3181eb13ab
doi: 10.1097/QMH.0b013e3181eb13ab
Gifford W., Davies B., Tourangeau A., Lefebre N. (2011). Developing team leadership to facilitate guideline utilization: Planning and evaluating a 3-month intervention strategy. Journal of Nursing Management, 19(1), 121–132. https://doi.org/10.1111/j.1365-2834.2010.01140.x
doi: 10.1111/j.1365-2834.2010.01140.x
Gilfoyle E., Gottesman R., Razack S. (2007). Development of a leadership skills workshop in paediatric advanced resuscitation. Medical Teacher, 29(9), e276–e283. https://doi.org/10.1080/01421590701663287
doi: 10.1080/01421590701663287
Graham I. W., Jack E. (2008). Promoting leadership: The development of a nurse executive team in an acute hospital trust. Journal of Nursing Management, 16(8), 955–963. https://doi.org/10.1111/j.1365-2834.2008.00915.x
doi: 10.1111/j.1365-2834.2008.00915.x
Iles P., Preece D. (2006). Developing leaders or developing leadership? The academy of chief executives' programmes in the north east of England. Leadership, 2(3), 317–340. https://doi.org/10.1177/1742715006066024
doi: 10.1177/1742715006066024
Jiménez P., Bregenzer A., Kallus K. W., Fruhwirth B., Wagner-Hartl V. (2017). Enhancing resources at the workplace with health-promoting leadership. International Journal of Environmental Research and Public Health, 14(10), 1264. https://doi.org/10.3390/ijerph14101264
doi: 10.3390/ijerph14101264
Kirkpatrick D. L., Kirkpatrick J. D. (2009). Implementing the four levels: A practical guide for effective evaluation of training programs (2nd ed.). Berrett-Koehler.
Krugman M., Smith V. (2003). Charge nurse leadership development and evaluation. Journal of Nursing Administration, 33(5), 284–292. https://doi.org/10.1097/00005110-200305000-00004
doi: 10.1097/00005110-200305000-00004
Kwamie A., van Dijk H., Agyepong I. A. (2014). Advancing the application of systems thinking in health: Realist evaluation of the leadership development programme for district manager decision-making in Ghana. Health Research Policy and Systems, 12, 29. https://doi.org/10.1186/1478-4505-12-29
doi: 10.1186/1478-4505-12-29
Lee H., Spiers J. A., Yurtseven O., Cummings G. G., Sharlow J., Bhatti A., Germann P. (2010). Impact of leadership development on emotional health in healthcare managers. Journal of Nursing Management, 18(8), 1027–1039. https://doi.org/10.1111/j.1365-2834.2010.01178.x
doi: 10.1111/j.1365-2834.2010.01178.x
Leeson D., Millar M. (2013). Using the 7 habits programme to develop effective leadership. Nursing Management, 20(6), 31–37. https://doi.org/10.7748/nm2013.10.20.6.31.e1123
doi: 10.7748/nm2013.10.20.6.31.e1123
Levine S. A., Chao S. H., Brett B., Jackson A. H., Burrows A. B., Goldman L. N., Caruso L. B. (2008). Chief resident immersion training in the care of older adults: An innovative interspecialty education and leadership intervention. Journal of the American Geriatrics Society, 56(6), 1140–1145. https://doi.org/10.1111/j.1532-5415.2008.01710.x
doi: 10.1111/j.1532-5415.2008.01710.x
Liberati A., Altman D. G., Tetzlaff J., Mulrow C., Gøtzsche P. C., Ioannidis J. P. A., Clarke M., Devereaux P. J., Kleijnen J., Moher D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLOS MEDICINE, 6(7), e1000100. https://doi.org/10.1371/journal.pmed.1000100
doi: 10.1371/journal.pmed.1000100
Macphee M., Skelton-Green J., Bouthillette F., Suryaprakash N. (2012). An empowerment framework for nursing leadership development: Supporting evidence. Journal of Advanced Nursing, 68(1), 159–169. https://doi.org/10.1111/j.1365-2648.2011.05746.x
doi: 10.1111/j.1365-2648.2011.05746.x
Maddalena V., Fleet L. (2015). Developing a Physician Management & Leadership Program (PMLP) in Newfoundland and Labrador. Leadership in Health Services, 28(1), 35–42. https://doi.org/10.1108/LHS-02-2014-0012
doi: 10.1108/LHS-02-2014-0012
Malling B., Mortensen L., Bonderup T., Scherpbier A., Ringsted C. (2009). Combining a leadership course and multi-source feedback has no effect on leadership skills of leaders in postgraduate medical education. An intervention study with a control group. BMC Medical Education, 9(1), 72. https://doi.org/10.1186/1472-6920-9-72
doi: 10.1186/1472-6920-9-72
Marchionni C., Ritchie J. (2008). Organizational factors that support the implementation of a nursing best practice guideline. Journal of Nursing Management, 16(3), 266–274. https://doi.org/10.1111/j.1365-2834.2007.00775.x
doi: 10.1111/j.1365-2834.2007.00775.x
Margolis L. H., Rosenberg A., Umble K., Chewning L. (2013). Effects of interdisciplinary training on MCH professionals, organizations and systems. Maternal and Child Health Journal, 17(5), 949–958. https://doi.org/10.1007/s10995-012-1078-8
doi: 10.1007/s10995-012-1078-8
Martin J. S., Mccormack B., Fitzsimons D., Spirig R. (2012). Evaluation of a clinical leadership programme for nurse leaders. Journal of Nursing Management, 20(1), 72–80. https://doi.org/10.1111/j.1365-2834.2011.01271.x
doi: 10.1111/j.1365-2834.2011.01271.x
McAlearney A. S. (2008). Using leadership development programs to improve quality and efficiency in healthcare. Journal of Healthcare Management, 53(5), 319–331.
McAlearney A. S., Fisher D., Heiser K., Robbins D., Kelleher K. (2005). Developing effective physician leaders: Changing cultures and transforming organizations. Hospital Topics, 83(2), 11–18.
Murdock J., Brammer C. (2011). A successful model of leadership development for community practice physicians. Physician Executive, 37(2), 52–54.
Peters L. (2019). Leading culture change: Moving from here to there. In L. Peters (Ed.), The simple truths about leadership (pp. 73–96). Palgrave Macmillan. https://doi.org/10.1007/978-3-030-03958-5_7
Saleh S. S., Williams D., Balougan M. (2004). Evaluating the effectiveness of public health leadership training: The NEPHLI experience. American Journal of Public Health, 94(7), 1245–1249. https://doi.org/10.2105/AJPH.94.7.1245
doi: 10.2105/AJPH.94.7.1245
Singer S. J., Hayes J., Cooper J. B., Vogt J. W., Sales M., Aristidou A., Gray G. C., Kiang M. V., Meyer G. S. (2011). A case for safety leadership team training of hospital managers. Health Care Management Review, 36(2), 188–200. https://doi.org/10.1097/HMR.0b013e318208cd1d
doi: 10.1097/HMR.0b013e318208cd1d
Spiers J. A., Cummings G. G., Langenhoff P., Sharlow J., Bhatti A. (2010). “But we can't go back”: The effect of raising expectations through organizational leadership development and consequences of failure to follow through. Journal of Leadership Studies, 4(1), 6–19. https://doi.org/10.1002/jls.20151
doi: 10.1002/jls.20151
Steinert Y., Nasmith L., Daigle N. (2003). Executive skills for medical faculty: A workshop description and evaluation. Medical Teacher, 25(6), 666–668. https://doi.org/10.1080/0142159032000150485
doi: 10.1080/0142159032000150485
Suhonen R., Stolt M., Charalambous A. (2019). Supporting individualised nursing care by leadership. In R. Suhonen, M. Stolt, E. Papastavrou (Eds.), Individualized care: Theory, measurement and practice (1st ed., pp. 195–205). Springer International Publishing.
Tourangeau A. E. (2003). Building nurse leader capacity. Journal of Nursing Administration, 33(12), 624–626.
Tourangeau A. E., Lemonde M., Luba M., Dakers D., Alksnis C. (2003). Evaluation of a leadership development intervention. Nursing Leadership, 16(3), 91–104.
Turner P. (2019). Assessing health professionals for succession and leadership roles. In P. Turner (Ed.), Leadership in healthcare: Delivering organisational transformation and operational excellence (pp. 263–293). Palgrave Macmillan.
Werrett J., Griffiths M., Clifford C. (2002). A regional evaluation of the impact of the leading an empowered organisation leadership programme. NT Research, 7(6), 459–470. https://doi.org/10.1177/136140960200700607
doi: 10.1177/136140960200700607
Weston M. J., Falter B., Lamb G. S., Mahon G., Malloch K., Provan K. G., Roe S., Werbylo L. (2008). Health care leadership academy: A statewide collaboration to enhance nursing leadership competencies. The Journal of Continuing Education in Nursing, 39(10), 468–472. https://doi.org/10.3928/00220124-20081001-09
doi: 10.3928/00220124-20081001-09