Leadership Effectiveness in Healthcare Settings: A Systematic Review and Meta-Analysis of Cross-Sectional and Before-After Studies.
before–after
cross-sectional
healthcare settings
healthcare workers
leadership effectiveness
leadership style
private healthcare setting
public hospital
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
02 09 2022
02 09 2022
Historique:
received:
12
07
2022
revised:
25
08
2022
accepted:
28
08
2022
entrez:
9
9
2022
pubmed:
10
9
2022
medline:
14
9
2022
Statut:
epublish
Résumé
To work efficiently in healthcare organizations and optimize resources, team members should agree with their leader's decisions critically. However, nowadays, little evidence is available in the literature. This systematic review and meta-analysis has assessed the effectiveness of leadership interventions in improving healthcare outcomes such as performance and guidelines adherence. Overall, the search strategies retrieved 3,155 records, and 21 of them were included in the meta-analysis. Two databases were used for manuscript research: PubMed and Scopus. On 16th December 2019 the researchers searched for articles published in the English language from 2015 to 2019. Considering the study designs, the pooled leadership effectiveness was 14.0% (95%CI 10.0-18.0%) in before-after studies, whereas the correlation coefficient between leadership interventions and healthcare outcomes was 0.22 (95%CI 0.15-0.28) in the cross-sectional studies. The multi-regression analysis in the cross-sectional studies showed a higher leadership effectiveness in South America (β = 0.56; 95%CI 0.13, 0.99), in private hospitals (β = 0.60; 95%CI 0.14, 1.06), and in medical specialty (β = 0.28; 95%CI 0.02, 0.54). These results encourage the improvement of leadership culture to increase performance and guideline adherence in healthcare settings. To reach this purpose, it would be useful to introduce a leadership curriculum following undergraduate medical courses.
Identifiants
pubmed: 36078706
pii: ijerph191710995
doi: 10.3390/ijerph191710995
pmc: PMC9518077
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Clin Orthop Relat Res. 2015 May;473(5):1590-7
pubmed: 25287521
BMJ. 2009 Jul 21;339:b2700
pubmed: 19622552
Cochrane Database Syst Rev. 2019 Jun 24;6:CD000125
pubmed: 31232458
Am J Surg. 2018 Jan;215(1):14-18
pubmed: 28754536
Front Psychol. 2018 Oct 17;9:1935
pubmed: 30386276
Int J Qual Health Care. 2017 Oct 01;29(6):853-860
pubmed: 29024977
J Healthc Qual Res. 2019 Sep - Oct;34(5):228-232
pubmed: 31713518
Am J Prev Med. 2021 Feb;60(2):198-204
pubmed: 33482980
Front Psychol. 2019 Sep 27;10:2137
pubmed: 31632313
Australas Emerg Care. 2019 Mar;22(1):1-7
pubmed: 30998866
Health Care Manage Rev. 2018 Jan/Mar;43(1):30-41
pubmed: 27782970
J Ambul Care Manage. 2015 Jan-Mar;38(1):59-68
pubmed: 25469579
J Clin Epidemiol. 2011 Apr;64(4):383-94
pubmed: 21195583
Qual Saf Health Care. 2010 Dec;19(6):490-2
pubmed: 21127110
Control Clin Trials. 1986 Sep;7(3):177-88
pubmed: 3802833
Stat Methods Med Res. 1993;2(2):121-45
pubmed: 8261254
Int Nurs Rev. 2019 Jun;66(2):242-249
pubmed: 30474113
Front Psychol. 2018 Oct 05;9:1877
pubmed: 30344500
BMC Nurs. 2016 Jun 09;15:38
pubmed: 27293380
BMJ Open. 2014 Jun 25;4(6):e005353
pubmed: 24965917
J Hosp Med. 2015 Dec;10(12):773-9
pubmed: 26286828
PLoS One. 2017 Jul 25;12(7):e0174536
pubmed: 28742853
BMC Health Serv Res. 2016 May 24;16 Suppl 2:158
pubmed: 27230551
BMC Med Educ. 2021 Mar 6;21(1):147
pubmed: 33676503
West J Emerg Med. 2016 Sep;17(5):549-56
pubmed: 27625718
J Nurs Adm. 2016 Dec;46(12):630-635
pubmed: 27851703
Healthc Q. 2015;18(1):38-42
pubmed: 26168389
Prev Chronic Dis. 2019 Apr 18;16:E49
pubmed: 31002636
Health Policy Plan. 2018 Jan 1;33(1):e14-e25
pubmed: 29304251
ANZ J Surg. 2019 Jan;89(1-2):96-100
pubmed: 29510453
J Am Psychiatr Nurses Assoc. 2016 May;22(3):233-41
pubmed: 27122483
Crit Ultrasound J. 2016 Dec;8(1):5
pubmed: 27207087
Int J Nurs Stud. 2015 Feb;52(2):543-54
pubmed: 25190527
BMJ. 1997 Sep 13;315(7109):629-34
pubmed: 9310563
J Clin Epidemiol. 2001 Oct;54(10):1046-55
pubmed: 11576817
Int J Qual Health Care. 2019 Dec 22;31(Supplement_1):22-28
pubmed: 31665293
J Healthc Qual. 2018 May/Jun;40(3):172-176
pubmed: 29734270
Int Emerg Nurs. 2015 Jan;23(1):3-7
pubmed: 24880695
J Nurs Manag. 2019 Nov;27(8):1756-1763
pubmed: 31529741
BMC Med Educ. 2017 Sep 19;17(1):169
pubmed: 28927466
BMC Health Serv Res. 2016 Oct 12;16(1):572
pubmed: 27733141
JAMA Netw Open. 2019 Aug 2;2(8):e199369
pubmed: 31418804
J Am Coll Cardiol. 2011 Jun 14;57(24):2381-8
pubmed: 21658557
BMJ. 2003 Sep 6;327(7414):557-60
pubmed: 12958120