Complex Leadership in Healthcare: A Scoping Review
Identifieur interne : 000520 ( Main/Exploration ); précédent : 000519; suivant : 000521Complex Leadership in Healthcare: A Scoping Review
Auteurs : Zakaria Belrhiti [Maroc, Belgique] ; Ariadna Nebot Giralt [Belgique] ; Bruno Marchal [Belgique]Source :
- International Journal of Health Policy and Management [ 2322-5939 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- organisation et administration : Personnel de santé, Prestations des soins de santé.
- Communication interdisciplinaire, Humains, Leadership, Personnel administratif, Relations entre professionnels de santé et patients.
English descriptors
- KwdEn :
- MESH :
- organization & administration : Delivery of Health Care, Health Personnel.
- Administrative Personnel, Humans, Interdisciplinary Communication, Leadership, Professional-Patient Relations.
Abstract
Url:
DOI: 10.15171/ijhpm.2018.75
PubMed: 30709082
PubMed Central: 6358662
Affiliations:
Links toward previous steps (curation, corpus...)
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- to stream Pmc, to step Checkpoint: 000167
- to stream PubMed, to step Corpus: 000290
- to stream PubMed, to step Curation: 000289
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Le document en format XML
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<wicri:regionArea>Vrije Universiteit Brussel, Brussels</wicri:regionArea>
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<author><name sortKey="Nebot Giralt, Ariadna" sort="Nebot Giralt, Ariadna" uniqKey="Nebot Giralt A" first="Ariadna" last="Nebot Giralt">Ariadna Nebot Giralt</name>
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<series><title level="j">International Journal of Health Policy and Management</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Administrative Personnel (MeSH)</term>
<term>Delivery of Health Care (organization & administration)</term>
<term>Health Personnel (organization & administration)</term>
<term>Humans (MeSH)</term>
<term>Interdisciplinary Communication (MeSH)</term>
<term>Leadership (MeSH)</term>
<term>Professional-Patient Relations (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Communication interdisciplinaire (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Leadership (MeSH)</term>
<term>Personnel administratif (MeSH)</term>
<term>Personnel de santé (organisation et administration)</term>
<term>Prestations des soins de santé (organisation et administration)</term>
<term>Relations entre professionnels de santé et patients (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Personnel de santé</term>
<term>Prestations des soins de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Delivery of Health Care</term>
<term>Health Personnel</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Administrative Personnel</term>
<term>Humans</term>
<term>Interdisciplinary Communication</term>
<term>Leadership</term>
<term>Professional-Patient Relations</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Communication interdisciplinaire</term>
<term>Humains</term>
<term>Leadership</term>
<term>Personnel administratif</term>
<term>Relations entre professionnels de santé et patients</term>
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<front><div type="abstract" xml:lang="en"><p><bold>Background:</bold>
Nowadays, health systems are generally acknowledged to be complex social systems. Consequently, scholars, academics, practitioners, and policy-makers are exploring how to adopt a complexity perspective in health policy and system research. While leadership and complexity has been studied extensively outside health, the implications of complexity theories for the study of leadership in healthcare have received limited attention. We carried out a scoping review of complex leadership (CL) in healthcare to investigate how CL in healthcare has been defined, theorised and conceptualised and to explore how ‘CL’ has been applied in healthcare settings.
</p>
<p><bold>Methods:</bold>
We followed the methodological steps proposed by (Arksey and O’Malley, 2005): (1) specifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting the data, (5) collating and summarizing the findings, and (6) reporting the results. We searched using Medline, Psychinfo, Wiley online library, and Google Scholar. Our inclusion criteria were: publication type (peer reviewed articles, theses, and book chapters); phenomenon of interest: complex leadership; context: healthcare and period of publication: between 2000 and 2016.
</p>
<p><bold>Results:</bold>
Our search and selection resulted in 37 papers (16 conceptual papers, 14 empirical studies and 7 advocacy papers). We note that empirical studies on CL are few and almost all research reported by these papers was carried out in the North (mainly in USA and UK). We found that there is some variation in definitions of CL. Furthermore, the research papers adopt mostly an explorative or explanatory approach and do not focus on assessing effectiveness of CL approaches. Finally, we found that the majority of researchers seem to adhere to the mathematical complexity perspective.
</p>
<p><bold>Conclusion:</bold>
Complexity concepts derived from natural sciences may not automatically fit management of health services. Further research into how social complexity theories may offer researchers useful grounds to empirically test CL theories in health settings is warranted. Specific attention should be paid to the multi-layered nature of leadership.
</p>
</div>
</front>
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