Theories of Leadership in Healthcare Sector, a Critical Review (original) (raw)
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Perception of leadership among health managers working in tertiary level hospitals
Journal of Ayub Medical College, Abbottabad : JAMC
Rapid growth of medical knowledge has created major changes in technology which in turn has created greater demand of the client for better health services, and health sector is constantly under pressure of great internal and external demands. Quality of services, largely depend on to what extent managers are well versed with the concept of evidence based management, team and group approach in achieving organizational objectives. Making an effective health system, addressing the double burden of diseases coupled with resource crunch in developing countries is a big challenge for policy makers and health managers. Comprehensive concepts and application knowledge of leadership is very important for health managers in the present day in order to get best output that satisfies all the stake holders. Present anthropological study was done to assess the perception and knowledge of leadership among the health managers working in tertiary level hospitals. This qualitative study was conducte...
REVIEW: EFFECTS OF LEADERSHIP STYLES ON QUALITY OF SERVICES IN HEALTHCARE
Abstract Background :There are progressive changes in the work of hospital leaders, included descriptions of how hospital leader work is perceived in a global context. Hospital leaders have had to respond to new technology, new organizational goals and new challenges. The most effective leaders have responded to the dynamism of the healthcare field by altering their leading skill set. Aim: To understand the nature of leadership work of the hospital managers in order to examine their perceptions of the most essential roles, skills and training courses as hospital managers. Also to identify the challenges, obstacles and problems facing hospital leaders. Methods : Hospital leaders were compared to more traditional leaders, highlighting important, yet subtle differences between them. Studies appropriate for inclusion were randomized controlled trials studying the effectiveness of leadership styles among hospital leaders, head nurse managers and healthcare workers. An integrative review of studies from ProQuest, PubMed and Emerald databases was undertaken to explore and analyses studies about leaders and leadership and its effects on outcome. Keywords and phrases used were: Nursing leaders, head nurse manager, nursing leadership, health leader, health leadership, leader functions, leader roles, hospital, healthcare system, job motivation, health policy, qualification needs, professional development, and challenges facing hospital leaders. Findings: Several research studies in the field of leadership found that transformational leadership attributes and behaviours were positively related to organizational outcomes such as teamwork success, effectiveness, staff satisfaction, commitment and extra effort and more. Moreover, transformational leadership processes have been found to enhance followers’ work-oriented values and shape self-efficiencies of followers. European Scientific Journal June 2014 edition vol.10, No.18 ISSN: 1857 – 7881 (Print) e - ISSN 1857- 7431 119 Conclusion: According to literature incorporated in this review it can be concluded that effective leadership is one of the most crucial factors that lead an organization towards success. Nowadays the key challenge for modern organization is to recognize the effects of strong leadership upon the nursing performance and success of the organization. Implication for Nursing and health policy: A proficient leader leads nurses and provides direction for an organization towards accomplishing desired goals. The advantages of leadership effectiveness should be stated for nursing administrative and healthcare policy makers. Keywords: Leadership, Healthcare, Transformational, Quality of Services
Perspectives on healthcare leader and leadership development
Journal of Healthcare Leadership, 2010
Healthcare delivery systems are complex entities that must merge the best of administrative and clinical practices into a new model of leadership. But, despite growing recognition that healthcare organizational leaders must partner with clinical leaders to address patient safety, evidence based practice, financial sustainability, and capacity, tensions between the groups remain. Healthcare is based in large, bureaucratic entities organized in administrative hierarchies with clinical or product line silos that thwart collaboration, limit inter-disciplinary engagement, and foster mistrust. Around the world healthcare accessibility, fragmentation and affordability issues challenge healthcare systems whether they are centralized, socialized systems or free market private and public enterprises. In response to these concerns, healthcare organizations are struggling to address the 'how' of integrating clinician competence in patient management with the financial imperatives of modern day delivery systems. To redesign healthcare services for effectiveness and efficiency and to improve patient safety and outcomes, organizations must redefine leadership using new paradigms that promote the development and diffusion of improvements and innovations. Current research evidence shows that there is a need for not just formal administrative leadership, but also a need to develop integrated leadership processes throughout healthcare delivery systems. Shared leadership concepts framed in the context of complexity leadership theory (CLT) provides a vehicle for rethinking old definitions of leadership and for mobilizing the collective energy of healthcare organizations.
International Journal of Scientific & Technology Research, 2021
Notwithstanding recent groundbreaking scientific and technical inventions, the United States healthcare industry faces persisting problems of a disintegrated system, an increasing price of care, and the delivery of high standard care. These problems have been ascribed to the healthcare industry's failure to react to the changing patients/workforce populations, defective working environment, and above all, a gap in leadership. Efforts in the recent past to solve these problems by evaluating the rising price of care, paucity of access, and standard of care delivered failed because these measures didn't do enough to bridge the gap in leadership. The U.S healthcare industry is presently challenged with huge complicated issues accompanied by a growing mistrust in the general public. Consequently, focused and purposeful leadership is cardinal in the contemporary season to ensure the continuity of the healthcare industry. The two leadership methods put forward to institute reformations in the healthcare industry are the transactional and transformational leadership methods. The former primarily focuses on superintendence, ordering, or implementation of the firm's policies as well as preserving its cultures/values; while the latter concentrates on working together with the employees to identify things that need to change, and through inspiration/joint efforts such reforms are implemented. Hence, it has become important to review the two leadership methods to know which of them will assist the healthcare industry to solve its problems. This paper set out to review the transactional and transformational methods of leadership and to find out which of them is more apt for the healthcare industry in America.
Medical and Healthcare leadership A training course (ISBN: 978-3-659-85373-9)
LAP Lambert Academic Publishing, 2016
It has been widely recognized that effective leadership is essential for healthcare organizations and healthcare systems to provide high quality care and financial success. It has been realized that the quality of leadership is crucial to how work gets done in an organization. People who are managing healthcare organizations and healthcare systems need leadership ability and skills because they depend on their employees for effective work execution. The lack of adequate understanding of the essentials of medical leadership and healthcare leadership may make healthcare professionals and doctors who are not having obvious managerial responsibilities unable to take leadership roles in medicine and healthcare resulting in the creation of a gap between them and the managers. The aim of this book is to describe an accredited training course entitled Medical and Healthcare Leadership which will serve as a compendium and a useful guidebook for professional trainers working in this field. The knowledge and skills acquired during the course will help the participants to think and work to improve the medical practices and health services in their organizations and institutions.
Leadership style from perspective of the hospital's administrators and their employees
2017
Introduction: Leadership style is one of the most important elements of leadership or management position in labor industries. Leadership style is not how a manager or leader behaves in a given situation, but also how other employees and subordinates understand a behavior. Leadership style of a manager is a field in which such differences may occur easily. Therefore, managers not only should pay attention to the exact perception, but also predict other perception and be able to properly respond in different situations. Material and Methods: The statistical sample consists of 18 senior executives (manager and matron) of teaching hospitals and 125 middle managers at clinical and administrative departments of hospitals. Data collection tool is a standard questionnaire of leadership effectiveness and flexibility by Hersey and Blanchard. Data were analyzed using descriptive and non-parametric tests (Kruskal-Wallis, Fisher) through SPSS 17 software. Results: The results showed significant...
Leadership and Its Effect on Health Management
Leadership in health care focuses mainly on achieving the goal of effective health care delivery as a team under the guidance of another team member. Leadership in the health sector has become a key point in improving patient safety and health management as a whole. Delivering effective health care services to patients may be more efficient when health care professionals unite and act as a single body that is patient oriented. By developing a structure where leadership influences health management, the outcome of services rendered to patients is being greatly ameliorated. The Institute of Medicine (IOM) has outlined a number of actions which health care organizations need to implement in order to improve patient safety. The Baldrige National Quality Program also recognizes the importance of leaders and has stated the roles of leaders and what is expected of them in order to achieve excellence in health care. Leadership models are the fundamentals of leadership, which determine whether the objectives will be met as in the interest of the organization. This research was aimed to determine the impact of leadership on health management. This explores the characteristics of a leader, leadership styles that may be implemented, and their effect on outcome in a health care organization.
The Aspects of Shared Leadership in Health Care
SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference, 2018
Leadership is overwhelming the thinking of contemporary society. A well-functioning organization is first identified with its leader very often. Therefore, it is very important to question the attitude of leadership constantly, not to devalue it, but to understand it better and realize it. Moreover, the expression of leadership in different organizations is very distinct, and its specificity in areas such as health care is still insufficiently explored. Healthcare organizations hold strict hierarchy, therefore leadership is considered as equal to the administrative position. Modern conceptualizations such as transactional, shared, authentic and other leadership theories point to the educational power of a leadership; however, implementation remains challenging. The article presents the analytical-theoretical point of view and interpretive approach for case study about leadership. Firstly, the article introduces research evidence analysis of leadership educational impact for integrat...
Leadership Dynamics Exploring the Management Strategies in Public Hospitals
Article , 2024
The study aimed to investigate the leadership styles of managers in Ministry of Health (MoH) hospitals. A representative sample of 105 managers from various MoH hospitals in the UAE was selected using random sampling. The researcher developed a questionnaire to identify prevalent leadership styles among managers. The study concluded that the most common leadership pattern among managers was free leadership, with a small but statistically significant difference in the sample's responses regarding leadership styles in public hospitals, favoring the free leadership pattern. Additionally, the study fou nd no significant differences in employees' perceptions of leadership styles among the managers, with these nonsignificant differences attributed to variables such as nationality, education level, service duration, and gender for specific leadership styles.