Kindness in healthcare leadership and management: an evaluation and analysis of the concept.

IF 1.7 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Leader Pub Date : 2024-06-20 DOI:10.1136/leader-2023-000742
Rebecca Dyar, Karen Mattick, Andrew Griffiths
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Abstract

Background: Healthcare leadership and management impacts every patient journey and every staff experience. Good leadership results in positive outcomes. Kindness is an understudied and underused leadership strategy. The research questions addressed in this study are the following: (1) Does kindness in healthcare leadership and management currently meet the criteria of a mature concept?; (2) Using concept analysis methodology, can we develop our understanding of kindness within this context?

Methods: A systematic search of the peer-reviewed literature was conducted to inform a concept evaluation, followed by a concept analysis. Search terms consisted of 'leader*' or 'manage*' and 'kindness'; databases searched comprised MEDLINE, HMIC, SPP, APA PsycInfo and CINAHL. Data extraction and thematic analysis of the data were performed manually according to concept analysis principles.

Results: The 10 papers included from the search suggested that within healthcare leadership and management, kindness is an 'emerging' rather than a 'mature' concept. Concept analysis demonstrated a cluster of recurring attributes, allowing a theoretical definition to be put forth.

Conclusions: Despite being a commonly used lay term, kindness in the context of healthcare leadership and management is not yet a mature concept. Work developing this concept is needed to validate the proposed theoretical definition. Observational studies and systematic review of the grey literature are recommended.

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医疗保健领导和管理中的仁慈:对这一概念的评估和分析。
背景:医疗领导力和管理影响着每一位患者的就医过程和每一位员工的工作体验。良好的领导力会带来积极的成果。仁慈是一种未被充分研究和利用的领导策略。本研究探讨的问题如下:(1) 目前,医疗保健领导力和管理中的仁慈是否符合成熟概念的标准? (2) 使用概念分析方法,我们能否在此背景下加深对仁慈的理解?对同行评议文献进行系统检索,为概念评估提供信息,然后进行概念分析。检索词包括 "领导*"或 "管理*"和 "仁慈";检索的数据库包括 MEDLINE、HMIC、SPP、APA PsycInfo 和 CINAHL。根据概念分析原则对数据进行了人工提取和专题分析:结果:从检索到的 10 篇论文中可以看出,在医疗保健领导与管理领域,仁慈是一个 "新兴 "而非 "成熟 "的概念。概念分析显示了一组重复出现的属性,从而提出了一个理论定义:结论:尽管 "仁慈 "是一个常用的非专业用语,但在医疗保健领导和管理领域,它还不是一个成熟的概念。要验证所提出的理论定义,还需要对这一概念进行发展。建议开展观察研究并对灰色文献进行系统回顾。
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来源期刊
BMJ Leader
BMJ Leader Nursing-Leadership and Management
CiteScore
3.00
自引率
7.40%
发文量
57
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