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Exploring the relationship between patient safety culture and the full-range leadership theory in primary care settings: a conceptual analysis. 探索基层医疗机构中患者安全文化与全方位领导力理论之间的关系:概念分析。
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-09-30 DOI: 10.1108/LHS-04-2024-0037
Made Indra Wijaya

Purpose: This study aims to investigate the conceptual relationship between full-range leadership theory (FRLT) and patient safety culture in primary care settings, aiming to understand how leadership styles influence the development and sustainability of a culture prioritizing patient safety.

Design/methodology/approach: Using a conceptual analysis approach, the study builds a theoretical framework that integrates FRLT - which includes transformational, transactional and laissez-faire leadership styles - with the elements of patient safety culture. This framework serves as the basis for a comprehensive literature review, allowing for the formulation of hypotheses regarding the impact of each leadership style on patient safety culture.

Findings: The analysis demonstrates that transformational leadership bolsters patient safety culture by fostering open communication, encouraging error reporting and facilitating continuous improvement. Transactional leadership yields mixed effects, effectively supporting compliance and operational outcomes but showing limitations in promoting a proactive safety culture. Conversely, laissez-faire leadership is associated with negative outcomes for patient safety culture, mainly due to its passive and detached approach.

Originality/value: The originality of this study is rooted in its focused examination of FRLT's impact on patient safety culture within primary care settings, the development of a unique conceptual framework and its contribution of actionable insights for health-care leadership. These elements collectively advance the understanding of how leadership can enhance patient safety culture, providing a solid foundation for future research and practical application in primary care environments.

目的:本研究旨在探讨全方位领导理论(FRLT)与基层医疗机构患者安全文化之间的概念关系,旨在了解领导风格如何影响患者安全文化的发展和可持续性:本研究采用概念分析方法,建立了一个理论框架,将包括变革型、交易型和自由放任型领导风格在内的 FRLT 与患者安全文化的要素结合起来。这一框架是全面文献综述的基础,可以就每种领导风格对患者安全文化的影响提出假设:分析表明,变革型领导通过促进开放式沟通、鼓励错误报告和推动持续改进来加强患者安全文化。事务型领导的效果好坏参半,它能有效支持合规性和运营成果,但在促进积极主动的安全文化方面却表现出局限性。相反,自由放任型领导与患者安全文化的负面结果相关,这主要是由于其被动和脱离实际的方法:本研究的独创性在于其重点研究了 FRLT 对基层医疗机构患者安全文化的影响,建立了独特的概念框架,并为医疗保健领导层提供了可操作的见解。这些因素共同推动了人们对领导力如何提升患者安全文化的理解,为未来的研究和在初级医疗环境中的实际应用奠定了坚实的基础。
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引用次数: 0
Unlocking the creative potential of health-care employees: a serial mediation model. 释放医疗保健员工的创造潜能:串联调解模型。
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-09-30 DOI: 10.1108/LHS-09-2023-0071
Edem M Azila-Gbettor, Francis Fonyee Nutsugah, Jewel Dela Novixoxo, Stanley Nelvis Glate, Ben Q Honyenuga

Purpose: This study aims to investigate the mediating roles of servant leadership and employee vitality in the relationship between psychological ownership and employee creativity among healthcare workers in Ghana.

Design/methodology/approach: A sample of 736 public and private healthcare respondents was selected using a convenience sampling technique. Data collected using a self-reported questionnaire was analyzed via partial least square structural equation modeling.

Findings: The findings reveal that psychological ownership directly improves employee creativity, while servant leadership and employee vitality mediate the relationship between psychological ownership and employee creativity separately and complementarily.

Research limitations/implications: The research used self-reported data, increasing the potential for common method variance. However, sufficient care was taken to minimize these limitations.

Practical implications: This research makes valuable contributions to the field of healthcare practice literature. The findings suggest that management of health care entities should focus on creating a workplace culture that cultivates psychological ownership among employees and policies that enhance employee vitality and promote servant behavior to foster employee creativity.

Originality/value: This study represents one of the earliest attempts to examine a theoretical framework that connects servant leadership, employee vitality, employee creativity and psychological ownership within the context of the health service industry.

目的:本研究旨在调查服务型领导和员工活力在加纳医疗保健工作者的心理所有权与员工创造力之间关系中的中介作用:采用便利抽样技术,选取了 736 名公立和私立医疗机构的受访者作为样本。通过偏最小二乘法结构方程模型分析了使用自我报告问卷收集的数据:研究结果表明,心理所有权直接提高了员工的创造力,而仆人式领导和员工活力则分别和互补地调节了心理所有权和员工创造力之间的关系:研究使用了自我报告数据,增加了常见方法变异的可能性。然而,研究人员已采取了充分的措施来尽量减少这些局限性:本研究为医疗实践文献领域做出了宝贵贡献。研究结果表明,医疗保健机构的管理层应注重营造一种培养员工心理主人翁意识的工作场所文化,并制定增强员工活力和促进服务行为的政策,以培养员工的创造力:本研究是最早尝试在医疗服务行业背景下研究将仆人式领导、员工活力、员工创造力和心理所有权联系起来的理论框架的研究之一。
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引用次数: 0
A case study of a pilot leadership skills program to clarify professional fulfillment sources for academic physicians. 领导技能试点项目的案例研究,旨在明确学术医生的职业成就感来源。
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-09-30 DOI: 10.1108/LHS-11-2023-0090
Ashwini Nadkarni, Fiona Fennessy

Purpose: In this case study, the authors aimed to investigate the usefulness of five interactive workshops on leadership skills relevant to academic physicians for their professional fulfillment. Workshops were led by experts in finance, negotiation, business administration and digital tools and enhanced a practical understanding of skills in 1) financial investment; 2) growing clout on social media; 3) negotiation; 4) navigating institutional culture as a woman; and 5) conflict management.

Design/methodology/approach: Workshops were deployed to faculty in the departments of Radiology and Psychiatry. Attendance at seminars was captured, categorized as in-person (when offered), virtual-live or virtual-recording views post hoc. The authors also collected responses to a brief, 5-question survey which assessed faculty familiarity with the topic pre-and post-seminar and evaluated the perceived relevance of the topic to professional fulfillment.

Findings: The highest attendance was for the seminar on financial investments, and the lowest attendance was for that on conflict management. The seminar that the highest proportion of respondents deemed important as a leadership skill was on the topic of navigating institutional culture as a woman in the workplace. The seminar that focused on cultivating clout on social media was the seminar that the highest proportion of respondents deemed worth attending.

Originality/value: From this case study, the authors learned that financial literacy, discerning institutional culture, managing conflicts, negotiating and using digital tools are topics which have relevance to physician professional fulfillment. Such topics could be valuable as the building blocks for future programs which provide leadership training to physicians.

目的:在这一案例研究中,作者旨在调查五个与学术医生相关的领导技能互动研讨会对其职业成就感的作用。工作坊由金融、谈判、工商管理和数字工具方面的专家主持,增强了对以下技能的实际了解:1)金融投资;2)在社交媒体上扩大影响力;3)谈判;4)作为女性驾驭机构文化;5)冲突管理:为放射学系和精神病学系的教师举办研讨会。对研讨会的出席情况进行了记录,并将其归类为亲自出席(如有提供)、虚拟-现场或虚拟-记录意见。作者还收集了对一个简短的 5 个问题调查的回复,该调查评估了教师在研讨会前后对主题的熟悉程度,并评估了教师认为该主题与专业成就的相关性:参加人数最多的是关于金融投资的研讨会,参加人数最少的是关于冲突管理的研讨会。受访者认为最重要的领导技能是 "作为职场女性如何驾驭机构文化"。受访者认为最值得参加的研讨会是关于在社交媒体上培养影响力的研讨会:从本案例研究中,作者了解到财务知识、辨别机构文化、管理冲突、谈判和使用数字工具等话题与医生的职业成就感息息相关。这些主题对于未来为医生提供领导力培训的项目很有价值。
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引用次数: 0
Strategic hospital resilience capability response to adversity: fusing government regulation and COVID-19 pandemic. 医院应对逆境的战略恢复能力:融合政府监管和 COVID-19 大流行病。
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-09-12 DOI: 10.1108/LHS-01-2024-0014
Teguh Endaryono, Harris Turino Kurniawan, Prijono Tjiptoherijanto

Purpose: Strategic leadership plays an important role in achieving organizational success in surviving and growing in a challenging business environment. This study aims to examine the role of strategic leadership in responding to a rare moment in the health industry, which is the combination of government regulations that tend to continue to change and the emergence of COVID-19 pandemic.

Design/methodology/approach: A total of 358 respondents from 141 type C and D hospitals in Indonesia participated in this research. This study used six latent variables and 27 dimensions, processed using structural equation modeling.

Findings: The results of this study confirmed that resilient leaders will not seek new partners by developing network capabilities; but rather choose to save the hospital first, by resources reconfiguration as response to the unanticipated adversity caused by fusing the government regulation and emergence of the COVID-19 pandemic.

Originality/value: This study makes an important contribution that enables hospital management to develop action plans in response to national health-care regulations coupled with the emergence and extension of the COVID-19 pandemic; as well as the results of the investigation into organizational resources, and to implement strategic resilience capability more effectively.

目的:战略领导力在实现组织在充满挑战的商业环境中成功生存和发展方面发挥着重要作用。本研究旨在探讨战略领导力在应对卫生行业罕见的时刻(即政府法规趋于持续变化和 COVID-19 大流行病的出现)时所发挥的作用:共有来自印度尼西亚 141 家 C 类和 D 类医院的 358 名受访者参与了本研究。本研究使用了六个潜在变量和 27 个维度,并通过结构方程模型进行了处理:本研究的结果证实,具有应变能力的领导者不会通过发展网络能力来寻求新的合作伙伴,而是选择首先通过资源重组来拯救医院,以应对政府监管和 COVID-19 大流行病的出现所造成的意料之外的困境:本研究做出了重要贡献,使医院管理层能够制定行动计划,以应对国家医疗法规和 COVID-19 大流行病的出现和扩展;以及组织资源的调查结果,并更有效地实施战略恢复能力。
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引用次数: 0
Sensemaking through crisis: critical care pharmacist (CCP) leadership during COVID-19 危机中的感性认识:危重症护理药剂师 (CCP) 在 COVID-19 期间的领导力
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-08-08 DOI: 10.1108/lhs-10-2023-0077
Adegbayi Ukoha, Gareth Edwards
PurposeThe purpose of this study is to understand how critical care pharmacists (CCPs) coped during the COVID-19 crisis by investigating what sense-making and leadership processes were evident during the crisis.Design/methodology/approachData from ten semi-structured interviews of lead CCPs across different National Health Service organisations in the UK was analysed through a thematic process.FindingsThe findings identified that strong pre-existing relationships and high levels of trust play a significant role in successfully navigating a crisis. Four sense-making processes seem important to building and maintaining these relationships and trust, namely, identifying cues for change; authoring and labelling; interpretation and storytelling; negotiation and deliberation.Originality/valueThe research also highlights the need for organisations to acknowledge the leadership roles undertaken by CCP teams and leverage this role by investing in leadership training, thereby increasing resilience and preparedness for future storms or crises on the horizon.
本研究旨在了解危重症护理药剂师 (CCP) 在 COVID-19 危机期间是如何应对的,具体方法是调查在危机期间哪些感性认识和领导过程是显而易见的。研究结果研究结果表明,牢固的既有关系和高度的信任在成功度过危机方面发挥着重要作用。对于建立和维护这些关系和信任而言,有四个感知过程似乎非常重要,它们是:识别变革线索;创作和贴标签;解释和讲故事;谈判和商议。原创性/价值这项研究还强调,各组织有必要承认 CCP 团队的领导作用,并通过投资于领导力培训来发挥这种作用,从而提高应对未来风暴或危机的复原力和准备度。
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引用次数: 0
Collaborative leadership to empower nurses to implement ABCDE emergency nursing in an emergency department in Nepal 在尼泊尔急诊科开展协作领导,增强护士实施 ABCDE 急诊护理的能力
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-07-23 DOI: 10.1108/lhs-12-2023-0100
Sushil Khadka, P. Subedi, Buddhike Sri Harsha Indrasena, D. Lamsal, Jill Aylott
PurposeEmergency medicine can save lives and in 2018 the World Health Assembly passed resolution 72.16 ensuring the role of emergency care in all health systems. With a continued global shortage of emergency physicians, with many low-medium-income countries (LMIC) still to develop emergency medicine as a speciality, the role of emergency nurses is critical to deliver the WHO Emergency Care System Framework (WHO, 2018). Emergency medicine doctors play a critical role in collaborating with nurses, in emergency medicine where nurses are often the first clinicians are often the first clinicians to interact with patients in emergency care settings, making up the majority of health-care professionals in LMIC (Mamalelala, 2024). Yet emergency nursing has yet to become established in Nepal, where nurses are often recruited to emergency departments, without having received any training in emergency or critical care treatment and management. The purpose of this paper is to outline a collaborative leadership approach to co-design an airway, breathing, circulation, disability, exposure (ABCDE) structured approach to an emergency nursing training module designed for nurses to feel empowered in the emergency department and to report on its findings.Design/methodology/approachThis study draws upon mixed methodology research, enrolling 30 nurses (n = 30) from an emergency department in a tertiary hospital in Nepal through three stages of the project: Stage 1: training module co-design, collaborative leadership exploring the rationale for a training module and core features of design based on the ABCDE of emergency medicine; Stage 2: quantitative data were collected to assess baseline pre- and post-intervention knowledge and follow-up knowledge assessment at 30 and 45 days; Stage 3: qualitative data were collected with 24/30 (80%) nurses to evaluate the impact and application of the nurses ABCDE learning 7 months post-training. The qualitative survey was undertaken using online Google Forms.FindingsNurses were fully engaged in the co-design and collaboration of the development of an ABCDE training module which was delivered over 3 h. Full engagement was secured from all nurses in the department, and there were statistically significant advances in ABCDE emergency knowledge from the baseline, however, this knowledge began to decrease at 30 and 45 days. A follow-up qualitative survey was distributed to nurses seven months after training with an 80% return rate, which reported a range of examples of how nurses were continuing to apply their learning in practice.Originality/valueThis training module for emergency nurses was designed collaboratively from the “bottom up” in a tertiary hospital in Nepal, recognising the need to develop emergency nursing in the emergency department. The data revealed promising findings, while knowledge decreased from the post-training questionnaire, qualitative evidence revealed significant changes in practice, with the greates
目的 急诊医学可以挽救生命,2018 年世界卫生大会通过了第 72.16 号决议,确保急诊护理在所有卫生系统中发挥作用。由于全球急诊医生持续短缺,许多中低收入国家(LMIC)仍未将急诊医学发展为一门专科,急诊护士的作用对于实现世卫组织急诊护理系统框架(WHO,2018 年)至关重要。急诊医生在与护士合作方面发挥着关键作用,在急诊医学中,护士往往是在急诊护理环境中与患者互动的第一位临床医生,占低收入国家(LMIC)医疗保健专业人员的大多数(Mamalelala,2024 年)。然而,急诊护理在尼泊尔尚未建立起来,那里的护士往往是在没有接受过任何急诊或危重症治疗和管理培训的情况下被招聘到急诊科的。本文旨在概述一种合作领导方法,即共同设计一种气道、呼吸、循环、残疾、暴露(ABCDE)结构化方法,用于急诊护理培训模块,旨在让护士在急诊科感到有能力,并报告其研究结果:第一阶段:共同设计培训模块,合作领导探索基于急诊医学 ABCDE 设计培训模块的理由和核心特征;第二阶段:收集定量数据,评估干预前和干预后的基线知识,以及 30 天和 45 天的后续知识评估;第三阶段:收集 24/30 (80%)名护士的定性数据,评估培训后 7 个月护士 ABCDE 学习的影响和应用。结果护士们充分参与了 ABCDE 培训模块的共同设计和合作开发,培训时间为 3 个小时。科室的所有护士都充分参与了培训,ABCDE 应急知识与基线相比有了统计学意义上的显著提高,但在 30 天和 45 天后,这些知识开始减少。培训结束 7 个月后,向护士发放了一份后续定性调查,回收率为 80%,调查报告了护士如何将所学知识继续应用于实践的一系列实例。 原创性/价值 本急诊护士培训模块是尼泊尔一家三甲医院认识到急诊科急诊护理发展的需要,"自下而上 "合作设计的。数据显示了令人鼓舞的结果,虽然培训后问卷调查显示知识有所减少,但定性证据显示实践发生了显著变化,其中气道管理方面的变化最大。虽然这一培训模块在护理质量方面有所改善,但仍有必要在这一领域制定一项全国性战略,否则这种举措很可能只能由地方医院制定(Lecky,2014 年)。以循证临床实践方法为重点的护士教育和培训倡议可在短期内弥补劳动力缺口,但尼泊尔政府必须决定设立一个公认的急诊护理研究生分专业、培训期限、培训对象以及应遵循的课程(Lecky,2014 年)。
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引用次数: 0
Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning 医疗机构的环境与失败之间的相互作用:失败对机构学习的情景影响
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-07-22 DOI: 10.1108/lhs-04-2024-0036
Stijn Horck
PurposeThis study aims to explore how health-care organisations learn from failures, challenging the common view in management science that learning is a continuous cycle. It focuses on understanding how the context of a health-care organisation and the characteristics of failure interact.Design/methodology/approachSystematically collected empirical studies that examine how health-care organisations react to failures, both in terms of learning and non-learning, were reviewed and analysed. The key characteristics of failures and contextual factors are categorised at the individual, team, organisational and global level.FindingsSeveral factors across four distinct levels are identified as being susceptible to the situational impact of failure. In addition, these factors can be used in the design and development of innovations. Taking these factors into account is expected to stimulate learning responses when an innovation does not succeed. This enhances the understanding of how health-care organisations learn from failure, showing that learning behaviour is not solely dependent on whether a health-care organisation possesses the traits of a learning organisation or not.Originality/valueThis review offers a new perspective on organisational learning, emphasising the situational impact of failure and how learning occurs across different levels. It distinguishes between good and bad failures and their effects on a health-care organisation’s ability to learn. Future research could use these findings to study how failures influence organisational performance over time, using longitudinal data to track changes in learning capacity.
目的本研究旨在探讨医疗机构如何从失败中学习,挑战管理科学中关于学习是一个持续循环的普遍观点。设计/方法/途径我们回顾并分析了系统收集的实证研究,这些研究从学习和非学习两个方面考察了医疗机构如何应对失败。从个人、团队、组织和全球层面对失败的关键特征和背景因素进行了分类。研究结果在四个不同的层面上确定了几个容易受到失败情景影响的因素。此外,这些因素可用于创新的设计和开发。将这些因素考虑在内,有望在创新失败时激发学习对策。这加深了人们对医疗机构如何从失败中学习的理解,表明学习行为并不完全取决于医疗机构是否具备学习型组织的特征。它区分了好的和坏的失败及其对医疗机构学习能力的影响。未来的研究可以利用这些发现来研究失败如何随着时间的推移影响组织绩效,利用纵向数据来跟踪学习能力的变化。
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引用次数: 0
Engaging leadership in health care during the COVID-19 pandemic and followers’ engagement and quality of care 在 COVID-19 大流行期间领导层参与医疗保健以及追随者的参与和医疗质量
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-07-10 DOI: 10.1108/lhs-02-2024-0022
Bogdan Oprea, Daniela Ionescu-Avram, Iuliana Armas, Eugen Avram
PurposeInvestigating the role of leadership during the COVID-19 pandemic in maintaining the well-being and performance of the medical personnel, as frontline workers, is of major importance. The aim of this study was to investigate the relationships between engaging leadership in health care during COVID-19 pandemic and followers’ work engagement and performance and to test the mediating role of followers’ basic psychological need satisfaction in these relationships.Design/methodology/approachA cross-sectional study was conducted on a sample consisting of 200 health-care employees. Data were collected starting with May 2020 and ending with November 2020, during the COVID-19 pandemic. Participants reported on the engaging leadership of their direct supervisor and on their own psychological need satisfaction, work meaningfulness, work engagement and quality of care.FindingsThe positive association between engaging leadership and followers’ work engagement was fully mediated by followers’ basic needs satisfaction. The relationship between engaging leadership and followers’ quality of patient care was not supported. Work meaningfulness did not mediate the link between engaging leadership and followers’ engagement.Practical implicationsBy meeting followers’ needs for autonomy, competence and relatedness, engaging leaders can stimulate followers’ work engagement during outbreaks and other similar crises. Managers in health care may maintain a high level of followers’ work engagement during crises if they adopt an engaging leadership style.Originality/valueThe study investigated for the first time the role of meeting the psychological needs of health-care workers by leaders during a health-care crisis.
目的 研究在 COVID-19 大流行期间领导力在维持医务人员作为一线工作者的福利和绩效方面的作用具有重要意义。本研究旨在探讨在 COVID-19 大流行期间,医疗保健领域的领导力与追随者的工作投入和绩效之间的关系,并检验追随者的基本心理需求满足在这些关系中的中介作用。数据收集时间为 2020 年 5 月至 2020 年 11 月,正值 COVID-19 大流行期间。参与者报告了其直接主管的领导力以及自身的心理需求满意度、工作意义、工作投入度和护理质量。研究结果领导力与追随者工作投入度之间的正相关完全由追随者的基本需求满意度中介。参与式领导与追随者的患者护理质量之间的关系未得到支持。通过满足追随者对自主性、能力和亲和力的需求,投入型领导可以在疾病爆发和其他类似危机中激发追随者的工作热情。这项研究首次探讨了在医疗危机中领导者满足医疗工作者心理需求的作用。
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引用次数: 0
Leadership style, change management and job performance of health information management practitioners in tertiary hospitals in South-East, Nigeria 尼日利亚东南部三级医院卫生信息管理从业人员的领导风格、变革管理和工作绩效
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-07-09 DOI: 10.1108/lhs-03-2024-0026
Bashir Ademola Adeyemi, C. Ebegbetale, Ibrahim Olanrewaju Showemimo
PurposeManaging patients’ health information is one of the building blocks of the health system and the adoption of health information technologies like electronic health records (EHRs) is expected to reduce the various challenges in keeping and accessing quality health-care data that aid decision-making among medical practitioners. This study aims to investigate how leadership styles and change management affected the job performance of health information management practitioners on their adoption of EHRs in tertiary hospitals in Nigeria.Design/methodology/approachThe study used primary data collected using a Likert scale questionnaire from 117 health information management officers and health information technicians in selected tertiary hospitals in South-Eastern Nigeria. The data were analysed using bivariate correlation and multiple regression techniques of inferential statistics.FindingsThe analyses revealed that transformational leadership style, transactional leadership style and change management had significant positive influence on the job performance of health information management practitioners. However, laissez-faire leadership style did not show any significant positive influence. A further analysis showed that the combined effects of leadership styles and change management were also affirmed to significantly influence the adoption of EHRs for quality health-care delivery in Nigerian tertiary hospitals.Originality/valueThe study contributes to health information management and the need to understand how leadership styles and change management can influence the adoption of EHRs. However, there is no adequate research that examined the role of leadership style and change management in influencing the job performance of Nigerian HIM practitioners regarding their usage of EHRs in tertiary hospitals in Nigeria.
目的管理患者的健康信息是卫生系统的基石之一,采用电子健康记录(EHR)等卫生信息技术有望减少在保存和获取高质量医疗保健数据方面的各种挑战,从而帮助医疗从业人员做出决策。本研究旨在调查领导风格和变革管理如何影响尼日利亚三级医院卫生信息管理从业人员在采用电子病历方面的工作绩效。 本研究采用李克特量表问卷调查法,从尼日利亚东南部选定的三级医院的 117 名卫生信息管理人员和卫生信息技术人员那里收集原始数据。分析结果表明,变革型领导风格、交易型领导风格和变革管理对卫生信息管理从业人员的工作绩效有显著的积极影响。然而,自由放任的领导风格没有显示出任何明显的积极影响。进一步的分析表明,领导风格和变革管理的综合效应也对尼日利亚三级医院采用电子病历提供优质医疗服务产生了重大影响。然而,目前还没有充分的研究来探讨领导风格和变革管理在影响尼日利亚三级医院的医疗信息管理从业人员使用电子病历方面的工作表现方面所起的作用。
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引用次数: 0
Leadership dynamics in nursing: a comparative study of paternalistic approaches in China and Pakistan 护理工作中的领导动态:中国和巴基斯坦家长式方法的比较研究
IF 1.7 Q3 HEALTH POLICY & SERVICES Pub Date : 2024-07-09 DOI: 10.1108/lhs-03-2024-0028
Samyia Safdar, Shazia Faiz, Namra Muabark
PurposeThis study aims to examine the impact of nurses’ paternalistic leadership style on performance, in the presence of underlying mechanisms, i.e. self-efficacy as a mediator in the high-power distance societies, namely, China and Pakistan, based on social exchange theory. Both healthcare sectors have seen several behavioral advancements in recent years. To improve things, even more, behavioral elements such as the influence of leadership styles, personality traits and so on have become more important. However, leadership styles, particularly paternalistic leadership, have received little attention in this field and need to be highlighted along with the mediating and moderating effects.Design/methodology/approachData were collected from public and private sector hospitals in China and Pakistan using a 6-week time lag technique. Firstly, 356 Chinese and 411 Pakistani nurses were surveyed about their perceptions of power distance, self-efficacy and paternalistic leadership. Their managers were called six weeks later for a dyadic response to provide feedback on nurses’ performance. For confirmatory factor analysis, AMOS 22 and for regression analysis, SPSS 22 was used.FindingsAccording to the study's findings, nurses in both countries perform well when led by a paternalistic leader. Furthermore, self-efficacy explains the relationship between paternalistic leaders and nurses’ performance. The moderated-mediation result also supported the importance of power distance.Originality/valueThis study highlights the kind of nursing leadership which is beneficial in high-power-distance societies and leads to better performance. According to this research, paternalistic leadership improves nurses’ performance in both China and Pakistan. As a result, this study will be useful in high-power-distance societies, where hospital administrators can ensure that paternalism is implemented in leadership, thereby improving nurse performance.
目的 本研究旨在基于社会交换理论,探讨在高权力距离社会(即中国和巴基斯坦)中,护士的家长式领导风格对绩效的影响,以及其潜在机制,即作为中介的自我效能感。近年来,这两个国家的医疗保健领域都取得了一些行为进步。为了进一步改善情况,领导风格、个性特征等行为要素的影响变得更加重要。然而,领导风格,尤其是家长式领导,在这一领域很少受到关注,因此需要强调其中介和调节作用。首先,调查了 356 名中国护士和 411 名巴基斯坦护士对权力距离、自我效能感和家长式领导的看法。六周后,他们的管理者接到电话,要求对护士的表现进行反馈。研究使用 AMOS 22 进行确认因素分析,使用 SPSS 22 进行回归分析。此外,自我效能解释了家长式领导与护士绩效之间的关系。本研究强调了在高权力距离社会中有利于提高工作绩效的护理领导方式。根据这项研究,家长式领导在中国和巴基斯坦都能提高护士的绩效。因此,本研究对高权力距离社会很有帮助,医院管理者可以确保在领导过程中实施家长式领导,从而提高护士的绩效。
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Leadership in Health Services
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