医院核心领导变革型领导的先决条件配置路径:模糊集定性比较分析》。

IF 3.4 Q1 HEALTH POLICY & SERVICES Journal of Healthcare Leadership Pub Date : 2024-10-13 eCollection Date: 2024-01-01 DOI:10.2147/JHL.S487152
Yi-Lin Zhang, Yan-Ping Wang, Tao Sun, Yi-Nan Tian, Xia-Xia Qin, Xin-Yu Duan, Yu-Tian Gan, Guan-Jun Wang, Li-Bin Yang, Shu-E Zhang
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引用次数: 0

摘要

目的:医院核心领导的变革型领导力能够提升医疗组织的竞争力、适应性和可持续性,而变革型领导力受个人、组织和环境因素的共同影响。本研究旨在解读其配置框架,并提出加强医院核心领导变革型领导力的策略:数据来自于对 31 位核心医院领导的在线问卷调查。采用模糊集定性比较分析法(fsQCA)探讨高层次变革型领导力的因果机制。我们通过专业背景、批判性思维、主动精神、家庭与工作冲突、工作满意度、下属追随度和工作压力来丰富这一机制:结果表明,主动精神是医院核心领导形成高层次变革型领导的唯一必要条件(一致性=0.911)。三种配置是两种不同职业背景的医院核心领导者形成高水平变革型领导力的充分条件(总解一致性=0.952):医院核心领导者的主动精神是提高高层次变革型领导力不可或缺的条件,强调了核心领导者必须积极主动地培养这种领导力。此外,研究还发现了三种配置是具有不同专业背景的医院核心领导者实现高层次变革型领导力的充分条件。这一发现为医院管理实践提供了重要启示,表明应根据医院核心领导的专业背景对其工作进行个性化管理,从而为其发展高层次变革型领导能力创造有利条件。此外,本研究的核心观点是,高层变革型领导力的形成取决于专业背景、批判性思维、进取精神、家庭与工作冲突、工作满意度、下属的追随以及工作压力等因素的共同作用,从而为变革型领导力的发展提供了更全面、更严谨的视角。
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Configurational Paths of Preconditions to Transformational Leadership Among Core Hospital Leaders: A Fuzzy-Set Qualitative Comparative Analysis.

Purpose: Transformational leadership among core hospital leaders boosts medical organizations' competitiveness, adaptability, and sustainability, which is jointly affected by individual, organizational and environmental factors. This study aims to unpack its configurational framework and propose strategies to strengthen core hospital leaders' transformational leadership.

Patients and methods: Data were collected from an online questionnaire among 31 core hospital leaders. The fuzzy-set qualitative comparative analysis (fsQCA) was used to explore the causal mechanism of high-level transformational leadership. We enrich this mechanism by professional background, critical thinking, initiative spirit, family-work conflict, job satisfaction, subordinates' followership, and work pressure.

Results: Result shows initiative spirit is the only necessary condition (consistency=0.911) for the formation of high-level transformational leadership among core hospital leaders. Three configurations are the sufficient conditions that lead to high-level transformational leadership among core hospital leaders with two different professional backgrounds (overall solution consistency= 0.952).

Conclusion: Core hospital leaders' initiative spirit is an indispensable condition for improving high-level transformational leadership, emphasizing the necessity for core leaders to be proactive in order to develop such leadership. Besides, the study also uncovered three configurations are the sufficient conditions for core hospital leaders with diverse professional backgrounds to achieve high-level transformational leadership. This finding offers significant insights into hospital management practices, suggesting that core hospital leaders' work should be managed in a personalized manner based on their professional backgrounds, thereby fostering favorable conditions conducive to the development of their high-level transformational leadership capabilities. Furthermore, the central insight of this study is that the formation of high-level transformational leadership contingent upon the collaboration of professional background, critical thinking, initiative spirit, family-work conflict, job satisfaction, subordinates' followership, and work pressure, contributing to a holistic and more rigorous view for the development of transformational leadership.

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来源期刊
Journal of Healthcare Leadership
Journal of Healthcare Leadership HEALTH POLICY & SERVICES-
CiteScore
5.40
自引率
2.30%
发文量
27
审稿时长
16 weeks
期刊介绍: Efficient and successful modern healthcare depends on a growing group of professionals working together as an interdisciplinary team. However, many forces shape the delivery of healthcare; changes are being driven by the markets, transformations in concepts of health and wellbeing, technology and research and discovery. Dynamic leadership will guide these necessary transformations. The Journal of Healthcare Leadership is an international, peer-reviewed, open access journal focusing on leadership for the healthcare professions. The publication strives to amalgamate current and future healthcare professionals and managers by providing key insights into leadership progress and challenges to improve patient care. The journal aspires to inform key decision makers and those professionals with ambitions of leadership and management; it seeks to connect professionals who are engaged in similar endeavours and to provide wisdom from those working in other industries. Senior and trainee doctors, nurses and allied healthcare professionals, medical students, healthcare managers and allied leaders are invited to contribute to this publication
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