Interventions to develop collectivistic leadership in healthcare settings: a systematic review.
Issue Date
2019-01-25Keywords
Collective leadershipCollectivistic leadership
Healthcare
Shared leadership
Systematic review
HEALTH SERVICE MANAGEMENT
LEADERSHIP
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Show full item recordPublisher
BMC Health Services ResearchJournal
BMC Health Services ResearchDOI
10.1186/s12913-019-3883-xPubMed ID
30683089Abstract
Collective or shared leadership approaches have been associated with team performance outcomes in several sectors. Based on this evidence, there have been calls for more inclusive approaches to leadership in healthcare settings, but guidance on how to achieve collective leadership is lacking. This study synthesised knowledge of interventions to introduce collectivistic leadership in healthcare settings. The databases of PubMed, PsychInfo, ABI Inform, Cochrane and CINAHL and three grey literature databases were searched. Studies from any country were included if they reported on the development and evaluation and/or implementation of training/interventions to develop collectivistic leadership and reported individual and/or team-level outcomes. Results were synthesised using a narrative approach. The searches yielded 4448 records of which 21 met the eligibility criteria and were reviewed. Studies used a variety of interventions; eleven employed a team training approach, four described co-leadership, three explored service improvement, two detailed co-design approaches and one described an individual team development intervention. Most demonstrated moderate to good success in enabling collectivistic leadership, with benefits reported in staff engagement, satisfaction, and team performance. Whilst collectivistic leadership interventions have demonstrated positive outcomes, there is a need for more rigor and consistency in the evaluation of interventions aimed at developing collectivistic leadership approaches in health settings.Item Type
ArticleLanguage
enISSN
1472-6963ae974a485f413a2113503eed53cd6c53
10.1186/s12913-019-3883-x
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