Boak George, Dickens Victoria, Newson Annalisa, Brown Louise
Business School, York St John University, York, UK.
Leadersh Health Serv (Bradf Engl). 2015;28(4):332-44. doi: 10.1108/LHS-02-2015-0001.
The purpose of this paper is to analyse the introduction of distributed leadership and team working in a therapy department in a healthcare organisation and to explore the factors that enabled the introduction to be successful.
DESIGN/METHODOLOGY/APPROACH: This paper used a case study methodology. Qualitative and quantitative information was gathered from one physiotherapy department over a period of 24 months.
Distributed leadership and team working were central to a number of system changes that were initiated by the department, which led to improvements in patient waiting times for therapy. The paper identifies six factors that appear to have influenced the successful introduction of distributed learning and team working in this case.
RESEARCH LIMITATIONS/IMPLICATIONS: This is a single case study. It would be interesting to explore whether these factors are found in other cases where distributed leadership is introduced in healthcare organisations.
The paper provides an example of successful introduction of distributed leadership, which has had a positive impact on services to patients. Other therapy teams may consider how the approach may be adopted or adapted to their own circumstances.
ORIGINALITY/VALUE: Although distributed leadership is thought to be important in healthcare, particularly when organisational change is needed, there are very few studies of the practicalities of how it can be introduced.
本文旨在分析医疗保健机构中一个治疗科室引入分布式领导和团队协作的情况，并探究使引入得以成功的因素。
设计/方法/途径：本文采用了案例研究方法。在24个月的时间里，从一个物理治疗科室收集了定性和定量信息。
分布式领导和团队协作是该科室发起的多项系统变革的核心，这使得患者接受治疗的等待时间得到了改善。本文确定了六个似乎影响了该案例中分布式学习和团队协作成功引入的因素。
研究局限性/启示：这是一个单案例研究。探究在其他医疗保健机构引入分布式领导的案例中是否也能发现这些因素将会很有趣。
本文提供了一个成功引入分布式领导的例子，这对患者服务产生了积极影响。其他治疗团队可以考虑如何采用或调整这种方法以适应自身情况。
原创性/价值：尽管分布式领导在医疗保健中被认为很重要，尤其是在需要组织变革时，但关于如何引入它的实际操作的研究却很少。
