Malila Niina, Lunkka Nina, Suhonen Marjo
Research Unit of Nursing Science and Health Management, University of Oulu , Oulu, Finland.
Research Unit of Nursing Science and Health Management, University of Oulu , Oulu, Finland and Medical Research Center Oulu (MRC Oulu), Oulu, Finland.
Leadersh Health Serv (Bradf Engl). 2018 Feb 5;31(1):129-146. doi: 10.1108/LHS-02-2017-0007. Epub 2017 Nov 15.
Purpose The purpose of this paper is to review peer-reviewed original research articles on authentic leadership (AL) in health care to identify potential research gaps and present recommendations for future research. The objectives are to examine and map evidence of the main characteristics, research themes and methodologies in the studies. AL is a leader's non-authoritarian, ethical and transparent behaviour pattern. Design/methodology/approach A scoping review with thematic analysis was conducted. A three-step search strategy was used with database and manual searches. The included studies were composed of English language peer-reviewed original research articles referring to both AL and health care. Findings In total, 29 studies were included. The studies favoured Canadian nurses in acute care hospitals. AL was understood as its original definition. The review identified four research themes: well-being at work, patient care quality, work environment and AL promotion. Quantitative research methodology with the authentic leadership questionnaire and cross-sectional design were prevalent. Research limitations/implications Future research needs more variation in research themes, study populations, settings, organisations, work sectors, geographical origins and theory perspectives. Different research methodologies, such as qualitative and mixed methods research and longitudinal designs, should be used more. Originality/value This is presumably the first literature review to map the research on AL in health care.
目的 本文旨在回顾经过同行评审的关于医疗保健领域真实领导力（AL）的原创研究文章，以识别潜在的研究差距，并为未来研究提出建议。目标是审视并梳理这些研究中主要特征、研究主题和方法的证据。真实领导力是领导者非独裁、合乎道德且透明的行为模式。
设计/方法/途径 进行了一项带有主题分析的范围综述。采用了三步搜索策略，包括数据库搜索和手动搜索。纳入的研究由涉及真实领导力和医疗保健的英文同行评审原创研究文章组成。
发现 总共纳入了29项研究。这些研究主要关注加拿大急症护理医院的护士。真实领导力被理解为其最初的定义。该综述确定了四个研究主题：工作幸福感、患者护理质量、工作环境和真实领导力促进。使用真实领导力问卷的定量研究方法和横断面设计较为普遍。
研究局限性/影响 未来研究需要在研究主题、研究人群、环境、组织、工作部门、地理来源和理论视角等方面有更多变化。应更多地使用不同的研究方法，如定性和混合方法研究以及纵向设计。
原创性/价值 这大概是第一篇梳理医疗保健领域真实领导力研究的文献综述。
