Jeyaraman Maya M, Qadar Sheikh Muhammad Zeeshan, Wierzbowski Aleksandra, Farshidfar Farnaz, Lys Justin, Dickson Graham, Grimes Kelly, Phillips Leah A, Mitchell Jonathan I, Van Aerde John, Johnson Dave, Krupka Frank, Zarychanski Ryan, Abou-Setta Ahmed M
The George & Fay Yee Center for Healthcare Innovation, University of Manitoba , Winnipeg, Canada , and Department of Community Health Sciences, University of Manitoba , Winnipeg, Canada.
The George & Fay Yee Center for Healthcare Innovation, University of Manitoba , Winnipeg, Canada.
Leadersh Health Serv (Bradf Engl). 2018 Feb 5;31(1):77-97. doi: 10.1108/LHS-02-2017-0005. Epub 2017 Nov 15.
Purpose Strong leadership has been shown to foster change, including loyalty, improved performance and decreased error rates, but there is a dearth of evidence on effectiveness of leadership development programs. To ensure a return on the huge investments made, evidence-based approaches are needed to assess the impact of leadership on health-care establishments. As a part of a pan-Canadian initiative to design an effective evaluative instrument, the purpose of this paper was to identify and summarize evidence on health-care outcomes/return on investment (ROI) indicators and metrics associated with leadership quality, leadership development programs and existing evaluative instruments. Design/methodology/approach The authors performed a scoping review using the Arksey and O'Malley framework, searching eight databases from 2006 through June 2016. Findings Of 11,868 citations screened, the authors included 223 studies reporting on health-care outcomes/ROI indicators and metrics associated with leadership quality (73 studies), leadership development programs (138 studies) and existing evaluative instruments (12 studies). The extracted ROI indicators and metrics have been summarized in detail. Originality/value This review provides a snapshot in time of the current evidence on ROI indicators and metrics associated with leadership. Summarized ROI indicators and metrics can be used to design an effective evaluative instrument to assess the impact of leadership on health-care organizations.
目的 强有力的领导已被证明能促进变革，包括增强忠诚度、提高绩效和降低错误率，但关于领导力发展项目有效性的证据却很匮乏。为确保巨额投资能产生回报，需要采用基于证据的方法来评估领导力对医疗机构的影响。作为一项全加拿大范围内设计有效评估工具的倡议的一部分，本文旨在识别并总结与领导力素质、领导力发展项目以及现有评估工具有关的医疗保健成果/投资回报率（ROI）指标和度量标准的证据。
设计/方法/途径 作者采用阿克斯和奥马利框架进行了一项范围综述，检索了2006年至2016年6月期间的八个数据库。
研究结果 在筛选的11,868篇文献中，作者纳入了223项研究，这些研究报告了与领导力素质（73项研究）、领导力发展项目（138项研究）和现有评估工具（12项研究）相关的医疗保健成果/ROI指标和度量标准。提取的ROI指标和度量标准已被详细总结。
原创性/价值 本综述及时呈现了当前与领导力相关的ROI指标和度量标准的证据情况。总结出的ROI指标和度量标准可用于设计一种有效的评估工具，以评估领导力对医疗保健组织的影响。
