Smith Tony, Fowler-Davis Sally, Nancarrow Susan, Ariss Steven Mark Brian, Enderby Pam
Centre for Leadership in Health and Social Care, Faculty of Health and Wellbeing, Sheffield Hallam University , Sheffield, UK.
Centre for Health and Social Care Research, Sheffield Hallam University , Sheffield, UK.
Leadersh Health Serv (Bradf Engl). 2018 Oct 1;31(4):452-467. doi: 10.1108/LHS-06-2016-0026. Epub 2018 Mar 15.
Purpose The purpose of this study is to review evidence on the nature of effective leadership in interprofessional health and social care teams. Design/methodology/approach A critical review and thematic synthesis of research literature conducted using systematic methods to identify and construct a framework to explain the available evidence about leadership in interprofessional health and social care teams. Findings Twenty-eight papers were reviewed and contributed to the framework for interprofessional leadership. Twelve themes emerged from the literature, the themes were: facilitate shared leadership; transformation and change; personal qualities; goal alignment; creativity and innovation; communication; team-building; leadership clarity; direction setting; external liaison; skill mix and diversity; clinical and contextual expertise. The discussion includes some comparative analysis with theories and themes in team management and team leadership. Originality/value This research identifies some of the characteristics of effective leadership of interprofessional health and social care teams. By capturing and synthesising the literature, it is clear that effective interprofessional health and social care team leadership requires a unique blend of knowledge and skills that support innovation and improvement. Further research is required to deepen the understanding of the degree to which team leadership results in better outcomes for both patients and teams.
目的 本研究的目的是回顾有关跨专业健康与社会照护团队中有效领导力本质的证据。
设计/方法/途径 对研究文献进行批判性综述和主题综合,采用系统方法来识别并构建一个框架,以解释有关跨专业健康与社会照护团队领导力的现有证据。
发现 共审查了28篇论文,并为跨专业领导力框架做出了贡献。文献中出现了12个主题,分别是:促进共享领导力;转型与变革;个人品质;目标一致;创造力与创新;沟通;团队建设;领导力清晰度;方向设定;外部联络;技能组合与多样性;临床与情境专业知识。讨论部分包括与团队管理和团队领导力中的理论及主题的一些比较分析。
原创性/价值 本研究确定了跨专业健康与社会照护团队有效领导力的一些特征。通过收集和综合文献可知,有效的跨专业健康与社会照护团队领导力需要独特的知识和技能组合,以支持创新和改进。需要进一步开展研究,以加深对团队领导力在多大程度上能为患者和团队带来更好结果的理解。