Fennell Kate
Health and Human Services Leadership, University of Tasmania, Tasmanian School of Medicine, College of Health and Medicine, Medical Science Precinct, Hobart, Tasmania, 7000, Australia.
J Multidiscip Healthc. 2021 Oct 27;14:3035-3051. doi: 10.2147/JMDH.S329628. eCollection 2021.
This scoping review was undertaken to determine leadership definitions and approaches relevant to health and human service (H&HS) workforce development. This review provides a preliminary analysis of the potential size and scope of available research literature to inform ongoing research with the ultimate aim to inform a future systematic review in relation to leadership development interventions.
Following the methodology proposed by Arksey and O'Malley and using PRISMA-ScR, a systematic search was conducted using seven databases (PubMed, Health Business Elite, Medline, CINAHL, Ovid, Scopus, and Web of Science). Articles were screened and assessed for eligibility. From eligible studies, data were extracted to summarize, collate, and make a narrative account of the findings.
Employing pre-selected criteria, a total of 424 records were identified and 171 full-text articles were assessed. The majority of the papers were studies undertaken by researchers based in North America. Leadership in the H&HS sector was addressed in 35% of the articles. The narrow disciplinary or workforce fields of the nursing and medical professions in hospitals and acute care settings dominated the literature.
The findings suggest that while leadership has been studied extensively in the health system, there is a paucity of leadership development research specific to the broader H&HS sector. This review emphasises the need for further research, including a more critical examination of leadership development interventions and their application to the H&HS sector.
开展此项范围综述，以确定与卫生和人类服务（H&HS）劳动力发展相关的领导力定义和方法。本综述对现有研究文献的潜在规模和范围进行了初步分析，为正在进行的研究提供信息，最终目的是为未来关于领导力发展干预措施的系统综述提供参考。
遵循阿克西和奥马利提出的方法，并使用PRISMA-ScR，通过七个数据库（PubMed、Health Business Elite、Medline、CINAHL、Ovid、Scopus和Web of Science）进行系统检索。对文章进行筛选和资格评估。从符合条件的研究中提取数据，以总结、整理并对研究结果进行叙述性说明。
采用预先选定的标准，共识别出424条记录，并对171篇全文文章进行了评估。大多数论文是北美研究人员开展的研究。35%的文章涉及H&HS部门的领导力。医院和急症护理环境中护理和医学专业狭窄的学科或劳动力领域主导了文献。
研究结果表明，虽然领导力在卫生系统中已得到广泛研究，但针对更广泛的H&HS部门的领导力发展研究却很匮乏。本综述强调需要进一步开展研究，包括对领导力发展干预措施及其在H&HS部门的应用进行更严格的审查。
