Bornman Juan, Louw Brenda
Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, Gauteng, South Africa.
Department Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City, TN, USA.
J Healthc Leadersh. 2023 Aug 23;15:175-192. doi: 10.2147/JHL.S405983. eCollection 2023.
BACKGROUND: Contemporary healthcare practitioners require leadership skills for a variety of professional roles related to improved patient/client outcomes, heightened personal and professional development, as well as strengthened interprofessional collaboration and teamwork. OBJECTIVE/AIM: The aim of this study is to systematically catalogue literature on leadership in healthcare practice and education to highlight the leadership characteristics and skills required by healthcare practitioners for collaborative interprofessional service delivery and the leadership development strategies found to be effective. METHODS/DESIGN: A rapid review was conducted. The Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) diagram shows that the 11 databases, yielded 465 records. A total of 147 records were removed during the initial screening phase. The remaining 318 records were uploaded onto Rayyan, an online collaborative review platform. Following abstract level screening, a further 236 records were removed with 82 records meeting the eligibility criteria at full text level, of which 42 were included in the data extraction. The Mixed Methods Appraisal Tool (MMAT) was used for quality appraisal. RESULTS: Results showed variability in methodologies used, representing various healthcare disciplines with a range in population size (n = 6 to n = 537). Almost half of the results reported on new programs, with interprofessional collaboration and teamwork being the most frequently mentioned strategies. The training content, strategies used as well as the length of training varied. There were five outcomes which showed positive change, namely skills, knowledge, confidence, attitudes, and satisfaction. CONCLUSION: This rapid review provided an evidence-base, highlighted by qualitative, quantitative, and mixed methods research, which presents distinct opportunities for curriculum development by focusing on both content and the methods needed for leadership programs. Anchoring this evidence-base within a systematic search of the extant literature provides increased precision for curriculum development.
背景:当代医疗从业者在多种专业角色中都需要领导技能,这些角色与改善患者/客户结局、促进个人和职业发展以及加强跨专业协作与团队合作相关。 目的:本研究的目的是系统梳理医疗保健实践和教育中关于领导力的文献,以突出医疗从业者在跨专业协作服务提供中所需的领导特征和技能,以及被发现有效的领导力发展策略。 方法/设计:进行了快速综述。系统评价和荟萃分析的首选报告项目(PRISMA)流程图显示,11个数据库共产生465条记录。在初始筛选阶段共剔除147条记录。其余318条记录上传至在线协作综述平台Rayyan。经过摘要层面筛选,又剔除236条记录,82条记录符合全文层面的纳入标准,其中42条纳入数据提取。使用混合方法评估工具(MMAT)进行质量评估。 结果:结果显示所使用的方法存在差异,涵盖各种医疗保健学科,样本量范围为n = 6至n = 537。几乎一半的结果报告了新计划,跨专业协作和团队合作是最常提及的策略。培训内容、使用的策略以及培训时长各不相同。有五项结果显示出积极变化,即技能、知识、信心、态度和满意度。 结论:本快速综述提供了一个证据基础,定性、定量和混合方法研究突出了这一点,通过关注领导力课程的内容和所需方法,为课程开发提供了独特的机会。将这一证据基础建立在对现有文献的系统搜索中,可提高课程开发的精确性。
J Healthc Leadersh. 2023-8-23
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