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驾驭医疗保健领导力:未来的理论、挑战与实践见解。

Navigating healthcare leadership: Theories, challenges, and practical insights for the future.

作者信息

Singh P K, Singh S, Kumari V, Tiwari M

机构信息

Department of Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.

Department of Pharmacology, All India Institute of Medical Sciences, Patna, Bihar, India.

出版信息

J Postgrad Med. 2024 Oct 1;70(4):232-241. doi: 10.4103/jpgm.jpgm_533_24. Epub 2024 Dec 11.

DOI:10.4103/jpgm.jpgm_533_24
PMID:39660574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11722716/
Abstract

Effective healthcare leadership is essential to ensure high-quality patient care and foster a supportive work environment for healthcare professionals. This review aims to consolidate existing healthcare leadership literature to provide evidence-based insights that can guide leadership development, improve team performance, and enhance patient care outcomes. A systematic search of academic databases such as PubMed, Scopus, Web of Science, CINAHL, Embase, and Google Scholar was performed using keywords related to healthcare leadership. Studies were selected based on their relevance, peer-reviewed status, and focus on healthcare settings. Thematic analysis was employed to synthesize findings from the selected studies. The review explores various leadership theories, including Great Man, trait, behavioral, transactional, transformational, and contingency theories, highlighting their relevance and application in healthcare. Effective healthcare leaders must possess traits such as vision, emotional intelligence, adaptability, and ethical integrity to navigate the complexities of modern healthcare. The review categorizes different leadership styles, including authoritarian, transformational, transactional, servant, and participative, and discusses their application in specific healthcare contexts. Leaders face challenges such as balancing personal and professional responsibilities, adapting to technological advancements, managing financial constraints, and ensuring regulatory compliance. Healthcare leadership requires a dynamic and adaptable approach that integrates various leadership theories and styles to address the unique challenges of the healthcare environment. This review underscores the importance of leadership development programs and calls for further research to explore the practical implementation of leadership strategies in diverse healthcare settings. The findings provide actionable insights for healthcare leaders to tailor their leadership styles to the specific needs of their teams and organizational contexts, ultimately enhancing patient care and operational efficiency.

摘要

有效的医疗保健领导力对于确保高质量的患者护理以及为医疗保健专业人员营造支持性的工作环境至关重要。本综述旨在整合现有的医疗保健领导力文献,以提供基于证据的见解,从而指导领导力发展、提高团队绩效并改善患者护理结果。使用与医疗保健领导力相关的关键词,对诸如PubMed、Scopus、Web of Science、CINAHL、Embase和谷歌学术等学术数据库进行了系统检索。根据研究的相关性、同行评审状态以及对医疗保健环境的关注程度来选择研究。采用主题分析法来综合所选研究的结果。该综述探讨了各种领导力理论,包括伟人理论、特质理论、行为理论、交易型理论、变革型理论和权变理论,强调了它们在医疗保健中的相关性和应用。有效的医疗保健领导者必须具备愿景、情商、适应能力和道德操守等特质,以应对现代医疗保健的复杂性。该综述对不同的领导风格进行了分类,包括专制型、变革型、交易型、服务型和参与型,并讨论了它们在特定医疗保健背景下的应用。领导者面临着诸如平衡个人和职业责任、适应技术进步、管理财务限制以及确保合规等挑战。医疗保健领导力需要一种动态且适应性强的方法,将各种领导力理论和风格整合起来,以应对医疗保健环境的独特挑战。本综述强调了领导力发展计划的重要性,并呼吁进行进一步研究,以探索领导力策略在不同医疗保健环境中的实际实施情况。研究结果为医疗保健领导者提供了可操作的见解,使他们能够根据团队和组织背景的特定需求调整领导风格,最终提高患者护理水平和运营效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11722716/6ba62c8ff9c8/JPGM-70-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11722716/6ba62c8ff9c8/JPGM-70-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7995/11722716/6ba62c8ff9c8/JPGM-70-232-g001.jpg

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BMC Med Educ. 2020 Dec 3;20(Suppl 2):456. doi: 10.1186/s12909-020-02288-x.
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Mentorship in the health professions: a review.卫生专业中的导师制:一项综述。
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