Factors affecting the leadership effectiveness of hospital managers: A systematized review

Abstract

Background: Effective leadership is regarded as an important factor in organizational success. This study aimed at performing a systematic review on leadership effectiveness among hospital managers. Methods: A search was conducted in ScienceDirect, ProQuest, Web of Science, Ovid, and Scopus databases on the factors related to effectiveness of hospital managers’ leadership during 1990 and 2016. The initial results included 2795 papers, but after further investigation and qualitative evaluation using CASP-19, a total of 8 papers were included in the systematic review. Then, summarizing, classification, and comparison were used for data analysis and synthesis. Results: From among the 8 investigated papers, 4 were conducted in different regions of the US and the other 4 studies were done in Canada, India, Turkey, and South Africa. The latest and oldest studies were conducted in 2016 and 1992, respectively. The papers included 4 reviews, 3 cross-sectional studies, and 1 qualitative study. Effective factors on the effectiveness of managers’ leadership were identified and classified into 4 categories of self-management, people management, health services provision management, and nuclear management skills. Conclusion: Despite the emphasis of various studies on the existence of different effective factors on hospital managers’ leadership, all these factors can be categorized as people management skills, self-management skills, nuclear management skills, and health services provision skills.

Level of leadership effectiveness and associated factors among managers in Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia, 2023. A mixed-methods study

“…The odds of effective healthcare leadership among managers who are accountable and responsible were higher compared with their counterparts. This study's ndings were in line with studies conducted in Iran (19). This might be associated with managers who are responsible and accountable and have the capability of better leadership practices.…”

“…The results of the study showed that the odds of effective healthcare leadership among managers who resolved con ict and problems were higher than compared with managers who didn't resolve con ict and problems. This result was in line with the Iranian study (19). This can be because maintaining organizational integrity and calmness requires effective problem-solving and con ict resolution techniques.…”

“…Among the people management skills of healthcare managers, the odds of effective healthcare leadership among healthcare managers who used resources in the right way were higher than their counterparts. This is in line with the study conducted in Iran (19). This might be due to an effective manager executing resource management properly, to help their organization reduce costs, improve e ciencies, and boost productivity.…”

“…Many institutional and individual factors, including differences in gender, work responsibilities, work experiences, organizational cultures, leadership styles, and emotional intelligence (EI), can impact how effective a leader is (17)(18)(19). Conversely, inadequate leadership results in low employee motivation, subpar teamwork, distrust, low self-esteem, and insecurities (20).…”