Physicians as Operational Leaders: Cost, Curriculum, Technology, and Organizational Challenges

Ennis-Cole, Demetria; Cullum, Princess; Iwundu, Chukwuka

doi:10.1007/s11528-018-0273-x

Cited by 3 publications

(19 citation statements)

References 28 publications

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“…By strategic‐orientated behaviour the included papers suggested that nurse leaders contribute to their organizations' strategic development and ensure that eHealth policies are followed (Andreassen et al, 2015 ; Avdagovska et al, 2020 ; Chen, 2018 ; Collins et al, 2017 ; Kahn et al, 2019 ; Kolltveit et al, 2017 ; Kujala, Hörhammer, et al, 2019 ; Simon et al, 2013 ; Strudwick, Nagle, Morgan, et al, 2019 ). Leaders' IT‐oriented behaviour included e‐leadership (Ennis‐Cole et al, 2018 ) and remote leadership practices (Sharpp et al, 2019 ). According to the included studies, competence‐orientated leaders for example recognized those who needed more education concerning eHealth (Ahonen et al, 2016 ; Collins et al, 2017 ; Sharpp et al, 2019 ; Simon et al, 2013 ; Strudwick, Nagle, Morgan, et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

“…Four antecedents must exist before leadership in digital services can occur (Figure 2 ): digital health services must already exist or be on the point of introduction if leaders are to lead in this respect. According to the included studies, when leaders make decisions concerning digital health services, they need informatics skills and competence, which may for example through education (Chen, 2018 ; Ennis‐Cole et al, 2018 ; Gjellebæk et al, 2020 ; Kujala, Hörhammer, et al, 2019 ; Sharpp et al, 2019 ; Simpson, 2013 ; Strudwick, Nagle, Morgan, et al, 2019 ). Prior to leading digital health services, have sufficient information and tools (Kujala, Hörhammer, et al, 2019 ) and understand complex health care systems (Sharpp et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

“…Leadership in the context of digital health services exhibited characteristics desirable for health care organizations, professionals and patients and their care (Figure 2 ). Earlier studies show that from an organizational perspective, good leadership seemed to increase the successful implementation and innovativeness of digital solutions (Ennis‐Cole et al, 2018 ; Gjellebæk et al, 2020 ; Kairy et al, 2014 ; Kolltveit et al, 2017 ; Sharpp et al, 2019 ), improve efficiency (Kahn et al, 2019 ; Mills et al, 2010 ) and enhance innovativeness (Chen, 2018 ; Liebe et al, 2016 ; Mills et al, 2010 ). When leadership in the context of digital health services is successful, it also makes organizations more resilient, allowing them to achieve goals and gain the full benefits of technology (Kujala, Hörhammer, et al, 2019 ; Mills et al, 2010 ).…”

Section: Resultsmentioning

confidence: 99%

“…According to earlier studies (Ahonen et al, 2016;Avdagovska et al, 2020;Gjellebaek et al, 2020;Kahn et al, 2019;Kujala, Heponiemi, & Hilama, 2019;Simon et al, 2013), leaders in the study context had to act as strong, effective leaders, meaning, for example, that they had to stand behind the implementation of digital health services. Visionary and innovative behaviour (Avdagovska et al, 2020;Chen, 2018;Ennis-Cole et al, 2018;Kujala, Heponiemi, & Hilama, 2019;Kujala, Hörhammer, et al, 2019;Simon et al, 2013) was also seen as relevant in the implementation and development of digital health services among earlier studies. According to Kujala, Heponiemi, and Hilama (2019) and Ahonen et al (2016), leader's clear vision associated with support for digital health services and was also seen as relevant when developing client-centred eHealth.…”

Section: Leadership As a Set Of Behavioursmentioning

confidence: 93%

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Leadership in the context of digital health services: A concept analysis

Laukka

Pölkki

Kanste

2022

J Nursing Management

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Aim: To define and clarify the concept of leadership in the context of digital health services using Walker's and Avant's concept analysis model.Background: Conceptualizing leadership in the context of digital health services is needed to deliver higher quality services and advance research.Method: Searches were conducted of MEDLINE (Ovid), Scopus, CINAHL (EBSCO) and ProQuest (ABI/INFORM). Empirical articles were included if they reported attributes, antecedents or consequences of leadership in the study context. A total of 4037 references were identified; 23 were included.Results: Leadership attributes concerned leaders' behaviour, roles and qualities.Antecedents concerned informatics skills and competence, information and tools, understanding care systems and their complexity and education. Consequences related to organization, professionals and patient and care. Conclusion:Based on our results, the term 'e-leadership' should be more widely utilized in nursing practice and research.Implications for nursing management: Nurse leaders need to be strong leaders; they need to be visionary and use strategic thinking to develop existing and new digital solutions. By becoming e-leaders, nurse leaders may increase the successful development and implementation of eHealth and benefit clinicians and patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Leadership As a Set Of Behavioursmentioning

confidence: 93%

See 2 more Smart Citations

Leadership in the context of digital health services: A concept analysis

Laukka

Pölkki

Kanste

2022

J Nursing Management

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“…38,39 Physicians who receive HDSE gain the ability to improve their working environments, address and reduce disparities among their patient populations, and make their healthcare systems more efficient. [40][41][42][43] Newly developed HDSE programs may be championed and well received by the physician community even among physicians not directly interested in participating.…”

Section: Resultsmentioning

confidence: 99%

<p>An Unmet Need in Healthcare Leadership: A Survey of Practicing Physicians’ Perspectives on Healthcare Delivery Science Education</p>

Weeks¹,

Hansen²,

Merritt³

et al. 2020

JHL

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Background: Healthcare delivery science education (HDSE) is increasingly needed by physicians balancing clinical care, practice management, and leadership responsibilities in their daily lives. However, most practicing physicians have received little HDSE in undergraduate through residency training. The purpose of this study is to 1) quantify the perception of the need for HDSE and interest in HDSE among a diverse sample of physicians, and 2) determine if perspectives on HDSE vary by specialty, rurality, and years in practice. Methods: Using a cross-sectional, single state, mailed questionnaire, we surveyed 170 physicians about their perspectives on HDSE and interest in an HDSE program. Descriptive statistics and a multivariable logistic regression are presented. Results: Among the 70.5% of responding eligible physicians, 75% of physicians had less HDSE than they would like and 90% were interested in obtaining more HDSE. Thirty-five percent of physicians were interested in joining the described HDSE program. The most prevalent barriers to obtaining HDSE were a lack of time and existing programs. Physician perspectives were similar across specialties, years in practice, and rurality. Conclusion: There is a high unmet need for HDSE among physicians. Diverse and innovative HDSE programming needs to be developed to meet this need. Programming should be developed not only for physicians but also for undergraduate through residency training programs.

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Linking leadership development programs for physicians with organization-level outcomes: a realist review

Debets

Jansen

Lombarts

et al. 2023

BMC Health Serv Res

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Background Hospitals invest in Leadership Development Programs (LDPs) for physicians, assuming they benefit the organization’s performance. Researchers have listed the advantages of LDPs, but knowledge of how and why organization-level outcomes are achieved is missing. Objective To investigate how, why and under which circumstances LDPs for physicians can impact organization-level outcomes. Methods We conducted a realist review, following the RAMESES guidelines. Scientific articles and grey literature published between January 2010 and March 2021 evaluating a leadership intervention for physicians in the hospital setting were considered for inclusion. The following databases were searched: Medline, PsycInfo, ERIC, Web of Science, and Academic Search Premier. Based on the included documents, we developed a LDP middle-range program theory (MRPT) consisting of Context-Mechanism-Outcome configurations (CMOs) describing how specific contexts (C) trigger certain mechanisms (M) to generate organization-level outcomes (O). Results In total, 3904 titles and abstracts and, subsequently, 100 full-text documents were inspected; 38 documents with LDPs from multiple countries informed our MRPT. The MRPT includes five CMOs that describe how LDPs can impact the organization-level outcomes categories ‘culture’, ‘quality improvement’, and ‘the leadership pipeline’: 'Acquiring self-insight and people skills (CMO1)', 'Intentionally building professional networks (CMO2)', 'Supporting quality improvement projects (CMO3)', 'Tailored LDP content prepares physicians (CMO4)', and 'Valuing physician leaders and organizational commitment (CMO5)'. Culture was the outcome of CMO1 and CMO2, quality improvement of CMO2 and CMO3, and the leadership pipeline of CMO2, CMO4, and CMO5. These CMOs operated within an overarching context, the leadership ecosystem, that determined realizing and sustaining organization-level outcomes. Conclusions LDPs benefit organization-level outcomes through multiple mechanisms. Creating the contexts to trigger these mechanisms depends on the resources invested in LDPs and adequately supporting physicians. LDP providers can use the presented MRPT to guide the development of LDPs when aiming for specific organization-level outcomes.

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Physicians as Operational Leaders: Cost, Curriculum, Technology, and Organizational Challenges

Cited by 3 publications

References 28 publications

Leadership in the context of digital health services: A concept analysis

Leadership in the context of digital health services: A concept analysis

<p>An Unmet Need in Healthcare Leadership: A Survey of Practicing Physicians’ Perspectives on Healthcare Delivery Science Education</p>

Linking leadership development programs for physicians with organization-level outcomes: a realist review

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