The reforming appeal of distributed leadership.

With a systematic literature review, this article examines the significance of distributed leadership in healthcare, assessing the extent to which it reflects a consistent set of values, meanings, practices and outcomes. It identifies key mediating factors and their importance in enabling or constra...

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Publicado en:British Journal of Healthcare Management Vol. 23; no. 6; pp. 262 - 271
Autor principal: Beirne, Martin
Formato: research systematic review tables/charts Journal Article
Publicado: Mark Allen Holdings Limited 2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mark Allen Holdings Limited
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        10.12968/bjhc.2017.23.6.262
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        atl: The reforming appeal of distributed leadership.
      aug:
        au: Beirne, Martin
        affil: Professor of management and organizational Behaviour, Adam Smith Business School, University of Glasgow, Scotland
      sug:
        subj:
          Health Care Delivery
          Leadership Classification
          Empowerment
          Professional Development
          Accountability
          Decision Making, Clinical
          Human
          Medline
          CINAHL Database
          Embase
          National Health Programs United Kingdom
          United Kingdom
          Systematic Review
      ab: With a systematic literature review, this article examines the significance of distributed leadership in healthcare, assessing the extent to which it reflects a consistent set of values, meanings, practices and outcomes. It identifies key mediating factors and their importance in enabling or constraining distributive leadership processes. The findings indicate that clinicians without formal leadership titles are inspiring change and driving improvements, although countervailing pressures are limiting this in practice. Distributed leadership is evident in the way that clinical teams function, and more could be made of this for the modernisation of healthcare. At present, this potential tends to be constrained, and subject to competing interpretations that reflect distinct occupational identities. Greater attention could be given to educational and developmental programmes that claim space for distributed influence among current and aspiring leaders, and for enabling arrangements that can help 'ordinary leaders' to feel less vulnerable and more confident about this aspect of their practice. Established approaches to leader development could be usefully refocused to prioritise collective processes and refine relational abilities, ideally with more inclusive, joint venture initiatives that bring formal and informal leaders together for mutual learning and effective engagement.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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