Healthcare middle managers' experiences of developing capacity and capability: a systematic review and meta-synthesis

BMC Health Services Research
Trude Anita HartviksenLisbeth Uhrenfeldt

Abstract

Healthcare middle managers play a central role in reducing harm, improving patient safety, and strengthening the quality of healthcare. The aim of this systematic review was to identify the present knowledge and critically discuss how healthcare middle managers experienced to develop the capacity and capability for leadership in a healthcare system characterized by high complexity. This comprehensive systematic review provided evidence of healthcare middle managers' experiences in developing the capacity and capability for leadership in public healthcare. The three-step literature search was based on six databases and led by a PICo question. The review had a critical hermeneutic perspective and was based on an a priori published, protocol. The methods were inspired by the Joanna Briggs Institute and techniques from Kvale and Brinkmann. The results were illustrated by effect size, inspired by Sandelowski and Barroso. Twenty-three studies from four continents and multiple contexts (hospitals and municipal healthcare) published from January 2005-February 2019 were included. Based on experiences from 482 healthcare middle managers, 2 main themes, each with 2 subthemes, were identified, and from these, a meta-synthesis was developed...Continue Reading

References

Sep 15, 2001·BMJ : British Medical Journal·P E Plsek, T Greenhalgh
Oct 6, 2001·BMJ : British Medical Journal·S W Fraser, T Greenhalgh
Aug 15, 2003·Journal of Health Organization and Management·Alistair Hewison
Oct 6, 2005·Qualitative Health Research·Hsiu-Fang Hsieh, Sarah E Shannon
Oct 22, 2005·Journal of Nursing Management·Teija Korhonen, Johanna Lammintakanen
Apr 6, 2006·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Mina L ShapiroKathleen White
Feb 16, 2007·Quality & Safety in Health Care·Paul B Batalden, Frank Davidoff
Jun 20, 2007·Journal of Nursing Management·Carol A Wong, Greta G Cummings
Sep 14, 2007·Worldviews on Evidence-based Nursing·Wendy GiffordVanessa Lybanon
Oct 20, 2007·Journal of Nursing Management·Penny PaliadelisAlison Sheridan
Mar 21, 2008·Journal of Advanced Nursing·Satu Elo, Helvi Kyngäs
Sep 23, 2008·Journal of Health Services Research & Policy·Greta CummingsErin Stafford
Nov 20, 2008·Journal of Nursing Management·How Lee, Greta G Cummings
Sep 29, 2009·International Journal of Nursing Studies·Greta G CummingsErin Stafford
Nov 28, 2009·Journal of Nursing Management·Lotta Dellve, Ewa Wikström
Jan 28, 2010·AORN Journal·Maureen Melia Chadwick
Jul 9, 2010·Journal of Nursing Management·Pamela Brady Germain, Greta G Cummings
Jun 22, 2011·Health Care Management Review·Emmeline ChuangJennifer Craft Morgan
Jul 5, 2011·Journal of Advanced Nursing·Maura MacpheeNitya Suryaprakash
Jan 11, 2012·Journal of Nursing Management·Elizabeth ClarkeMargaret Fry
Apr 5, 2012·Implementation Science : IS·Sarah A BirkenBryan J Weiner
Aug 30, 2012·Medical Care Research and Review : MCRR·Sarah A BirkenCynthia T Schaefer
Nov 7, 2012·Nursing Forum·Dan Weberg
Apr 30, 2013·Health Care Management Review·Greta CummingsCarole A Estabrooks
Jul 20, 2013·Journal of Nursing Management·Carol A WongLisa Ducharme
Oct 30, 2013·Journal of Health Services Research & Policy·Jo Rycroft-MaloneSophie Staniszewska
Aug 26, 2014·Journal of Social Work in End-of-life & Palliative Care·Casey B AzueroChristine S Ritchie
Oct 28, 2014·Journal of Continuing Education in Nursing·Mélanie Lavoie-TremblayAnaïck Briand
Dec 21, 2014·Journal of General Internal Medicine·Jan C FrichElizabeth H Bradley
Mar 22, 2015·Qualitative Health Research·Mette S LudvigsenLisbeth Uhrenfeldt
Jan 1, 2014·Nursing Leadership·Jeffrey Cohn
May 27, 2015·Nursing Ethics·Tom EideHilde Eide
Jun 10, 2015·Journal of Continuing Education in Nursing·Rebecca S MiltnerPatricia A Patrician
Sep 9, 2015·BMC Health Services Research·Donna GoodridgeBrenna Bath
May 18, 2016·Collegian : Journal of the Royal College of Nursing, Australia·Deborah DebonoJeffrey Braithwaite
May 1, 1997·Nurse Researcher·S Cavanagh
Jul 12, 2016·Leadership in Health Services·Colleen Marie Grady
Aug 11, 2017·Scandinavian Journal of Caring Sciences·Lisbeth UhrenfeldtErik Elgaard Sørensen
Oct 23, 2017·BMJ Quality & Safety·Susan WellsDon Goldmann

❮ Previous
Next ❯

Citations

May 13, 2021·Journal of Healthcare Quality Research·M E Gil-GirbauN Giménez

❮ Previous
Next ❯

Software Mentioned

QARI
PRISMA
JBI
CAS
Google Scholar
JBI Reviewer
MedNar
ProQuest
EndNote
NVivo

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.