دانلود رایگان مقاله انگلیسی بازگشت سرمایه گذاری در برنامه های توسعه رهبری مراقبت های بهداشتی - امرالد 2017

Abstract

Purpose – Strong leadership has been shown to foster change, including loyalty, improved performance and decreased error rates, but there is a dearth of evidence on effectiveness of leadership development programs. To ensure a return on the huge investments made, evidence-based approaches are needed to assess the impact of leadership on health-care establishments. As a part of a pan-Canadian initiative to design an effective evaluative instrument, the purpose of this paper was to identify and summarize evidence on healthcare outcomes/return on investment (ROI) indicators and metrics associated with leadership quality, leadership development programs and existing evaluative instruments. Design/methodology/approach – The authors performed a scoping review using the Arksey and O’Malley framework, searching eight databases from 2006 through June 2016. Findings – Of 11,868 citations screened, the authors included 223 studies reporting on health-care outcomes/ROI indicators and metrics associated with leadership quality (73 studies), leadership development programs (138 studies) and existing evaluative instruments (12 studies). The extracted ROI indicators and metrics have been summarized in detail. Originality/value – This review provides a snapshot in time of the current evidence on ROI indicators and metrics associated with leadership. Summarized ROI indicators and metrics can be used to design an effective evaluative instrument to assess the impact of leadership on health-care organizations.

Conclusions and future directions

In this scoping review, we identified and summarized important health-care outcomes/ROI indicators and metrics linked to leadership quality, leadership development programs or existing evaluative instruments. Moving forward, the ROI indicators and metrics identified in this scoping review may be used to help design a simple, cost-effective evaluative tool to assess impact of leadership in health-care organizations.

Future research should focus on collecting and summarizing the results of the impact of implementing leadership evaluative tools across various health-care organizations, their impact on the health-care system and identifying any practical challenges associated with implementing these evaluative tools.