The characteristics of leadership and their effectiveness in quality management in healthcare - A systematic literature review and a content analysis

Abstract

Effective quality leadership is identified as a critical factor for organisational success. Leadership style has an important role in the implementation of quality management. This systematic review describes the characteristics of leadership in quality management in healthcare, and analyses their association with successful or unsuccessful quality management by using content analysis. Papers published in peer-reviewed journals between 2011 and June 2023 were selected by exploring the Abi/Inform, Business Source Complete, Cinahl, Pubmed and Web of Science electronic databases. Altogether 3014 records were found. PRISMA-protocol was used for selection of studies. 12 original and three review articles were included. Six leadership characteristics were identified that were linked to successful or unsuccessful implementation of quality management. The six categories were strategic, knowledge-oriented, value-based, supportive, participatory and communicative leadership. Supercategories and subcategories of successful and unsuccessful implementation are described. The results can be used to identify the leadership characteristics that promote successful quality management in healthcare organisations. In education for leaders and managers, attention should be in the characteristics and style of leadership and their impact on the effectiveness of quality management.

Keywords

health care quality assurance in health services quality improvement leadership

Get full access to this article

View all access options for this article.

References

Kakemam

Liang

Janati

, et al. Leadership and management competencies for hospital managers: a systematic review and best-fit framework synthesis. J Healthc Leader 2020; 12: 59–68.

Teoman

Ulengin

. The impact of management leadership on quality performance throughout a supply chain: an empirical study. Total Qual Manag Bus Excel 2018; 29: 1427–1451.

Munechika

Sano

Jin

, et al. Quality Management system for health care and its effectiveness. Total Qual Manag 2014; 25: 889–896.

Pittman

Kolakowski

. Leading in a complex healthcare ecosystem. J of Lead Account and Ethics 2020; 17: 27–36.

Maijala

Eloranta

Reunanen

, et al. Successful implementation of Lean as a managerial principle in health care: a conceptual analysis from systematic literature review. Int J Technol Assess Health Care 2018; 34: 134–146.

Barbosa

Gambi

Gerolamo

. Liderança e gestão da qualidade – um estudo correlacional entre estilos de liderança e princípios da gestão da qualidade. Gestão Produção 2017; 24: 438–449.

Chiarini

Vagnoni

. TQM implementation for the healthcare sector. Lead in health serv 2017; 30: 210–216.

Laureani

Antony

. Leadership characteristics for lean six Sigma. Total Qual Manag Bus Excel 2017; 28: 405–426.

Sfantou

Laliotis

Patelarou

, et al. Importance of leadership style towards quality of care measures in healthcare settings: a systematic review. Healthcare 2017; 5: 73–91.

10.

Ali

Jangga

Ismail

, et al. Influence of leadership styles in creating quality work culture. Procedia Econ Finance 2015; 31: 161–169.

11.

West

. Creating a culture of high-quality care in health services. Global Econ and Manag Rev 2013; 18: 40–44.

12.

Tsai

Jha

Gawande

, et al. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Health Aff 2015; 34: 1304–1311.

13.

Liphadzi

Aigbavboa

Thwala

. A theoretical perspective on the difference between leadership and management. Procedia Eng 2017; 196: 478–482.

14.

Solomon

Costea

Nita

. Leadership versus management in public organizations. Economics. Manag and Financ Markets 2016; 11: 143–151.

15.

Parand

Dopson

Renz

, et al. The role of hospital managers in quality and patient safety: a systematic review. BMJ Open 2014; 4: e005055.

16.

Gisare

Bandyopadhyay

Bhattacharya

. Impact of accreditation on healthcare professionals’ knowledge on quality management. Int J Reliab Qual E-Healthc 2021; 10: 1–15.

17.

Mustafa

EMA

Bon

. Role of top management leadership and commitment in total quality management in service organization in Malaysia: a review and conceptual framework. Elixir Human Resource Manag 2012; 51: 11029–11033.

18.

Meng

Berger

. An integrated model of excellent leadership in public relations: dimensions, measurement, and validation. J Publ Relat Res 2013; 25: 141–167.

19.

Amanchukwu

Stanley

Ololube

. A review of leadership theories, principles and styles and their relevance to educational management. OR Manag 2015; 5: 6–14.

20.

Graneheim

Lindgren

B-M

Lundman

. Methodological challenges in qualitative content analysis: a discussion paper. Nurse Educ Today 2017; 56: 29–34.

21.

Bengtsson

. How to plan and perform a qualitative study using content analysis. NursingPlus Open 2016; 2: 8–14.

22.

Talib

Rahman

Azam

. Best practices of total quality management implementation in health care settings. Health Market Q 2011; 28: 232–252.

23.

Singh

Sillerud

Omar

. Quality improvement in hospice settings: perceptions of leaders. Int J Health Care Qual Assur 2019; 32: 1098–1112.

24.

Al Khamisi

Khan

Munive-Hernandez

. Assessing quality management system at a tertiary hospital Oman using hybrid knowledge-based system. Int J of Eng Business Manag 2018; 10: 1–13.

25.

Jones

Pomeroy

Robert

, et al. How do hospital boards govern for quality improvement? A mixed methodsstudy of 15 organisations in England. BMJ Qual Saf 2017; 26: 978–986.

26.

White

Norris

Jackson

, et al. Barriers and facilitators of Canadian quality and safety teams: a mixed-methods study exploring the views of health care leaders. J Healthc Leader 2016; 8: 127–137.

27.

Mosadeghrad

. Factors influencing healthcare service quality. Int J Health Pol Manag 2014a; 3: 77–89.

28.

Mosadeghrad

. Why TQM does not work in Iranian healthcare organisations. Int J Health Care Qual Assur 2014b; 27: 320–335.

29.

Rawshdeh

Keathley

Obeidat

, et al. Facilitators, barriers, and benefits of quality management systems implementation: healthcare experts’ perspectives. Eng Manag J 2023; 36: 103–116.

30.

Avery

Cripps

Rogers

. Health boards’ governance of quality and risk: quality improvement agenda for the board. Int J Health Govern 2021; 26: 292–306.

31.

Hibbert

Basedow

Braithwaite

, et al. How to sustainably build capacity in quality improvement within a healthcare organisation: a deep-dive, focused qualitative analysis. BMC Health Serv Res 2021; 21: 588–600.

32.

Alloubani

Akhu-Zaheya

Abdelhafiz

, et al. Leadership styles’ influence on the quality of nursing care. Int J Health Care Qual Assur 2019; 32: 1022–1033.

33.

Ajmal

Tuomi

Helo

, et al. TQM practices in public sector: case of Finnish healthcare organizations. Int J Inf Syst Serv Sect (IJISSS) 2016; 8: 34–43.

34.

Elg

Stenberg

Kammerlind

, et al. Swedish healthcare management practices and quality improvement work: development trends. Int J Health Care Qual Assur 2011; 24: 101–123.

35.

Laureani

Antony

. Leadership and lean six Sigma: a systematic literature review. Total Qual Manag Bus Excel 2019; 30: 53–81.

36.

Ingelsson

Bäckström

Snyder

. Strengthening quality culture in private sector and health care. Leader Health Serv 2018; 31: 276–292.

37.

West

Lyubovnikova

Eckert

, et al. Collective leadership for cultures of high quality health care. J of Org Effectiveness: People and Perf 2014; 3: 240–260.

38.

Fundin

Bergquist

Eriksson

, et al. Challenges and propositions for re-search in quality management. Int J Prod Econ 2018; 199: 125–137.

39.

Akmal

Podgorodnichenko

Foote

, et al. Why is quality improvement so challenging? A viable systems model perspective to understand the frustrations of healthcare quality improvement managers. Health Pol 2021; 125: 658–664.

40.

Andersen

Røvik

Ingebritsen

. Lean thinking in hospitals: is there a cure for the absence of evidence? A systematic review of reviews. BMJ Open 2014; 4: 1–8.

41.

Johansson

D Miller

Hamrin

. Conceptualizing communicative leadership: a framework for analysing and developing leaders’ communication competence. Corp Commun Int J 2014; 19: 147–165.

42.

Page

McKenzie

Bossuyt

, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 134: 178–189.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.04 MB