Impact of collective leadership of management team on patient safety, quality of patient care, and overall hospital performance
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Abstract
Background: Effective leadership in healthcare organisations is critical for enhancing patient outcomes and overall performance. Collective leadership, characterized by shared accountability, teamwork, and distributed decision-making among senior management teams, has gained popularity for fostering innovation and resilience in complex healthcare systems.
Aim: This review analyses the impact of collective leadership on patient safety, quality of care, and hospital performance, synthesizing findings from the last ten years to provide insights into the efficacy of collective leadership initiatives.
Method: A comprehensive search identified relevant papers published in peer-reviewed journals, including PubMed, Cochrane Library, Scopus, PsycINFO, MEDLINE, and Web of Science.
Study Eligibility Criteria, Participants and Interventions: Included studies focused on collective, collaborative or shared leadership among senior management teams in healthcare organizations. They analyzed outcomes related to patient safety, quality of care, or hospital performance using empirical research designs like quantitative surveys, qualitative interviews and mixed methods approaches.
Results: The search returned 5671 articles, with 1693 remaining after removing duplicates. Following screening, twelve studies from eleven countries were selected for full-text review. The integration revealed consistent positive relationships between collective leadership and outcome measures, such as increased patient safety culture, improved organizational performance and higher staff morale and engagement.
Conclusions and Contributions: This review highlights the positive influence of collective leadership among healthcare teams. These factors contribute not only to safer and more effective patient care but also to a more resilient and adaptive organizational culture. Implementation of collective leadership approaches may serve as a valuable strategy for driving sustainable healthcare improvements and supporting workforce well-being.
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