Health-promoting leadership: an integrative review and future research agenda

Akerjordet, Kristin, Furunes, Trude and Haver, Annie (2018) Health-promoting leadership: an integrative review and future research agenda. Journal of Advanced Nursing, . doi:10.1111/jan.13567


Author Akerjordet, Kristin
Furunes, Trude
Haver, Annie
Title Health-promoting leadership: an integrative review and future research agenda
Journal name Journal of Advanced Nursing   Check publisher's open access policy
ISSN 1365-2648
0309-2402
Publication date 2018-03-09
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/jan.13567
Open Access Status Not yet assessed
Total pages 12
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Subject 2900 Nursing
Abstract To provide a synthesis of the evidence of health-promoting leadership related to nursing by exploring definitions, core attributes and critical conditions.

Increasing pressure in healthcare settings due to efficiency requirements, population ageing with complex illnesses and projected global shortage of nurses, is a potential threat to nurses' health and job satisfaction, and patient quality of care and safety. New ways of thinking about nursing leadership and evidence-based human resource management are required to improve nursing environments.

Integrative literature review.

Eight databases were searched: Academic Search Premier, CINAHL, Emerald, ERIC, Web of Science, MEDLINE, Psychinfo and Science Direct. Included papers were published between 2000-2016.

Of 339 papers, 13 were eligible for inclusion: eight qualitative and five quantitative. Studies were assessed for quality using standardized checklists. Framework-based synthesis was used, allowing for themes identified a priori to be specified as coding categories. This method also allows new themes to emerge de novo.

Four themes were identified. There are multiple definitions of health-promoting leadership, along with description of the non-health-promoting leader. The health-promoting nurse leader engages in employees' health promotion, and takes responsibility for actions and maintains open communication, accommodating nurses' participation in change processes. Through competence development, the health-promoting organization builds capacity.

Health-promoting leadership may be a promising path to optimizing nursing outcomes through holistic thinking, which emphasizes the importance of context. Accumulated research is required to build a stronger line of international research, with attention to underlying mechanisms, limiting conditions and behaviours known to health-promoting leadership.
Formatted abstract
Aim: To provide a synthesis of the evidence of health‐promoting leadership related to nursing by exploring definitions, core attributes and critical conditions.

Background: Increasing pressure in healthcare settings due to efficiency requirements, population ageing with complex illnesses and projected global shortage of nurses, is a potential threat to nurses’ health and job satisfaction, and patient quality of care and safety. New ways of thinking about nursing leadership and evidence‐based human resource management are required to improve nursing environments.

Design: Integrative literature review.

Data Sources: Eight databases were searched: Academic Search Premier, CINAHL, Emerald, ERIC, Web of Science, MEDLINE, Psychinfo and Science Direct. Included papers were published between 2000–2016.

Review methods: Of 339 papers, 13 were eligible for inclusion: eight qualitative and five quantitative. Studies were assessed for quality using standardized checklists. Framework‐based synthesis was used, allowing for themes identified a priori to be specified as coding categories. This method also allows new themes to emerge de novo.

Results: Four themes were identified. There are multiple definitions of health‐promoting leadership, along with description of the non‐health‐promoting leader. The health‐promoting nurse leader engages in employees’ health promotion, and takes responsibility for actions and maintains open communication, accommodating nurses’ participation in change processes. Through competence development, the health‐promoting organization builds capacity.

Conclusion: Health‐promoting leadership may be a promising path to optimizing nursing outcomes through holistic thinking, which emphasizes the importance of context. Accumulated research is required to build a stronger line of international research, with attention to underlying mechanisms, limiting conditions and behaviours known to health‐promoting leadership.
Keyword Capacity building
Health care settings
Health promotion
Health-promoting leadership
Holistic
Leadership
Literature review
Nurses
Nursing outcomes
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
UQ Business School Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Wed, 14 Mar 2018, 10:03:31 EST