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
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
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 health-care settings due to efficiency requirements, population aging with complex illnesses and projected global shortage of nurses, is a potential threat to nurses' health and job satisfaction, as well as 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 emerged. 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, takes responsibility for actions and maintains open communication, accommodating nurses' participation in change processes. Through competence development, the health-promoting organization builds capacity.

Research on 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. This article is protected by copyright. All rights reserved.
Keyword capacity building
health care settings
health promotion
health-promoting leadership
literature review
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
Collection: Pubmed Import
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Created: Wed, 14 Mar 2018, 10:03:31 EST