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The relationship between leadership and physician well-being: a scoping review

机译：领导力与医生幸福感之间的关系：范围界定审查

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To date, research has established the individual and organizational factors that impair well-being. Thus, we are aware of the organizational “cogs and wheels” that drive well-being, and there is a sense that we can potentially utilize effective leadership to push and pull these in the appropriate directions. However, reviews of leadership in health care point to the lack of academic rigor and difficulty in reaching solid conclusions. Conversely, there is an accepted belief that the most important determinant of the development and maintenance of cultures is current – and future – leadership. Thus, leadership is assumed to be an important element of organizational functioning without the requisite evidence base. Medicine is a unique organizational environment in which the health of physicians may be a significant risk factor for inadequate patient safety and suboptimal care. Globally, physicians are reporting increasing levels of job burnout, especially among younger physicians in training. Not surprisingly, higher levels of physician burnout are associated with suboptimal care for patients and medical error, as well as maladaptive coping strategies among physicians that serve to exacerbate the former. This review is a scoping analysis of the existing literature to address the central question: is there a relationship between organizational leadership and physician well-being? The objectives of the review are as follows: 1) identify the degree to which physician health is under threat; 2) evaluate the evidence linking leadership with physician well-being; 3) identify alternative ways to approach the problem; and 4) outline avenues for future research. Finally, enhancing progress in the field is discussed in the contexts of theory, methodology, and impact.
机译：迄今为止，研究已经确定了损害幸福感的个人和组织因素。因此，我们意识到推动福祉的组织“齿轮和轮子”，并且有一种感觉，我们可以潜在地利用有效的领导力将其推向和拉向适当的方向。但是，对医疗保健领导地位的评论指出，缺乏学术上的严谨性和难以得出可靠结论的困难。相反，人们普遍认为，文化发展和维护的最重要决定因素是当前（以及未来）的领导。因此，在没有必要的证据基础的情况下，领导力被认为是组织运作的重要要素。医学是独特的组织环境，医生的健康可能是患者安全不足和护理欠佳的重要风险因素。在全球范围内，医生报告的工作倦怠水平不断提高，尤其是在接受培训的年轻医生中。不足为奇的是，更高水平的医生倦怠与对患者的次优护理和医疗失误以及使前者恶化的医师之间适应不良的应对策略有关。这篇评论是对现有文献的范围分析，以解决核心问题：组织领导力与医生幸福感之间是否存在关系？审查的目的如下：1）确定医师健康受到威胁的程度； 2）评估将领导与医师幸福联系起来的证据； 3）确定解决问题的替代方法；和4）概述未来研究的途径。最后，在理论，方法论和影响的背景下讨论了增强该领域的进展。

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