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Influence of contextual factors on health-care leadership

机译：情境因素对卫生保健领导力的影响

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Purpose - To extend understanding of the influence of contextual factors on: power and influence; creativity and innovation; and leadership behaviour. Design/methodology/approach - The review has been compiled following a search of seven electronic databases from 1999 to 2004. The author also uses her experience as a physiotherapy manager within a children's hospital NHS Trust to reflect on some of the theories in the workplace. Findings - While the literature is contradictory in places, some trends do emerge. Bureaucratic organizations can inhibit an empowering environment, as can those that are poor at disseminating information or communicating a vision. Hierarchical structures, high staff turnover and lack of resources are likely to stifle creativity and innovation. Organic structures tend to facilitate a more transformational leadership style, whereas bureaucratic structures encourage a more transactional style. The quality of leader-member exchange is thought to be related to work group size, work group cohesiveness and organizational climate. Research limitations/implications - Care is needed in applying these findings to the National Health Service as theory that is developed in one organisation or culture may not be transferable to another. The author suggests that an empirical investigation should be undertaken in different National Health Service units. Originality/value - This paper explores an aspect of leadership that is often neglected. Organizations that wish to nurture and develop their leaders and managers will need to be mindful of the environmental context within which this takes place.
机译：目的-扩展对上下文因素对以下方面的影响的理解：权力和影响；创造力和创新；和领导行为。设计/方法/方法-这篇综述是在搜索了1999年至2004年的七个电子数据库之后编写的。作者还利用她在儿童医院NHS Trust中担任物理治疗经理的经验来反思工作场所中的一些理论。调查结果-尽管某些地方的文献相互矛盾，但确实出现了一些趋势。官僚组织可能会阻碍赋权环境，那些擅长传播信息或传达愿景的组织也会如此。层级结构，高人员流动和缺乏资源可能会扼杀创造力和创新。有机结构倾向于促进更具变革性的领导风格，而官僚结构则鼓励更具交易性的风格。领导-成员交流的质量被认为与工作组规模，工作组凝聚力和组织氛围有关。研究的局限性/意义-将这些发现应用于国家卫生服务局需要谨慎，因为在一个组织或文化中发展的理论可能无法转移到另一个组织或文化中。作者建议应在国家卫生部门的不同部门进行实证研究。原创性/价值-本文探讨了经常被忽视的领导力方面。希望培养和发展其领导者和管理人员的组织将需要注意发生这种情况的环境。

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