Date of Award
2021
Embargo Period
8-1-2024
Document Type
Dissertation - MUSC Only
Degree Name
Doctor of Health Administration
College
College of Health Professions
First Advisor
Jami Jones
Second Advisor
Abby Swanson Kazley
Third Advisor
Jim Dunn
Abstract
The uncertainty of healthcare, unrelenting cost containment pressures, market competition dynamics and increasing regulatory requirements pose significant challenges for survival for healthcare systems. The objective of this study is to determine the key leadership characteristics and attributes of strategy implementation a leader must have to survive the turbulence of healthcare. The study is designed as a qualitative study using the PRISMA model for systematic and meta-analytic review methods. Using grounded theory, the literature was coded using the Derue et al. integrated model for leadership traits and behaviors to identity key leadership characteristics. The literature was additionally coded using John Kotter’s change model to identity critical features of strategy implementation. NVivo qualitative analysis software was used to find overlaps in the literature. Search results returned 38 titles following applications of inclusion and exclusion criteria of which 1,165 references were coded. The most prevalent leadership characteristics and behaviors with a causal relationship to leadership effectiveness found in the text included: relational-oriented leadership (38%), task-oriented leadership (18%) and task competence (16%). The predominant themes of strategy implementation included: anchoring change in culture (33%), empowering action (22%) and developing a vision and strategy (20%). Leadership characteristics and features of strategy implementation overlapped most between relational-oriented leadership and anchoring change (146 references), relational-oriented leadership and empowering action (120 references), relational-oriented leadership and creating a guiding coalition (89 references), task-oriented leadership and developing a vision and strategy (71 references) and task-oriented leadership and anchoring change (69 references).
Recommended Citation
Borieux, Marna, "Essential Leadership Characteristics and Critical Attributes of Strategy Implementation for Healthcare Transformation: A Systematic and Meta-Analytic Review" (2021). MUSC Theses and Dissertations. 585.
https://medica-musc.researchcommons.org/theses/585
Rights
All rights reserved. Copyright is held by the author.