Journal of Healthcare Leadership最新文献

{"title":"Examining Canadian Hospitals' Support for Planetary Health Through the Implementation of Green Teams and Sustainability Offices.","authors":"Maya R Kalogirou, Jennifer Baumbusch","doi":"10.2147/JHL.S517669","DOIUrl":"10.2147/JHL.S517669","url":null,"abstract":"<p><strong>Purpose: </strong>Planetary health is the idea that human health and the health of our planet are inextricably linked. The healthcare sector promotes human health but has a significant impact on our natural world. In Canada, some hospitals are leading the way towards promoting planetary health in an increasingly challenging context. The purpose of this study was to understand how Canadian hospitals support planetary health, specifically through green teams and sustainability offices.</p><p><strong>Patients and methods: </strong>People working in Canadian hospitals, either in sustainability offices or green teams, were invited to participate in this study. Participants completed an online survey and indicated if they would like to take part in a semi-structured interview via Zoom. Twenty-nine participants were interviewed and asked about how they supported planetary health and how their teams were integrated into the hospital setting. Interview transcripts were analyzed and data were summarized using thematic analysis. Demographic information was collected through the survey.</p><p><strong>Results: </strong>Three main themes were: 1) From grassroots to corporate: Green teams and sustainability offices. This theme defined, compared, and contrasted teams and offices; 2) Operationalizing this work: Five green team exemplars. The five teams were: 1) the single-person green team; 2) the health profession-specific green team; 3) the green team pilot project; 4) external partners supporting green teams; and 5) the \"bottom up\" meets \"top down\" green team; and 3) Paving the path forward and tracking success. This theme explored how teams used metrics and other broader indicators to understand success.</p><p><strong>Conclusion: </strong>This study examined the work of Canadian sustainability offices and green teams in the hospital setting. The former promoted planetary health from a \"top-down\" perspective while the latter did so from a \"bottom-up\" perspective. Teams that integrated both approaches were the most effective in promoting planetary health.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"269-284"},"PeriodicalIF":3.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing a Faculty Development Program: Identifying and Addressing Leadership Skill Gaps Using an Established Leadership Framework.","authors":"Judy Tung, Musarrat Nahid, Mangala Rajan, Stephen Bogdewic, Carol A Mancuso","doi":"10.2147/JHL.S517476","DOIUrl":"10.2147/JHL.S517476","url":null,"abstract":"<p><strong>Purpose: </strong>Health care leaders have a significant impact on workforce engagement, making investments in leadership development essential. At Weill Cornell Medicine, a faculty development offering exists for early career faculty called Leadership in Academic Medicine Program (LAMP). This study aimed to identify the leaderships skills that LAMP participants found most challenging and applied an evidence-based leadership model to address those challenges.</p><p><strong>Methods: </strong>The authors analyzed pre- and post-program surveys of LAMP participants (2013-2023) to assess their agreement with statements regarding their leadership and other professional skills. Percent disagreement was compared pre- and post-program. Statements with disagreements at or above the pre-program median were classified as areas of leadership discomfort. Statements with disagreements at or above the post-program median were classified as areas of persistent leadership discomfort. These areas were cross referenced with a leadership model shown to positively influence constituent well-being to inform specific curricular additions to LAMP.</p><p><strong>Results: </strong>A total of 328 paired responses were analyzed, identifying three areas of persistent leadership discomfort: (1) Negotiating (2) Managing Competing Demands and (3) Managing Conflict. All were successfully cross referenced to teachable behaviors in an established leadership model.</p><p><strong>Conclusion: </strong>Leadership behaviors that positively impact health care workers and that address skill gaps articulated by early career leaders can be used to enhance a curriculum in a faculty development program.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"259-268"},"PeriodicalIF":3.4,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Second Victim Syndrome Among Healthcare Professionals: A Systematic Review of Interventions and Outcomes.","authors":"Timothy Sheng Khai Ong, Celeste Natasha Goh, Erel Kane Yun En Tan, Kavin Abimanyu Sivanathan, Ansel Shao Pin Tang, Hiang Khoon Tan, Qin Xiang Ng","doi":"10.2147/JHL.S526565","DOIUrl":"10.2147/JHL.S526565","url":null,"abstract":"<p><strong>Background: </strong>Second Victim Syndrome (SVS) refers to the significant emotional and psychological distress experienced by healthcare professionals following adverse patient events. While numerous interventions have been developed to support second victims, their effectiveness remains poorly understood. This systematic review aimed to synthesize the evidence on the outcomes of available interventions targeting SVS.</p><p><strong>Methods: </strong>We systematically searched MEDLINE, Embase, and the Cochrane Library databases, covering all records up to July 7, 2024. We included studies that evaluated the impact of SVS interventions on psychological, professional, and institutional outcomes. We assessed the quality of the included studies using the Joanna Briggs Institute (JBI) critical appraisal tool and evaluated the certainty of evidence using the GRADE framework. Due to heterogeneity in study designs and outcome measures, we opted for a narrative synthesis.</p><p><strong>Results: </strong>Fifteen studies were included, predominantly of moderate quality. Peer support programs were the most commonly implemented interventions, often structured around the Scott Three-Tiered Model. These programs demonstrated consistent short-term benefits, such as reduced emotional distress and perceived isolation. However, evidence for long-term outcomes-including professional resilience, burnout reduction, and retention-was mixed and generally of low certainty. Structured psychological interventions, including cognitive behavioral therapy (CBT) and mindfulness-based programs, showed more promising long-term results but remain underexplored. Standardized outcome measures, such as the Second Victim Experience and Support Tool (SVEST), were infrequently used, limiting comparability across studies.</p><p><strong>Conclusion: </strong>SVS interventions, particularly peer support, offer short-term relief but limited long-term impact. There is a critical need for longitudinal research using standardized outcome measures to better evaluate effectiveness. This review highlights the need for system-wide, evidence-based interventions and standardized evaluation metrics to support healthcare professionals effectively.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"225-239"},"PeriodicalIF":3.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing Primary Health Network Employee's Capability in Health and Social Care Commissioning.","authors":"Zhanming Liang, Amanda Martin, Catherine Louise Turner","doi":"10.2147/JHL.S511151","DOIUrl":"10.2147/JHL.S511151","url":null,"abstract":"<p><strong>Introduction: </strong>Primary care has strategic importance in Australia's complex health system, attracting one-third of the country's health budget. Primary Health Networks (PHNs), established in 2015 to act as commissioners for non-hospital health and social care across Australia, enable a more comprehensive health planning approach to identify and prioritise service gaps and commission appropriate health services. Hence, building PHNs' capability in health commissioning is critical to maximising health outcomes of the Australian population.</p><p><strong>Objective: </strong>This study was conducted to identify the skill development needs of PHNs employees to lead and manage commissioning, and strategies to build commissioning capabilities across PHNs.</p><p><strong>Methods: </strong>A multiphase mixed-method approach was used, including an anonymous online survey and two focus group discussions.</p><p><strong>Results: </strong>The health commissioning practices of PHNs directly affect PHN staff's confidence (Pearson's r=0.484, p<0.001) and self-perceived competence in their commissioning practices (Pearson's r=0.335, p<0.001). This study confirms that systematic upskilling commissioning among PHN employees, focusing on the commissioning cycle, complex healthcare environments, and data management, is required to improve their capabilities. This highlights the importance of organisational support in strengthening the six key factors for effective commissioning.</p><p><strong>Discussion: </strong>The enhancement of PHNs' capability in health commissioning should be centered around employees' capability building guided by the proposed PHN health commissioning capability building model. Organisation investment in performance monitoring and enhancement, organisations' multi-strategy approach towards internal support and development, and external learning and development opportunities are the three key pillars.</p><p><strong>Conclusion: </strong>Enhancing robust commissioning processes and strengthening leadership capabilities in health commissioning are essential for PHNs to meet the evolving healthcare needs of the population. Effective commissioning requires skilled and confident teams, systematic upskilling, organisational support, and strategic approaches to address challenges, deliver high-quality primary care, and improve population health outcomes. Building PHNs' commissioning capability requires a systematic and progressive skill development approach that prioritises a staff-centred model.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"241-258"},"PeriodicalIF":3.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information Technology in Nursing Practice: A Scoping Review of Assessment Tools for Evaluating Nurses' Competencies.","authors":"Dulce Cachata, Mónica Costa, Teresa Magalhães, Pedro Lucas, Filomena Gaspar","doi":"10.2147/JHL.S509955","DOIUrl":"10.2147/JHL.S509955","url":null,"abstract":"<p><strong>Introduction: </strong>The ongoing evolution of Health Information Technology has provided professionals with major challenges in maintaining the safety and quality of care provided to patients, especially when it comes to hyper-technological environments in hospital. This has driven the need to develop specific competencies and maintain a balance between ethical aspects, social and legal challenges related to privacy and data security, as well as the challenge of ensuring person-centered care practice. Then it will be important to understand what competences nurses are developing, based on what models and what instruments exist to assess them.</p><p><strong>Purpose: </strong>Identify and map information technologies and measurement instruments used to assess nurses' competencies in technological environments in hospital.</p><p><strong>Methods: </strong>A scoping review was carried out using the methodology presented by The Joanna Briggs Institute.</p><p><strong>Results: </strong>Of the 101 articles extracted, 4 articles were selected where 5 instruments were identified that evaluate: (1) Informatics Competency in Nursing Leaders; (2) Technological Competence as Nursing Care - Perception and Practice dimension; (3) Self-Assessment of Nursing Informatics Skills; (4) Clinical Decision Making in Nursing, and (5) Self-Assessment Questionnaire that Assesses Nurses' Informatics Skills, for nursing informatics.</p><p><strong>Conclusion: </strong>The development and enhancement of technological skills in nursing care provide an innovative and crucial perspective for managing and organizing healthcare delivery. This perspective is of great importance, reinforced by the reality in which nurses find themselves, with highly technological nursing practice environments that are increasingly developed. Knowledge and use of IT equipment, areas of basic IT knowledge, information literacy, wireless device skills, the role of clinical IT, and applied IT skills are some of the skills identified by this study. The use of various support tools as instruments for clinical decision-making in nursing is also fundamental to the quality of nursing care.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"211-223"},"PeriodicalIF":3.4,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nature and Outcomes of Longitudinal Authentic Leadership Profiles.","authors":"Baptiste Cougot, Nicolas Gillet, Jules Gauvin, Florian Ollierou, Alice Le Saout, Leïla Moret, Dominique Tripodi","doi":"10.2147/JHL.S486730","DOIUrl":"10.2147/JHL.S486730","url":null,"abstract":"<p><strong>Purpose: </strong>Although authentic leadership is known to improve caregivers' functioning, health, and quality of care, information is lacking about whether the authentic leadership subdimensions may be distinguished from an overarching authentic leadership global construct, and how these global and specific factors can combine within various profiles to explain outcomes over time. Relying on an integration of person- and variable-centered perspectives, this study aims to provide a deeper understanding of the dimensionality of the authentic leadership construct. Specifically, it aims to examine the profiles taken by authentic leadership dimensions, document their stability over time, and explore the associations between these profiles and outcomes (need satisfaction, anhedonia, and safety of care).</p><p><strong>Methods: </strong>A questionnaire was completed twice over a one-year period by 750 healthcare professionals. Latent transition analysis was the primary method of analysis.</p><p><strong>Results: </strong>Our results showed that employees' perceptions of authentic leadership behaviors reflected an overarching construct simultaneously coexisting with four specific dimensions (self-awareness, internalized moral perspective, relational transparency, and balanced processing). We identified four profiles highly stable over time: <i>Low Global Authentic, Normative, Low Specific Self-Awareness</i>, and <i>High Specific Balanced Processing</i>. Finally, employees' global and specific (relatedness, competence, and autonomy) levels of need satisfaction as well as perceptions of safety of care and anhedonia differed as a function of their profile, with the most positive outcomes associated with the <i>Normative</i> profile.</p><p><strong>Conclusion: </strong>In addition to confirming that authentic leadership may be studied as a global construct, this study highlights the importance of considering the combinations of global and specific factors in explaining variations in caregivers' need satisfaction, anhedonia, and quality of care over a one year-period. Our findings suggest that managers should strive to implement a complete array of authentic leadership behaviors at a balanced level to ensure positive outcomes.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"189-209"},"PeriodicalIF":3.4,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges of Healthcare Systems in Saudi Arabia to Delivering Vision 2030: An Empirical Study From Healthcare Workers Perspectives.","authors":"Fahad M Al-Anezi","doi":"10.2147/JHL.S516159","DOIUrl":"https://doi.org/10.2147/JHL.S516159","url":null,"abstract":"<p><strong>Background and aim: </strong>This study explores the key challenges affecting the healthcare system in Saudi Arabia as it strives to achieve the objectives of Vision 2030. Unlike previous research, which has primarily focused on policy and structural reforms, this study provides empirical insights from healthcare workers, offering a frontline perspective on the barriers to effective healthcare transformation.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 383 healthcare professionals from public and private hospitals. The questionnaire covered challenges related to capacity and infrastructure, workforce shortages, digital transformation, preventive healthcare, coordination and integration, healthcare financing, public awareness, quality of care, and disease prevention. Data were analyzed using descriptive statistics, t-tests, and ANOVA to assess variations in perceptions based on professional roles, work experience, gender, and hospital type.</p><p><strong>Results: </strong>The findings reveal workforce shortages, infrastructure limitations, and digital transformation gaps as the most pressing concerns. Notable differences in perceptions highlight the need for tailored interventions across different healthcare roles and settings. Addressing these challenges requires strategic workforce planning, investment in infrastructure, digital innovation, and sustainable financing models.</p><p><strong>Conclusion: </strong>This study contributes to the literature by offering evidence-based recommendations for policymakers and healthcare administrators, aligning healthcare system improvements with Vision 2030 objectives. The insights provided can help shape targeted strategies to enhance healthcare efficiency, accessibility, and resilience in Saudi Arabia.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"173-187"},"PeriodicalIF":3.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Criteria For Agreement When Conducting Local Consensus Discussions: A Qualitative Study.","authors":"Lisa Pagano, Janet C Long, Emilie Francis-Auton, Andrew Hirschhorn, Jeffrey Braithwaite, Gaston Arnolda, Mitchell N Sarkies","doi":"10.2147/JHL.S522784","DOIUrl":"https://doi.org/10.2147/JHL.S522784","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare is a complex, multi-layered team environment where effective change often requires reaching consensus among relatively autonomous stakeholders. Although conducting informal consensus discussions is a frequently used implementation strategy in real-world clinical settings, limited information exists about what defines consensus when using these methods. Specifying the criteria for consensus is important, as it can shape the design of consensus-building strategies. This study aimed to identify and define the key domains of consensus used in local consensus discussions to standardise healthcare practices.</p><p><strong>Patients and methods: </strong>A qualitative study was conducted in one private hospital in Australia using a modified, grounded theory methodology. Clinical, non-clinical and leadership staff involved in developing standardised perioperative pathways using informal consensus discussions were recruited. Data were collected via semi-structured interviews and naturalistic participant observations between February 2023 and May 2024. Data collection and analysis occurred concurrently until theoretical saturation was achieved. Data were analysed using open coding with constant comparison, focussed and theoretical coding to develop theoretical concepts.</p><p><strong>Results: </strong>Sixteen hours of observations with 31 participants and nine semi-structured interviews were conducted. Analysis identified four distinct consensus criteria: i) unanimous consensus, ii) delegated consensus, iii) assumed consensus and iv) concessional consensus. While unanimity was the preferred outcome, other consensus types emerged as viable alternatives when unanimous agreement was challenging to achieve. Each criterion had differing factors and mechanisms which influenced reaching the consensus criterion, underpinning assumptions, and considerations for practice, which formed four domains of consensus.</p><p><strong>Conclusion: </strong>These domains provide a structured framework for classifying consensus criteria when conducting local consensus discussions in healthcare. The findings broaden our understanding of consensus in local healthcare discussions, moving beyond a singular focus on unanimity. By clearly defining consensus types, organisations can strategically select consensus methods that best support decision-making and intervention implementation.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"159-172"},"PeriodicalIF":3.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellness-Centered Leadership: A Key Differentiator for Successfully Reducing Burnout and Building a Culture of Well-Being Among Physicians and APPs.","authors":"Krispen Hartung, Hillary E Swann-Thomsen, Kathryn R Schneider","doi":"10.2147/JHL.S513209","DOIUrl":"https://doi.org/10.2147/JHL.S513209","url":null,"abstract":"<p><p>Physician and advanced practice provider (APP) burnout is a significant issue in healthcare, exacerbated by the COVID-19 pandemic. Burnout rates remain high, with severe implications for both clinicians and patient care. This paper acknowledges the multifaceted causes of burnout, including environmental and individual factors, and evaluates the effectiveness of wellness-centered leadership as a mitigation strategy. St. Luke's Health System implemented a comprehensive wellness-centered leadership program, including training and toolkits, to improve well-being. Surveys conducted in 2022, 2023, and 2024 assessed burnout levels, feeling valued by the organization, intent to leave, and leadership alignment among physicians and APPs. Results indicated a decrease in burnout and intent to leave, alongside improved leadership alignment, and improved feeling valued by the organization. The findings suggest that wellness-centered leadership can significantly reduce burnout and enhance job satisfaction, highlighting the importance of leading with well-being in healthcare settings.</p>","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"145-157"},"PeriodicalIF":3.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Instructional Leadership Principles into Mentoring Programs for Nurse Leaders: A New Perspective [Letter].","authors":"Paul Arjanto, Mint Husen Raya Aditama, Vando Kristi Makaruku","doi":"10.2147/JHL.S518372","DOIUrl":"https://doi.org/10.2147/JHL.S518372","url":null,"abstract":"","PeriodicalId":44346,"journal":{"name":"Journal of Healthcare Leadership","volume":"17 ","pages":"141-143"},"PeriodicalIF":3.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}