Leadership in Health Services最新文献

{"title":"Exploring turnover among first-line managers in healthcare: a cohort study of span of control, management performance and stress indicators.","authors":"Jonas Svanström, Maria Lindberg, Bernice Skytt, Magnus Lindberg","doi":"10.1108/LHS-02-2025-0031","DOIUrl":"10.1108/LHS-02-2025-0031","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to examine if and how an expanded span of control, management performance and work-related stress indicators (control, support and relationships) influence the time until first-line managers leave their position.</p><p><strong>Design/methodology/approach: </strong>A prospective longitudinal cohort design involving 87 first-line managers in a Swedish health-care region. Cox proportional hazards regression was used to analyse expanded span of control, work-related stress indicators and management performance as predictors of turnover.</p><p><strong>Findings: </strong>The findings indicate that first-line managers who were categorized as having moderate concern and a need for improvement in the work-related stress indicators control and manager support had a significantly higher risk of turnover. In contrast, expanded span of control and the number of employees managed per first-line manager did not significantly influence turnover risk. In addition, the work-related stress indicator relationships was not significantly associated with risk of turnover.</p><p><strong>Originality/value: </strong>This study expands the understanding of actual turnover among first-line managers in health care by exploring how organizational factors influence the decision to leave. Unlike previous research, which primarily examines turnover intentions, this study takes a longitudinal perspective, capturing real turnover events over time. The findings contribute to future research on organizational conditions, providing a basis for developing strategies to improve retention and working conditions for first-line managers in health care.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":"38 5","pages":"101-112"},"PeriodicalIF":2.3,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12616287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334122","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":"The mediating role of employees engagement in the relationship between adaptive leadership and service quality in the health sector.","authors":"Biniam Ali Eshete, Tilaye Kassahun","doi":"10.1108/LHS-03-2025-0056","DOIUrl":"10.1108/LHS-03-2025-0056","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the mediating role of employee engagement in the relationship between adaptive leadership and service quality within the health-care sector in Ethiopia.</p><p><strong>Design/methodology/approach: </strong>A quantitative research design was adopted, using a cross-sectional survey method. Data was collected from health-care professionals through structured questionnaires. Partial least squares structural equation modeling was used to analyze the hypothesized relationships.</p><p><strong>Findings: </strong>This study found that adaptive leadership (ADL) indirectly enhances service quality (SVQ) through employee engagement (EME). While ADL had no direct effect on SVQ, it positively influenced EME, which, in turn, significantly improved SVQ. These findings emphasize the critical role of employee engagement in translating leadership into better service outcomes in health-care setting.</p><p><strong>Practical implications: </strong>The findings offer valuable insights for health-care managers and policymakers, emphasizing the need for ADL strategies that foster employee engagement to improve SVQ.</p><p><strong>Originality/value: </strong>This study uniquely examines how ADL translates into improved health-care SVQ through the engagement of frontline staff in a dynamic and resource-constrained environment.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":"38 5","pages":"82-100"},"PeriodicalIF":2.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12616284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267589","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":"Transformational leadership and teamwork as catalysts for motivation and job satisfaction among doctors: the case of Republic of North Macedonia.","authors":"Darko Iliev, Leslie Thomas Szamosi, Giovanni Oscar Serafini, Natasha Ilieva","doi":"10.1108/LHS-09-2024-0106","DOIUrl":"10.1108/LHS-09-2024-0106","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic has amplified the importance of motivation, job satisfaction, leadership and teamwork in health care. This study aims to explore their dynamics among medical doctors in the South-East European country of Republic of North Macedonia. Although prior research highlights the impact of leadership and teamwork on job satisfaction and motivation, comprehensive analyses within this regional medical context remain scarce.</p><p><strong>Design/methodology/approach: </strong>This research uses a quantitative approach, gathering primary data through an online survey of 166 medical doctors, including both practicing physicians and department heads, representing 10% of officially registered practitioners. Descriptive analysis summarised the data and identified patterns, whereas inferential analysis examined variable relationships and predictions through correlation, regression and analysis of variance to assess group differences.</p><p><strong>Findings: </strong>No significant differences in motivation were found across primary, secondary or tertiary health-care systems, but team orientation varied (<i>p</i> = 0.00). A positive correlation emerged between transformational leadership and job satisfaction (<i>r</i> = 0.73). Applying multiple linear regression, it was concluded that 68.3% of the variability in job satisfaction could be explained through components of leadership and motivation levels (<i>r²</i> = 0.68). A statistically significant preference for transformational leadership is evident, fostering increased job satisfaction and team collaboration.</p><p><strong>Originality/value: </strong>The study offers crucial insights, particularly in light of the country's severe brain-drain, one of the most acute in Europe. Policies that emphasise effective leadership development and teamwork training for medical doctors could counter this trend by fostering greater overall motivation and job satisfaction.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"425-441"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leadership styles and EMR adoption: insights from Bali's primary care clinics.","authors":"Made Indra Wijaya","doi":"10.1108/LHS-01-2025-0003","DOIUrl":"10.1108/LHS-01-2025-0003","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to explore the influence of leadership styles, using full-range leadership theory (FRLT), and technology acceptance, guided by the technology acceptance model (TAM), on the implementation of electronic medical records (EMRs) in primary care settings in Bali.</p><p><strong>Design/methodology/approach: </strong>Using a mixed-methods approach, this research analyzes data from 120 primary care clinics in Bali with a total of 1,204 respondents. Quantitative data were collected through structured surveys assessing leadership styles and EMR acceptance, supplemented by qualitative insights from 30 interviews and 6 focus group discussions. Statistical methods, including the Chi-Square Test of Independence and pairwise comparisons using adjusted residuals, were used to examine the relationships between leadership styles, EMR adoption, perceived usefulness and ease of use.</p><p><strong>Findings: </strong>The Chi-Square Test of Independence revealed a significant association between leadership style and EMR adoption level (χ² = 30.33, <i>p</i> < 0.001). Transformational leadership was strongly associated with higher full EMR adoption rates, while Laissez-Faire leadership showed a significant association with no EMR adoption. Qualitative data supported these findings, emphasizing the critical role of proactive, supportive leadership in enhancing technology acceptance.</p><p><strong>Originality/value: </strong>This study uniquely integrates FRLT and TAM within the context of EMR adoption in Bali's health-care system, providing new insights into how leadership and technology perceptions interact to influence implementation outcomes in a diverse health-care environment.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"402-424"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relevance of leader-member exchange during a crisis: assessing the mediating role of social exchange relationships to predict intention to leave.","authors":"Facundo Garcia-Pereyra, Julia Miralles-de-Imperial, Ryan Armstrong","doi":"10.1108/LHS-08-2024-0087","DOIUrl":"10.1108/LHS-08-2024-0087","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to explore how the strength of relations between organization, leader and nursing staff influences the intention to leave one's job during crisis conditions. Drawing on social exchange theory, this study analyzes how perceived organizational support and leader-member exchange (LMX) mediate the effect of informational justice and personal protective equipment (PPE) on intention to leave among nurses.</p><p><strong>Design/methodology/approach: </strong>The research uses partial least squares structural equation modeling with a sample of 159 surveys from nurses gathered in Argentina during April-November 2020.</p><p><strong>Findings: </strong>The study finds that the LMX has a mediating effect between informational justice, the provision of PPE and the intention to leave. Perceived organizational support was not significantly related to the intention to leave due to COVID-19.</p><p><strong>Practical implications: </strong>Even during crises like COVID-19, high-quality relationships between supervisors and supervisees can reduce the likelihood of leaving an organization, while organizational support may be less important during such times. The findings suggest that organizations and health-care managers should pay attention to having effective planning and provision of PPE and provide clear and accurate information during crisis periods.</p><p><strong>Originality/value: </strong>The study contributes to social exchange theory literature during crises. The findings suggest that in times of crises in nursing, the LMX takes on greater significance and becomes central in explaining the connection between resources, information and the decision to leave one's organization.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"495-512"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of well-being-centered leadership with burnout and professional fulfillment among physicians: mediating effects of autonomy support and self-valuation.","authors":"Anthony C Waddimba, Jamile Ashmore, Megan E Douglas, Linda M Thompson, Colleen Parro, J Michael DiMaio, Tait D Shanafelt","doi":"10.1108/LHS-01-2025-0001","DOIUrl":"10.1108/LHS-01-2025-0001","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate autonomy support and self-valuation as potential mechanisms by which supportive leadership improves physician well-being. Supportive leadership is one of the strongest predictors of physician well-being. However, mechanisms by which leadership behavior influences well-being remain unknown. The authors hypothesized that autonomy support and self-valuation mediate this relationship.</p><p><strong>Design/methodology/approach: </strong>This was a cross-sectional survey-based study of physicians in a tri-hospital cardiovascular health system in southwestern USA. An anonymized multidimensional questionnaire comprising standardized and pre-validated measures of leadership behavior, self-valuation, autonomy support, fulfillment and burnout was e-mailed to 815 eligible physicians in February 2024. Hypothesized multivariable pathways were investigated via structural equation modeling.</p><p><strong>Findings: </strong>In total, 122 participants answered the survey, 99 providing complete responses. Respondents were 75.76% male, 54.54% aged 41 to < 65 years, 44.44% white, 21.21% Asian and 52.52% in practice for ≥ 15 years. Reliabilities of ordinal scales were all ≥ 0.700, and univariate correlations were in expected directions. Fully, 24.24% of respondents were burned out, 63.64% professionally fulfilled, 70.71% had high autonomy support and 55.56% high self-valuation. Indirect effects of leadership support on fulfillment and burnout, mediated via autonomy support and self-valuation, were more significant than direct effects. Findings supported the study hypothesis that leadership support improves fulfillment and reduces burnout among physicians partly by fostering autonomy and self-valuation.</p><p><strong>Originality/value: </strong>Autonomy support and self-valuation within physician teams are highlighted as factors whose improvement well-being-centered leadership training programs specifically should target.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":"38 5","pages":"65-81"},"PeriodicalIF":2.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12616283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250217","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":"Ethical leadership in a complex adaptive system (CAS) reducing out-of-pocket healthcare expenses in an emergency department in Nepal.","authors":"Suchit Amatya, Dayaram Lamsal, Buddhike Sri Harsha Indrasena, Jill Aylott, Lisa Fox, Remig Wrazen","doi":"10.1108/LHS-02-2024-0019","DOIUrl":"10.1108/LHS-02-2024-0019","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This research used ethical leadership to engage doctors to implement an international National Institute for Clinical Excellence (NICE) guideline (NICE, 2014) in an emergency department (ED) in Nepal. The purpose of this study was to reduce unwarranted clinical variation in decision-making and thereby reduce unnecessary costs for patients by paying for computed tomography (CT) scans after a head injury where they are not clinically indicated. The World Health Organization (WHO) in its 17 Sustainable Development Goals (SDGs) (United Nations, 2017), identified SDG 3.8 as a goal to reduce \"out-of-pocket\" (OOP) health spending in low medium income countries (LMIC) to reduce poverty.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design/methodology/approach: &lt;/strong&gt;A quantitative study was designed, using a multiple-choice questionnaire based on the NICE head injury guideline 2014, with &lt;i&gt;n&lt;/i&gt; = 27 doctors at pre- and post-training. Retrospective baseline patient data was collected from 149 patients (&lt;i&gt;n&lt;/i&gt; = 149). These data were individually matched with the patient online record system and a detailed history, and the indication of CT head referral was reviewed on the clinical history part of the patient's notes. A teaching session for doctors explained a flowchart for the NICE CT Head Guideline and different figures and case scenarios regarding patients presenting with a head injury were discussed. All data were collected and entered into a Microsoft Excel spreadsheet 2013. An analysis of the data was done by Statistical Package for Social Sciences version 18. A sample of 302 patients (&lt;i&gt;n&lt;/i&gt; = 302) were followed up after implementation of the guideline in the department.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;In this study, most common causes of head injury are RTA followed by physical assault and fall injury. There was no statistical difference in the type of injury &lt;i&gt;p&lt;/i&gt; &lt; 0.05. &lt;i&gt;X&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; (2, &lt;i&gt;n&lt;/i&gt; = 454) = 2.4467, &lt;i&gt;p&lt;/i&gt; = 0.2942, meaning that at both stages of the research the injury pattern was the same. Compliance has not improved statistically, and this may be due to a low power as it is only 44%. However, there is an appreciable improvement of compliance from 46.3% (before) to 56% (after), which is nearly 10% improvement. Translated to CT scans, this can be taken as reducing unnecessary CTs by 10%. Since 302 CTs were performed in the second phase, this study has demonstrated that nearly 30 unnecessary CT scans have been prevented from being carried out. If one CT cost 20 pounds, then the total saving was 600 pounds. If this study was undertaken over one month, then the total saving for a year would be 600 × 12 = 7200 pounds.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research limitations/implications: &lt;/strong&gt;This study set out to improve the quality of care provided to patients with a head injury who presented to an ED in Nepal. In Nepal as in other LMIC healthcare delivery is improving but there are still low levels of health insurance resulting in","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"356-381"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking the silence in the health-care sector: the relationship between empowering leadership and nurses' silence toward patient safety via psychological empowerment.","authors":"Anastasia Chatziioannou, Anna Bochoridou, Panagiotis Gkorezis, Athina Kantouni","doi":"10.1108/LHS-07-2024-0069","DOIUrl":"10.1108/LHS-07-2024-0069","url":null,"abstract":"<p><strong>Purpose: </strong>Recently, an increasing stream of research has investigated the effect of leadership on employee silence in health care organizations. Drawing upon self-determination theory, this study aims to examine the unexplored relationship between empowering leadership and nurses' silence toward patient safety via psychological empowerment.</p><p><strong>Design/methodology/approach: </strong>Data were collected from a sample of 271 nurses working in two Greek private hospitals. PROCESS macro was used to test the authors' hypotheses.</p><p><strong>Findings: </strong>The results supported that empowering leadership is associated with psychological empowerment, and the latter is related to nurses' silence toward patient safety. Combined results indicated that psychological empowerment mediates the relationship between empowering leadership and nurses' silence toward patient safety.</p><p><strong>Originality/value: </strong>To the best of the authors' knowledge, this is one of the first studies that investigates the effect of empowering leadership on employee silence in the health-care sector. Furthermore, it highlights the underlying mechanism that accounts for this relationship. In doing so, it also provides novel insights into the effect of psychological empowerment on nurses' unfavorable behavior, such as nurses' silence toward patient safety. Theoretical and practical implications are also discussed.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"339-355"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-care leaders' perspectives on AI implementation in Uganda: overcoming barriers, driving innovation and strategic considerations.","authors":"Mahadih Kyambade, Afulah Namatovu","doi":"10.1108/LHS-02-2025-0025","DOIUrl":"10.1108/LHS-02-2025-0025","url":null,"abstract":"<p><strong>Purpose: </strong>The implementation of artificial intelligence (AI) in health care presents significant opportunities for improving efficiency, decision-making and patient outcomes. However, health-care leaders often face resistance and multiple challenges in adopting AI technologies, leading to slow and inconsistent implementation. This study aims to explore the perspectives of health-care leaders in Uganda regarding AI adoption, focusing on barriers, innovation drivers and strategic considerations necessary for effective AI integration.</p><p><strong>Design/methodology/approach: </strong>The study used a qualitative, exploratory approach using semi-structured interviews with 24 leaders from various public health-care institutions in Uganda. Data collection took place from December 2023 to February 2024. The analysis was conducted using qualitative content analysis with an inductive approach to identify key themes related to AI implementation challenges and strategies.</p><p><strong>Findings: </strong>The study identified three main categories of challenges affecting AI implementation in Uganda's health-care system: External Constraints, including regulatory gaps, limited funding and infrastructure deficits; Institutional Capacity for Change Management, highlighting resistance to change, lack of technical expertise and inadequate leadership support; and Transformation of health-care practices, which includes concerns about AI's impact on job roles, ethical considerations and data security. Despite these challenges, health-care leaders acknowledged AI's potential to enhance service delivery, improve diagnostic accuracy and optimize health-care workflows.</p><p><strong>Practical implications: </strong>The findings underscore the need for targeted implementation strategies, including investment in AI education and training for health-care professionals, the development of clear policies and regulatory frameworks and fostering collaboration between health-care institutions, policymakers and technology providers. Strengthening leadership capacity in change management and ensuring ethical AI deployment are crucial for successful adoption.</p><p><strong>Originality/value: </strong>This study contributes to the limited body of research on AI adoption from the perspective of health-care leaders in developing countries, particularly in Uganda. Unlike previous studies that focus on general AI acceptance, this research provides a leadership-centric analysis of the barriers and strategic approaches necessary for AI implementation. The insights generated can inform policymakers, health-care administrators and technology developers on designing more effective AI adoption frameworks tailored to resource-constrained settings.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":"38 3","pages":"442-463"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical leadership in nursing in an ever-changing world: a bibliometric analysis.","authors":"Havva Yesildere Saglam, Fatmanur Sena Karakisla","doi":"10.1108/LHS-12-2024-0149","DOIUrl":"10.1108/LHS-12-2024-0149","url":null,"abstract":"<p><strong>Purpose: </strong>Leadership plays a critical role in improving the quality of care, minimizing risks to patients and staff and improving patient care outcomes. The purpose of this study is to analyze the structure of publications in the field of clinical leadership in nursing and to provide an overview of its development, trends and focus.</p><p><strong>Design/methodology/approach: </strong>This study is descriptive bibliometric study. Data were collected from Web of Science on August 24, 2023. The population of the study consisted of 1,979 articles between 1994 and 2023 in the field of clinical leadership in nursing obtained from R Studio and WoS database.</p><p><strong>Findings: </strong>The country where clinical leadership was most frequently studied was USA (<i>n</i> = 706). The most frequently used keywords by authors were leadership (843 times), nursing (329 times) and nurses (143 times). In the early years, the most frequently used trending topics were \"quality,\" \"culture,\" \"change\" and \"leadership style,\" while in recent years the trending topics were \"burnout\" and \"COVID-19.\"</p><p><strong>Practical implications: </strong>Due to the limited knowledge on this subject, this study will make an important contribution to the literature and will shed light on new studies to be planned on clinical leadership.</p><p><strong>Originality/value: </strong>It has been observed that the issue of clinical leadership in nursing has become even more important in recent years following radical changes in the world such as pandemics and disasters. It has been observed that studies on this subject have increased rapidly in recent years. While the topics of job satisfaction, burnout and Covid-19 were frequently studied, it was observed that mentoring, collaboration, organization of new graduate nurses, moral difficulties and clinical leadership in nursing education were studied more limitedly.</p>","PeriodicalId":46165,"journal":{"name":"Leadership in Health Services","volume":" ","pages":"464-475"},"PeriodicalIF":1.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}