变革型领导力发展在健康相关博士课程的范围审查

IF 3.4 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-07-29 DOI:10.1016/j.healthpol.2025.105411

Barbara Maria Löfflad-Bürkin , Anja Matthiä , Heather Krasna , Nino Künzli , Julia Bohlius , Katarzyna Czabanowska

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引用次数: 0

摘要

有能力的公共卫生工作队伍对于具有复原力的卫生系统至关重要，因为变革性领导有助于应对复杂性、推动创新和促进集体行动。然而，在与健康有关的博士课程中，领导力发展的比例仍然不足，限制了他们培养未来领导者的能力。现有证据很少，而且往往局限于高收入国家的临床背景，对更广泛的公共卫生需求几乎没有指导作用。目的探讨如何在与健康相关的博士课程中培养变革型领导力，并评估课程要素（包括内容和教学技术）的效果。方法根据PRISMA-ScR和Joanna Briggs研究所的指南，按照开放科学框架的注册协议进行范围审查。我们系统地检索了Medline、PsycInfo和ERIC(2000-2024)，包括同行评审的研究，评估指导、体验式学习和协作如何促进变革型领导力的发展。多个审稿人独立筛选和提取数据。进行了叙述综合，并使用混合方法评估工具评估方法质量。结果在筛选的394份记录中，有7项研究符合纳入标准。其中四个专注于变革型领导；其中三人使用了替代模型。所有实验都采用了体验式学习和协作式反馈。共同的主题包括领导力、团队合作和个人成长。只有一项研究使用了经过验证的工具（MLQ）；其他人则使用反思或描述性评估。大多数报告了积极的影响，指导、小组学习和反思被确定为关键驱动因素。结论加强博士教育的变革领导力是培养一支面向未来的公共卫生队伍的关键。虽然有前景的实践存在，但需要更清晰的框架、更有力的评估工具和针对具体情况的方法的研究。

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A scoping review of transformational leadership development in health-related PhD programs

Background

A competent public health workforce is essential for resilient health systems, where transformational leadership helps navigate complexity, drive innovation, and foster collective action. However, leadership development remains underrepresented in health-related PhD curricula, limiting their capacity to prepare future leaders. Existing evidence is sparse and often limited to clinical contexts in high-income countries, offering little guidance for broader public health needs.

Objective

To explore how transformational leadership can be developed in health-related PhD programs and assess the effects of curricular elements, including content and teaching techniques.

Methods

A scoping review was conducted following PRISMA-ScR and Joanna Briggs Institute guidelines, with a registered protocol on the Open Science Framework. We systematically searched Medline, PsycInfo, and ERIC (2000–2024), including peer-reviewed studies assessing how mentorship, experiential learning, and collaboration contribute to transformational leadership development. Multiple reviewers independently screened and extracted data. A narrative synthesis was conducted, and methodological quality was appraised using the Mixed Methods Appraisal Tool.

Results

Of 394 records screened, seven studies met inclusion criteria. Four focused on transformational leadership; three used alternative models. All used experiential learning and collaborative feedback. Common themes included leadership, teamwork, and personal growth. Only one study used a validated tool (MLQ); others used reflective or descriptive evaluations. Most reported positive impacts, with mentoring, group learning, and reflection identified as key drivers.

Conclusions

Strengthening transformational leadership in PhD education is key to preparing a future-ready public health workforce. While promising practices exist, clearer frameworks, stronger evaluation tools, and research on context-specific approaches are needed.

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.