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Making time for learning-oriented leadership in multidisciplinary hospital management groups
Sara J Singer1, Jennifer E Hayes, Garry C Gray
1Sara J. Singer, MBA, PhD, is Associate Professor of Health Care Management and Policy, Harvard School of Public Health/Harvard Medical School, Boston, Massachusetts. E-mail: ssinger@hsph.harvard.edu. Jennifer E. Hayes, EdM, was Qualitative Research Analyst, Massachusetts General Hospital and Center for Organization, Leadership and Management Research, VA Boston Healthcare System, Massachusetts; currently, Health Systems Specialist, Office of Academic Affiliations, Veterans Health Administration, Washington, D.C. Garry C. Gray, PhD, is Assistant Professor of Sociology, University of Victoria, British Columbia, Canada; and a Network Fellow, Edmond J. Safra Center for Ethics, Harvard University, Cambridge, Massachusetts. Mathew V. Kiang, MPH, is Doctoral Candidate, Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts.
Effective leadership teams foster frontline learning by building learning capacity and practicing specific management behaviors. This requires vision, commitment, and a psychologically safe environment for continuous improvement in healthcare.
Area of Science:
- Healthcare Management
- Organizational Learning
- Team Leadership
Background:
- Interdisciplinary management teams are crucial for frontline learning in healthcare.
- However, learning-oriented leadership within these teams is uncommon.
Purpose of the Study:
- To identify behaviors that enable diverse manager groups to function as learning-oriented leadership teams.
- Focus on improving quality and safety through enhanced team performance.
Main Methods:
- Randomly selected 12 hospital manager groups for Safety Leadership Team Training.
- Collected data via surveys, interviews, observations, and archival records (March 2008-February 2010).
- Analyzed frontline perceptions of leadership and group objective achievement.
Main Results:
- Higher-performing groups invested in structures for learning capacity.
- These groups practiced specific learning-oriented management and problem-solving behaviors.
- Group success was driven by a vision for learning, valuing learning opportunities, mutual respect, and psychological safety.
Conclusions:
- Cultivating learning in management teams necessitates a clear vision of learning's benefits.
- A strong will to explore, practice, and build learning capacity is essential.
- Mutual respect is key to sustaining a supportive learning environment.
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