A Systematic Review on Leadership Styles and Strategic Performance in the Private Health Sector
Keywords:
Leadership Styles, Strategics Performance, Systematic ReviewAbstract
This systematic review aimed to analyze the characteristics and synthesize leadership factors influencing strategic performance in the private sector. Research articles were systematically searched in national and international research databases. The databases included PubMed, Google Scholar, CINAHL, Science Direct, ThaiJo, ThaiLis, and other electronic databases from various universities. Thirteen relevant research articles were purposively selected from research reports for this study. The instruments utilized encompassed the collection of general data from the research reports and quality assessment records, based on the PRISMA 2020 concept, and the quality assessment criteria for research papers were used as a tool to assess the selected research articles. The tool evaluated by the research team yielded 84% of inter-rater reliability. Kappa Statistics was used to assess the consensus between the assessors. It found that the research quality assessment between the assessors is not significantly different (k = 0.09, p-value = 0.22). Descriptive statistics were applied to describe research articles. And results showed the following.
1. The research results found that there were all quantitative research articles (n = 13). The study's setting was mostly found in the business administration sector (n = 12). There was only one study in a health organization and no studies were found in Thailand.
2. The leadership theory most commonly used in research studies (n = 6) was strategic leadership theory, which consists of 4 components: 1) strategic direction settings, 2) strategic articulation, 3) strategic intelligence leadership and 4) strategic alignment. The strategic performance of most private organizations consists of 3 components: 1) operational performance, 2) financial performance, and 3) level of competition. Most research results found that strategic leadership has a relationship and has a direct influence on the strategic performance of private sector organizations.
This research indicates that strategic leadership is important in increasing strategic performance in healthcare private sector organizations. New knowledge should be expanded in health organizations, especially nursing organization in the Thai context with budget support for research.
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