SynthesisBMC health services research2019
Healthcare middle managers' experiences of developing capacity and capability: a systematic review and meta-synthesis.
Synthesis in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 39 citations in OpenAlex.
- Managerial perceptions of core competencies for healthcare middle managers in Bahrain and Saudi Arabia: a qualitative study.International journal of medical education · 2026Article
- Does Structural Empowerment of Nurse Leaders Moderate the Relationship Between Destructive Leadership and Nursing Outcomes?-A Cross-Sectional Study.Journal of advanced nursing · 2025Article
- Experiences of developing competency in a network of nurse executives working at rural medical facilities: an ethnographic qualitative study.Journal of rural medicine : JRM · 2025Article
- Continuous quality improvement across a South Australian health service and the role it plays in a learning health system: a qualitative study.BMC health services research · 2025Article
- Implementation of large, multi-site hospital interventions: a realist evaluation of strategies for developing capability.BMC health services research · 2024Article
- An Organizational Leadership Development Approach to Support Health Worker Mental Health.American journal of public health · 2024Article
- Realist synthesis of factors affecting retention of staff in UK adult mental health services.BMJ open · 2023Review
- Dignity at stake - relatives' experiences of influencing dignified care in nursing homes.BMC health services research · 2023Article
- Allied health professionals' perceptions of research in the United Kingdom national health service: a survey of research capacity and culture.BMC health services research · 2022Article
- Refining a capability development framework for building successful consumer and staff partnerships in healthcare quality improvement: A coproduced eDelphi study.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- "Navigation to prioritizing the patient" - first-line nurse managers' experiences of participating in a quality improvement collaborative.BMC health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare middle managers play a central role in reducing harm, improving patient safety, and strengthening the quality of healthcare. The aim of this systematic review was to identify the present knowledge and critically discuss how healthcare middle managers experienced to develop the capacity and capability for leadership in a healthcare system characterized by high complexity.
methodsThis comprehensive systematic review provided evidence of healthcare middle managers' experiences in developing the capacity and capability for leadership in public healthcare. The three-step literature search was based on six databases and led by a PICo question. The review had a critical hermeneutic perspective and was based on an a priori published, protocol. The methods were inspired by the Joanna Briggs Institute and techniques from Kvale and Brinkmann. The results were illustrated by effect size, inspired by Sandelowski and Barroso.
resultsTwenty-three studies from four continents and multiple contexts (hospitals and municipal healthcare) published from January 2005-February 2019 were included. Based on experiences from 482 healthcare middle managers, 2 main themes, each with 2 subthemes, were identified, and from these, a meta-synthesis was developed: Healthcare middle managers develop capacity and capability through personal development processes empowered by context. The main themes included the following: 1. personal development of capacity and capability and 2. a need for contextual support. From a critical hermeneutic perspective, contrasts were revealed between how healthcare middle managers experienced the development of their capacity and capability and what they experienced as their typical work situation.
conclusionsThis review provides evidence of the need for a changed approach in healthcare in relation to criticisms of present organizational structures and management methods and suggestions for how to strengthen healthcare middle managers' capacity and capability for leadership in a healthcare system characterized by high complexity. Evidence of how leadership development affected the clinical context and, thus, the quality of healthcare was found to be a field requiring further research. PROSPERO REGISTRATION NUMBER: CRD42018084670.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.