Health-care leaders' experiences of the competencies required for crisis management during COVID-19: a systematic review of qualitative studies
Ahti, Miro; Taipale-Walsh, Leonie; Kuha, Suvi; Kanste, Outi (2023-05-11)
Ahti, Miro
Taipale-Walsh, Leonie
Kuha, Suvi
Kanste, Outi
Emerald
11.05.2023
Ahti, M., Taipale-Walsh, L., Kuha, S. and Kanste, O. (2023), "Health-care leaders’ experiences of the competencies required for crisis management during COVID-19: a systematic review of qualitative studies", Leadership in Health Services, Vol. 36 No. 4, pp. 595-610. https://doi.org/10.1108/LHS-10-2022-0104
https://creativecommons.org/licenses/by/4.0/
© Miro Ahti, Leonie Taipale-Walsh, Suvi Kuha and Outi Kanste. Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http://creativecommons.org/licences/by/4.0/legalcode
https://creativecommons.org/licenses/by/4.0/
© Miro Ahti, Leonie Taipale-Walsh, Suvi Kuha and Outi Kanste. Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http://creativecommons.org/licences/by/4.0/legalcode
https://creativecommons.org/licenses/by/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi-fe2023052245843
https://urn.fi/URN:NBN:fi-fe2023052245843
Tiivistelmä
Abstract
Purpose:
This paper aims to synthesize health-care leaders’ experiences of the competencies required for crisis management.
Design/methodology/approach:
The systematic review followed the joanna briggs institute (JBI) guidance for systematic reviews of qualitative evidence. The search strategy included free text words and medical subject headings and peer-reviewed qualitative studies published in English, Finnish and Swedish and was not limited by year or country of publication. The databases searched in March 2022 were Scopus, PubMed, CINAHL, ABI/INFORM and the Finnish database Medic. Gray literature was searched using MedNar and EBSCO Open Dissertations. Studies were screened by title and abstract (n = 9,014) and full text (n = 43), and their quality was assessed by two independent reviewers. Eight studies were included. The data was analyzed using meta-aggregation.
Findings:
Fifty-one findings (themes and subthemes) were extracted, and 11 categories were created based on their similarities. Five synthesized findings were developed: the competence to comprehend the operational environment; the competence to stay resilient amidst change; the competence to adapt to and manage change; the competence to manage and take care of staff; and the competence to co-operate and communicate with diverse stakeholders.
Originality/value:
This systematic review produced novel information about health-care leaders’ experiences of the competencies required for crisis management during COVID-19. This study complements the field of research into crisis management in health care by introducing five original and unique competency clusters required for crisis management during the acute phase of COVID-19.
Purpose:
This paper aims to synthesize health-care leaders’ experiences of the competencies required for crisis management.
Design/methodology/approach:
The systematic review followed the joanna briggs institute (JBI) guidance for systematic reviews of qualitative evidence. The search strategy included free text words and medical subject headings and peer-reviewed qualitative studies published in English, Finnish and Swedish and was not limited by year or country of publication. The databases searched in March 2022 were Scopus, PubMed, CINAHL, ABI/INFORM and the Finnish database Medic. Gray literature was searched using MedNar and EBSCO Open Dissertations. Studies were screened by title and abstract (n = 9,014) and full text (n = 43), and their quality was assessed by two independent reviewers. Eight studies were included. The data was analyzed using meta-aggregation.
Findings:
Fifty-one findings (themes and subthemes) were extracted, and 11 categories were created based on their similarities. Five synthesized findings were developed: the competence to comprehend the operational environment; the competence to stay resilient amidst change; the competence to adapt to and manage change; the competence to manage and take care of staff; and the competence to co-operate and communicate with diverse stakeholders.
Originality/value:
This systematic review produced novel information about health-care leaders’ experiences of the competencies required for crisis management during COVID-19. This study complements the field of research into crisis management in health care by introducing five original and unique competency clusters required for crisis management during the acute phase of COVID-19.
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