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Management and Leadership in Healthcare: Expectations, Conditions, Skills, and Reflections in a Leadership Program

10 июля 2026 г. обновлено: Kristina Lagerstedt, Kronoberg County Council

First- and Second-Line Healthcare Managers' Expectations, Skills, and Conditions for Practicing Management and Leadership Before, During, and After Participation in a Leadership Development Program, and Their Reflections on the Program

This study follows first- and second-line healthcare managers who take part in an established leadership development program in a Swedish healthcare region. The study examines managers' expectations of the program and how they describe their skills and conditions for practicing management and leadership before, during, and after participation. It also explores their reflections on the program, including learning, new insights, application in everyday management practice, and conditions for taking part.

Participants complete questionnaires before the program, immediately after it ends, and one year later. During the program, they record reflections in structured diaries. After the program, participants are invited to focus group interviews to discuss their experiences in greater depth. The questionnaire, diary, and interview findings will be combined to provide a broader understanding of managers' development and experiences of the program.

Обзор исследования

Статус

Еще не набирают

Условия

Вмешательство/лечение

Подробное описание

The aim of this study is to describe and compare first- and second-line managers' expectations, skills, and conditions for practicing management and leadership before, during, and after participation in a leadership development program, as well as their reflections on the program.

Approximately 50 first- and second-line healthcare managers participating in a leadership development program will be followed from autumn 2026. Data will be collected through questionnaires, diary entries, and focus group interviews.

A web-based questionnaire will be administered before the program, immediately after completion, and one year after completion. The questionnaire will collect demographic information and data on the managers' self-rated management and leadership using the Leadership and Management Inventory, LaMI-II, and on thriving, understood as flourishing and developing positively, using the Thriving Scale. Study-specific questions will also address whether participants have considered leaving or have left their current management position.

During the leadership development program, participants will be asked to use diaries to describe their expectations of the program and to reflect on learning, insights, application, conditions for participating in the program, and conditions for practicing management and leadership.

After completion of the leadership development program, focus group interviews will be conducted with 5-7 participants in each group. The interviews will be based on the participants' collective descriptions in the diary entries.

Questionnaire data will be compared longitudinally using statistical tests appropriate to the level and distribution of the data. Diary entries and focus group interviews will be analyzed using qualitative content analysis. The quantitative and qualitative results will then be integrated to provide a deeper understanding of the managers' development, experiences, and conditions before, during, and after participation in the leadership development program.

Тип исследования

Наблюдательный

Регистрация (Оцененный)

50

Контакты и местонахождение

В этом разделе приведены контактные данные лиц, проводящих исследование, и информация о том, где проводится это исследование.

Контакты исследования

  • Имя: Karin Lundin, PhD
  • Номер телефона: +46 737892236
  • Электронная почта: karin.lundin@hig.se

Места учебы

  • Швеция
    • Kronoberg County
      • Vaxjo, Kronoberg County, Швеция, 351 88
        • Region Kronoberg
        • Контакт:
          • Karin Lundin, PhD
          • Номер телефона: +46 737892236
          • Электронная почта: karin.lundin@hig.se

Критерии участия

Исследователи ищут людей, которые соответствуют определенному описанию, называемому критериям приемлемости. Некоторыми примерами этих критериев являются общее состояние здоровья человека или предшествующее лечение.

Критерии приемлемости

Возраст, подходящий для обучения

  • Ребенок
  • Взрослый
  • Пожилой взрослый

Принимает здоровых добровольцев

Нет

Метод выборки

Невероятностная выборка

Исследуемая популяция

The study population consists of approximately 50 first- and second-line healthcare managers employed in Region Kronoberg who have been selected by the healthcare organization to participate in the leadership development program starting in September 2026. Selection for the program takes place independently of the research study. Managers who consent to participate in the study are followed from before the start of the program until one year after program completion.

Описание

Inclusion Criteria:

  • Employed as a first- or second-line healthcare manager in Region Kronoberg and selected by the healthcare organization to participate in the leadership development program starting in September 2026.

Exclusion Criteria:

  • Not employed as a first- or second-line healthcare manager

Учебный план

В этом разделе представлена ​​подробная информация о плане исследования, в том числе о том, как планируется исследование и что оно измеряет.

Как устроено исследование?

Детали дизайна

Когорты и вмешательства

Группа / когорта
Вмешательство/лечение
Healthcare Managers Participating in a Leadership Development Program
First- and second-line healthcare managers who have been selected by the healthcare organization to participate in its established leadership development program. Selection and admission to the program occur independently of the research study. Participants who consent to the study are followed from before the program begins until one year after program completion.
Поведенческий: Leadership Development Program
An established leadership development program provided annually by a Swedish healthcare region for first- and second-line managers. The program includes planned learning activities, reflection, and interaction intended to support participants in developing their management and leadership practice. The healthcare organization selects participants and provides the program independently of the research study. The research team does not assign participants to the program or determine its content or delivery.

Что измеряет исследование?

Первичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Self-rated management and leadership performance
Временное ограничение: Before the leadership development program, immediately after program completion, and 12 months after program completion

Self-rated management and leadership performance will be assessed using the Leadership and Management Inventory-II (LaMI-II). The instrument consists of 25 items divided into two factors: management and leadership. Each item is rated on a five-point scale ranging from 1 (not at all) to 5 (to a very large extent).

Scores will be calculated for the management factor, the leadership factor, and the total scale. Raw scores will be transformed to values ranging from 20 to 100 by dividing the sum of the item scores by the highest possible score and multiplying by 100. Higher scores indicate more desirable self-rated management and leadership performance.

Changes in management, leadership, and total scores will be examined over time. Scores may also be compared within the study group according to demographic and work-related characteristics and whether participants have considered leaving or have left their current management position.
Before the leadership development program, immediately after program completion, and 12 months after program completion
Thriving at work
Временное ограничение: Before the leadership development program, immediately after program completion, and 12 months after program completion.

Thriving at work will be assessed using the 10-item Thriving Scale. The scale consists of two factors: learning and vitality, with five items representing each factor. Each item is rated on a seven-point scale ranging from 1 (totally disagree) to 7 (totally agree).

Mean scores will be calculated for the learning factor, the vitality factor, and the total scale. Higher scores indicate a higher degree of thriving at work, understood as the joint experience of learning and vitality.

Changes in learning, vitality, and total thriving scores will be examined over time. Scores may also be compared within the study group according to demographic and work-related characteristics and whether participants have considered leaving or have left their current management position.
Before the leadership development program, immediately after program completion, and 12 months after program completion.
Healthcare Managers' Reflections on the Leadership Development Program
Временное ограничение: From the beginning of the leadership development program until completion of the focus group interviews, approximately September 2026 to September 2027

Participants' reflections on the leadership development program will be explored through structured diary entries completed during the program and through focus group interviews conducted after program completion.

The diary entries will address participants' expectations of the program and their reflections on learning, insights, application of program content, conditions for participating in the program, and conditions for practicing management and leadership. The focus group interviews will explore these areas in greater depth and will be informed by the participants' collective diary reflections.

Diary entries and transcribed focus group interviews will be analyzed using qualitative content analysis. The outcome will consist of categories describing participants' expectations, experiences, learning, application, and perceived conditions related to the leadership development program and their management and leadership practice.
From the beginning of the leadership development program until completion of the focus group interviews, approximately September 2026 to September 2027

Вторичные показатели результатов

Мера результата
Мера Описание
Временное ограничение
Intention to Leave or Having Left the Current Management Position
Временное ограничение: Immediately after completion of the leadership development program and 12 months after program completion
Participants will be asked whether they have considered leaving their current management position or have left the position. The study-specific questionnaire responses will be described and may also be used to compare self-rated management and leadership and thriving scores within the study group.
Immediately after completion of the leadership development program and 12 months after program completion

Соавторы и исследователи

Здесь вы найдете людей и организации, участвующие в этом исследовании.

Спонсор

Kronoberg County Council

Соавторы

University of Gavle

Даты записи исследования

Эти даты отслеживают ход отправки отчетов об исследованиях и сводных результатов на сайт ClinicalTrials.gov. Записи исследований и сообщаемые результаты проверяются Национальной медицинской библиотекой (NLM), чтобы убедиться, что они соответствуют определенным стандартам контроля качества, прежде чем публиковать их на общедоступном веб-сайте.

Изучение основных дат

Начало исследования (Оцененный)

1 сентября 2026 г.

Первичное завершение (Оцененный)

1 июня 2028 г.

Завершение исследования (Оцененный)

1 июля 2028 г.

Даты регистрации исследования

Первый отправленный

25 июня 2026 г.

Впервые представлено, что соответствует критериям контроля качества

25 июня 2026 г.

Первый опубликованный (Действительный)

1 июля 2026 г.

Обновления учебных записей

Последнее опубликованное обновление (Действительный)

13 июля 2026 г.

Последнее отправленное обновление, отвечающее критериям контроля качества

10 июля 2026 г.

Последняя проверка

1 июля 2026 г.

Дополнительная информация

Термины, связанные с этим исследованием

Ключевые слова

Другие идентификационные номера исследования

  • 2026-00139-01

Планирование данных отдельных участников (IPD)

Планируете делиться данными об отдельных участниках (IPD)?

НЕТ

Описание плана IPD

Individual participant data will not be shared outside the research group because the study involves a small and well-defined group of healthcare managers within one organization. The dataset includes longitudinal questionnaire responses, diary entries, and focus group interview data. Even after removal of direct identifiers, combining information across data sources and time points could create a risk of indirect identification. Data will therefore be handled in accordance with the approved ethical application and applicable data protection requirements. Aggregated and anonymized study results will be reported in publications.

Информация о лекарствах и устройствах, исследовательские документы

Изучает лекарственный продукт, регулируемый FDA США.

Нет

Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.

Нет

Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .

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