Contextual factors affecting learning-oriented leadership in healthcare: a case study
Artikel i vetenskaplig tidskrift, 2025

PurposeTo explore how contextual factors affect the practice of learning-oriented leadership in fragmented healthcare systems.Design/methodology/approachA qualitative case study using a participatory approach. Data were collected through semi-structured focus groups and interviews with leaders across hospital levels. Thematic analysis was applied.FindingsFour contextual factors were identified: (1) multiple external drivers (why), (2) diverse actors and perspectives (who), (3) emergent, unpredictable change (how) and (4) organizational resources and support (what). The study refines the learning-oriented leadership framework in fragmented healthcare systems by emphasizing (1) cross-boundary leadership, (2) contradiction management, (3) leading for organizational learning under resource constraints and (4) differentiated leadership roles across levels.Originality/valueBy integrating empirical insights with expansive learning theory, the study advances the learning-oriented leadership framework and offers strategies for leadership and policy in complex healthcare systems.

Healthcare leadership

Expansive learning

Organizational learning

Inter-organizational learning

Learning-oriented leadership

Fragmented healthcare systems

Författare

Rachel Lörum

Chalmers, Teknikens ekonomi och organisation, Innovation and R&D Management

Sykehuset Østfold

Henrik Eriksson

Högskolan Väst

Chalmers, Teknikens ekonomi och organisation, Innovation and R&D Management

Frida Smith

Chalmers, Teknikens ekonomi och organisation, Service Management and Logistics

Regionalt cancercentrum Väst

Journal of Health, Organisation and Management

1477-7266 (ISSN)

Vol. In Press

Ämneskategorier (SSIF 2025)

Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Arbetslivsstudier

DOI

10.1108/JHOM-03-2025-0151

PubMed

41047895

Mer information

Senast uppdaterat

2025-10-17