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Review
. 2020 Sep 8;ahead-of-print(ahead-of-print).
doi: 10.1108/JHOM-06-2020-0212.

Evaluating the clinical dyad leadership model: a narrative review

Jessica Miller Clouser  1 , Nikita Leigh Vundi  1 , Amy Mitchell Cowley  2 , Christopher Cook  2 , Mark Vincent Williams  3 , Megan McIntosh  4 , Jing Li  3
Affiliations
Free article
Review

Evaluating the clinical dyad leadership model: a narrative review

Jessica Miller Clouser et al. J Health Organ Manag. .
Free article

Abstract

Purpose: Dyadic leadership models, in which two professionals jointly lead and share unit responsibilities, exemplifies a recent trend in health care. Nonetheless, much remains unknown about their benefits and drawbacks. In order to understand their potential impact, we conducted a review of literature evaluating dyad leadership models in health systems.

Design/methodology/approach: Our narrative review began with a search of PubMed, CINAHL, Web of Science and Scopus using key terms related to dyads and leadership. The search yielded 307 articles. We screened titles/abstracts according to these criteria: (1) focus on dyadic leadership model, i.e. physician-nurse or clinician-administrator, (2) set in health care environment and (3) peer-reviewed with an evaluative component of dyadic model. This yielded 22 articles for full evaluation, of which six were relevant for this review.

Findings: These six articles contribute an assessment of (1) teamwork and communication perceptions and their changes through dyad implementation, (2) dyad model functionality within the health system, (3) lessons learned from dyad model implementation and (4) dyad model adoption and model fidelity.

Research limitations/implications: Research in this area remains nascent, and most articles focused on implementation over evaluation. It is possible that some articles were excluded due to our methodology, which excluded nonEnglish articles.

Practical implications: Findings provide guidance for health care organizations seeking to implement dyadic leadership models. Rigorous studies are needed to establish the impact of dyadic leadership models on quality and patient outcomes.

Originality/value: This review consolidates evidence surrounding the implementation and evaluation of a leadership model gaining prominence in health care.

Keywords: Dyad; Healthcare; Leadership; Physician-nurse collaboration.

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References

    1. AHA (2018), A Model for Clinical Partnering: How Nurse and Physician Executives Use Synergy as Strategy, American Hospital Association, available at: https://www.aha.org/system/files/2018-08/plf-issue-brief-clinical-partne... (accessed 5 August 2020).
    1. AHRQ (2010), Improvement Projects Led by Unit-Based Teams of Nurse, Physician, and Quality Leaders Reduce Infections, Lower Costs, Improve Patient Satisfaction, and Nurse–Physician Communication, Service Delivery Innovation Profile, available at: https://innovations.ahrq.gov/profiles/improvement-projects-led-unit-base... (accessed 20 December).
    1. Baethge, C., Goldbeck-Wood, S. and Mertens, S. (2019), “SANRA—a scale for the quality assessment of narrative review articles”, Research Integrity and Peer Review, Vol. 4 No. 1, p. 5, doi: 10.1186/s41073-019-0064-8.
    1. Baldwin, K.S., Dimunation, N. and Alexander, J. (2011), “Health care leadership and the dyad model”, Physician Executive, Vol. 37 No. 4, pp. 66-70, available at: https://pubmed.ncbi.nlm.nih.gov/21827104/.
    1. Batalden, P., Nelson, E., Mohr, J., Godfrey, M., Huber, T., Kosnik, L. and Ashling, K. (2003), “Microsystems in health care: part 5. how leaders are leading”, Joint Commission Journal for Quality and Patient Safety, Vol. 2 No. 6, pp. 297-308, doi: 10.1016/s1549-3741(03)29034-1.

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