Article Text

Download PDFPDF
Kindness in healthcare leadership and management: an evaluation and analysis of the concept
  1. Rebecca Dyar1,
  2. Karen Mattick2,
  3. Andrew Griffiths3
  1. 1Anaesthetics and Intensive Care Medicine, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK
  2. 2University of Exeter, Exeter, UK
  3. 3Mid and South Essex Integrated Care Organisation, Chelmsford, UK
  1. Correspondence to Dr Rebecca Dyar, Anaesthetics and Intensive Care Medicine, Royal Devon University Healthcare NHS Foundation Trust, Exeter EX2 5DW, UK; rebecca.dyar{at}gmail.com

Abstract

Background Healthcare leadership and management impacts every patient journey and every staff experience. Good leadership results in positive outcomes. Kindness is an understudied and underused leadership strategy. The research questions addressed in this study are the following: (1) Does kindness in healthcare leadership and management currently meet the criteria of a mature concept?; (2) Using concept analysis methodology, can we develop our understanding of kindness within this context?

Methods A systematic search of the peer-reviewed literature was conducted to inform a concept evaluation, followed by a concept analysis. Search terms consisted of ‘leader*’ or ‘manage*’ and ‘kindness’; databases searched comprised MEDLINE, HMIC, SPP, APA PsycInfo and CINAHL. Data extraction and thematic analysis of the data were performed manually according to concept analysis principles.

Results The 10 papers included from the search suggested that within healthcare leadership and management, kindness is an ‘emerging’ rather than a ‘mature’ concept. Concept analysis demonstrated a cluster of recurring attributes, allowing a theoretical definition to be put forth.

Conclusions Despite being a commonly used lay term, kindness in the context of healthcare leadership and management is not yet a mature concept. Work developing this concept is needed to validate the proposed theoretical definition. Observational studies and systematic review of the grey literature are recommended.

  • values
  • patient experience
  • medical leadership
  • engagement
  • behaviour

Data availability statement

All data relevant to the study are included in the article or uploaded as supplemental information.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Data availability statement

All data relevant to the study are included in the article or uploaded as supplemental information.

View Full Text

Footnotes

  • X @RebeccaDyar

  • Contributors RD (guarantor), KM and AG contributed to the design of the study. RD and KM implemented the methodology. RD wrote the manuscript with input from KM. All authors reviewed the results of the study and commented on the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.