iLead—a transformational leadership intervention to train healthcare managers’ implementation leadership
Open accessAbstract
BACKGROUND: Leadership is a key feature in implementation efforts, which is highlighted in most implementation frameworks. However, in studying leadership and implementation, only few studies rely on established leadership theory, which makes it difficult to draw conclusions regarding what kinds of leadership managers should perform and under what circumstances. In industrial and organizational psychology, transformational leadership and contingent reward have been identified as effective leadership styles for facilitating change processes, and these styles map well onto the behaviors identified in implementation research. However, it has been questioned whether these general leadership styles are sufficient to foster specific results; it has therefore been suggested that the leadership should be specific to the domain of interest, e.g., implementation. To this end, an intervention specifically involving leadership, which we call implementation leadership, is developed and tested in this project. The aim of the intervention is to increase healthcare managers' generic implementation leadership skills, which they can use for any implementation efforts in the future. METHODS/DESIGN: The intervention is conducted in healthcare in Stockholm County, Sweden, where first- and second-line managers were invited to participate. Two intervention groups are included, including 52 managers. Intervention group 1 consists of individual managers, and group 2 of managers from one division. A control group of 39 managers is additionally included. The intervention consists of five half-day workshops aiming at increasing the managers' implementation leadership, which is the primary outcome of this intervention. The intervention will be evaluated through a mixed-methods approach. A pre- and post-design applying questionnaires at three time points (pre-, directly after the intervention, and 6 months post-intervention) will be used, in addition to process evaluation questionnaires related to each workshop. In addition, interviews will be conducted over time to evaluate the intervention. DISCUSSION: The proposed intervention represents a novel contribution to the implementation literature, being the first to focus on strengthening healthcare managers' generic skills in implementation leadership.
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Existing leadership-focused implementation strategies, such as LOCI or iLead, likely have utility for promoting implementation leadership behaviors among principals and other school building-level leaders.
“Existing leadership-focused implementation strategies, such as Leadership and Organizational Change for Implementation (LOCI) [28] or iLead [93] also likely have utility for promoting implementation leadership behaviors among principals and other school building-level leaders.”
From Leading the charge in the education sector: development and validation of the School Implementation Leadership Scale (SILS) (2022) · cites this paper as [93]
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- Authors
- Richter, A., von Thiele Schwarz, U., Lornudd, C., Lundmark, R., Mosson, R., & Hasson, H.
- Affiliations
- Stockholm University (SE)
- Region Stockholm (SE)
- Karolinska Institutet (SE)
- Corresponding author
- Richter, Anne
- Venue
- Implementation Science
- Published
- 2015-12
- Volume
- 11
- Issue
- 1
- Pages
- 108-108
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC4966756
- OpenAlex
- W2477683144
- Cited by
- 75
- References
- 89
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 12 · 2020: 13 · 2019: 7 · 2018: 12 · 2017: 3
- FWCI
- 9.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Implementation Science (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- Funders
- AFA Försäkring (140114)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Organizational Change and Leadership
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- implementation leadership, transformational leadership, contingent reward, health managers, leadership interventions, implementation research, organizational change, workshop-based training, health management
- MeSH terms
- Delivery of Health Care, Health Personnel, Health Plan Implementation, Health Services Administration, Humans, Inservice Training, Leadership, Organizational Innovation, Sweden
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