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Impact of training and professional development on health management and leadership competence: A mixed methods systematic review

Reuben Olugbenga Ayeleke (Health Systems Section, School of Population Health, University of Auckland, Auckland, New Zealand)
Nicola Henri North (Health Systems Section, School of Population Health, University of Auckland, Auckland, New Zealand)
Annette Dunham (Health Systems Section, School of Population Health, University of Auckland, Auckland, New Zealand)
Katharine Ann Wallis (Department of General Practice and Primary Health Care, School of Population Health, University of Auckland, Auckland, New Zealand)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 12 June 2019

Issue publication date: 8 July 2019

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Abstract

Purpose

Training to improve health management and leadership competence is recommended. However, there is limited evidence showing the impact of training on competence. The purpose of this paper is to evaluate the evidence for the impact of training and professional development on health management and leadership competence.

Design/methodology/approach

A systematic review was conducted using a mixed-methods design. Studies using qualitative, quantitative or mixed-methods design were included. The following electronic databases were searched to October 2018: CENTRAL, CINAHL, EMBASE, ERIC, NEDLINE and PsycINFO. Study eligibility and methodological quality were assessed independently by two review authors. Data from qualitative studies were synthesised using thematic analysis. For quantitative studies, odds ratio (OR) or mean difference (MD) and 95% confidence interval (CI) were calculated for each intervention. Where appropriate, qualitative and quantitative data were integrated into a single synthesis using Bayesian methods.

Findings

In total, 19 studies were identified for inclusion in the review. Training and professional development interventions using flexible, multiple training techniques tailored to organisational contexts can improve individual competence and performance. Such training is typified by a leadership development programme. There was insufficient evidence to determine the effects of interventions on organisational performance.

Originality/value

This is the first systematic review evaluating the impact of training and professional development interventions on health management and leadership competence.

Keywords

Acknowledgements

Conflict of interests: the authors declare that they have no known conflict of interests. Authors’ contributions: ROA and NN performed abstract screening, full-text screening, data extraction, data analysis and assessment of methodological quality. All review authors contributed to the writing of the manuscript of the review. The authors wish to thank Marian Showell of the Cochrane Gynecology and Fertility Group, University of Auckland, for helping with the search for relevant studies.

Citation

Ayeleke, R.O., North, N.H., Dunham, A. and Wallis, K.A. (2019), "Impact of training and professional development on health management and leadership competence: A mixed methods systematic review", Journal of Health Organization and Management, Vol. 33 No. 4, pp. 354-379. https://doi.org/10.1108/JHOM-11-2018-0338

Publisher

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Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited

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