Academic Journal
Contextual factors affecting learning-oriented leadership in healthcare: a case study.
| Title: | Contextual factors affecting learning-oriented leadership in healthcare: a case study. |
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| Authors: | Lørum RM; Department of Continous Improvement, Ostfold County Hospital, Gralum, Norway.; Department of Service, Management, and Logistics, Chalmers University of Technology, Gothenburg, Sweden., Eriksson H; Department of Service, Management, and Logistics, Chalmers University of Technology, Gothenburg, Sweden.; University West , Trollhättan, Sweden., Smith F; Department of Service, Management, and Logistics, Chalmers University of Technology, Gothenburg, Sweden.; Regional Cancer Centre West , Gothenburg, Sweden. |
| Source: | Journal of health organization and management [J Health Organ Manag] 2026 Jun 09; Vol. 40 (4), pp. 684-704. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Emerald Country of Publication: England NLM ID: 101179473 Publication Model: Print Cited Medium: Internet ISSN: 1758-7247 (Electronic) Linking ISSN: 14777266 NLM ISO Abbreviation: J Health Organ Manag Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Bradford, West Yorkshire, England : Emerald, c2003- |
| MeSH Terms: | Delivery of Health Care*/organization & administration , Leadership* , Learning*, Organizational Case Studies ; Focus Groups ; Humans ; Qualitative Research ; Interviews as Topic |
| Abstract: | Purpose: To explore how contextual factors affect the practice of learning-oriented leadership in fragmented healthcare systems. Design/methodology/approach: A 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. Findings: Four 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/value: By 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. (© Emerald Publishing Limited.) |
| Contributed Indexing: | Keywords: Expansive learning; Fragmented healthcare systems; Healthcare leadership; Inter-organizational learning; Learning-oriented leadership; Organizational learning |
| Entry Date(s): | Date Created: 20251006 Date Completed: 20260613 Latest Revision: 20260613 |
| Update Code: | 20260615 |
| DOI: | 10.1108/JHOM-03-2025-0151 |
| PMID: | 41047895 |
| Database: | MEDLINE |
| ISSN: | 1758-7247 |
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| DOI: | 10.1108/JHOM-03-2025-0151 |