Contextual leadership: A systematic review of how contextual factors shape leadership and its outcomes

2018 ◽  
Vol 29 (1) ◽  
pp. 218-235 ◽  
Author(s):  
Burak Oc
Keyword(s):  
Systematic Review ◽  
Contextual Factors ◽  
Contextual Leadership

scholarly journals Hospital contextual factors affecting the implementation of health technologies: a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adriano Grossi ◽  
Ilda Hoxhaj ◽  
Irene Gabutti ◽  
Maria Lucia Specchia ◽  
Americo Cicchetti ◽  
...  
Keyword(s):  
Systematic Review ◽  
Information And Communication Technologies ◽  
Contextual Factors ◽  
Hospital Level ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Health Technologies ◽  
Newcastle Ottawa Scale ◽  
Critical Appraisal Skills

Abstract Background To keep a high quality of assistance it is important for hospitals to invest in health technologies (HTs) that have the potential of improving health outcomes. Even though guidance exists on how HTs should be introduced, used and dismissed, there is a surprising gap in literature concerning the awareness of hospitals in the actual utilization of HTs. Methods We performed a systematic literature review of qualitative and quantitative studies aimed at investigating hospital contextual factors that influence the actual utilization of HTs. PubMed, Scopus, Web of Science, Econlit and Ovid Medline electronic databases were searched to retrieve articles published in English and Italian from January 2000 to January 2019. The quality of the included articles was assessed using the Critical Appraisal Skills Programme checklist for qualitative studies, Newcastle-Ottawa Scale for the cross-sectional studies and the Mixed Methods Appraisal Tool for mixed method studies. Results We included 33 articles, which were of moderate to high methodological quality. The included articles mostly addressed the contextual factors that impact the implementation of information and communication technologies (ICTs). Overall, for all HTs, the hospital contextual factors were part of four categories: hospital infrastructure, human resource management, financial resources and leadership styles. Conclusion Our systematic review reported that the contextual factors influencing the HTs utilization at hospital level are mainly explored for ICTs. Several factors should be considered when planning the implementation of a new HTs at hospital level. A potential publication bias might be present in our work, since we included articles published only in English and Italian Language, from January 2000 to January 2019. There remains a gap in the literature on the facilitators and barriers influencing the implementation and concrete utilization of medical and surgical HTs, suggesting the need for further studies for a better understanding.

Mindfulness-Based Interventions and Cardiovascular Risk Factors in US Racial/Ethnic Minority Populations: A Systematic Review of Implementation Data to Address Health Disparities

2021 ◽  
Author(s):  
Tonya Faye Sanchez ◽  
E. Karina Santamaria ◽  
Dana Rubenstein ◽  
Judson Brewer ◽  
Don Operario
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Cardiovascular Disease ◽  
Disease Risk ◽  
Contextual Factors ◽  
Cardiovascular Disease Risk ◽  
The United States ◽  
Future Research ◽  
Minority Populations ◽  
Cvd Risk

Abstract Cardiovascular disease (CVD) is a persistent public health challenge. Mindfulness-based Interventions (MBI) have been researched for CVD risk factors, though their effectiveness, generalizability, and potential for implementation to racial and ethnic minorities remain unclear. This review examines studies of MBI on CVD risk for characteristics of and variations in implementation (i.e., intervention design, delivery, uptake, and contextual factors) and analyzes potential barriers and challenges to implementation. A systematic review in February 2020 identified 30 studies from 5 databases and hand searches. Included studies were randomized controlled trials testing meditation or mindfulness-based interventions against any control to measure change or improvement in cardiovascular health measures or risk behaviors in adults living in the United States or territories. Analysis of the implementation characteristics and contextual factors of included studies was conducted using the Oxford Implementation Index. Thirty reports from 26 distinct trials were selected for inclusion, examining outcomes related to diet (k [number of studies] = 13), smoking (k = 11), obesity (k = 9), exercise (k = 4), diabetes (k = 3), and blood lipids (k = 2). All studies were published between 2011 and 2020 and correspond to early stages of research. As such, numerous limitations and implementation characteristics with potential consequence for CVD risk disparities were reported. This review outlines several potential targets for future research. Based on reported findings across all included studies, MBI could be of benefit for cardiovascular disease risk. Further research is needed to explore acceptability, feasibility, and effectiveness in minority populations.

scholarly journals Contextual factors associated with life-space mobility in community-dwelling older adults based on International Classification of Functioning, Disability and Health: protocol for a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023468 ◽  
Author(s):  
Heloisa Maria Jácome Sousa Britto ◽  
Bruna Silva Oliveira ◽  
Cristiano Santos Gomes ◽  
Juliana Martins Pinto ◽  
Ricardo Oliveira Guerra
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Contextual Factors ◽  
Community Dwelling ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Life Space ◽  
Factors Associated ◽  
Community Dwelling Older Adults

IntroductionMobility decline compromises functionality and quality of life in old age. Life-Space Assessment (LSA) evaluates mobility considering interaction between person and environment. The International Classification of Functioning, Disability and Health (ICF) is a reference to identify and categorise the personal and environmental contextual factors associated to the LSA. Our objective is identifying contextual factors that may influence life-space mobility of older community-dwelling adults based on ICF.Methods and analysisA systematic review of literature will be performed to identify studies published between 1 January 2001 and 10 May 2017 which investigates life-space mobility among older adults. Keywords will be entered into the electronic databases of MEDLINE (PubMed), EMBASE (OVID), CINHAL (EBSCO), Cochrane Central Register of Controlled Trials Cochrane Central (OVID), PsycINFO (EBSCO) and COCH (OVID). Five investigators will work on search databases and standardised screening of the articles. Mobility predictors will be separated into personal and environmental aspects, according to the ICF model. The results will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, and then a meta-analysis will be performed, if applicable.DiscussionKnowledge about life-space mobility in community-dwelling older adults by examining related risk and protective aspects may help practitioners better approach older adults’ mobility and prevent their decline in old age. Furthermore, researchers will have more clues for investigations into factors related to life-space mobility.Trial registration numberCRD42017064552.

Understanding meaning in life interventions in patients with advanced disease: A systematic review and realist synthesis

2017 ◽  
Vol 31 (9) ◽  
pp. 798-813 ◽  
Author(s):  
Mariona Guerrero-Torrelles ◽  
Cristina Monforte-Royo ◽  
Andrea Rodríguez-Prat ◽  
Josep Porta-Sales ◽  
Albert Balaguer
Keyword(s):  
Systematic Review ◽  
Meaning In Life ◽  
Advanced Disease ◽  
Contextual Factors ◽  
Life Quality ◽  
Well Being ◽  
Physical Symptoms ◽  
Realist Synthesis ◽  
Clinical Benefits ◽  
Meta Analyses

Background: Among patients with advanced disease, meaning in life is thought to enhance well-being, promote coping and improve the tolerance of physical symptoms. It may also act as a buffer against depression and hopelessness. As yet, there has been no synthesis of meaning in life interventions in which contextual factors, procedures and outcomes are described and evaluated. Aims: To identify meaning in life interventions implemented in patients with advanced disease and to describe their context, mechanisms and outcomes. Design: Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and realist synthesis of meaning in life interventions using criteria from the Realist And Meta-narrative Evidence Syntheses: Evolving Standards project. Data sources: The CINAHL, PsycINFO, PubMed and Web of Science databases were searched. Results: A total of 12 articles were included in the systematic review, corresponding to nine different interventions. Five articles described randomized controlled trials, two were qualitative studies, two were commentaries or reflections, and there was one pre–post evaluation, one exploratory study and one description of a model of care. Analysis of context, mechanisms and outcomes configurations showed that a core component of all the interventions was the interpersonal encounter between patient and therapist, in which sources of meaning were explored and a sense of connectedness was re-established. Meaning in life interventions were associated with clinical benefits on measures of purpose-in-life, quality of life, spiritual well-being, self-efficacy, optimism, distress, hopelessness, anxiety, depression and wish to hasten death. Conclusion: This review provides an explanatory model of the contextual factors and mechanisms that may be involved in promoting meaning in life. These approaches could provide useful tools for relieving existential suffering at the end of life.

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