Leadership Competences in Slovenian Health Care / Vodstvene Kompetence V Slovenskem Zdravstvu

Open access


Background. Leadership competences play an important role for the success of effective leadership. The purpose of this study was to examine leadership competences of managers in the healthcare sector in Slovenia.

Methods. Data were collected in 2008. The research included 265 employees in healthcare and 267 business managers. Respondents assessed their level of 16 leadership relevant competences on a 7-point Likert-type scale.

Results. Test of differences between competences and leader position of health care professionals yielded statistically significant differences between leader and non-leader positions. Leaders gave strongest emphasis to interpersonal and informational competences, while regarding decision making competences, the differences between leaders and other employees are not that significant. When comparing competences of healthcare managers with those of business managers, results show that healthcare managers tend to give weaker emphasis to competences related to all three managerial roles than business managers.

Conclusions. The study showed that in Slovenian health care, leaders distinguish themselves from other employees in some leadership competences. In addition, all three dimensions of leadership competences significantly distinguished the group of healthcare managers from the business managers, which indicates a serious lag in leadership competences among leaders in Slovenian healthcare

1. Hood C. A public management for all seasons? Pub Admin 1991: 69: 3-19.

2. Bass B. M. Bass & Stogdill’s handbook of leadership: theory, research and managerial applications. New York: The Free Press, 1990.

3. Yukl G A. Leadership in organizations. New Jersey: Prentice Hall, 2010.

4. Simonet DV, Tett RP. Five perspectives on the leadership - management relationship: a competency-based evaluation and integration. J Leadersh Organ Stud 2012; 20: 1 -15.

5. Vroom VH, Jago AG. The role of the situation in leadership. Am Psych 2007; 62: 17-24.

6. Dasborough MT. Cognitive asymmetry in employee emotional reactions to leadership behaviors. Leadership Quart 2006; 17: 163-78.

7. Kellerman B. Followership: how followers are creating change and changing leaders. Harvard: Business Review Press, 2008.

8. Kirkpatrick SA, Locke EA. Leadership: do traits matter? Acad Manag Exec 1991; 5: 48-60.

9. Hogan R, Curphy GJ, Hogan J. What we know about leadership: effectiveness and personality. Am Psychol 1994; 49: 493-504.

10. Katz RL. Skills of an effective administrator. Harvard Bus Rev 1955; 33: 33-42.

11. Boyatzis RE. The competent manager: a model for effective performance. London: Wiley, 1982.

12. Spencer LM, Spencer SM. Competence at work. New York: John Willey & Sons, 1993.

13. Mintzberg H. The nature of managerial work. New York: Harper & Row, 1973.

14. Bennis W, Nanus B. Leaders, the strategies for taking charge. New York: Harper and Rowe, 1985.

15. Boyatzis RE. Competencies as a behavioral approach to emotional intelligence. J Manage Dev 2009; 28: 749-70.

16. Carroll B, Levy L, Richmond D. Leadership as practice: challenging the competency paradigm. Leadership 2008; 4: 363-79.

17. Bolden R, Gosling J. Leadership competencies: time to change the tune? Leadership 2006; 2: 147-63.

18. Bass BM. Leadership and performance beyond expectations. New York: The Free Press, 1985.

19. Mintzberg H. The manager‘s job: folklore and fact. Harvard Bus Rev 1990: 163-76.

20. Ouchi WG. Markets, bureaucracies, and clans. Admin Sci Quart 1980; 25: 129-41.

21. Peck E. Leadership and its development in healthcare. In: Walshe K, Smith J, editors. Healthcare management. London: Open University Press, 2006: 323-341.

22. Hodgson RC, Levinson DJ, Zaleznik A. The executive role constellation. Boston: Harvard Business School, 1965.

23. Stoller JK. Developing physician-leaders: key competencies and available programs. J Health Admin Educ 2008: 307-28.

24. Jennings BM, Scalzi CC, Rodgers JD, Keane A. Differentiating nursing leadership and management competencies. Nurs Outlook 2007; 55: 169-75.

25. Zaccaro S. Trait-based perspectives of leadership. Am Psych 2007; 62: 6-16.

26. McCallin AM, Frankson C. The role of the charge nurse manager: a descriptive exploratory study. J Nurs Manag 2010; 18: 319-25.

27. Lorber M, Skela Savič B. Perceptions of managerial competences, style, and characteristics among professionals in nursing. Croat Med J 2011; 52: 198-204.

28. Pavlin S, Švab I, Kovačič H. Ugotavljanje in razvijanje ključnih področij usposobljenosti (kompetenc) zdravnikov kot izhodišče za modernizacijo izobraževalnega programa. Zdrav Var 2008; 47: 106-16.

29. Skela Savič B, Robida A. Capacity of middle management in health-care organizations for working with people-the case of Slovenian hospitals. Hum Resour Health 2013; 11: 1-15.

30. Vadnjal J, Bernik J, Baričič A. Some aspects of the health care institutions management in Slovenia. Organizacija 2009; 42: 95-102.

31. Filej B, Skela-Savič B, Vicic VH, Hudorovic N. Necessary organizational changes accordin g to Burke - Litwin model in the head nurses system of management in healthcare and social welfare institutions-the Slovenia experience. Health Policy, 2009; 90: 166-174.

32. Van der Velden R, Allen J. Skills for the 21st century: implications for education. Maastricht: ROA, 2012

Slovenian Journal of Public Health

The Journal of National Institute of Public Health

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