Evaluating the clinical dyad leadership model: a narrative review

• Published in: Journal of health organization and management Vol. 34; no. 7; pp. 725 - 741
• Main Authors: Clouser, Jessica Miller, Vundi, Nikita Leigh, Cowley, Amy Mitchell, Cook, Christopher, Williams, Mark Vincent, McIntosh, Megan, Li, Jing
• Format: Journal Article
• Language: English
• Published: Bradford Emerald Publishing Limited 12.10.2020; Emerald Group Publishing Limited
• Subjects: Clinical outcomes; Efficiency; Fidelity; Health administration; Health care; Health care delivery; Health care management; Hospitals; Implementation; Interdisciplinary aspects; Leadership; Literature reviews; Narratives; Value-based care; Dyad; Leadership; Healthcare; Physician-nurse collaboration
• ISSN: 1477-7266; 1758-7247
• DOI: 10.1108/JHOM-06-2020-0212

PurposeDyadic leadership models, in which two professionals jointly lead and share unit responsibilities, exemplifies a recent trend in health care. Nonetheless, much remains unknown about their benefits and drawbacks. In order to understand their potential impact, we conducted a review of literature evaluating dyad leadership models in health systems.Design/methodology/approachOur narrative review began with a search of PubMed, CINAHL, Web of Science and Scopus using key terms related to dyads and leadership. The search yielded 307 articles. We screened titles/abstracts according to these criteria: (1) focus on dyadic leadership model, i.e. physician–nurse or clinician–administrator, (2) set in health care environment and (3) peer-reviewed with an evaluative component of dyadic model. This yielded 22 articles for full evaluation, of which six were relevant for this review.FindingsThese six articles contribute an assessment of (1) teamwork and communication perceptions and their changes through dyad implementation, (2) dyad model functionality within the health system, (3) lessons learned from dyad model implementation and (4) dyad model adoption and model fidelity.Research limitations/implicationsResearch in this area remains nascent, and most articles focused on implementation over evaluation. It is possible that some articles were excluded due to our methodology, which excluded nonEnglish articles.Practical implicationsFindings provide guidance for health care organizations seeking to implement dyadic leadership models. Rigorous studies are needed to establish the impact of dyadic leadership models on quality and patient outcomes.Originality/valueThis review consolidates evidence surrounding the implementation and evaluation of a leadership model gaining prominence in health care.