Intentional partnering: a grounded theory study on developing effective partnerships among nurse and physician managers as they co‐lead in an evolving healthcare system

Abstract

Intentional partnering elucidates the relational components of working together and the strategizing that occurs as each partner deliberates on what he or she is willing to accept, risk and put into place to reap the benefits of collaborating.

Challenges and success strategies for dyad leadership model in healthcare

“…The proposed model for dyad leadership success concepts from the extant literature not specifically identified by the participants in our study is identified by numbers identifying the specific reference cited in the text. The key terms referred to include partnering intelligence (accomplishment of mutually beneficial objectives through trust, interdependence, self-disclosure and feedback, mutuality, comfort with change, and future orientation), 36 intentional partnering (taking a broader perspective, taking risk together, and actively developing shared responsibilities), 24 professional and management logics (the former referring to expertise and certification-based authority and the latter to former hierarchical positions), 5 and moral imagination (considering a situation's context, nuances, and reimagining the framework to expand one's conceptualization of the problem and its solution). 37 144…”

“…54 The concept of "intentional partnering" includes taking a broader perspective, taking risk together, and actively developing shared responsibilities. 24 Similarly, "partnering intelligence" that refers to accomplishment of mutually beneficial objectives involving trust, interdependence, self-disclosure and feedback, mutuality, comfort with change, and future orientation 36 is believed to be integral for achieving synergy in a dyad model. 32 With these in place, the tactical approaches such as frequent meetings and active listening would be relatively easy to emerge.…”

“…Although this model has been in place in some organizations for a significant period of time, for example, Mayo Clinic, Cleveland Clinic, 14 its increasing utilization worldwide is relatively recent. [15][16][17][18][19][20][21][22][23][24][25] Despite its increasing adoption, there is a paucity of empirical studies in peer-reviewed literature, and this topic is more widely discussed in the grey literature. The peer-reviewed literature contains a large number of editorials and commentaries.…”

“…27 In the peer-reviewed literature, commentaries point to improved communication, collaboration, culture, and patient care. 17,28 A few empirical studies that exist have highlighted improvements in communication and collaboration, staff turnover and patient satisfaction, 19,24 joint problem solving and goal achievement, 20,24 standardization of care, 19,20 successful policy implementation and culture change, 29 and improved physician engagement and culture. 30 The practice of leadership has its challenges, and co-leading with another individual adds to dimensions to be considered.…”

“…The advice in grey literature includes common values, shared vision, respect, trust, and transparent communication. 23,31 The peer-reviewed literature has highlighted relationships and effective interactions between dyad partners, 24,32 role clarity, 22 and organizational support. 19 Building upon our earlier findings on the structural aspects of the dyad leadership model, 22 this empirical study describes the challenges faced and the strategies used for success by dyad leaders.…”