Publication

Practice change in community health centers: A qualitative study of leadership attributes.

Downloadable Content

Persistent URL
Last modified
  • 06/25/2025
Type of Material
Authors
    Jennifer H Tektiridis, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.Natalia I Heredia, Center for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, United States.Robert O Morgan, The University of Texas Health Science Center at Houston, Houston, TX, United States.Osama Mikhail, The University of Texas Health Science Center at Houston, Houston, TX, United States.Betsy C Risendal, Colorado School of Public Health, Anschutz Medical Campus, Aurora, CO, United States.Michelle Kegler, Emory UniversityMaria E Fernandez, Center for Health Promotion and Prevention Research, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Language
  • English
Date
  • 2022
Publisher
  • Frontiers
Publication Version
Copyright Statement
  • © 2022 Tektiridis, Heredia, Morgan, Mikhail, Risendal, Kegler and Fernandez.
License
Final Published Version (URL)
Title of Journal or Parent Work
Volume
  • 2
Start Page
  • 934688
End Page
  • 934688
Grant/Funding Information
  • The following cooperative agreements from the Centers for Disease Control and Prevention and the National Cancer Institute provided funding for the Cancer Prevention and Control Research Network Federally Qualified Health Center Qualitative Inquiry Study, through which the data for this study was collected: 1U48-DP-001909, 1U48-DP-001946, 1U48-DP-001924, 1U48-DP-001938-03, 1U48-DP-001936, 1U48-DP-001949-02, 1U48-DP-001911, 1U48-DP-001934, 1U48-DP-001944, 1U48-DP-001944, and 1U48-DP-001903. NH's time was funded by the Cancer Prevention and Research Institute of Texas (RP170259). During the conduct of this research and the preparation of the manuscript, Jennifer Tektiridis was employed by the University of Texas MD Anderson Cancer Center and funded by the Duncan Family Institute for Cancer Prevention and Risk Assessment.
Abstract
  • INTRODUCTION: This paper explores leadership attributes important for practice change in community health centers (CHCs) and assesses attributes' fit with the Full-Range Leadership Theory (FRLT). METHODS: We conducted four focus groups and 15 in-depth interviews with 48 CHC leaders from several U.S. states using a modified appreciative inquiry approach. Thematic analysis was used to review transcripts for leadership concepts and code with a priori FRLT-derived and inductive codes. RESULTS: CHC leaders most often noted attributes associated with transformational leadership as essential for practice change. Important attributes included emphasizing a collective sense of mission and a compelling, achievable vision; expressing enthusiasm about what needs to be done; and appealing to employees' analytical reasoning and challenging others to think creatively to problem solve. Few expressions of leadership fit with the transactional typology, though some did mention active vigilance to ensure standards are met, clarifying role and task requirements, and rewarding followers. Passive-avoidant attributes were rarely mentioned. CONCLUSIONS: Our results enhance understanding of leadership attributes supportive of successful practice change in CHCs.
Author Notes
Keywords
Research Categories
  • Health Sciences, Public Health

Tools

Relations

In Collection:

Items

Thumbnail Title File Description Date Uploaded Visibility Actions
file details Publication File - w5wdk.pdf Primary Content 2025-06-01 Public Download