A Paradigmatic Replication of NHS Improvement (2019): Evaluating Health Governance and the Roles of Clinical Leadership Competency Model

Abstract

The growing demand for effective healthcare practice and efficient service delivery within managed care signifies the importance of healthcare professional practice, which places an enormous burden on healthcare practice in Nigeria and the world. The clinical leadership competency model (CLCM) explains why and how governance factors influence patient practice and attempts to identify factors outside of the patient involved in improving health outcomes. This study focuses on improving health governance among hospital managers using the CLCM. A cross-sectional study on health included two phases of pre-intervention and post-intervention among health managers in private and public health institutions in the Federal Capital Territory, Nigeria. Participants who scored low on the healthcare governance measure were divided into three groups: treatment group, first, and second control group. Data were collected using a self-reported questionnaire from health managers. The mean scores of health governance efficacy were significantly higher in the treatment group than those in the control group 1 and control group 2 (p < 0.05). The results further revealed that health managers exposed to CLCM (treatment group) measured the highest efficiency of healthcare governance compared to those not exposed to it (control group 2). CLCM significantly improves health governance efficiency among healthcare managers in Nigeria. There is a need for research on the effectiveness of interventions to improve clinical leadership practices, improved research methods, uniform metrics to assess the impact of various health governance interventions, and the evaluation of the transferability of successful interventions to broader populations of health employees.