Systematic Review Of Collaborative Models Between Health Administration And Nursing In Achieving Sustainable Healthcare Outcomes
DOI:
https://doi.org/10.63278/jicrcr.vi.3307Abstract
Background:
Sustainable healthcare systems require strong interprofessional collaboration, particularly between health administrators and nursing leadership. These partnerships are essential for aligning strategic decisions with clinical realities, improving patient outcomes, enhancing workforce resilience, and optimizing resource use. Despite emerging evidence supporting collaborative frameworks, comprehensive analysis of their impact on sustainability remains limited.
Objective:
This systematic review aims to synthesize existing empirical research on collaborative models between health administration and nursing, focusing on their role in achieving sustainable healthcare outcomes. Specifically, it identifies model types, evaluates their effectiveness, and explores key enablers and barriers.
Methods:
Following PRISMA 2020 guidelines, the review included peer-reviewed studies published between 2010 and 2024. Databases searched were PubMed, Scopus, CINAHL, Web of Science, and ProQuest. Studies were selected based on inclusion criteria emphasizing interprofessional collaboration and sustainability outcomes. A narrative synthesis approach was employed, with study quality assessed using the Mixed Methods Appraisal Tool (MMAT).
Results:
Twenty-three studies met inclusion criteria. Three primary collaborative models were identified: shared governance structures, dyadic co-leadership models, and interprofessional quality improvement teams. These frameworks were associated with improved patient satisfaction, reduced mortality and readmissions, enhanced workforce retention, cost savings, and stronger performance on quality benchmarks. However, barriers such as hierarchical culture and limited leadership training were also reported.
Conclusion:
Collaborative models between healthcare administrators and nursing leaders are critical to advancing sustainable healthcare delivery. Formalizing such partnerships through integrated governance, shared leadership, and joint quality initiatives can drive meaningful improvements across patient, workforce, and organizational domains. Future research should explore implementation strategies in diverse healthcare systems and policy environments.
