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Those With The Most Find It Hardest To Share: Exploring Leader Resistance To The Implementation Of Team-Based Empowerment, Greg L. Stewart, Stacy L. Astrove, Cody J. Reeves, Eean R. Crawford, Samantha L. Solimeo

2017 Faculty Bibliography

We use a convergent parallel mixed methods approach to explore barriers to the successful implementation of a team-based empowerment initiative within the Veterans Health Administration. Although previous research has suggested that leaders often actively obstruct empowerment initiatives, little is known about the reasons behind and effects of such hindering. Using a longitudinal quasi-experimental design, we support a hypothesis that higher-status physician leaders are less successful than lower-status nonphysician leaders in implementing team-based empowerment. In parallel, we analyze qualitative data obtained through interviews conducted during early months of the teambased empowerment initiative to identify common themes for why and how leaders …