{"id":"https://openalex.org/W7155487558","doi":"https://doi.org/10.1136/leader-2024-001201","title":"Working apart together: relational leadership, role attribution and power dynamics in hospital crisis management during COVID-19","display_name":"Working apart together: relational leadership, role attribution and power dynamics in hospital crisis management during COVID-19","publication_year":2026,"publication_date":"2026-04-24","ids":{"openalex":"https://openalex.org/W7155487558","doi":"https://doi.org/10.1136/leader-2024-001201","pmid":"https://pubmed.ncbi.nlm.nih.gov/42031552"},"language":"en","primary_location":{"id":"doi:10.1136/leader-2024-001201","doi":"https://doi.org/10.1136/leader-2024-001201","is_oa":false,"landing_page_url":"https://doi.org/10.1136/leader-2024-001201","pdf_url":null,"source":{"id":"https://openalex.org/S4306504552","display_name":"BMJ Leader","issn_l":"2398-631X","issn":["2398-631X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Leader","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090361236","display_name":"Arjan Verhoeven","orcid":"https://orcid.org/0000-0001-5064-1007","observed_orcids":["https://orcid.org/0000-0001-5064-1007"]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2802934949"]}],"countries":["NL"],"is_corresponding":true,"raw_author_name":"Arjan Verhoeven","raw_affiliation_strings":["Radboud universitair medisch centrum, Nijmegen, The Netherlands"],"raw_orcid":"https://orcid.org/0000-0001-5064-1007","affiliations":[{"raw_affiliation_string":"Radboud universitair medisch centrum, Nijmegen, The Netherlands","institution_ids":["https://openalex.org/I2802934949"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041039705","display_name":"Pieterbas Lalleman","orcid":"https://orcid.org/0000-0003-4520-8756","observed_orcids":["https://orcid.org/0000-0003-4520-8756"]},"institutions":[{"id":"https://openalex.org/I21516984","display_name":"Fontys University of Applied Sciences","ror":"https://ror.org/01jwcme05","country_code":"NL","type":"education","lineage":["https://openalex.org/I21516984"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Pieterbas Lalleman","raw_affiliation_strings":["Fontys University of Applied Sciences, Eindhoven, The Netherlands"],"raw_orcid":"https://orcid.org/0000-0003-4520-8756","affiliations":[{"raw_affiliation_string":"Fontys University of Applied Sciences, Eindhoven, The Netherlands","institution_ids":["https://openalex.org/I21516984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074638688","display_name":"Erik van de Loo","orcid":"https://orcid.org/0009-0009-3411-4296","observed_orcids":["https://orcid.org/0009-0009-3411-4296"]},"institutions":[{"id":"https://openalex.org/I102272798","display_name":"INSEAD","ror":"https://ror.org/00ghzk478","country_code":"FR","type":"education","lineage":["https://openalex.org/I102272798"]}],"countries":["FR"],"is_corresponding":false,"raw_author_name":"Erik Van de Loo","raw_affiliation_strings":["INSEAD - Europe Campus, Fontainebleau, France"],"raw_orcid":"https://orcid.org/0009-0009-3411-4296","affiliations":[{"raw_affiliation_string":"INSEAD - Europe Campus, Fontainebleau, France","institution_ids":["https://openalex.org/I102272798"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5130666760","display_name":"Henri Marres","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2802934949"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Henri Marres","raw_affiliation_strings":["ENT, Radboud universitair medisch centrum, Nijmegen, The Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ENT, Radboud universitair medisch centrum, Nijmegen, The Netherlands","institution_ids":["https://openalex.org/I2802934949"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5090361236"],"corresponding_institution_ids":["https://openalex.org/I2802934949"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"leader","last_page":"2024"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14356","display_name":"Organizational Leadership and Management Strategies","score":0.5346999764442444,"subfield":{"id":"https://openalex.org/subfields/1408","display_name":"Strategy and Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T14356","display_name":"Organizational Leadership and Management Strategies","score":0.5346999764442444,"subfield":{"id":"https://openalex.org/subfields/1408","display_name":"Strategy and Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.12319999933242798,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10970","display_name":"Team Dynamics and Performance","score":0.10890000313520432,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/relational-leadership","display_name":"relational leadership","score":0.9980000257492065},{"id":"https://openalex.org/keywords/role-attribution","display_name":"role attribution","score":0.9819999933242798},{"id":"https://openalex.org/keywords/power-relations","display_name":"power relations","score":0.9990000128746033},{"id":"https://openalex.org/keywords/hospital-crisis-management","display_name":"hospital crisis management","score":0.9290000200271606},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9860000014305115},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.5109999775886536},{"id":"https://openalex.org/keywords/medical-hierarchy","display_name":"medical hierarchy","score":0.5550000071525574},{"id":"https://openalex.org/keywords/command-and-control-leadership","display_name":"command-and-control leadership","score":0.6880000233650208},{"id":"https://openalex.org/keywords/informal-professional-networks","display_name":"informal professional networks","score":0.7900000214576721},{"id":"https://openalex.org/keywords/leadership-emergence","display_name":"leadership emergence","score":0.5270000100135803},{"id":"https://openalex.org/keywords/organizational-resilience","display_name":"organizational resilience","score":0.8399999737739563},{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":0.6430000066757202}],"concepts":[{"id":"https://openalex.org/C143299363","wikidata":"https://www.wikidata.org/wiki/Q900584","display_name":"Attribution","level":2,"score":0.6001999974250793},{"id":"https://openalex.org/C2780851881","wikidata":"https://www.wikidata.org/wiki/Q1141276","display_name":"Crisis management","level":2,"score":0.5965999960899353},{"id":"https://openalex.org/C31170391","wikidata":"https://www.wikidata.org/wiki/Q188619","display_name":"Hierarchy","level":2,"score":0.503000020980835},{"id":"https://openalex.org/C163258240","wikidata":"https://www.wikidata.org/wiki/Q25342","display_name":"Power (physics)","level":2,"score":0.49390000104904175},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4618000090122223},{"id":"https://openalex.org/C197386563","wikidata":"https://www.wikidata.org/wiki/Q6508686","display_name":"Leadership style","level":2,"score":0.4453999996185303},{"id":"https://openalex.org/C145912823","wikidata":"https://www.wikidata.org/wiki/Q113558","display_name":"Dynamics (music)","level":2,"score":0.4415000081062317},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.4383000135421753},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.4203000068664551},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.38850000500679016},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3849000036716461},{"id":"https://openalex.org/C7225491","wikidata":"https://www.wikidata.org/wiki/Q2697537","display_name":"Leadership studies","level":3,"score":0.36340001225471497},{"id":"https://openalex.org/C88251983","wikidata":"https://www.wikidata.org/wiki/Q7489549","display_name":"Shared leadership","level":3,"score":0.3614000082015991},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.3578999936580658},{"id":"https://openalex.org/C2779585090","wikidata":"https://www.wikidata.org/wiki/Q3457762","display_name":"Resilience (materials science)","level":2,"score":0.3393999934196472},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.3386000096797943},{"id":"https://openalex.org/C2777039154","wikidata":"https://www.wikidata.org/wiki/Q1975478","display_name":"Abuse of power","level":3,"score":0.3278999924659729},{"id":"https://openalex.org/C68489960","wikidata":"https://www.wikidata.org/wiki/Q2370659","display_name":"Transactional leadership","level":2,"score":0.32420000433921814},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.3224000036716461},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3077999949455261},{"id":"https://openalex.org/C2779683958","wikidata":"https://www.wikidata.org/wiki/Q1640893","display_name":"Conflict management","level":2,"score":0.3075000047683716},{"id":"https://openalex.org/C95713431","wikidata":"https://www.wikidata.org/wiki/Q631425","display_name":"Vulnerability (computing)","level":2,"score":0.30730000138282776},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.2946000099182129},{"id":"https://openalex.org/C20555606","wikidata":"https://www.wikidata.org/wiki/Q868575","display_name":"Empowerment","level":2,"score":0.26249998807907104},{"id":"https://openalex.org/C2778663192","wikidata":"https://www.wikidata.org/wiki/Q5146169","display_name":"Collective leadership","level":3,"score":0.260699987411499},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.25589999556541443},{"id":"https://openalex.org/C62555980","wikidata":"https://www.wikidata.org/wiki/Q1460420","display_name":"Emergency management","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1136/leader-2024-001201","doi":"https://doi.org/10.1136/leader-2024-001201","is_oa":false,"landing_page_url":"https://doi.org/10.1136/leader-2024-001201","pdf_url":null,"source":{"id":"https://openalex.org/S4306504552","display_name":"BMJ Leader","issn_l":"2398-631X","issn":["2398-631X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Leader","raw_type":"journal-article"},{"id":"pmid:42031552","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42031552","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ leader","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.5683000087738037,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":35,"referenced_works":["https://openalex.org/W1981663208","https://openalex.org/W2033685034","https://openalex.org/W2048106701","https://openalex.org/W2076398397","https://openalex.org/W2111143102","https://openalex.org/W2111994712","https://openalex.org/W2489949740","https://openalex.org/W2784205288","https://openalex.org/W2823451388","https://openalex.org/W2904692267","https://openalex.org/W2945937935","https://openalex.org/W2956521128","https://openalex.org/W2981915967","https://openalex.org/W3030648339","https://openalex.org/W3080561826","https://openalex.org/W3095073289","https://openalex.org/W3130685616","https://openalex.org/W3134180699","https://openalex.org/W3199204832","https://openalex.org/W3216089976","https://openalex.org/W4224433822","https://openalex.org/W4229903496","https://openalex.org/W4235067249","https://openalex.org/W4308733322","https://openalex.org/W4310904856","https://openalex.org/W4320081749","https://openalex.org/W4383615390","https://openalex.org/W4389308235","https://openalex.org/W4389987765","https://openalex.org/W4391375415","https://openalex.org/W4391774150","https://openalex.org/W4399882522","https://openalex.org/W4399953310","https://openalex.org/W4400552384","https://openalex.org/W4404191221"],"related_works":["https://openalex.org/W7165058410","https://openalex.org/W7154475881","https://openalex.org/W4200314536","https://openalex.org/W7110778943","https://openalex.org/W4404191221","https://openalex.org/W4391150779","https://openalex.org/W4322740445","https://openalex.org/W7151234270","https://openalex.org/W3116803185","https://openalex.org/W4401394093"],"abstract_inverted_index":{"OBJECTIVES:":[0],"This":[1],"study":[2,175],"examined":[3],"how":[4,191],"relational":[5,110,192,207],"leadership":[6,83,119,193,208],"and":[7,38,64,72,104,144,160,185,195,213],"role":[8,35],"attribution":[9,98],"were":[10,149],"perceived":[11],"by":[12,101],"key":[13,82],"professionals":[14],"(eg,":[15],"physicians,":[16],"nurses,":[17],"managers,":[18],"board":[19],"members)":[20],"in":[21,85],"the":[22,34,54,86,112,131,137,171,203],"crisis":[23,42,87,124,162,179,200],"management":[24,43,88,180],"teams":[25],"of":[26,36,56,116,136,205],"one":[27],"academic":[28],"medical":[29],"centre.":[30],"Furthermore,":[31],"we":[32],"explored":[33],"hierarchy":[37],"power":[39,196],"dynamics":[40,148,197],"when":[41],"took":[44],"over":[45],"responsibility.":[46],"DESIGN:":[47],"The":[48],"research":[49,66],"design":[50],"was":[51,99],"qualitative-interpretive":[52],"with":[53,90,122],"use":[55],"Relational":[57],"Leadership":[58],"Theory.":[59],"We":[60],"followed":[61],"an":[62],"abductive":[63],"iterative":[65],"approach":[67],"using":[68],"observations,":[69],"document":[70],"analysis":[71],"semi-structured":[73],"interviews":[74],"as":[75],"main":[76],"methods.":[77],"RESULTS:":[78],"Physicians":[79],"occupied":[80],"all":[81],"roles":[84],"structure,":[89],"their":[91],"suitability":[92],"for":[93,209],"these":[94],"positions":[95],"unquestioned.":[96],"Role":[97],"shaped":[100],"formal":[102,183],"expertise":[103],"informal":[105,145],"networks,":[106],"based":[107],"on":[108,166],"long-standing":[109],"ties.Within":[111],"physicians'":[113],"group,":[114],"perceptions":[115],"each":[117],"other's":[118],"abilities":[120],"varied,":[121],"specific":[123],"competencies":[125],"linked":[126],"to":[127],"individual":[128],"traits.":[129],"Despite":[130],"hierarchical,":[132],"command-and-control":[133],"presentation,":[134],"much":[135],"work":[138],"occurred":[139],"through":[140],"emergent":[141],"deliberative":[142],"processes":[143],"networks.":[146],"Power":[147],"continuously":[150],"negotiated":[151],"between":[152,157],"professional":[153],"groups,":[154],"revealing":[155],"tensions":[156],"hierarchical":[158],"authority":[159],"collaborative":[161],"management.":[163],"CONCLUSIONS:":[164],"Drawing":[165],"healthcare":[167],"professionals'":[168],"experiences":[169],"during":[170],"COVID-19":[172],"pandemic,":[173],"this":[174],"demonstrates":[176],"that":[177],"effective":[178],"extends":[181],"beyond":[182],"training":[184],"established":[186],"hierarchies.":[187],"Our":[188],"findings":[189],"show":[190],"practices":[194],"shape":[198],"collective":[199],"responses,":[201],"highlighting":[202],"importance":[204],"adaptive,":[206],"strengthening":[210],"organisational":[211],"resilience":[212],"responsiveness.":[214]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-04-25T00:00:00"}
