Exploring the leadership discourse in health-based social work: a scoping review
Keywords:
Health leadership; social work leadership; social work education; curriculum; student; scoping reviewAbstract
Social work leadership in the health context is under researched with no clear definition or scope of practice. A scoping review was undertaken, in accordance with the Joanna Briggs Institute (JBI) methodology, to explore key concepts in the literature related to social work leadership in health, to understand how social work health leadership is defined, and to identify research gaps and limitations. A review of EBSCO, ProQuest, Scopus, Web of Science, Informit, SAGE and Cochrane Library databases identified 1499 articles for inclusion, with 17 papers moved through to data extraction alongside 13 articles from a grey literature search on Google. Following thematic analysis, five themes were identified: there is difficulty defining social work leadership overall and in the health context; the unique style of social work leadership is valued in the literature; there is a lack of leadership education in social work qualifying degree programs, and a lack of professional development tailored to the needs of social work; and there are limitations in leadership development opportunities which then constrain the growth of social work leaders. These gaps in the current literature pose a broader risk to understanding leadership within the profession, as well as providing an evidence base for future research.
References
Andreau, S.F., Sweet, K. & Carter, D.H. (2019). Building Leadership Skills through High-impact Experiences. Journal of Leadership Education, 19(4). https://doi.org/10.12806/V19/I4/A3.
Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1). https://doi.org/10.1080/1364557032000119616
AASW (Australian Association of Social Workers). (2013). Practice standards. https://www.aasw.asn.au/document/item/4551
AASW (Australian Association of Social Workers). (2016) Scope of social work practice: Leadership and management. https://www.aasw.asn.au/document/item/8986
AASW (Australian Association of Social Workers). (2021) Australian social work education accreditation standards (No.20). https://www.aasw.asn.au/document/item/13565
Bishop, L., Coombs, A., Domaguin, D., Hernandez, N., Higgs, E., McGhee, T., Trevino-Hartman, A., & West-Cahill, A. (2018). Developing policy and Management leaders: eight social work policy fellows share their experiences, case studies and recommendations for leadership development. Human Service Organizations: Management, Leadership & Governance, 42(3).
Bliss, D, L., Pecukonis, E,. & Snyder- Vogel, M. (2014). Principled Leadership development model for aspiring social work managers and administrators: development and application. Human Service Organizations: Management, Leadership & Governance, 38(1).
Braun, V. & Clarke, V. (2022). Conceptual and design thinking for thematic analysis. Qualitative Psychology, 9(1). https://doi.org.10.1037-qup0000196
Choy-Brown, M., Stanhope, V., Wackstein, N., & Delany, C.H. (2020). Do social workers lead differently- examining associations with leadership style and organisational factors. Human Service Organisations Management, Leadership and Governance, 44(4).
Costa, P., Pereira Sousa, J., Nascimento, T., Cruchinho, P., Nunes, E., Gaspar, F. & Lucas, P. (2025). Leadership Development in Undergraduate Nursing Students: A Scoping Review. Nursing Reports, 15(160). https://doi.org/10.3390/nursrep15050160.
Countee- Gilliam, C. & Chipungu, S.S. (2016). Social Work Leadership- predictors of leadership position in a sample of human service professional. [Doctoral Dissertation, Morgan State University] http://hdl.handle.net/11603/9958
Cullen, A.F. (2012) Leaders in our own lives: suggested indications for social work leadership from a study of social work practice in a palliative care setting. British Journal of Social Work, 43(8).
Daley, M. & Pittman- Munke, P. (2021). Flexner and the Social Work Profession: Myth versus History. Journal of Sociology and Social Work, 9(2). https://doi.org/10.15640/jssw.v9n2a1
Davidson, J. (2016). Does the culture of modern day palliative care social work leave room for leadership. Journal of Social Work Practice, 30(2).
Etzioni, A. (1969). The Semi-Professions and Their Organization: Teachers, Nurses, Social Workers. New York: Free Press.
Gellis, Z.D. (2001). Social work perceptions of transformational and transactional leadership in health care. Social Work Research, 25(1).
Khalil, H., Peters, M., Godfrey, C.M., McInerney, P., Baldini Soares, C. & Parker, D. (2016). An Evidence-Based Approach to Scoping Reviews. Worldviews on Evidence- Based Nursing, 13(2). https://doi.org/10.1111/wvn.12144
McDermott, F. & Bawden, G. (2017). New ways of seeing: Health social work leadership and research capacity building. Social Work in Health Care, 56(10)
Nuzzo, C., Girard, E., Summer Xu, W., Wijaya, L., Karoonuthaisiri, N., Gray, F. & Jimenez, Y.A. (2022). Opportunities to develop leadership skills in the undergraduate diagnostic radiography program: insights from students at an Australia university. Journal of Medical Imaging and Radiation Sciences, 53.
Payne, A.M. & Shen, L. (2019). The perceptions of executive leaders on social work leadership: a case study. [Doctoral dissertation, University of Birmingham].
Pecukonis, E., Doyle, O., Acquavita, S., Aparicio, E., Gibbons, M. & Vanidestine, T. (2013). Interprofessional Leadership Training in MCH Social Work. Social Work in Health Care, 52(1). 625-641. https://doi.org/10.1080/00981389.2013.792913
Peters, S.C. (2017). Social Work Leadership: An analysis of historical and contemporary challenges. Human Service Organizations: Management, Leadership & Governance, 41(4).
Peters, S.C. (2018). Defining Social Work leadership: a theoretical and conceptual review and analysis. Journal of Social Work Practice, 32(1).
Peters, M. D. J., Godfrey, C., McInerney, P., Baldini, C., Khalil, H., & Parker, D. (2020). Chapter 11: Scoping Reviews. In E. Aromataris & Z. Munn (Eds). JBI Manual for Evidence Synthesis, JBI, 2020. https://doi.org/10.46658/JBIMES-20-12
Rank, M.G., & Hutchinson, W.S. (2000). An Analysis of Leadership within the Social Work Profession. Journal of Social Work Education, 36(3). https://doi.org/doi:10.1080/10437797.32000.10779024
Sanderlin- Nykamp, D.J. (2011). An exploratory study of executive leadership in social work. [Doctoral dissertation, Michigan State University] https://doi.org/doi:10.25335/cahg-b170.
Sherwood, D.A. (2014). The construction of social work leadership development: a qualitative study. [Doctoral dissertation, Michigan State University] https://doi.org/doi:10.25335/cahg-b170
Stanley, T. & Kelly, S. (2019). Practice leadership ‘on purpose’- extending the reach of practice frameworks. Social Work in Action, 31(1). https://doi.org/10.1080/09503153.2018.1440286
Sullivan, W.P. (2016) Leadership in Social Work: Where are we. Journal of Social Work Education 2016,52(sup1).
Toren, N. (1971) Social Work: The case of a Semi-Profession. The American behavioural scientist, 15(2).
Vito, R. & Hanbridge, A.S. (2021). Teaching Social Work Leadership and Supervision: Lessons learned from on-campus and online formats. Journal of Social Work Education, 57(1).
Watson, Larry D & Hoesfer, Richard A. (2016). The Joy of Social Work Administration: An Exploratory Qualitative Study of Human Service Administrators' Positive Perceptions of Their Work. Journal of Social Work Education, 52(2).