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tive assistance, Cheryl Valko for Center support. Contributor Information Sarah Moreland-Russell, Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA. Louise Farah Saliba, Prevention Research Center, Brown School at Washington University in St. Lou... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.528 | 0.69 | ["education", "philosophy"] | 493 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.974624 | [
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n University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA. Romario Smith, Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA. Margaret Padek, Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.524 | 0.67 | ["education"] | 442 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.974960 | [
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Health Educ Res . 2022 Sep 7;37(5):279–291. doi: 10.1093/her/cyac021 Leading the way: competencies of leadership to prevent mis-implementation of public health programs Sarah Moreland-Russell Sarah Moreland-Russell 1 Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.566 | 0.842 | ["education", "leadership"] | 502 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.975112 | [
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ter, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA Find articles by Louise Farah Saliba 2 , Emily Rodriguez Weno Emily Rodriguez Weno 3 Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA Find artic... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.516 | 0.858 | ["education"] | 484 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.975314 | [
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n University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA Find articles by Romario Smith 4 , Margaret Padek Margaret Padek 5 Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA Find articles by Margaret Padek 5 , Ross C Brownson Ross C... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.515 | 0.858 | ["education", "strategy"] | 479 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.975549 | [
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ery, Division of Public Health Sciences, Alvin J. Siteman Cancer Center, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110-1010, USA Find articles by Ross C Brownson 6 Author information Article notes Copyright and License information 1 Prevention Research Center, Brown School at Washing... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.512 | 0.702 | ["education", "philosophy", "strategy"] | 497 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.975772 | [
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n University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA 3 Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA 4 Prevention Research Center, Brown School at Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, U... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.52 | 0.64 | ["education"] | 427 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.976024 | [
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n University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA 6 Prevention Research Center, Brown School at Washington University in St. Louis; Department of Surgery, Division of Public Health Sciences, Alvin J. Siteman Cancer Center, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.496 | 0.7 | ["education", "strategy"] | 504 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.977933 | [
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; Accepted 2022 Aug 10; Collection date 2022 Oct. Published by Oxford University Press 2022. This work is written by (a) US Government employee(s) and is in the public domain in the US. This work is written by (a) US Government employee(s) and is in the public domain in the US. PMC Copyright notice PMCID: PMC9502849 PM... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.514 | 0.862 | ["governance", "education"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.978178 | [
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effective programs to enhance population-level health outcomes. Preventing mis-implementation (ending effective activities prematurely or continuing ineffective ones) is necessary to sustain public health efforts and resources needed to improve health and well-being. The purpose of this paper is to identify the importa... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.438 | 0.834 | ["leadership", "interview"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.978388 | [
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ployees were interviewed via phone and audio-recorded, and the conversations were transcribed verbatim. Thematic analysis focused on items related to mis-implementation and the manners in which leadership were involved in continuing ineffective programs. Final themes were based on a Public Health Leadership Competency ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.578 | 0.83 | ["leadership", "interview", "communication", "economy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.978630 | [
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(1) leadership and communication; (2) collaborative leadership (3) leadership to adapt programs; (4) leadership and organizational learning and development; and (5) political leadership’. This first of its kind study showed the close interrelationship between mis-implementation and leadership. Increased attention to pu... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.586 | 0.828 | ["leadership", "education", "communication", "networking", "economy"] | 484 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.978757 | [
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effective and efficient use of limited resources. Introduction Achieving quality health and well-being has long been a primary focus of public health. However, responding to population healthcare needs in the 21st century has become a daunting task. In the United States, local health departments and state health depart... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.352 | 0.83 | [] | 425 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.978881 | [
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sible for providing essential services [ 1 , 2 ]. Governmental public health agencies may vary considerably on the planning, delivery, and financing of their services. These agencies, although different in structure and approach, often face similar internal (e.g. staffing and funding) and external (e.g. stakeholder eng... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.357 | 0.674 | ["communication", "strategy", "crisis", "governance"] | 437 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.979031 | [
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cult to adequately address complex health issues. To this effect, rising healthcare costs coupled with social and political polarization have added impetus to research modern-day public health leadership with high priority [ 3–5 ]. Developing, implementing, and sustaining public health programs involve a myriad of deci... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.469 | 0.856 | ["leadership", "communication", "decision_making"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.979234 | [
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t enabling individuals, families and groups to realize the human right of health and longevity [ 8 ]. As a governmental authority, SHDs are tasked with the unique role to recommend public health policies and priorities and to lead their agencies in developing effective programs [ 9 ]. Given financial constraints and li... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.552 | 0.856 | ["leadership", "governance"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.979403 | [
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whether implementing programs and services are feasible, sustainable, and, more importantly, whether these programs have the potential to yield the intended results. The term ‘mis-implementation’ refers to public health decision-makers ending effective activities prematurely or continuing ineffective ones. Preliminary ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.387 | 0.812 | ["decision_making"] | 440 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.979554 | [
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rs in public health departments. Brownson et al . found that 36.5% of SHD employees reported that programs that should have continued often end and 24.7% of state respondents reported that programs often or always continue when they should have ended [ 10 , 11 ]. Preventing program mis-implementation is, therefore, nec... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.393 | 0.83 | [] | 414 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.979693 | [
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esources needed to improve health and well-being. Executive management is often responsible for making or implementing decisions such as approving or disapproving the continuance of a program. Therefore, it is important to understand the competencies of public health leaders in preventing program mis-implementation. In... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.478 | 0.844 | ["leadership", "management", "decision_making", "education"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.979842 | [
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s (knowledge, skills, and attitudinal or personal aspects) that represent context-bound productivity’ [ 12 ]. Developing competencies to enhance leadership in public health is crucial and is noted in the Public Health Leadership Competency Framework. This framework was designed by academic and public health practitione... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.44 | 0.826 | ["leadership", "career", "education", "philosophy"] | 442 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.979976 | [
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nals and to review leadership development [ 13 ]. The purpose of this paper is to identify the important competencies of leadership in preventing the mis-implementation of public health programs. We employed qualitative interviewing and thematic analysis to identify the main themes that outline leadership competencies ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.573 | 0.846 | ["leadership", "interview", "philosophy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.980105 | [
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of future leadership training to prevent mis-implementation of public health programs within state and local public health departments. Methods This study involved qualitative interviews with 45 public health professionals across eight states. This reporting of methods and results followed the Consolidated criteria for... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.563 | 0.81 | ["leadership", "career", "interview", "education"] | 418 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.980232 | [
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es for reporting and used a qualitative approach. Interviews were conducted over the phone by four members of the research team during a five-month period (February–June 2019). The interviews were audio-recorded and professionally transcribed (rev.com). Verbal consent was obtained prior to each interview, and ethical a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.532 | 0.826 | ["interview", "education", "management", "ethics", "career"] | 441 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.980387 | [
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ouis Institutional Review Board (IRB# 201812062). Study participants The participant states ( n = 8) were selected based on the level of mis-implementation (high and low), geographic diversity and population density and makeup. Mis-implementation levels were determined based on previous data collected as part of a nati... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.536 | 0.848 | ["education"] | 486 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.980515 | [
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r 200 individuals who fit our selection criteria. Up to three emails and two phone calls were made to potential participants, inviting them to schedule an interview. A total of 45 participants were interviewed. The team believed that we reached saturation at this point after reviewing the transcript content. Interview ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.537 | 0.842 | ["interview", "management", "networking"] | 482 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.980644 | [
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zational, individual and external factors [ 16 ]. The final interview guide included a description of the purpose of our research—to learn about decision-making processes, facilitators and barriers for continuing ineffective chronic disease programs. Respondents were asked to recall a particular program in which mis-im... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.513 | 0.846 | ["decision_making", "interview"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.980777 | [
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questions to gain a more detailed response from participants. The main themes of the interview guide were developed from the results of the national quantitative survey from phase one of this project in which mis-implementation was assessed and described [ 17 ]. Questions were refined with input from the research team ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.528 | 0.844 | ["interview", "management", "education"] | 454 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.980906 | [
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isor who was a recently retired SHD practitioner. The interview guide questions were provided to the respondents prior to the interview. Data analysis Thematic analysis of the qualitative responses was conducted using a deductive approach, in which the authors referenced their codebook to guide the process. The codeboo... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.522 | 0.852 | ["interview"] | 509 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981045 | [
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standing how and why mis-implementation occurred. For the purposes of this study, we focused on the primary codes regarding the role of leadership in the mis-implementation of chronic disease programs. The transcribed interviews were de-identified by the authors and uploaded to NVivo 12. The transcripts were randomly a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.537 | 0.85 | ["leadership", "management", "interview", "education"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981171 | [
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nscripts, and differences between coders were discussed. When coders were unable to reach consensus, a third team member facilitated the process to achieve consensus. Upon completing consensus coding, five team members identified and summarized sub-themes. Once these were completed, a comparison was conducted to identi... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.55 | 0.838 | ["leadership", "management"] | 478 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981324 | [
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al themes and sub-themes presented in this paper. Results Information regarding the 45 SHD employees interviewed is included in Table I . On average, the interviews took 43 min. All but one participant was female. The average time in their agency was 11 years, with 15 years of experience working in public health. The m... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.519 | 0.842 | ["interview", "management", "philosophy"] | 432 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981454 | [
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irector level within their organization. Table I. Demographic characteristics of state-level health department practitioners who participated in interviews on decision-making around program adaptation in the United States, 2019 Characteristics Respondents ( N = 45) n (%) a Gender Female 44 (98) Male 1 (2) Position Prog... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.509 | 0.85 | ["strategy", "management", "decision_making", "interview"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981590 | [
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st 2 (4) Other (analyst, clinical care liaison) 2 (4) Time spent in current position ≤5 years 26 (58) 6–10 years 9 (20) ≥11 years 7 (16) Time spent in current agency ≤5 years 17 (38) 6–10 years 10 (22) ≥11 years 17 (38) Time spent in public health overall ≤5 years 4 (9) 6–10 years 13 (29) ≥11 years 26 (58) Open in a ne... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.39 | 0.736 | [] | 505 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981712 | [
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ates), Midwest (two states) and West (one state). Table II outlines our main themes aligned with components from the Public Health Leadership Competency Framework that emerged from interviews regarding the important leadership competencies to prevent mis-implementation: (i) ‘leadership and communication; (ii) collabora... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.558 | 0.822 | ["leadership", "communication", "interview", "economy", "education"] | 473 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981859 | [
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lopment; and (v) political leadership’. Table II. Themes guided by the Public Health Leadership Competency Framework and example quotes from interviews with state-level health department staff in the United States (2019) Domain Elements within domain Example quotes Leadership and communication Effectively sharing infor... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.585 | 0.836 | ["leadership", "communication", "strategy", "interview", "philosophy"] | 484 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.981991 | [
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directors to run their programs as they see fit. And allowing for a review of how things go is what I’m looking at. So they know what they’re doing and they know what my expectations are.’ Sensitivity to communicate with diverse cultures ‘I think that there’s lots of leadership support to maintaining excellent relation... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.588 | 0.858 | ["leadership", "communication", "economy"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.982119 | [
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ding an environment conducive to opinion sharing ‘Our leadership is very supportive, specifically up the commissioner’s level. We have an open-door policy with our commissioner so that’s the way. If we see something, we can always go discuss it.’ Offer opportunities for collaborative learning and quality improvement ‘W... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.466 | 0.864 | ["leadership", "economy", "management", "decision_making", "war_conflict"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.982249 | [
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er, you will no longer do X, Y, Z.”’ Modeling effective group process behaviors ‘We’re organized into teams and into structures that continue and promote effective work and building off each other.’ Leadership to adapt programs Facilitating reassessment and adaptation ‘We have an office of public health and performance... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.583 | 0.862 | ["leadership", "management", "education", "philosophy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.982396 | [
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quality improvement coordinator who implements rapid improvement events in different departments within our agency.’ Serving as a driving force for change ‘I would say [changes are managed most effectively when] it’s well thought out and we really consider the process and how we’re going to roll it out.’ Identify and c... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.584 | 0.868 | ["communication"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.982522 | [
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change and go in a different direction that it affective in the terms of communicating it, of trying to get people on board.’ Leadership and organizational learning and development Advocate for learning opportunities ‘We participate on national calls so we would frequently stay up to date on changing evidence and chang... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.572 | 0.87 | ["leadership", "education"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.982648 | [
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e at that time.’ Foster an environment of trust ‘I think that’s really helpful with having the consistency of, for example, staff meetings or one on ones [with upper management]. All of those opportunities to share really make it then more comfortable and then easy for addressing circumstances that arise.’ ‘I think tha... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.465 | 0.856 | ["leadership", "communication", "management"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.982767 | [
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ical leadership Advocate and participate in public health policy initiatives ‘Depending upon the makeup of your legislature determines which policies are passed and which ones are promoted. So, fortunately here in [name of the State redacted] we’ve had leadership that has been more in tune with health related topics.’ ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.432 | 0.858 | ["leadership"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.982893 | [
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servative legislature, so we have to have a sense of receptivity to issues we work on. Probably most dramatically we’ve encountered those issues because we do a lot of public campaigning. A lot of social media work and TV ads and that kind of thing so we have to make sure to write up to the governor’s office before any... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.395 | 0.88 | ["networking", "diplomacy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983033 | [
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unded partners at the time and I think as it would sound, the community-based coalitions would focus on just a broad strategy to reach any tobacco users in the community that were interested in seeking out cessation classes and then the minority-based coalitions were tasked with serving minority communities specificall... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.448 | 0.708 | ["leadership", "strategy"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983165 | [
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dership, and then the person that started is very focused on scalability, sustainability, and outcomes, and the program clearly had no outcomes. She was able to really gain a support of the bureau chief to kind of identify that as an issue, and they were able to shut that down.’ Open in a new tab Leadership and communi... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.56 | 0.868 | ["leadership", "communication"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983298 | [
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ompetency Framework as being important to prevent mis-implementation; specifically, effectively sharing information and responsibility at different organizational levels and exercising the sensitivity needed to communicate with diverse cultures and disciplines. Effectively sharing information and responsibility at diff... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.457 | 0.818 | ["leadership", "communication", "philosophy"] | 493 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983423 | [
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th staff about the status of programs and issues. Leaders achieved this contact through regularly scheduled meetings and reports with multiple staff across the organization. Respondents also noted that being transparent about programs and about their expectations for their staff were important attributes to prevent mis... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.428 | 0.85 | ["leadership", "communication"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983552 | [
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of traffic any particular program might be having and what the issues might be, challenges, the good things, the success stories, etc. Respondents also reported communication issues with and from leaders. Some respondents reported frustrations with how leaders received their feedback and with a lack of transparency in ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.6 | 0.846 | ["leadership", "communication", "crisis"] | 496 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983700 | [
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hout much response or attention paid to an issue. There was an interim public health commissioner who we met with twice a week for, I don’t know how long. They basically thought the program was horrible. And so we had to keep bringing data and bringing data to show him that, every objection he came to, we were able to ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.337 | 0.88 | [] | 488 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983812 | [
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have been, doing something else with those funds. Other respondents reported unclear and non-transparent communications with leadership. Some respondents reported that leadership was unclear with the direction that they wanted to take with a program. Other participants reported that how decisions were made by leadershi... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.581 | 0.866 | ["leadership", "communication", "decision_making", "management"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.983937 | [
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ion, but when it gets to you as a program manager it may come across as coming from someone else you know. You will not really know who made the decision. Sensitivity needed to communicate with diverse cultures and disciplines Respondents reported that leadership that promotes respect and consistent communication with ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.586 | 0.842 | ["leadership", "communication", "management", "decision_making"] | 466 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984063 | [
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most effective in preventing mis-implementation. Collaborative leadership Collaborative leadership includes the following competencies: providing an environment conducive to opinion sharing; offering opportunities for collaborative learning and quality improvement and modeling effective group process behaviors includin... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.509 | 0.812 | ["leadership", "economy", "war_conflict", "education"] | 503 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984190 | [
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ed as important in preventing mis-implementation. Providing an environment conducive to opinion sharing Most respondents reported that their leadership promoted upward communication about problems or issues that arise and were open to hearing ideas from staff. Respondents who were leaders also reported trying to be tra... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.595 | 0.83 | ["leadership", "communication", "war_conflict"] | 452 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984329 | [
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about issues that program staff was encountering. Other respondents indicated that their leadership had an open-door policy. Respondents expressed that these open-door policies made it easier to communicate with leadership and allowed them to more quickly address concerns they had with programs. Offer opportunities for... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.433 | 0.846 | ["leadership", "communication", "economy", "education"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984460 | [
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the need to adapt a program to ensure that mis-implementation would not occur. When respondents reported that they needed to make changes or adaptations in response to evaluation results, those respondents that had leadership who implemented shared decision-making and involved all staff to ensure buy-in were more likel... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.411 | 0.872 | ["leadership", "decision_making", "philosophy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984590 | [
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y into it or they understand the reasons for the change, they’re more likely to embrace it and do it. Many respondents indicated that their leaders relied on feedback from their staff to make decisions about programs. Respondents also reported that issues with programs were generally identified at lower organizational ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.577 | 0.846 | ["leadership", "communication", "decision_making", "war_conflict", "philosophy"] | 490 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984721 | [
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stormed with leaders to find solutions to issues. Our leadership would generally rely on the programmatic folks and the division directors to sort of research and understand what other alternatives would be and to come up with a recommendation. I think they [leaders] are very supportive. They‘re very welcoming to new i... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.42 | 0.852 | ["leadership", "strategy", "war_conflict"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984852 | [
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rewarding, encouraging and motivating Leaders who were collaborative and set up working units that allowed for and were engaged in cross-collaboration and learning were also cited as important in deterring mis-implementation. We’re organized into teams and into structures that continue and promote effective work and bu... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.589 | 0.698 | ["leadership", "economy", "communication", "management", "war_conflict"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.984991 | [
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vant: facilitating reassessment and adaptation; serving as a driving force for change and identifying and communicating new system structures as needs are identified and opportunity arises. Facilitating reassessment and adaptation Respondents reported that those programs with leaders who valued quality improvement and ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.53 | 0.814 | ["leadership"] | 422 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.985115 | [
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likely to have continued an ineffective program. Respondents shared that their leadership frequently supported the incorporation of several important continuous quality improvement and other evaluative measures to help them identify ineffective programs and prevent mis-implementation. The health department as a whole a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.416 | 0.842 | ["leadership", "communication", "rhetoric"] | 496 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.985246 | [
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f those will surface up to the governor’s office. We have continuous quality improvement, where we propose specific things to go through this more formal process. So if we will target something and then go through a whole process it will take say, three four months to go through and come out with a product aimed at imp... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.556 | 0.874 | ["leadership", "strategy", "philosophy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.985376 | [
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rigorous planning efforts both with internal and external partners and who considered the diversity in capacity among partners were most effective in implementing changes to programs. We have to flex [our changes] to that diversity [or partners]. If we don’t, then we‘re defeated from the get go. ‘Cause we‘re gonna ask ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.406 | 0.862 | ["communication", "strategy", "war_conflict"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.985503 | [
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tified and opportunity arises Finally, respondents felt that leaders who were most effective in adapting or changing programs to prevent mis-implementation effectively communicated programmatic changes to partnerships and actually included communication with these partners as part of planning efforts. It is just making... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.552 | 0.824 | ["communication", "leadership", "strategy", "philosophy"] | 430 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.985646 | [
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hange and then knowing how to make those changes. Leadership and organizational learning and development In our review of themes related to the leadership and organizational learning and development domain, advocating for learning opportunities and fostering an environment of trust aligned with our findings. Advocate f... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.595 | 0.844 | ["leadership", "education"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.985744 | [
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ther states or programs—was helpful in ensuring the implementation of evidence-based programing and preventing mis-implementation. We look a lot to other states. We are members of the Association of Territorial and State Dental Directors and this is our go to for all sorts of information about evidence based public hea... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.499 | 0.862 | ["networking", "education", "philosophy"] | 508 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987119 | [
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’s a lot of knowledge sharing and it’s excellent. We couldn’t do our work without them, honestly. Being allowed to regularly attend and learn from national partners was also cited as important to stay up to date with current evidence and changes in national priorities. We participate on national calls …so we would freq... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.523 | 0.876 | ["education"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987221 | [
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t out on that national agenda and that national stage at that time Foster an environment of trust Working in an environment in which leadership encouraged internal staff and external partners trust one another and the overall process of implementation was described by respondents as important for preventing mis-impleme... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.613 | 0.832 | ["leadership"] | 471 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987313 | [
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critical aspect of preventing mis-implementation. The Public Health Leadership Competency Framework outlines several key competencies as part of political leadership that aligned with our findings: advocate and participate in public health policy initiatives; understand and apply effective techniques for working with b... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.572 | 0.828 | ["leadership", "networking", "diplomacy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987420 | [
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ropriate actions regarding critical political issues. Advocate and participate in public health policy initiatives Several competencies, specifically interpersonal skills, the ability to build partnerships and connect with and understand partners and a strategic approach, were cited as important in preventing mis-imple... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.41 | 0.818 | ["strategy", "philosophy"] | 457 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987513 | [
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haviors, even in the absence of formal authority. Respondents perceived a leader with strong interpersonal skills to positively influence policy proposals and improvements in specific areas of programs or changes in the target population. I think it really takes diligent and observant program directors,… and if they’re... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.618 | 0.862 | ["leadership", "decision_making", "philosophy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987605 | [
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say, I think that this program isn’t as effective—we could try to reach a different population in a different way. Understand and apply effective techniques for working with boards and governance structures The ability to think about the dynamics among stakeholders within a social system is one of the competencies that... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.583 | 0.852 | ["leadership"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987692 | [
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d responding to the political environment, using effective techniques with a variety of decision-makers and governing structures. When doing so, leadership should consider the impact of those dynamics on programs and how they will respond to address potential issues. We did try to have different perspectives from the d... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.435 | 0.828 | ["leadership", "communication", "decision_making"] | 413 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987783 | [
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rk to determine what that best approach would be. Building alliances, partnerships and coalitions regarding critical issues Building alignments and alliances seem to be an essential attribute when dealing with the challenges of mis-implementation, especially within those programs that require political support. When fa... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.544 | 0.84 | ["leadership", "crisis", "networking", "diplomacy", "communication"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987896 | [
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s employed by leadership to engage their partners to potentially impact the program success and continuation. We can work with heart, lung and cancer that can work with legislators and propose legislation but we would be limited in the fact of never being able to publicly print out our support of that. But it doesn’t s... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.554 | 0.868 | ["leadership"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.987986 | [
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mentioned by the respondents in terms of program mis-implementation was the importance of leadership having a clear vision and purpose of their work with a strategic approach to establish the needs and direction of a program and communicate that approach to policymakers. I think that particular program, we had a change... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.562 | 0.704 | ["leadership", "strategy", "communication"] | 489 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.988140 | [
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utcomes, and the program clearly had no outcomes. She was able to really gain a support of the bureau chief to kind of identify that as an issue, and they were able to shut that down. Discussion This paper identifies the competencies of leadership in preventing the mis-implementation of chronic disease programs. Using ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.539 | 0.856 | ["leadership", "interview"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.988915 | [
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ency Framework [ 13 ] that affect mis-implementation: ‘1. leadership and communication; 2 collaborative leadership; 3.leadership to adapt programs; 4. leadership and organizational learning and development; and 5. political leadership’. Other research, conducted both about public health departments and among other orga... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.583 | 0.684 | ["leadership", "communication", "economy", "education"] | 503 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.989208 | [
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nication enhance employee commitment [ 18 , 19 ]. Employees’ ‘upward voice’, self-efficacy and high work satisfaction, which is a by-product of bidirectional communication, has also been linked to leadership engagement [ 19 , 20 ]. Regarding collaborative leadership, the National Public Health Leadership Institute note... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.592 | 0.836 | ["leadership", "economy", "communication", "networking", "war_conflict"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.989321 | [
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ncies strengthen interorganizational relationships, coalitions, services, programs and policies and are key to a program’s overall impact [ 21 ]. Other studies have also noted the importance of evaluation and adapting public health programs based on evaluation outcomes. Jadhav et al . (2015) discuss the importance of u... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.376 | 0.854 | ["networking"] | 487 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.989416 | [
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ocess in chronic disease programs, Wagner et al . note that leaders who understand the importance of quality improvement are more likely to show commitment to the program by securing resources for conducting evaluation and using results. They note rapid turnover in leadership and leaders that encourage productivity rat... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.558 | 0.858 | ["leadership", "communication", "economy", "education", "rhetoric"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.989487 | [
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ration and learning have also been shown to be strongly associated with strong leaders and effective implementation of evidence-based public health [ 10 , 24 ]. An international research study that tested the effect of transformational leadership and organizational climate on work performance during the coronavirus dis... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.592 | 0.834 | ["leadership", "education", "philosophy"] | 453 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.989574 | [
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mes of stress to the public health system [ 25 ]. Political leadership is another essential competency of leaders outlined in the literature. Organizations can be considered as political arenas [ 6 ], and individuals with political skills [ 26 ] or political astuteness [ 27 ] may influence people’s behavior, performanc... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.589 | 0.866 | ["leadership", "education", "philosophy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990138 | [
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ng mis-implementation of chronic disease programs. Future research is needed in this area to further understand mis-implementation and the role of leadership in preventing mis-implementation over time. While our use of qualitative methods provided depth and content into the issue of mis-implementation, future research ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.368 | 0.818 | ["leadership", "networking"] | 454 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990217 | [
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lationships of leadership and mis-implementation. Limitations As noted in our methods, our respondents were determined based on responses to our phase one national survey. That survey did not receive equal responses among the states, and its recruitment was only as good as the contact information study team members had... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.401 | 0.864 | ["leadership", "management", "interview", "education", "philosophy"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990293 | [
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r not contact their staff or did not respond to our initial requests for interviews. Therefore, these responses are limited in their generalizability. In addition, 22% of the respondent identified as directors—generally seen as leaders in SHDs and their views related to the items studied might be influenced by their ro... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.458 | 0.854 | ["leadership", "interview"] | 478 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990365 | [
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depending on the size of the SHD and their role. Further research should examine frontline staff opinions on important qualities of leaders. Given the delicate, political nature that public health funding and administration has become, respondents were at times self-censuring in their feedback. Despite following approp... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.425 | 0.842 | ["leadership", "philosophy"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990451 | [
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de-identified as possible, often respondents asked to redact certain information during the interview for fear of it appearing to favor certain political officials over others and to downplay any appearance of ‘advocating or lobbying’ on their part (which in many states has major restrictions). Despite these limitation... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.447 | 0.84 | ["leadership", "management", "interview", "philosophy"] | 471 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990526 | [
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y evidence-based public health can be successful. Conclusion Increased attention on reducing mis-implementation in public health practice can lead to more effective and efficient use of limited resources [ 10 ]. Results from this study showed the close interrelationship between mis-implementation and leadership. Using ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.418 | 0.836 | ["leadership", "communication", "networking", "economy", "education"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990607 | [
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dership and communication; collaborative leadership; leadership to adapt programs; leadership and organizational learning and development and political leadership. A better understanding of those attributes can provide further direction to future areas of attention and capacity building among current and future public ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.591 | 0.816 | ["leadership", "communication", "economy", "education"] | 425 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990683 | [
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ader training programs and curricula [ 29 , 30 ]. Implications for public health practice This paper provides insights into the tasks and roles of leaders and adds specific information about the attributes of public health leadership when focusing on preventing the mis-implementation of public health programs. A better... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.564 | 0.844 | ["leadership", "philosophy"] | 489 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990753 | [
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g current and future public health practitioners. Acknowledgements Our team would like to dedicate this manuscript to Julia Thorsness, who provided valuable practitioner insight throughout all phases of this study. Her decades of public health practice and experience were particularly helpful in the development and tes... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.356 | 0.854 | ["education", "management", "interview", "faith_spirituality"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990824 | [
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e Mazzucca, Doug Luke, Ross Hammond, Joe Ornstein, Ed Tsai and Matt Kasman, for their consultation and support during this phase of the project. We would also like to acknowledge our practitioner advisory board, who has provided feedback and consultation along the way. Additionally, we thank the following team members ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.36 | 0.848 | ["education", "management"] | 483 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990893 | [
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ter, Brown School at Washington University in St. Louis; Department of Surgery, Division of Public Health Sciences, Alvin J. Siteman Cancer Center, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110-1010, USA. Contributions to the literature This is the first study to document the relatio... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.603 | 0.696 | ["education", "leadership", "strategy", "networking"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.990970 | [
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ng limited resources and delivering effective programs to enhance population-level health outcomes. Results from this study provide further direction to future areas of attention and capacity building for public health leadership. Funding National Cancer Institute of the National Institutes of Health (R01CA214530); Nat... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.548 | 0.83 | ["leadership", "education"] | 512 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.991047 | [
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R01DK109913); Centers for Disease Control and Prevention (U48DP006395); Foundation for Barnes-Jewish Hospital. The findings and conclusions in this manuscript are those of the authors and do not necessarily represent the official positions of the National Institutes of Health or the Centers for Disease Control and Prev... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.504 | 0.686 | ["interview", "war_conflict", "education"] | 511 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.991170 | [
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ucted interviews, coded interview transcripts, analyzed and interpreted interview themes and led and contributed to writing the manuscript. M.P. managed the development of the interview guide, conducted interviews, coded interview transcripts, analyzed and interpreted interview themes and was a contributor in writing t... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.505 | 0.67 | ["interview"] | 441 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.991296 | [
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major contributor in writing the manuscript. R.S. coded interview transcripts, analyzed and interpreted interview themes and contributed to writing the manuscript. E.R.W. helped with interview guide development, conducted interviews, analyzed and interpreted interview themes and contributed to writing the manuscript. R... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.523 | 0.674 | ["interview", "education"] | 470 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.991377 | [
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l authors read and approved the final manuscript. Ethics approval and consent to participate Ethical approval for this study was provided by the Washington University in St Louis Institutional Review Board (IRB# 20812062). All participants were emailed a copy of the consent form prior to interviews, and verbal consent ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.546 | 0.838 | ["ethics", "interview", "education", "philosophy"] | 461 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.991475 | [
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ts to use the interviews as part of publications. This is included in our Washington University in St Louis Institutional Review Board (IRB# 201812062) approved consent form. Availability of data and materials The datasets generated and/or analyzed during the current study are not publicly available due to privacy prot... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.342 | 0.842 | ["education", "philosophy", "interview"] | 480 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.991568 | [
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on of County and City Health Officials (NACCHO) . Available at: https://www.naccho.org/ . Accessed: 10 August 2020. 2. Association of State and Territorial Health Officials (ASTHO) . Available at: https://www.astho.org/ . Accessed: 10 August 2020. 3. Hersh ED, Goldenberg MN Democratic and Republican physicians provide ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC9502849/ | Leading the way: competencies of leadership to prevent mis-implementation of public health programs - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.504 | 0.72 | ["governance"] | 507 | Influence Without Authority Leadership | topic | 2026-04-01T15:38:59.991638 | [
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