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Leadership 4.0: Navigating the Challenges of the Digital Transformation in Healthcare and Beyond

Author

Listed:
  • Georgios Tsekouropoulos

    (Department of Organisation Management, Marketing and Tourism, International Hellenic University, Sindos Campus, P.O. Box 141, 57400 Thessaloniki, Greece)

  • Anastasia Vasileiou

    (Department of Organisation Management, Marketing and Tourism, International Hellenic University, Sindos Campus, P.O. Box 141, 57400 Thessaloniki, Greece
    Department of Social Sciences, Hellenic Open University, 26335 Patra, Greece)

  • Greta Hoxha

    (Department of Organisation Management, Marketing and Tourism, International Hellenic University, Sindos Campus, P.O. Box 141, 57400 Thessaloniki, Greece)

  • Dimitrios Theocharis

    (Department of Organisation Management, Marketing and Tourism, International Hellenic University, Sindos Campus, P.O. Box 141, 57400 Thessaloniki, Greece)

  • Efthimia Theodoridou

    (Department of Organisation Management, Marketing and Tourism, International Hellenic University, Sindos Campus, P.O. Box 141, 57400 Thessaloniki, Greece)

  • Theodosios Grigoriadis

    (Department of Social Sciences, Hellenic Open University, 26335 Patra, Greece)

Abstract

The Fourth Industrial Revolution (4IR), characterized by the integration of advanced digital technologies, is transforming industries globally and significantly impacting leadership practices, particularly in the healthcare sector. As organizations adapt to this digital evolution, the demand for effective leadership becomes increasingly critical. This paper explores Leadership 4.0, a framework that identifies the skills and competencies required for successful leadership in the digital age. The study employs a mixed-methods approach, combining a Systematic Literature Review (SLR) with qualitative insights gathered through case studies and the Delphi method, involving healthcare leaders, to investigate leadership practices in organizations undergoing digital transformation. Through case studies and literature reviews, the research seeks to provide a comprehensive understanding of the changing leadership landscape, addressing the unique challenges and opportunities presented by digital transformation in healthcare. The findings indicate that effective Leadership 4.0 requires a combination of digital literacy, strategic foresight, and emotional intelligence. Leaders must exhibit adaptability, drive innovation, and foster a culture of continuous learning to navigate the complexities of digital transformation successfully. The study also emphasizes the importance of internal branding as a critical strategy for aligning employees with the organization’s mission and digital vision, thereby fostering collective commitment to transformation objectives. Key challenges include resistance to change and the ongoing need for upskilling, while opportunities lie in leveraging digital innovations to enhance organizational performance.

Suggested Citation

  • Georgios Tsekouropoulos & Anastasia Vasileiou & Greta Hoxha & Dimitrios Theocharis & Efthimia Theodoridou & Theodosios Grigoriadis, 2025. "Leadership 4.0: Navigating the Challenges of the Digital Transformation in Healthcare and Beyond," Administrative Sciences, MDPI, vol. 15(6), pages 1-38, May.
    • Handle: RePEc:gam:jadmsc:v:15:y:2025:i:6:p:194-:d:1661437
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    References listed on IDEAS

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    1. Deepti Pathak & Gaurav Joshi, 2021. "Impact of psychological capital and life satisfaction on organizational resilience during COVID-19: Indian tourism insights," Current Issues in Tourism, Taylor & Francis Journals, vol. 24(17), pages 2398-2415, September.
    2. Roshayati Abdul Hamid, 2022. "The Role of Employees’ Technology Readiness, Job Meaningfulness and Proactive Personality in Adaptive Performance," Sustainability, MDPI, vol. 14(23), pages 1-16, November.
    3. Ghafoori, Arman & Gupta, Manjul & Merhi, Mohammad I. & Gupta, Samrat & Shore, Adam P., 2024. "Toward the role of organizational culture in data-driven digital transformation," International Journal of Production Economics, Elsevier, vol. 271(C).
    4. Sheehan, Maura & Garavan, Thomas N. & Morley, Michael J., 2020. "Transformational leadership and work unit innovation: A dyadic two-wave investigation," Journal of Business Research, Elsevier, vol. 109(C), pages 399-412.
    5. Michaela Wrede & Vivek K. Velamuri & Tobias Dauth, 2020. "Top managers in the digital age: Exploring the role and practices of top managers in firms' digital transformation," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 41(8), pages 1549-1567, December.
    6. Ioannis N. Theotokas & Ioannis N. Lagoudis & Athina Syntychaki & John Prosilias, 2024. "Factors affecting E-HRM practices in Greek shipping management companies: the role of organizational culture, cultural intelligence, and innovation," Journal of Shipping and Trade, Springer, vol. 9(1), pages 1-21, December.
    7. Daniel Kiefer & Clemens Dinther & Julian Spitzmüller, 2021. "Digital Innovation Culture: A Systematic Literature Review," Lecture Notes in Information Systems and Organization, in: Frederik Ahlemann & Reinhard Schütte & Stefan Stieglitz (ed.), Innovation Through Information Systems, pages 305-320, Springer.
    8. Anastasia Vasileiou & Eleni Sfakianaki & Georgios Tsekouropoulos, 2024. "Exploring Sustainability and Efficiency Improvements in Healthcare: A Qualitative Study," Sustainability, MDPI, vol. 16(19), pages 1-34, September.
    9. Georgios Tsekouropoulos & Ourania Gkouna & Dimitrios Theocharis & Athanasios Gounas, 2022. "Innovative Sustainable Tourism Development and Entrepreneurship through Sports Events," Sustainability, MDPI, vol. 14(8), pages 1-14, April.
    10. Lihle Nkomo & David Kalisz, 2023. "Establishing organisational resilience through developing a strategic framework for digital transformation," Digital Transformation and Society, Emerald Group Publishing Limited, vol. 2(4), pages 403-426, July.
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