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The role of situational leadership in facilitating culture change in long term care facilities for older people

Background: There are very few robust studies in the literature that explore the correlation between transformational leadership and effective nursing care in long term care facilities for older people. Working from the premise that transformational leadership is situational leadership enacted within a person-centred framework, this study develops a composite model of situational lead~rship in residential care by connecting and synthesising concepts of person-centred theory with situational leadership theory within the person-centred nursin~ framework. This model subsequently forms the theoretical basis for this overall study. Aims of the research study: To use the model of situational leadership in residential care as the premise for developing and facilitating a leadership intervention programme for leaders and, using an action research approach, test three actionable hypotheses that were developed from the theoretical model. Approach and methods: The data came from several sources: the Leadership Practices Inventory (LPI); non-participatory observation using the Workplace Culture Critical Analysis Tool (WCCAT); critical and reflective dialogues with participants; narratives from residents at time 1 and time 2 of the study; focus groups with staff at time 2 and my reflective field notes. Different approaches to analyse the data were adopted for the different data sources. In the final stage the overall results of the thematic analysis were brought together using cognitive mapping to answer the study's actionable hypotheses and create a visual representation of the study. Findings: A 'Person-Centred Situational Leadership (PCSL) Framework' emerges that captures seven core themes of 'the being of person-centredness'. These specific attributes enhance the leader's ability to continuously role model a person-centred way of being for followers so that person-centredness "is consistently brought into practice on a day-to-day basis. Conclusions and implications: A main recommendation from the study is the utilization of the PCSL Framework to underpin the: delivery of a leadership development programme focusing on the development of 'the being of personcentredness in leaders.

Identiferoai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:669228
Date January 2015
CreatorsLynch, Brighide M.
PublisherUlster University
Source SetsEthos UK
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation

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