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The development of the Person‐Centred Situational Leadership Framework: Revealing the being of person‐centredness in nursing homes

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  • Brighide M Lynch
  • Tanya McCance
  • Brendan McCormack
  • Donna Brown

Abstract

Aims and objectives To implement and evaluate the effect of using the Person‐Centred Situational Leadership Framework to develop person‐centred care within nursing homes. Background Many models of nursing leadership have been developed internationally in recent years but do not fit with the emergent complex philosophy of nursing home care. This study develops the Person‐Centred Situational Leadership Framework that supports this philosophy. It forms the theoretical basis of the action research study described in this article. Methods This was a complex action research study using the following multiple methods: nonparticipatory observation using the Workplace Culture Critical Analysis Tool (n = 30); critical and reflective dialogues with participants (n = 39) at time 1 (beginning of study), time 2 (end of study) and time 3 (6 months after study had ended); narratives from residents at time 1 and time 2 (n = 8); focus groups with staff at time 2 (n = 12) and reflective field notes. Different approaches to analyse the data were adopted for the different data sources, and the overall results of the thematic analysis were brought together using cognitive mapping. Results The Person‐Centred Situational Leadership Framework captures seven core attributes of the leader that facilitate person‐centredness in others: relating to the essence of being; harmonising actions with the vision; balancing concern for compliance with concern for person‐centredness; connecting with the other person in the instant; intentionally enthusing the other person to act; listening to the other person with the heart; and unifying through collaboration, appreciation and trust. Conclusions This study led to a theoretical contribution in relation to the Person‐Centred Practice Framework. It makes an important key contribution internationally to the gap in knowledge about leadership in residential care facilities for older people. Relevance to clinical practice The findings can be seen to have significant applicability internationally, across other care settings and contexts.

Suggested Citation

  • Brighide M Lynch & Tanya McCance & Brendan McCormack & Donna Brown, 2018. "The development of the Person‐Centred Situational Leadership Framework: Revealing the being of person‐centredness in nursing homes," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 427-440, January.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:427-440
    DOI: 10.1111/jocn.13949
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    References listed on IDEAS

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    1. Eden, Colin, 2004. "Analyzing cognitive maps to help structure issues or problems," European Journal of Operational Research, Elsevier, vol. 159(3), pages 673-686, December.
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    1. Tanya McCance & Brendan McCormack & Paul Slater & Donna McConnell, 2021. "Examining the Theoretical Relationship between Constructs in the Person-Centred Practice Framework: A Structural Equation Model," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    2. Xiaoyan Wang & Liren An & Nosheena Yasir & Nasir Mahmood & Ying Gu, 2021. "Empirical Study on the Relationship between Effective Following Behavior and Derived Creative Work Behavior: A Moderating Role of Perceived Organizational Support and Sustainable Leadership," Sustainability, MDPI, vol. 13(10), pages 1-24, May.

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