1 University of West of Scotland, Hamilton, UK.
2 University of Edinburgh, UK.
J Appl Gerontol. 2019 Jul;38(7):931-958. doi: 10.1177/0733464817705957. Epub 2017 Apr 28.
Leadership is key to quality improvement in nursing homes. This article reports on the initial analysis of the transformational My Home Life Leadership Support program for nursing home managers being implemented in Scotland. It analyses learning from a multimethod participatory descriptive study. Contribution analysis theory informed the evaluation. Evidence-Based Practice, Relationship-Centered Care, Appreciative Inquiry, and Caring Conversations informed the intervention to develop transformational leadership. Data generation methods included baseline and postintervention questionnaires to describe culture change within the study population, together with more in-depth qualitative data generated from group discussions throughout the leadership support program. Qualitative data analysis was an iterative collaborative process with participants to generate themes about the impact of the program on themselves and their practice. Data showed positive changes in managers' perceptions of their self-awareness, leadership communication and relationship skills, and development of positive cultures. This model offers lessons for those interested in ways to approach the emotional, educational, and cultural dynamics of change in other human service contexts.
领导力是养老院质量改进的关键。本文报告了苏格兰正在实施的针对养老院经理的转型“我的生活领导力支持计划”的初步分析。它分析了从多方法参与性描述性研究中获得的经验。贡献分析理论为评估提供了依据。循证实践、以关系为中心的护理、欣赏式探询和关怀对话为发展变革型领导力提供了干预措施。数据生成方法包括基线和干预后问卷调查，以描述研究人群中的文化变革，以及从领导力支持计划期间的小组讨论中生成更深入的定性数据。定性数据分析是一个与参与者协作的迭代过程，旨在生成有关该计划对他们自己和实践的影响的主题。数据显示，管理人员对自我意识、领导沟通和关系技巧以及积极文化的发展的看法发生了积极变化。该模型为那些有兴趣在其他人类服务环境中应对情感、教育和文化变化动态的人提供了经验。
