Abstract
Aims & Objectives: How does person-centred leadership manifest in clinical nursing.
Background: Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and healthcare, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing.
Design: A three year participatory action research study where participant leaders planned,researched and learned from their practice development.
Methods: After an orientation phase, four action spirals focused on: critical and creative reflective inquiries into leadership practice change; leading the implementation and evaluation of a new nursing system; facilitating storytelling sessions with staff and annually reflecting on personal leadership change. Multiple data gathering methods offered insight into leadership development from several perspectives.
Results: Critical and creative thematic data analysis revealed a set of attributes, relational processes and contextual factors that influenced the being and becoming of a person-centred leader. Comparing the findings with nursing leadership literature supports a conceptual framework for person-centred leadership.
Conclusions: Person-centred leadership is a complex, dynamic, relational and contextualised practice that aims to enable associates and leaders achieve self-actualisation, empowerment and wellbeing.
Relevance toclinical practice: This study and itsconceptual framework is of relevance to practitioners, educationalists andresearchers interested in developing a relational approach to nurse leadershipand person‐centred cultures.
Background: Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and healthcare, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing.
Design: A three year participatory action research study where participant leaders planned,researched and learned from their practice development.
Methods: After an orientation phase, four action spirals focused on: critical and creative reflective inquiries into leadership practice change; leading the implementation and evaluation of a new nursing system; facilitating storytelling sessions with staff and annually reflecting on personal leadership change. Multiple data gathering methods offered insight into leadership development from several perspectives.
Results: Critical and creative thematic data analysis revealed a set of attributes, relational processes and contextual factors that influenced the being and becoming of a person-centred leader. Comparing the findings with nursing leadership literature supports a conceptual framework for person-centred leadership.
Conclusions: Person-centred leadership is a complex, dynamic, relational and contextualised practice that aims to enable associates and leaders achieve self-actualisation, empowerment and wellbeing.
Relevance toclinical practice: This study and itsconceptual framework is of relevance to practitioners, educationalists andresearchers interested in developing a relational approach to nurse leadershipand person‐centred cultures.
Original language | English |
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Pages (from-to) | 3056-3069 |
Number of pages | 14 |
Journal | Journal of Clinical Nursing |
Volume | 27 |
Issue number | 15-16 |
Early online date | 21 Apr 2018 |
DOIs | |
Publication status | Published (in print/issue) - 31 Aug 2018 |
Keywords
- person-centeredness
- leadership
- nursing leadership
- action research
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Tanya Mc Cance
- School of Nursing and Paramedic Science - The Mona Grey Professor of Nursing Research & Development
- Faculty Of Life & Health Sciences - Full Professor
Person: Academic