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Healthcare 2016, 4(1), 3; doi:10.3390/healthcare4010003

A Tale of Two Sites: Lessons on Leadership from the Implementation of a Long-term Care Delivery Model (CDM) in Western Canada

1
Department of Geography and Centre on Aging, University of Victoria, Victoria, BC V8W 2Y2, Canada
2
Department of Sociology and Centre on Aging, University of Victoria, Victoria, BC V8W 3P5, Canada
3
Interior Health Authority, Kelowna, BC V1Y 4N7, Canada
4
First Nations Health Authority, Vancouver, BC V6C 1A1, Canada
*
Author to whom correspondence should be addressed.
Academic Editors: Tracey L. Yap and Melissa Batchelor-Murphy
Received: 30 June 2015 / Revised: 13 December 2015 / Accepted: 28 December 2015 / Published: 4 January 2016
(This article belongs to the Special Issue Nursing Care of the Older Adult)
View Full-Text   |   Download PDF [323 KB, uploaded 4 January 2016]   |  

Abstract

Residential, long-term care serves vulnerable older adults in a facility-based environment. A new care delivery model (CDM) designed to promote more equitable care for residents was implemented in a health region in Western Canada. Leaders and managers faced challenges in implementing this model alongside other concurrent changes. This paper explores the question: How did leadership style influence team functioning with the implementation of the CDM? Qualitative data from interviews with leadership personnel (directors and managers, residential care coordinators and clinical nurse educators), and direct care staff (registered nurses, licensed practical nurses, health care aides, and allied health therapists), working in two different facilities comprise the main sources of data for this study. The findings reveal that leaders with a servant leadership style were better able to create and sustain the conditions to support successful model implementation and higher team functioning, compared to a facility in which the leadership style was less inclusive and proactive, and more resistant to the change. Consequently, staff at the second facility experienced a greater sense of overload with the implementation of the CDM. This study concludes that strong leadership is key to facilitating team work and job satisfaction in a context of change. View Full-Text
Keywords: care delivery model; leadership; direct care staff; long-term care; team work; change management care delivery model; leadership; direct care staff; long-term care; team work; change management
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Cloutier, D.; Cox, A.; Kampen, R.; Kobayashi, K.; Cook, H.; Taylor, D.; Gaspard, G. A Tale of Two Sites: Lessons on Leadership from the Implementation of a Long-term Care Delivery Model (CDM) in Western Canada. Healthcare 2016, 4, 3.

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