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

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Cloutier_Denise_Healthcare_2016.pdf (404.05 KB)

Date

2016-01

Authors

Cloutier, Denise
Cox, Amy
Kampen, Ruth
Kobayashi, Karen
Cook, Heather
Taylor, Deanne
Gaspard, Gina

Journal Title

Journal ISSN

Volume Title

Publisher

Healthcare

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.

Description

Keywords

care delivery model, leadership, direct care staff, long-term care, team work, change management

Citation

Cloutier, D., Cox, A., Kampen, R., Kobayashi, K., Cook, H., Taylor, D. & Gaspard, G. (2016). A Tale of Two Sites: Lessons on Leadership from the Implementation of a Long-term Care Delivery Model (CDM) in Western Canada. Healthcare, 4(1), 3. https://doi.org/10.3390/healthcare4010003

URI

https://doi.org/10.3390/healthcare4010003
 http://hdl.handle.net/1828/10421

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Faculty Publications (Social Sciences)
 
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