Appropriate leadership in nursing home care: a narrative review

Zonneveld, Nick; Pittens, Carina A. C. M.; Minkman, Mirella

doi:10.1108/lhs-04-2020-0012

Cited by 10 publications

(5 citation statements)

References 56 publications

(226 reference statements)

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“…The relationship-orientated approaches used by leaders in our study, including prioritisation of relationships between staff and residents and staff with their co-workers, has been described in earlier studies. 35 Our study extends this evidence base by adding nuanced perspectives about how to create relationships with residents with advanced dementia.…”

Section: Discussionmentioning

confidence: 61%

“…This 'adaptive leadership' approach differentiates between adaptive and technical challenges in an organisation. 35 Technical challenges are easily defined and can be solved with the right expertise, skill, or resources.…”

Section: Discussionmentioning

confidence: 99%

“…There is also a more recent body of literature that focuses on potential benefits of decentralization of traditional hierarchical leadership, in favour of self‐organised teams, who carry collective responsibility and ownership at all layers of organisations. This ‘adaptive leadership’ approach differentiates between adaptive and technical challenges in an organisation 35 . Technical challenges are easily defined and can be solved with the right expertise, skill, or resources.…”

Section: Discussionmentioning

confidence: 99%

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Leading by example: Nursing home staff experiences of what facilitates them to meaningfully engage with residents with advanced dementia

Haunch

Downs

Oyebode

2022

Int J Geriat Psychiatry

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Objectives Meaningful connections promote the quality of life of people living with advanced dementia in nursing homes. However, evidence internationally suggests people living with advanced dementia in nursing homes spend the majority of time alone, with little contact with anyone. Frontline care workers are in powerful positions to meaningfully engage with residents, yet research to date has not focused on their experiences. The aim of this study was to explore the experiences of nursing home staff, specifically, what care workers feel enables them to meaningfully engage with residents living with advanced dementia. Methods/Design Semi‐structured interviews were conducted with 21 staff from seven nursing homes. Inductive thematic analysis was used. Results Four themes were important for facilitating care workers to meaningfully engage with residents with advanced dementia: support from managers and nurses, support from experienced care workers, a caring culture and an appropriate physical environment. Conclusion Effective leadership was the key thread that ran throughout. It was evident that meaningfully engaging with residents with advanced dementia was hard, particularly for new or inexperienced care workers. Those with experience (of care work and the residents they cared for), as well as those in formal leadership positions played key roles in facilitating care workers to: perceive it was their role to connect, understand, accept and empathise with residents, understand the importance of getting to know residents' and express their own caring attributes. Future research should focus on empirically testing leadership models that promote meaningful engagement.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Leading by example: Nursing home staff experiences of what facilitates them to meaningfully engage with residents with advanced dementia

Haunch

Downs

Oyebode

2022

Int J Geriat Psychiatry

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“…Das Führungsverhalten von Vorgesetzten ist einerseits für die Organisationsentwicklung, andererseits für das Anforderungs-und Beanspruchungserleben der Mitarbeitenden, insbesondere im Pflegebereich, von besonderer Bedeutung (Lundgren, Ernsth-Bravell & Kåreholt, 2016;Ree & Wiig, 2020;Zonneveld, Pittens & Minkman, 2021). In der ambulanten Pflege spielt das Verhalten der Führungskraft zudem aufgrund der Mobilität der Pflegenden und deren großer Distanz zum Stützpunkt eine wichtige Rolle (Lundgren et al, 2016).…”

Section: B943 Führungsverhaltenunclassified

Die neue AMR 13.2: Arbeitsmedizinische Vorsorge bei Belastungen des Muskel-Skelett-Systems

Baars¹

2023

ASU

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Körperliche Belastungen sind nach wie vor charakteristisch für zahlreiche Arbeitsplätze und stellen eine bedeutsame Ursache für krankheitsbedingte Ausfälle dar. Für wesentlich erhöhte körperliche Belastungen sieht die Verordnung zur arbeitsmedizinischen Vorsorge (ArbMedVV) seit 2013 eine Angebotsvorsorge vor. Konkretisiert wird dieser Vorsorgeanlass in der Arbeitsmedizinischen Regel (AMR) 13.2, die im Februar 2022 in einer grundlegend überarbeiteten Fassung aktualisiert veröffentlicht wurde. Die wesentlichen Inhalte sind Gegenstand dieses Beitrags.

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“…In a scoping review of the literature that focused on senior management leadership to promote quality of care in Dawes and Topp BMC Health Services Research (2022) 22:508 residential aged care, Dawes and Topp (2019), for example, found 14 studies, the majority of which focused on leadership styles, not competencies; and the majority of which (n = 12) reported on RAC in the United States of America [21]. Moreover, Jeon, Merlyn, and Chenoweth (2010); and Zonneveld, Pittens, and Minkman (2021) each explored the role of leadership across multiple organisational levels, with findings that focussed on leadership behaviours connected to certain leadership styles including relationship-oriented, task-oriented and context-dependent leadership [22,23]. Most recently, an original research study by O'Toole, Bamberry and Montague (2021) examined the perceptions of leadership by senior managers and identified the crucial requirements for successful leadership within the Australian residential aged care industry [24].…”

Section: Introductionmentioning

confidence: 99%

Senior manager leadership competencies for quality residential aged care: an Australian industry perspective

Dawes

Topp

2022

BMC Health Serv Res

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Background Documented poor quality and standards of care in Australia’s residential aged care (RAC) sector have highlighted a need to better understand the role of and skills required by, RAC senior management personnel to address these concerns. This study examined which senior management leadership skills and personal qualities are necessary to deliver and strengthen the quality of RAC, with the aim of improving understanding of the professional development needs of leaders in the sector. Methods We conducted 12 in-depth interviews with Australian aged care industry experts, including academics, and representatives from the primary health network, consumer, and provider advocate groups. Abductive, thematic analysis incorporated coding derived from existing leadership skills frameworks as well as inductively identified themes. Results Identified leadership skills were grouped into five domains including i) workforce development and retention, ii) governance and business acumen; iii) health systems knowledge; iv) stewardship and v) responding to regulatory and political contexts. Skills particularly emphasised by participants were those required to recruit and retain a skilled workforce, manage relationships, and promote a positive organisational culture and employee wellbeing. Conclusions RAC senior managers require a complex mix of business, human resource management, and clinical skills to deliver quality care in Australia’s complex RAC setting. The lack of any professional development framework to guide the acquisition or updating of those skills is a concern.

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Appropriate leadership in nursing home care: a narrative review

Cited by 10 publications

References 56 publications

Leading by example: Nursing home staff experiences of what facilitates them to meaningfully engage with residents with advanced dementia

Leading by example: Nursing home staff experiences of what facilitates them to meaningfully engage with residents with advanced dementia

Die neue AMR 13.2: Arbeitsmedizinische Vorsorge bei Belastungen des Muskel-Skelett-Systems

Senior manager leadership competencies for quality residential aged care: an Australian industry perspective

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