Forms of distributed leadership - a case study of six workplaces in eldercare.

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES BMC Health Services Research Pub Date : 2025-02-22 DOI:10.1186/s12913-025-12417-1
Andrea Eriksson, Monica Andersson Bäck, Magdalena Elmersjö, Gunnar Gillberg
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Abstract

Background: The concept of distributed leadership has been addressed in previous research, but few studies link their analysis to current and comparative empirical studies on processes and conditions enabling or hindering the development of distributed leadership. This specific study aims to identify and analyze mechanisms that enable or hinder the development of distributed leadership among employees in eldercare.

Methods: This is a case study based on six specific workplaces in eldercare in Sweden in different ways aiming to work toward an organization that emphasizes trust and distribution of power. A realistic evaluation framework was used to understand the different workplace program theories regarding distributed leadership. Key mechanisms and how they interact with contextual factors in each case were analyzed. Comparative analyses were performed, identifying key processes in terms of realizing distributed leadership.

Results: Analyzing the program theories in the respective cases showed that they have different orientations influenced by different motives for distributed leadership, which also interact with how distributed leadership was manifested and realized. The results point specifically to the importance of the mechanism formalization processes, participatory approaches to implementation, vertical sense-making, and horizontal sense-making for the development of distributed leadership.

Conclusions: The result points to that regardless of the path for achieving distributed leadership adopted by the various workplaces studied, the common denominator for those succeeding in distributing leadership is the development of a relational agency based on shared visions, a shared understanding of roles, and responsibilities, a learning approach and a dialogue-oriented relationship between management and employees. Another critical aspect is having sufficient resources to make taking on more responsibilities attractive.

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分散式领导的形式——对老年护理行业六个工作场所的案例研究。
背景:分布式领导的概念已经在以前的研究中得到了解决,但很少有研究将他们的分析与当前的和比较的实证研究联系起来,这些研究是关于促进或阻碍分布式领导发展的过程和条件的。这项具体的研究旨在确定和分析机制,使或阻碍分布式领导发展的员工在老年护理。方法:这是一个案例研究,基于六个具体的工作场所在老年护理在瑞典以不同的方式,旨在朝着一个强调信任和权力分配的组织工作。一个现实的评估框架被用来理解关于分布式领导的不同工作场所计划理论。分析了每种情况下的关键机制以及它们如何与上下文因素相互作用。进行了比较分析,确定了实现分布式领导的关键过程。结果:分析各自案例中的程序理论可以发现,它们受分布式领导的不同动机影响,具有不同的取向,并与分布式领导的表现和实现方式相互作用。结果特别指出了机制形式化过程、参与式实施方法、纵向意义制定和横向意义制定对分布式领导发展的重要性。结论:结果指出,无论所研究的各种工作场所采用何种途径实现分布式领导,成功实现分布式领导的共同点是建立在共同愿景、对角色和责任的共同理解、学习方法和管理层与员工之间以对话为导向的关系基础上的关系代理的发展。另一个关键的方面是有足够的资源来吸引人们承担更多的责任。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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