The Responsive Leadership Intervention: Improving leadership and individualized care in long-term care

Geriatric Nursing
Sienna CasparKatherine S McGilton

Abstract

The Responsive Leadership Intervention (RLI) is a multi-faceted intervention. We evaluated the influence of the RLI on i) responsive leadership practices by team leaders; ii) health care aides' (HCAs) self-determination; iii) HCAs' perceived ability to provide individualized care. A quasi-experimental repeated measures non-equivalent control group design was used to assess participant outcomes in four long-term care facilities (two control, two intervention) across four time periods. Change from baseline to 1-month post-intervention was greater in the intervention group than control group for Individualized Care (IC) (p = 0.001), but not for Self Determination (p = 0.26). Perceived levels of responsive leadership was greater following the intervention among participants with baseline measures that were less than the median (p = 0.007), but not if greater. At 3-months post-intervention, the intervention group retained 32% of the difference from control in IC, and 49% of the difference from control in responsive leadership; at 6-months post-intervention, 35% and 28%, respectively. The RLI is a feasible method for improving responsive leadership practices and individualized care.

Citations

Jul 13, 2019·International Journal of Older People Nursing·Astrid Escrig-PinolKatherine S McGilton
Apr 28, 2020·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Sienna CasparPeter Kellett
Jan 13, 2018·Journal of Community Health Nursing·Sheila Q Hartung, Mindi Miller
Jun 9, 2020·The Journal of Nutrition, Health & Aging·H H KellerJ Morrison-Koechl
Sep 16, 2020·International Journal of Older People Nursing·Sienna CasparHeather A Cooke
Jan 1, 2021·International Journal of Nursing Studies·Greta G CummingsGargi E Chatterjee
May 29, 2021·Leadership in Health Services·Ceara Mongan, Will Thomas

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