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

被引:0
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作者
Eriksson, Andrea [1 ]
Back, Monica Andersson [2 ]
Elmersjoe, Magdalena [3 ]
Gillberg, Gunnar [2 ]
机构
[1] KTH Royal Inst Technol, Dept Biomed Engn & Hlth Syst, Div Ergon, Stockholm, Sweden
[2] Univ Gothenburg, Dept Sociol & Work Sci, Gothenburg, Sweden
[3] Sodertorn Univ, Sch Social Sci, Dept Social Work, Stockholm, Sweden
关键词
Distributed leadership; Eldercare; Case study; Realistic evaluation; HEALTH-CARE;
D O I
10.1186/s12913-025-12417-1
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundThe 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.MethodsThis 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.ResultsAnalyzing 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.ConclusionsThe 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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页数:24
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