AI Article Synopsis

  • The increasing population of older adults relies heavily on nursing homes, where staff, especially care aides, face complex challenges in providing adequate care due to demanding work conditions and lack of resources.* -
  • The study analyzed how nursing home staff interpreted these challenges and engaged in adaptive leadership, allowing them to navigate and implement solutions despite contextual barriers.* -
  • Effective change in nursing homes is aided by the empowerment of staff through formal leadership, which fosters the adaptive leadership behaviors necessary for overcoming obstacles in resident care.*

Article Abstract

Rapidly growing populations of older adults rely heavily on formal long-term care services such as those provided in nursing homes. Nursing home staff are confronted with complex challenges. We explored how staff ( = 88), particularly care aides, interpreted challenges and responded to them by taking adaptive leadership roles, and engaging in technical and adaptive work in nursing homes. We conducted analysis of the ethnographic case studies. In long-term care settings, staff face complex challenges in improving resident care due to contextual barriers. These include demanding work conditions and inadequate resources. Additionally, top-down communications, despite being well-intentioned, often lead to misinterpretation and a lack of staff motivation. Nonetheless, we found that certain staff managed to overcome these contextual barriers and effectively execute change initiatives by assuming adaptive leadership roles. Formal leaders have a vital role in empowering staff, including care aides, and facilitating their adaptive leadership behaviors.

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http://dx.doi.org/10.1177/07334648241243312DOI Listing

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