A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilities

Abstract Background With increasing recognition of the quality and safety issues in residential aged care, there is an urgent need to better understand what skills senior managers require to deliver on the spectrum of leadership functions in residential aged care facilities. This qualitative study s...

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Main Authors: Nathan Dawes, Stephanie M. Topp
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-022-08049-4
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author Nathan Dawes
Stephanie M. Topp
author_facet Nathan Dawes
Stephanie M. Topp
author_sort Nathan Dawes
collection DOAJ
description Abstract Background With increasing recognition of the quality and safety issues in residential aged care, there is an urgent need to better understand what skills senior managers require to deliver on the spectrum of leadership functions in residential aged care facilities. This qualitative study sought to explore the leadership skills that positively influence the quality of care within Australian residential aged care facilities and better understand the professional development needs of senior managers to positively influence care within these complex environments. Methods We conducted semi-structured interviews with 19 senior managers purposively recruited from 14 high-performing non-government residential aged care facilities of varying geographical remoteness in northern Queensland, Australia. Participants held a range of professional roles, including Chief Executive Officer, Director of Nursing and Facility Manager, and had various professional qualifications. We used inductive thematic analysis to identify and categorise senior managers’ perspectives on the leadership skills and related strategies to promote quality of care. Results Senior managers reported leadership skills in five major domains: i) communication and relationship management, ii) stewardship, iii) professional development, iv) health care knowledge and v) information technology and finance. Most participants highlighted communication and relationship management skills and responding to regulatory change as influential to residential aged care quality performance. Participants with different professional backgrounds often emphasised different skills. Conclusions Participants identified a broad range of skills and strategies required by senior managers in Australian residential aged care facilities. Identifying different skills by differently trained individuals suggests more work is needed to understand and develop sector-specific professional development approaches to better prepare individuals to lead in this complex service environment.
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spelling doaj.art-794b4a60b1f447d5bde370522472a4272022-12-22T00:31:19ZengBMCBMC Health Services Research1472-69632022-05-0122111110.1186/s12913-022-08049-4A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilitiesNathan Dawes0Stephanie M. Topp1Division of Tropical Health and Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook UniversityDivision of Tropical Health and Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook UniversityAbstract Background With increasing recognition of the quality and safety issues in residential aged care, there is an urgent need to better understand what skills senior managers require to deliver on the spectrum of leadership functions in residential aged care facilities. This qualitative study sought to explore the leadership skills that positively influence the quality of care within Australian residential aged care facilities and better understand the professional development needs of senior managers to positively influence care within these complex environments. Methods We conducted semi-structured interviews with 19 senior managers purposively recruited from 14 high-performing non-government residential aged care facilities of varying geographical remoteness in northern Queensland, Australia. Participants held a range of professional roles, including Chief Executive Officer, Director of Nursing and Facility Manager, and had various professional qualifications. We used inductive thematic analysis to identify and categorise senior managers’ perspectives on the leadership skills and related strategies to promote quality of care. Results Senior managers reported leadership skills in five major domains: i) communication and relationship management, ii) stewardship, iii) professional development, iv) health care knowledge and v) information technology and finance. Most participants highlighted communication and relationship management skills and responding to regulatory change as influential to residential aged care quality performance. Participants with different professional backgrounds often emphasised different skills. Conclusions Participants identified a broad range of skills and strategies required by senior managers in Australian residential aged care facilities. Identifying different skills by differently trained individuals suggests more work is needed to understand and develop sector-specific professional development approaches to better prepare individuals to lead in this complex service environment.https://doi.org/10.1186/s12913-022-08049-4LeadershipManagementSkillsQuality of careResidential aged care
spellingShingle Nathan Dawes
Stephanie M. Topp
A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilities
BMC Health Services Research
Leadership
Management
Skills
Quality of care
Residential aged care
title A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilities
title_full A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilities
title_fullStr A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilities
title_full_unstemmed A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilities
title_short A qualitative study of senior management perspectives on the leadership skills required in regional and rural Australian residential aged care facilities
title_sort qualitative study of senior management perspectives on the leadership skills required in regional and rural australian residential aged care facilities
topic Leadership
Management
Skills
Quality of care
Residential aged care
url https://doi.org/10.1186/s12913-022-08049-4
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