Innovative Health Leadership Models: Improving Quality of Life in Post-Acute Care Settings
DOI:
https://doi.org/10.56294/hl202294Keywords:
Transformational, Post-Acute, Staff Satisfaction, Job SatisfactionAbstract
Introduction: The study examined novel models of health leadership aimed at improving quality of life in post-acute care environments. It highlighted the need for adaptive strategies to meet the growing complexity and demands of healthcare provision within these settings.
Methods: The research uses a mixed-methods approach consisting of a literature review, qualitative interviews with healthcare leaders and quantitative staff survey in post-acute care settings. Leveraging our experience in recruitment from stakeholder engagement, we recruited participants who had demonstrated leadership behaviour and experience in care model implementation. Qualitative data were analyzed using thematic analysis; statistical methods were used for quantitative findings.
Results: It identified important leadership modalities significantly influencing patient outcomes and staff satisfaction. The most effective model that emerged was transformational leadership which entails inspiring and motivating staff, creating a culture of innovation and problem-solving based on collaboration. Facilities that adopted these models experienced better patient satisfaction scores, lower rehospitalization rates, and improved retention rates of staff.
Conclusions: The results underscored how transformational leadership can redefine post-acute settings. Transformational leadership practices support the development of healthcare environments that contribute to increasing patient quality of life and provider value. The study also suggested more research into these leadership models' long-range effects and whether they can be applied in various healthcare environments. In conclusion, although effective leadership underpins the provision of quality care, the evidence is around the implementation of innovative leadership models as a way to improve patient care in post-acute settings.
References
1. Grinberg, E. (2019). Occupational Therapy Leadership: Promoting An Autonomy-supportive Environment Based on Self-determination Theory, to Improve Patient Outcomes in Acute and Post-acute Stroke Rehabilitation (Doctoral dissertation, Boston University).
2. Parker, A. M., Brigham, E., Connolly, B., McPeake, J., Agranovich, A. V., Kenes, M. T., ... & Turnbull, A. E. (2021). Addressing the post-acute sequelae of SARS-CoV-2 infection: a multidisciplinary model of care. The Lancet Respiratory Medicine, 9(11), 1328-1341.
3. Alcusky, M., Ulbricht, C. M., & Lapane, K. L. (2018). Postacute care setting, facility characteristics, and poststroke outcomes: a systematic review. Archives of physical medicine and rehabilitation, 99(6), 1124-1140.
4. Chase, J. A. D., Russell, D., Rice, M., Abbott, C., Bowles, K. H., & Mehr, D. R. (2020). Caregivers’ experiences regarding training and support in the post-acute home health-care setting. Journal of Patient Experience, 7(4), 561-569.
5. Kusmaul, N., & Bern-Klug, M. (2019). Interest group session—research in quality of care: living in and leaving nursing homes: the factors that contribute to quality of life, health, and safety outcomes. Innovation in Aging, 3(Supplement_1), S359-S359.
6. Nazir, A., Steinberg, K., Wasserman, M., Horowitz, A. C., & Lett, J. E. (2020). Time for an upgrade in the nursing home survey process: a position statement from the Society for Post-Acute and Long-Term Care Medicine. Journal of the American Medical Directors Association, 21(12), 1818-1820.
7. Carpenter, J. G., Hanson, L. C., Hodgson, N., Murray, A., Hippe, D. S., Polissar, N. L., & Ersek, M. (2021). Implementing Primary Palliative Care in Post-acute nursing home care: Protocol for an embedded pilot pragmatic trial. Contemporary Clinical Trials Communications, 23, 100822.
8. Verbeek, H., Zwakhalen, S. M. G., Schols, J. M. G. A., Kempen, G. I. J. M., & Hamers, J. P. H. (2020). The living lab in ageing and long-term care: a sustainable model for translational research improving quality of life, quality of care and quality of work. The Journal of nutrition, health and aging, 24(1), 43-47.
9. Luong, K., Luong, K., & Catullo, S. (2019). Developing a Culture of Antibiotic Stewardship in Post-Acute Care Setting. Journal of the American Medical Directors Association, 20(3), B16-B17.
10. Falvey, J. R., & Ferrante, L. E. (2020). Flattening the disability curve: rehabilitation and recovery after COVID-19 infection. Heart & Lung, 49(5), 440.
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Copyright (c) 2022 Shailesh Solanki , K.V. Jamuna, Siba Prasad Dalai , Vandana Sharma (Author)

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The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.