Framing Person-Centred Leadership in Residential Care: A Cross-Cultural Adaptation of the Aged-Care Clinical Leadership Qualities Framework

Abstract

Aim: To cross-culturally adapt a framework for person-centred leadership in residential care for older people in Sweden.

Design: This study has an exploratory and descriptive design.

Methods: The translation procedure followed a cyclic process of translation into Swedish and back-translation into English by two independent bilingual linguists. An evaluation of conceptual and semantic equivalence and comprehensiveness between the original English version and the translated Swedish version was performed by an expert committee. The translated version of the framework was validated by leaders (n = 34) in residential care, who assessed its relevance through a web form. The adaptation of the framework followed recommended guidelines for cross-cultural adaptation.

Results: The translation procedure resulted in two minor changes related to the wording in two descriptors. The results of the validation procedure showed that the framework is relevant for leaders in Swedish residential care for older people.

Conclusion: The cross-culturally adapted framework is useful and suitable for leaders in Swedish residential care for older people. The framework clarifies the leader's role and identifies leadership attributes and requirements for person-centred leadership in residential care, thereby providing support to leaders by framing person-centred leadership.

Implications for the profession and/or patient care: The framework can be used as a guide for leadership training and/or development initiatives in residential care. It can be further extended to nursing curriculums, leadership development programs, and organisational performance and development processes. It may also provide a foundation for policy and guidelines by establishing the activities required for leaders to promote person-centredness in the care of older people.

Reporting method: This study followed the STROBE checklist for cross-sectional studies.

Patient and public contribution: There was no patient or public contribution.

Keywords: I‐CVI; clinical leaders; cross‐cultural adaptation; first‐line managers; framework; leadership; person‐centred care; registered nurses.