Developing a healthcare leadership coaching model using action research and systems approaches – a case study: Implementing an executive coaching programme to support nurse managers in achieving organisational objectives in Malta

Abstract

Objectives:This study aims to show how a leadership coaching programme for Nurse Ward Managers may be implemented in a general hospital with the following objectives:clarify the Nurse Ward Managers’ idealised leadership attributes (ILA);identify any perceived gaps in leadership skills;develop and provide a comprehensive coaching programme; andidentify the impact of the programme.Design:An Action Research (AR) was adopted to involve the participants in a collaborative partnership and influence both the implementation process and outcome of the programme. It incorporated two iterative Plan-Act-Reflect cycles.Methods:The sample consisted of 12 randomly chosen Nurse Ward Managers. The coaching methods used in the Action stages include a range of eclectic coaching psychology approaches. The analytical tools used in the Reflective stages included thematic analyses and a systems approach. The impact of the programme was identified using Law et al.’s (2007) Universal Integrative Framework.Results:27 idealised leadership attributes were identified. Both group and individual coaching sessions were found to be effective in helping the participants identify areas of development and goals. The impact of the coaching programme included enhanced self-awareness, feelings of support, ability to take decisions and keep to time frames and achievement of organisational and personal goals.Conclusions:The structured coaching programmes had a substantive impact on developing Nurse Ward Managers’ leadership skills, providing them with an on-going support, and helping them achieve both personal and organisational goals.