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Updated: Feb 11, 2026

The HoneyComb Paradigm for Research on Collective Human Behavior
Published on: January 19, 2019
Person-centred leadership: A relational approach to leadership derived through action research
Shaun Cardiff1, Brendan McCormack2, Tanya McCance3
1School of People & Heathcare Studies, Fontys University of Applied Sciences, Eindhoven, The Netherlands.
Aims And Objectives:
How does person-centred leadership manifest in clinical nursing.
Background:
Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and health care, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing.
Design:
A 3-year participatory action research study where participant leaders planned, researched and learned from their practice development.
Methods:
After an orientation phase, four action spirals focused on: critical and creative reflective inquiries into leadership practice change; leading the implementation and evaluation of a new nursing system; facilitating storytelling sessions with staff; and annually reflecting on personal leadership change. Multiple data gathering methods offered insight into leadership development from several perspectives.
Results:
Critical and creative thematic data analysis revealed a set of attributes, relational processes and contextual factors that influenced the being and becoming of a person-centred leader. Comparing the findings with nursing leadership literature supports a conceptual framework for person-centred leadership.
Conclusions:
Person-centred leadership is a complex, dynamic, relational and contextualised practice that aims to enable associates and leaders achieve self-actualisation, empowerment and well-being.
Relevance To Clinical Practice:
This study and its conceptual framework is of relevance to practitioners, educationalists and researchers interested in developing a relational approach to nurse leadership and person-centred cultures.
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