Towards a theoretical framework for Integrated Team Leadership (IgTL)

Figures & data

Table 1. The profession/role of team members interviewed

Profession/role	No.
Occupational therapist	3
Social worker	2
Speech and language therapist	2
Nurse	1
Physiotherapist	3
Support worker	1
Occupational therapy assistant	1
Dietician	1
Team leader	3*
Team manager	1
Total	18

NB * Interviewees with a management/leadership role are also coded by their profession.

Table 2. Integrated team leadership framework

Person-focused leadership

Inspiring and motivating others  ● Vision  ● Positive attitude

Walking the talk  ● Commitment, drive and enthusiasm  ● High standards  ● Strong, confident manner

Service improvement and innovation  ● Developing the service  ● Facilitating participation and discussion?  ● Team learning  ● Valuing team members  ● Constructive feedback  ● Developing experience, skills, confidence

Empowerment  ● Shared leadership  ● Facilitate autonomy  ● Individual development  ● Discuss and share concerns

Teambuilding/maintenance  ● Creating team identity  ● Facilitate full participation  ● Create clear boundaries  ● Managing group dynamics  ● Monitor well-being

Emotional intelligence  ● Calm demeanor  ● Empathy  ● Active communication  ● Approachability  ● Availability  ● Flexibility

Task-focused leadership

Setting the direction of the team  ● Decisiveness-taking responsibility  ● Supporting team decisions  ● Give direction and allocate responsibilities  ● Approving-reviewing care plans  ● Planning work  ● Proactive and organized

Formal team development  ● Addressing skill gaps  ● Ensuring access to required training

External role  ● Representing the team to external stakeholders  ● Entrepreneurial ability  ● Building Id networks  ● Winning resources for the teams  ● Breaking down barriers to IgT  ● Providing guidance in navigating organizational systems

Professional responsibilities & experience

● Does the IgTL need to be from an HSC profession?  ● Professional expertise and experience  ● Understanding the role of the professions/disciplines within the team  ● Learning IgTL from experience

Technical and cultural issues

● Healthcare leadership vs social-care leadership – differences  ● Traditional clinical leadership vs IgTL

Table 3. The number of comments found for IdTL factors identified

Leadership factor	Comments
Person-focused leadership	223
Inspiring and motivating others	23
Walking the talk – idealized influence	23
Service improvement	28
Consideration	45
Empowerment	35
Emotional intelligence	48
Teambuilding and maintenance	21
Task-focused leadership	67
Setting the direction of the team	27
External role	25
Team development	15
Negative leadership	36