title: Adaptive leadership framework for chronic illness: framing a research agenda for transforming care delivery.
abstract: We propose the Adaptive Leadership Framework for Chronic Illness as a novel framework for conceptualizing, studying, and providing care. This framework is an application of the Adaptive Leadership Framework developed by Heifetz and colleagues for business. Our framework views health care as a complex adaptive system and addresses the intersection at which people with chronic illness interface with the care system. We shift focus from symptoms to symptoms and the challenges they pose for patients/families. We describe how providers and patients/families might collaborate to create shared meaning of symptoms and challenges to coproduce appropriate approaches to care.
authors: Duke University School of Nursing, Durham, North Carolina (Drs Anderson, Bailey, Wu, Corazzini, McConnell, and Docherty); Geriatric Research, Education and Clinical Center (GRECC), Durham Veterans Affairs Medical Center, North Carolina (Dr McConnell); and Blue Shield of California, San Francisco (Dr Thygeson).
authors: Ruth A
authors: RA
authors: Anderson
authors: Donald E
authors: DE
authors: Bailey
authors: Bei
authors: B
authors: Wu
authors: Kirsten
authors: K
authors: Corazzini
authors: Eleanor S
authors: ES
authors: McConnell
authors: N Marcus
authors: NM
authors: Thygeson
authors: Sharron L
authors: SL
authors: Docherty
mesh_terms: D002908:Chronic Disease / Q000451:nursing*; D002983:Clinical Competence; D019468:Disease Management; D006801:Humans; D007857:Leadership; D024802:Nurse's Role; D009732:Nursing Care / Q000941:ethics*; D018802:Patient-Centered Care / Q000941:ethics*; D011368:Professional-Family Relations / Q000941:ethics*; D011785:Quality Assurance, Health Care / Q000941:ethics
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