172 Chapter 6 Leadership Theory Context Mechanism Proximal outcome Supporting references Resource Response Support from leaders Leaders within healthcare organisations, such as hospital executives, heads of departments, or clinical directors, have the authority to allocate resources, make policy decisions, and set organisational priorities that determine the models of care provided, including shaping the implementation and integration of new models of care. The transition from standard care to MLCC requires a different allocation of resources, training, and policy changes. Other stakeholders, such as midwives and obstetricians, depend on the decisions and support of leaders to make the transition. Leaders who are supportive and active in promoting MLCC can create an enabling environment for MLCC. The enabling environment created by supportive leaders, can lead to increased buy-in and commitment from other stakeholders. 1 5 8 13 15 16 18 19 22 24-36 Leaders who are hesitant or opposed to MLCC, may be reluctant to allocate resources, invest in training and support, or advocate for policy change. Maternity care networks with leaders who are resistant to MLCC may experience delays, conflicts, or inequities in the provision of MLCC. Change of leadership Leadership positions within healthcare organisations, such as hospital executives, heads of departments, or clinical directors, as well as outside the healthcare organisations, like professional organisations and policy makers, play a crucial role in the models of care that are provided. These stakeholders have the authority to allocate resources, make policy decisions, and set organisational priorities. When leadership changes occur, there may be shifts in organisational priorities and strategies, changes in resource allocation, and policy development, that can affect the provision and continuation of MLCC. New leaders may change policy decisions or an organisational culture, impacting attitudes, behaviors, and practices from care providers, related to MLCC implementation and sustainability. The availability and accessibility of MLCC may be influenced by leadership changes. 1 2 19 20 28 30 37
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