Safeguarding older adults in residential care settings: lessons from Kouzes and Posner's transformational leadership model

Nurs Manag (Harrow). 2025 Jan 15. doi: 10.7748/nm.2025.e2148. Online ahead of print.

Abstract

Various styles and models of leadership can be used in nursing practice, with transformational leadership generally considered to be the most effective style. This article explores the application of Kouzes and Posner's Five Practices of Exemplary Leadership framework to the safeguarding of residents from abuse in residential care settings in the Republic of Ireland. The authors outline and critically evaluate Kouzes and Posner's five fundamental leadership practices in this context. While this transformational leadership framework offers a comprehensive approach, emphasising emotional connection and empowerment, the authors consider its practical applicability in a highly regulated healthcare environment. The authors' analysis highlights the strengths and limitations of the model in this context, particularly in fostering a culture of safety and accountability among nursing teams. They conclude that while Kouzes and Posner's model provides valuable insights, its idealistic nature may require adaptation to effectively address the complex realities of safeguarding older adults living in residential care settings.

Keywords: care homes; clinical; elder abuse; health promotion; leadership; leadership frameworks; leadership models; nursing homes; older people; professional; safeguarding.