Emeka Francis Okonji, Brian van Wyk, Gail D Hughes, Ferdinand C Mukumbang
Psychosocial Support Programme Improves Adherence and Health Systems Experiences for Adolescents on Antiretroviral Therapy in Mpumalanga Province, South Africa
International journal of environmental research and public health
article aims argue concept distributed leadership lacks specificity required allow full understanding change happens authors therefore utilise strategic action field framework saf moulton sandfort 2017 sensitive framework understanding leadership complex systems authors use new care models vanguard programme exemplar using saf framework authors explored factors affecting whether local vanguard initiatives implemented response national policy using qualitative case study approach authors apply data focus groups interviews variety respondents six case study sites covering different vanguard types october 2018 july 2019 literature already acknowledges leadership simply individual leaders leading together paper emphasises interdependence exists leaders organisationalsystem context requires actors use skills knowledge within fixed changing attributes local context perform roles boundary spanning interpretation mobilisation necessary allow practical implementation complex change across healthcare setting saf framework useful framework within interrogate data authors found category social skills required elucidation recognising importance intersection position personal characteristicsbehaviours fixed personal attributes local context work novel