Abstract
Using principles of transformational leadership, the management team of a Community Care Program (CCP) in British Columbia, Canada involved its staff, clients, and community agency personnel in a participatory action research process to evaluate the CCP's in-home nursing and physio/occupational programs. An iterative reflective process was initiated by the management team and expanded to include all stakeholders. We used a descriptive design with multiple analytic methods. CCP clients, agency personnel, and physicians were surveyed for their perceptions of whether CCP staff practised according to their core program values. Findings revealed minor discrepancies between the CCP's espoused values and those they practised with clients and agency personnel. An important outcome of this study was demonstrating the power and effectiveness of active participation by professional staff, consumers, and agency partners in all aspects of change within a traditional bureaucratic system.
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