Leadership with a Learning-Oriented Relationship Supports Nursing Staff in a Changed Approach Towards Health.

Managers in psychiatric outpatient care may play a crucial role in motivating staff to adopt new approaches, often navigating challenges such as organisational resistance and the complexities of the care environment. This study describes managers' experiences motivating staff to adopt a new approach by implementing a lifestyle program for individuals with mental illness in an outpatient psychiatric setting. Interviews with seven managers revealed an overarching theme of a "learning-oriented relationship," emphasising the importance of mutual engagement and staff development. The findings highlight that building relationships and prioritising staff development enhance engagement and facilitate meaningful change. A learning-focused leadership style-marked by inspiration, support, and trust-emerged as a key driver of sustainable change and the adoption of health-promoting practices. This leadership approach may not only aid the implementation of new initiatives but also foster a workplace culture grounded in collaboration, growth, and shared purpose. The study also underscores the importance of training managers in frameworks like Self-Determination Theory, focusing on inspirational motivation and personalised support. Embodying genuine care managers can create an empowering environment that enables staff to embrace and sustain new practices. Future research should explore perspectives to refine strategies for implementation in complex healthcare settings.