The Leading by Design research project is based upon an action research methodology that relies on the utilization of an integral reflexive personal practice.  It uses a case study format and conventional qualitative research methods that include interviews, diary writing, and focus group meetings.  The case study participants are chosen to represent a diverse, non-competitive, stakeholder group across the full-spectrum of organizations that have an interest in improving health and healthcare with design of the environment.

Leading by Design utilizes an experiential learning process that relies upon life’s contextual situations as the classroom for its deep personal learning.  It is a process that is, therefore, non-linear, iterative, emergent, and expansive.  A natural consequence of this process is its ability to affect improvements in the environment – which, then supports, encourages, and reinforces additional learning and improvement.

A grounded theory approach underpins this research, which supports the ongoing identification, testing, and documentation of thematic findings that constitute the theoretical cornerstones of the Leading by Design project.  As a consequence of utilizing this approach, the robust character of this applied learning process has evolved over time to comprise the current complement of 22 thematic findings.

Discussions are in an advanced stage with the UK-based Centre for Innovation in Health Management to include the Leading by Design project within their research portfolio.  The CIHM is a joint program between the Leeds University Business School and the Faculty of Medicine and Health.

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