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Griech SF, Carp S, Davenport TE. Ethical leadership in physical therapy: a developing construct that demands consideration. Leadersh Health Serv (Bradf Engl) 2023; ahead-of-print. [PMID: 37970844 DOI: 10.1108/lhs-03-2023-0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
PURPOSE This paper aims to introduce the Theory of Ethical Leadership as a possible means of actualizing the mission and vision statements of the American Physical Therapy Association as well as individual professional objectives. Specific examples of how this can be applied directly to the profession of physical therapy will be presented. DESIGN/METHODOLOGY/APPROACH Leadership influences can profoundly affect a profession, an organization and an individual. This has led to exploring which leadership style would be most effective in moving their organization forward. Through a review of the literature, this viewpoint paper compares leadership theories present in the health-care literature, as well as why they may fall short of actualizing the mission and vision statements of the American Physical Therapy Association as well as individual professional objectives. FINDINGS Most research has separated ethics from leadership, but all agree that to be successful, the leader needs to exhibit a strong moral compass and demonstrate positive ethical behavior. At the intersection of ethics and leadership is the emerging theory of ethical leadership. Ethical leadership is based on the premise that employees look outside of themselves for ethical guidance and that leaders have an opportunity to provide this moral awareness by making an ethical message sufficiently salient to be recognized in the organizational context as well as allowing the leader to stand out against an ethically neutral ground. ORIGINALITY/VALUE This paper is an original work and has not been published previously, either in whole or in part. Additionally, this paper is not under consideration for publication by any other journal.
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Affiliation(s)
- Sean F Griech
- Doctor of Physical Therapy Program, DeSales University, Center Valley, Pennsylvania, USA
| | - Stephen Carp
- Doctor of Physical Therapy Program, DeSales University, Center Valley, Pennsylvania, USA
| | - Todd E Davenport
- Department of Physical Therapy, University of the Pacific, Stockton, California, USA
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2
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Factors that influence continuing professional development over a nursing career: A scoping review. Nurse Educ Pract 2022; 65:103481. [DOI: 10.1016/j.nepr.2022.103481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 10/14/2022] [Accepted: 10/25/2022] [Indexed: 11/05/2022]
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3
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Nhongo D, Holt A, Flenady T, Rebar A, Bail K. Nurse staffing and adverse events in residential aged care: Retrospective multi-site analysis. Collegian 2022. [DOI: 10.1016/j.colegn.2022.09.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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ÖZKOL KILINÇ K, KURT Ş, ÖZTÜRK H. Evaluating the Clinical Leadership Levels of Nurse Managers. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2022. [DOI: 10.33808/clinexphealthsci.820506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Objective: This study aims to determine the clinical leadership levels of nurse managers and related factors
Methods: This descriptive study was conducted on 109 nurse managers working at six hospitals – including four public hospitals, one private hospital, and one university hospital. The data was collected using Clinical Leadership Scale (CLS) including their personal and demographic information, as well as their clinical leadership traits.
Results: The participants had a total mean score of 2.72±0.19 on clinical leadership scale. The mean scores of the improving services subscale were higher in female nurse managers than those of male counterparts. Participants who formally studied on management earned higher mean scores for the overall CLS and its setting direction subscale than those who did not. Likewise, the participants who formally studied on leadership earned higher mean scores for the overall CLS and its personal qualities subscale than those who did not. These findings were statistically significant (p
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5
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Beks H, Walsh SM, Binder MJ, Jones M, Versace VL. Contribution of nurse leaders to rural and remote health research in Australia: A non-systematic scoping review. Collegian 2021. [DOI: 10.1016/j.colegn.2021.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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6
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Raftery C, Sassenberg AM, Bamford-Wade A. Business acumen for nursing leaders, optional or essential in today's health system? A discussion paper. Collegian 2021; 28:610-615. [PMID: 36694867 PMCID: PMC9851629 DOI: 10.1016/j.colegn.2021.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 07/30/2021] [Accepted: 08/04/2021] [Indexed: 01/27/2023]
Abstract
Background Over the last number of years, the healthcare system has become more complex in managing increasing costs and outcomes within a defined budget. To be effective through reform, especially moving forward from the COVID-19 pandemic, healthcare leaders, specifically in nursing, have an increased need for business acumen beyond traditional leadership and management principles. Aim This paper examines the concept of business acumen in the profession of nursing, specifically for managers and higher nurse leaders, establishing whether these skills are optional or essential. Discussion Nurses learn and develop broad skills in leadership and management, but less specifically about business or the broader system. With a contemporary Australian health system aiming to be more effective, nurses may require a greater level of business acumen to adequately understand the mechanics of business decision making in the system when designing care models, as well as representing the business potential of nursing in balance with clinical outcomes through reform. Conclusion The modern nurse, in addition to clinical skills, may need a foundational understanding of business evolving throughout their career, to maximise innovative growth across the system, in meeting the healthcare needs of our community now and into the future. Without a foundation level of business acumen and an understanding of the system across the profession, nurses may not be empowered with their full potential of being a strong voice influencing health system reform.
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Affiliation(s)
- Chris Raftery
- Gold Coast Health, Qld, Australia,Corresponding author at: 1 Hospital Boulevard, Southport, Qld. 4215; Tel.: +07 56879495
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Isler C, Maddigan J, Small S, Jarvis K, Swab M. Strategies and interventions that foster clinical leadership among registered nurses: a scoping review protocol. JBI Evid Synth 2021; 19:2839-2846. [PMID: 33965997 DOI: 10.11124/jbies-20-00342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE The objective of this scoping review is to identify and describe strategies and interventions aimed at fostering registered nurses' clinical leadership in any clinical setting, identify the theories and/or frameworks that guide registered nurses' clinical leadership development, and describe the types of research conducted on this topic. INTRODUCTION Registered nurse clinical leaders may be defined as staff nurses in clinical settings who influence and coordinate patients, families, and health care team members for the purpose of integrating care for positive patient outcomes. They have been described as expert clinicians, effective decision-makers, and relationship-focused professionals who build trust among patients, families, and health care colleagues to ensure the best possible patient care. Clinical nursing is the cornerstone of the nursing profession. Registered nurses' clinical leadership is considered critical to the health of patients and to the advancement of nursing practice. Hence, it is important to understand strategies and interventions for fostering this leadership. INCLUSION CRITERIA This scoping review will include any quantitative, qualitative, or mixed methods studies that have registered nurse participants practicing in any clinical setting globally and that examined strategies and interventions to foster registered nurses' clinical leadership. Besides primary research studies, we will also include reviews. METHODS This scoping review will be conducted using JBI methodology. Academic databases and sources of gray literature will be searched for published and unpublished studies. Screening and full-text review of accessed records will be conducted to determine alignment with the inclusion criteria. For records that meet the inclusion criteria, data will be extracted, mapped, and presented in a table. A narrative summary will describe how the tabulated results addressed the review questions. SCOPING REVIEW REGISTRATION Open Science Framework Registration: https://osf.io/hjfkd.
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Affiliation(s)
- Chantille Isler
- Faculty of Nursing, Memorial University of Newfoundland, St. John's, NL, Canada.,Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada
| | - Joy Maddigan
- Faculty of Nursing, Memorial University of Newfoundland, St. John's, NL, Canada.,Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada
| | - Sandra Small
- Faculty of Nursing, Memorial University of Newfoundland, St. John's, NL, Canada.,Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada
| | - Kimberly Jarvis
- Faculty of Nursing, Memorial University of Newfoundland, St. John's, NL, Canada.,Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada
| | - Michelle Swab
- Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada.,Health Sciences Library, Memorial University of Newfoundland, St. John's, NL, Canada
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THE IMPACT OF CLINICAL LEADERSHIP ON QUALITY AND ACCREDITATION STUDIES IN HEALTH SERVICES. JOURNAL OF BASIC AND CLINICAL HEALTH SCIENCES 2021. [DOI: 10.30621/jbachs.955272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Pattison N, Deaton C, McCabe C, Coates V, Johnston B, Nolan F, Whiting L, Briggs M. Florence Nightingale's legacy for clinical academics: A framework analysis of a clinical professorial network and a model for clinical academia. J Clin Nurs 2021; 31:353-361. [PMID: 33797144 DOI: 10.1111/jocn.15756] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 01/15/2021] [Accepted: 02/01/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Clinical academic nursing roles are rare, and clinical academic leadership positions even more scarce. Amongst the United Kingdom (UK) academia, only 3% of nurses who are employed within universities are clinically active. Furthermore, access to research fellowships and research grant funding for nurses in clinical or academic practice is also limited. The work of Florence Nightingale, the original role model for clinical academic nursing, is discussed in terms of how this has shaped and influenced that of clinical academic nurse leaders in modern UK healthcare settings. We analysed case studies with a view to providing exemplars and informing a new model by which to visualise a trajectory of clinical academic careers. METHODS A Framework analysis of seven exemplar cases was conducted for a network of Clinical Academic Nursing Professors (n = 7), using a structured template. Independent analysis highlighted shared features of the roles: (a) model of clinical academic practice, (b) infrastructure for the post, (c) capacity-building initiatives, (d) strategic influence, (e) wider influence, (f) local and national implementation initiatives, (g) research area and focus and (h) impact and contribution. FINDINGS All seven of the professors of nursing involved in this discourse were based in both universities and healthcare organisations in an equal split. All had national and international profiles in their specialist clinical areas and were implementing innovation in their clinical and teaching settings through boundary spanning. We outline a model for career trajectories in clinical academia, and how leadership is crucial. CONCLUSION The model outlined emphasises the different stages of clinical academic roles in nursing. Nursing as a discipline needs to embrace the value of these roles, which have great potential to raise the standards of healthcare and the status of the profession.
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Affiliation(s)
- Natalie Pattison
- University of Hertfordshire, Hatfield, UK.,East/North Herts NHS Trust, Stevenage, UK
| | - Christi Deaton
- University of Cambridge, Cambridge, UK.,Cambridge University NHS Trust, Cambridge, UK
| | - Candy McCabe
- University of West England, Bristol, UK.,Dorothy House Hospice, Bath, UK
| | - Vivien Coates
- University of Ulster, Coleraine, UK.,Western Health and Social Care Trust, Londonderry, UK
| | - Bridget Johnston
- University of Glasgow, Glasgow, UK.,Glasgow Royal Infirmary, Glasgow, UK
| | | | | | - Michelle Briggs
- University of Manchester, Manchester, UK.,Manchester NHS Foundation Trust, Manchester, UK
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10
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Hafsteinsdóttir TB, Schoonhoven L, Hamers J, Schuurmans MJ. The Leadership Mentoring in Nursing Research Program for Postdoctoral Nurses: A Development Paper. J Nurs Scholarsh 2020; 52:435-445. [PMID: 32452651 PMCID: PMC7383918 DOI: 10.1111/jnu.12565] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE The Dutch Nursing Science Faculties developed the Leadership Mentoring in Nursing Research program, which aims to increase the cadre of nurse scientists, strengthen nursing research within universities, and improve the career development of postdoctoral nurses. The purpose of this article was to describe the development of the leadership and mentoring program to foster its replication and to present a formative program evaluation. DESIGN The leadership mentoring program was developed using a three-step procedure: a systematic review of the literature on successful leadership programs was conducted; theoretical underpinnings were identified and input; and feedback was solicited from national and international experts and changes made, resulting in the final program, which was executed from February 2016-2018. FINDINGS A 2-year leadership and mentoring program for postdoctoral nurses working in research was developed and executed. Ten fellows completed the program and worked on their leadership development, developed their own research programs, and established research collaborations. Formative evaluations showed that the fellows highly valued the program sessions. We have learned several key lessons on how to structure, implement, and evaluate the leadership and mentoring program. CONCLUSIONS Through the leadership and mentoring program, the fellows are immersed in concerted leadership development focusing on the academic leadership role. Formative evaluations showed that the program was valued by the fellows and that several key lessons were learned. CLINICAL RELEVANCE Through the leadership and mentoring program, 10 postdoctoral nurses strengthened their leadership in research and will further develop their role in healthcare research, clinical practice, and education.
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Affiliation(s)
- Thóra B Hafsteinsdóttir
- Rho Chi at Large, Senior Researcher, Julius Center for Health Sciences and Primary Care, Nursing Science Department, University Medical Center Utrecht, and Utrecht University, The Netherlands, Utrecht, The Netherlands
| | - Lisette Schoonhoven
- Rho Chi at Large, Professor in Nursing, Julius Center for Health Sciences and Primary Care, Nursing Science Department, University Medical Center Utrecht, and Utrecht University, Utrecht, The Netherlands
| | - Jan Hamers
- Rho Chi at Large, Professor of Nursing, Department of Health Services Research, CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - Marieke J Schuurmans
- Rho Chi at Large, Professor in Nursing, Education Center, University Medical Center Utrecht Academy, University Medical Center Utrecht, Utrecht, The Netherlands
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Digby R, Bolster D, Hughes L, Perta A, Bucknall TK. Examining subacute nurses' roles in a changing healthcare context. J Clin Nurs 2020; 29:2260-2274. [PMID: 32145040 DOI: 10.1111/jocn.15235] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 01/23/2020] [Accepted: 02/07/2020] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore and describe nurses' role in the rehabilitation and care of patients in one subacute care facility in Melbourne, Australia. BACKGROUND The role of nurses in subacute care and within the rehabilitation team is evolving and remains unclear. DESIGN Mixed methods. METHODS Fourteen nurses from seven rehabilitation and geriatric evaluation and management wards in one subacute facility in Melbourne, Australia, were observed in practice for two hours and then interviewed. Activities were recorded electronically. Interviews were audio-recorded and transcribed. Data were analysed using content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ). RESULTS Three main themes are as follows: (a) Nurses as rehabilitators; (b) Teamwork in rehabilitation; and (c) The changing context of subacute care. Nurses prioritised patient personal and clinical care above other responsibilities. They were largely excluded from team decision-making because clinical responsibilities precluded them from attending team meetings. Unsuitable buildings, increased patient acuity and time constraints were further challenges. CONCLUSIONS Nurses have a multifaceted role in patient rehabilitation that is poorly understood. An evaluation of the nursing role within the interdisciplinary team, skills and processes of care may increase understanding, and improve communication and relationships between disciplines potentially benefiting patients. Role clarity and differentiation in nursing skills are required within the nursing workforce. RELEVANCE TO CLINICAL PRACTICE Nurses have a unique role in both clinical care and rehabilitation of patients, and as part of the interdisciplinary team. Respectful professional relationships need fostering within the interdisciplinary team to achieve optimal patient outcomes. The way that team meetings and decision-making occur in the subacute wards requires adjustment to ensure that the valuable contribution of nurses, both to the interdisciplinary team and to the rehabilitation of patients, is used and acknowledged to improve patient care.
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Affiliation(s)
- Robin Digby
- School of Nursing and Midwifery, Faculty of Health, Deakin University Locked Bag, Geelong, Victoria, Australia.,Centre for Quality and Patient Safety Alfred Health Partnership, Alfred Health, Melbourne, Victoria, Australia
| | | | | | - Andrew Perta
- Caulfield Hospital, Caulfield, Victoria, Australia
| | - Tracey K Bucknall
- School of Nursing and Midwifery, Faculty of Health, Deakin University Locked Bag, Geelong, Victoria, Australia.,Centre for Quality and Patient Safety Alfred Health Partnership, Alfred Health, Melbourne, Victoria, Australia
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Debout C. [Clarification of the concept of nursing leadership and its different forms]. SOINS; LA REVUE DE REFERENCE INFIRMIERE 2019; 64:18-27. [PMID: 31847964 DOI: 10.1016/j.soin.2019.09.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
France needs to meet numerous public health challenges and maintain universal cover for its population. It is nevertheless surprising to observe that the development of nursing leadership, which is an effective strategy in numerous other countries, is not a priority in France. Faced with this observation, it is important to clarify this concept with the help of extensive foreign scientific literature in order to envisage how its practice can be boosted with the aim of obtaining similar benefits to those evaluated in other national contexts.
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Affiliation(s)
- Christophe Debout
- c/o Soins, Elsevier Masson SAS, 65, rue Camille-Desmoulins, 92442 Issy-les-Moulineaux, France.
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Lange W, Kars MC, Poslawsky IE, Schuurmans MJ, Hafsteinsdóttir TB. Postdoctoral Nurses’ Experiences With Leadership and Career Development: A Qualitative Study. J Nurs Scholarsh 2019; 51:689-698. [DOI: 10.1111/jnu.12519] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2019] [Indexed: 01/10/2023]
Affiliation(s)
- Wendela Lange
- Rho Chi at Large Junior Researcher Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht The Netherlands
| | - Marijke C. Kars
- Rho Chi at Large Assistant Professor Julius Center for Health Sciences and Primary Care University Medical Center Utrecht, and Utrecht University, The Netherlands, Nursing Science Program in Clinical Health Sciences University Medical Center Utrecht Utrecht The Netherlands
| | - Irina E. Poslawsky
- Rho Chi at Large Policy Advisor Health Care, Lecturer Division of Neuroscience, University Medical Center Utrecht, and Nursing Science, Program in Clinical Health Sciences Faculty of Medicine University Utrecht Utrecht The Netherlands
| | - Marieke J. Schuurmans
- Rho Chi at Large Professor in Nursing Education Center University Medical Center Utrecht Academy University Medical Center Utrecht Utrecht The Netherlands
| | - Thóra B. Hafsteinsdóttir
- Rho Chi at Large Senior Researcher Julius Center for Health Sciences and Primary Care University Medical Center Utrecht, and Utrecht University, The Netherlands, Nursing Science, Program in Clinical Health Sciences University Medical Center Utrecht Utrecht The Netherlands
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Stanley D, Stanley K. Clinical leadership and rural and remote practice: A qualitative study. J Nurs Manag 2019; 27:1314-1324. [PMID: 31162890 DOI: 10.1111/jonm.12813] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Revised: 05/28/2019] [Accepted: 05/31/2019] [Indexed: 11/29/2022]
Abstract
AIM To explore how clinical leadership is perceived by nurses in rural and remote areas of New South Wales, Australia. BACKGROUND There are few empirical studies aimed at understanding clinical leadership from a rural and remote perspective. METHODS A qualitative approach, based on interpretive phenomenology, used thematic analysis of recorded and transcribed interviews. Ethical approval was secured, 56 interviews were undertaken, across 14 different rural and remote health facilities, with nurses across the spectrum of practice. RESULTS Thematic analysis led to five themes and findings that support an understanding of clinical leadership from a rural and remote context. Clinical leaders were seen to considerably impact on the initiation of change and quality of care. They also faced barriers if the health facility was poorly staffed, lacked support and if the community were strongly co-dependent. CONCLUSION In rural and remote areas, clinical leadership is evident to support change, innovation and care quality. IMPLICATIONS FOR NURSING MANAGEMENT Managers should be aware that staff shortages and challenges to staff retention or the initiation of change are affected by poor clinical leadership. This paper suggests that managers who facilitate clinical leadership are better able to support professional education and greater efficiencies in the delivery of quality health care.
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Affiliation(s)
- David Stanley
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Canberra, ACT, Australia
| | - Karen Stanley
- Charles Sturt University, Bathurst, New South Wales, Australia
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Poitras ME, Chouinard MC, Fortin M, Girard A, Crossman S, Gallagher F. Nursing activities for patients with chronic disease in family medicine groups: A multiple-case study. Nurs Inq 2018; 25:e12250. [DOI: 10.1111/nin.12250] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 04/27/2018] [Accepted: 05/13/2018] [Indexed: 12/21/2022]
Affiliation(s)
- Marie-Eve Poitras
- Département des Sciences de la Santé; Université du Québec à Chicoutimi; Chicoutimi Québec Canada
- Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean; Saguenay Québec Canada
| | - Maud-Christine Chouinard
- Département des Sciences de la Santé; Université du Québec à Chicoutimi; Chicoutimi Québec Canada
- Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean; Saguenay Québec Canada
| | - Martin Fortin
- Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean; Saguenay Québec Canada
- Faculté de Médecine et des Sciences de la Santé; Université de Sherbrooke; Sherbrooke Québec Canada
| | - Ariane Girard
- Faculté de Médecine et des Sciences de la Santé; Université de Sherbrooke; Sherbrooke Québec Canada
| | | | - Frances Gallagher
- Faculté de Médecine et des Sciences de la Santé; Université de Sherbrooke; Sherbrooke Québec Canada
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Connolly M, Jacobs S, Scott K. Clinical leadership, structural empowerment and psychological empowerment of registered nurses working in an emergency department. J Nurs Manag 2018; 26:881-887. [DOI: 10.1111/jonm.12619] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2017] [Accepted: 01/05/2018] [Indexed: 11/30/2022]
Affiliation(s)
| | | | - Karyn Scott
- The University of Auckland; Auckland New Zealand
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Giles M, Parker V, Conway J, Mitchell R. Knowing how to get things done: Nurse consultants as clinical leaders. J Clin Nurs 2018; 27:1981-1993. [DOI: 10.1111/jocn.14327] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Michelle Giles
- Hunter New England Local Health District; Newcastle NSW Australia
- School of Health; University of New England; Armidale NSW Australia
| | - Vicki Parker
- Hunter New England Local Health District; Newcastle NSW Australia
- School of Health; University of New England; Armidale NSW Australia
| | - Jane Conway
- School of Health; University of New England; Armidale NSW Australia
| | - Rebecca Mitchell
- School of Business and Law; University of Newcastle; Callaghan NSW Australia
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18
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Stanley D, Stanley K. Clinical leadership and nursing explored: A literature search. J Clin Nurs 2018; 27:1730-1743. [DOI: 10.1111/jocn.14145] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2017] [Indexed: 11/30/2022]
Affiliation(s)
- David Stanley
- School of Health; University of New England; Armidale NSW Australia
| | - Karen Stanley
- School of Health; University of New England; Armidale NSW Australia
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Abstract
Introduction Poor patient outcomes in South African maternal health settings have been associated with inadequately performing health care providers and poor clinical leadership at the point of care. While skill deficiencies among health care providers have been largely addressed, the provision of clinical leadership has been neglected. In order to develop and implement initiatives to ensure clinical leadership among frontline health care providers, a need was identified to understand the ways in which clinical leadership is conceptualized in the literature. Design Using the systematic quantitative literature review, papers published between 2004 and 2016 were obtained from search engines (Google Scholar and EBSCOhost). Electronic databases (CINHAL, PubMed, Medline, Academic Search Complete, Health Source: Consumer, Health Source: Nursing/Academic, ScienceDirect and Ovid®) and electronic journals (Contemporary Nurse, Journal of Research in Nursing, Australian Journal of Nursing and Midwifery, International Journal of Clinical Leadership) were also searched. Results Using preselected inclusion criteria, 7256 citations were identified. After screening 230 potentially relevant full-text papers for eligibility, 222 papers were excluded because they explored health care leadership or clinical leadership among health care providers other than frontline health care providers. Eight papers met the inclusion criteria for the review. Most studies were conducted in high-income settings. Conceptualizations of clinical leadership share similarities with the conceptualizations of service leadership but differ in focus, with the intent of improving direct patient care. Clinical leadership can be a shared responsibility, performed by every competent frontline health care provider, regardless of the position in the health care system. Conclusion Conceptualizations of clinical leadership among frontline health care providers arise mainly from high-income settings. Understanding the influence of context on conceptualizations of clinical leadership in middle- and low-income settings may be required.
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Affiliation(s)
- Solange Mianda
- Department of Public Health Medicine, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Anna S Voce
- Department of Public Health Medicine, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
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Giles M, Parker V, Mitchell R, Conway J. How do nurse consultant job characteristics impact on job satisfaction? An Australian quantitative study. BMC Nurs 2017; 16:51. [PMID: 28912667 PMCID: PMC5594556 DOI: 10.1186/s12912-017-0246-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 09/04/2017] [Indexed: 11/10/2022] Open
Abstract
Background There is a direct link between job satisfaction, nurses’ job performance and improved patient outcomes. Understanding what job characteristics influence job satisfaction is vital if health organizations are to optimize individual employee satisfaction and performance. This is particularly necessary in the Nurse Consultant role, which is a multifaceted role that has evolved to meet the dynamic and changing needs of health services. This study aims to examine how job characteristics influence Nurse Consultant job satisfaction and identify differences across metropolitan and rural contexts. Methods This paper presents quantitative findings that are part of a larger prospective cross sectional mixed method study. An online survey consisting of a variety of job characteristic factors was administered to all NCs working in a large Local Health District in New South Wales, Australia over an 8-week period in 2010. Descriptive analysis identified NC’s perceptions of job satisfaction and job characteristics in their current role and factor and regression analysis identified relationships between these factors. Results Job satisfaction was identified as high (mean 4.3) and is strongly correlated with job autonomy, role clarity, role conflict and job support. A high level of role clarity has a moderating effect on the relationship between job autonomy and job satisfaction. Conclusions Study findings inform how we prepare nurses for the NC role and how managers engage with and support NCs in their role taking into account context. Understanding the factors that influence job satisfaction and role effectiveness gives managers valuable information to assist in positioning and supporting these roles to maximize effectiveness across integrated and contemporary models of health care delivery. Electronic supplementary material The online version of this article (10.1186/s12912-017-0246-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Michelle Giles
- Centre for Nursing and Midwifery Research, Hunter New England Local Health District, Newcastle, NSW 2300 Australia
| | - Vicki Parker
- Centre for Nursing and Midwifery Research, Hunter New England Local Health District, Newcastle, NSW 2300 Australia.,School of Health, University of New England, Armidale, 2351 NSW Australia
| | - Rebecca Mitchell
- School of Business and Law, University of Newcastle, Callaghan, Australia
| | - Jane Conway
- School of Health, University of New England, Armidale, 2351 NSW Australia
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Franks-Meeks S. Clinical staff nurse leadership: Identifying gaps in competency development. Nurs Forum 2017; 53:35-39. [PMID: 28745441 DOI: 10.1111/nuf.12217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND To date, there has been no development of a complete, applicable inventory of clinical staff nurse (CSN) leadership role competencies through a valid and reliable methodology. Further, the CSN has not been invited to engage in the identification, definition, or development of their own leadership competencies. OBJECTIVE Compare existing leadership competencies to identify and highlight gaps in clinical staff nurse leadership role competency development and validation. METHOD Literature review. RESULTS The CSN has not participated in the development of CSN leadership role competencies, nor have the currently identified CSN leadership role competencies been scientifically validated through research. Finally, CSN leadership role competencies are incomplete and do not reflect the CSN perspective.
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Veenstra GL, Ahaus K, Welker GA, Heineman E, van der Laan MJ, Muntinghe FLH. Rethinking clinical governance: healthcare professionals' views: a Delphi study. BMJ Open 2017; 7:e012591. [PMID: 28082364 PMCID: PMC5253713 DOI: 10.1136/bmjopen-2016-012591] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Revised: 08/19/2016] [Accepted: 09/28/2016] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Although the guiding principle of clinical governance states that healthcare professionals are the leading contributors to quality and safety in healthcare, little is known about what healthcare professionals perceive as important for clinical governance. The aim of this study is to clarify this by exploring healthcare professionals' views on clinical governance. DESIGN Based on a literature search, a list of 99 elements related to clinical governance was constructed. This list was refined, extended and restricted during a three-round Delphi study. SETTING AND PARTICIPANTS The panel of experts was formed of 24 healthcare professionals from an academic hospital that is seen as a leader in terms of its clinical governance expertise in the Netherlands. MAIN OUTCOME MEASURES Rated importance of each element on a four-point scale. RESULTS The 50 elements that the panel perceived as most important related to adopting a bottom-up approach to clinical governance, ownership, teamwork, learning from mistakes and feedback. The panel did not reach a consensus concerning elements that referred to patient involvement. Elements that referred to a managerial approach to clinical governance and standardisation of work were rejected by the panel. CONCLUSIONS In the views of the panel of experts, clinical governance is a practice-based, value-driven approach that has the goal of delivering the highest possible quality care and ensuring the safety of patients. Bottom-up approaches and effective teamwork are seen as crucial for high quality and safe healthcare. Striving for high quality and safe healthcare is underpinned by continuous learning, shared responsibility and good relationships and collaboration between healthcare professionals, managers and patients.
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Affiliation(s)
- Gepke L Veenstra
- Centre of Expertise on Quality and Safety, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands
| | - Kees Ahaus
- Centre of Expertise on Quality and Safety, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands
- Faculty of Economics and Business, Department Operations, University of Groningen, Groningen, The Netherlands
| | - Gera A Welker
- Centre of Expertise on Quality and Safety, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands
| | - Erik Heineman
- Centre of Expertise on Quality and Safety, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands
- Department of Surgery, University Medical Centre Groningen, Groningen, The Netherlands
| | | | - Friso L H Muntinghe
- Department of Internal Medicine, University Medical Centre Groningen, Groningen, The Netherlands
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MacPhail A, Young C, Ibrahim JE. Workplace-based clinical leadership training increases willingness to lead. Leadersh Health Serv (Bradf Engl) 2017; 28:100-18. [PMID: 25921316 DOI: 10.1108/lhs-01-2014-0002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this paper is to reflect upon a workplace-based, interdisciplinary clinical leadership training programme (CLP) to increase willingness to take on leadership roles in a large regional health-care centre in Victoria, Australia. Strengthening the leadership capacity of clinical staff is an advocated strategy for improving patient safety and quality of care. An interdisciplinary approach to leadership is increasingly emphasised in the literature; however, externally sourced training programmes are expensive and tend to target a single discipline. DESIGN/METHODOLOGY/APPROACH Appraisal of the first two years of CLP using multiple sourced feedback. A structured survey questionnaire with closed-ended questions graded using a five-point Likert scale was completed by participants of the 2012 programme. Participants from the 2011 programme were followed up for 18 months after completion of the programme to identify the uptake of new leadership roles. A reflective session was also completed by a senior executive staff that supported the implementation of the programme. FINDINGS Workplace-based CLP is a low-cost and multidisciplinary alternative to externally sourced leadership courses. The CLP significantly increased willingness to take on leadership roles. Most participants (93 per cent) reported that they were more willing to take on a leadership role within their team. Fewer were willing to lead at the level of department (79 per cent) or organisation (64 per cent). Five of the 11 participants from the 2011 programme had taken on a new leadership role 18 months later. Senior executive feedback was positive especially around the engagement and building of staff confidence. They considered that the CLP had sufficient merit to support continuation for at least another two years. ORIGINALITY/VALUE Integrating health-care professionals into formal and informal leadership roles is essential to implement organisational change as part of the drive to improve the safety and quality of care for patients and service users. This is the first interdisciplinary, workplace-based leadership programme to be described in the literature, and demonstrates that it is possible to deliver low-cost, sustainable and productive training that increases the willingness to take on leadership roles.
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Affiliation(s)
- Aleece MacPhail
- Subacute Services, Ballarat Health Services, Ballarat, Australia
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Tingvoll WA, Sæterstrand T, McClusky LM. The challenges of primary health care nurse leaders in the wake of New Health Care Reform in Norway. BMC Nurs 2016; 15:66. [PMID: 27904435 PMCID: PMC5121988 DOI: 10.1186/s12912-016-0187-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 11/10/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The local municipality, whose management style is largely inspired by the New Public Management (NPM) model, has administrative responsibilities for primary health care in Norway. Those responsible for health care at the local level often find themselves torn between their professional responsibilities and the municipality's market-oriented funding system. The introduction of the new health care reform process known as the Coordination Reform in January 2012 prioritises primary health care while simultaneously promoting a more collaborative and multidisciplinary approach to health care. Nurse leaders experience constant cross-pressure in their roles as members of the municipal executive team, the execution of their professional and administrative duties, and the overall political aims of the new reform. The aim of this article is to illuminate some of the major challenges facing nurse leaders in charge of nursing homes and to draw attention to their professional concerns about the quality of nursing care with the introduction of the new reform and its implementation under NPM-inspired municipal executive leadership. METHOD This study employs a qualitative design. In-depth interviews were conducted with 10 nurse leaders in 10 municipalities, with a phenomenological-hermeneutic approach used for data analysis and interpretation. RESULT Findings highlighted the increasingly complex challenges facing nurse leaders operating in the context of the municipality's hierarchical NPM management structure, while they are required to exercise collaborative professional interactions as per the guidelines of the new Coordination Reform. The interview findings were interpreted out of three sub-themes 1) importance of support for the nurse leader, 2) concerns about overall service quality, and 3) increased tasks unrelated to nursing leadership. CONCLUSION The priorities of municipal senior management and the focus of the municipality's care service need clarification in the light of this reform. The voices of those at the frontlines of the caring services need to be heard as the restructuring of the caring services may have implications both for funding allocation and for the quality of patient care.
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Affiliation(s)
- Wivi-Ann Tingvoll
- Department of Health and Care, Faculty of Health Sciences, University of Tromsø - The Arctic University of Norway, Campus Narvik, Narvik, Norway
| | | | - Leon Mendel McClusky
- Department of Health and Care, Faculty of Health Sciences, University of Tromsø - The Arctic University of Norway, Campus Narvik, Narvik, Norway
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Jodar I Solà G, Gené I Badia J, Hito PD, Osaba MAC, Del Val García JL. Self-perception of leadership styles and behaviour in primary health care. BMC Health Serv Res 2016; 16:572. [PMID: 27733141 PMCID: PMC5062861 DOI: 10.1186/s12913-016-1819-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Accepted: 10/05/2016] [Indexed: 11/10/2022] Open
Abstract
Background The concept of leadership has been studied in various disciplines and from different theoretical approaches. It is a dynamic concept that evolves over time. There are few studies in our field on managers’ self-perception of their leadership style. There are no pure styles, but one or another style is generally favoured to a greater or lesser degree. In the primary health care (PHC) setting, managers’ leadership style is defined as a set of attitudes, behaviours, beliefs and values. The objectives of this study were to describe and learn about the self-perception of behaviours and leadership styles among PHC managers; to determine the influence of the leadership style on job satisfaction, efficiency, and willingness to work in a team; and to determine the relationship between transformational and transactional styles according age, gender, profession, type of manager years of management experience, and the type of organization. Methods To describe leadership styles as perceived by PHC managers, a cross sectional study was performed using an 82 items-self-administered Multifactor Leadership Questionnaire (MLQ). This questionnaire measures leadership styles, attitudes and behaviour of managers. The items are grouped into three first order variables (transformational, transactional and laissez-faire) and ten second order variables (which discriminate leader behaviours). Additionally, the questionnaire evaluates organizational consequences such as extra-effort, efficiency and satisfaction. Results One hundred forty responses from 258 managers of 133 PHC teams in the Barcelona Health Area (response rate: 54.26 %). Most participants were nurses (61.4 %), average age was 49 years and the gender predominantly female (75 %). Globally, managers assessed themselves as equally transactional and transformational leaders (average: 3.30 points). Grouped by profession, nurses (28.57 % of participants) showed a higher transactional leadership style, over transformational leadership style, compared to physicians (3.38 points, p < 0.003). Considering gender, men obtained the lowest results in transactional style (p < 0.015). Both transactional and transformational styles correlate with efficiency and job satisfaction (r = 0.724 and r = 0.710, respectively). Conclusions PHC managers’ self-perception of their leadership style was transactional, focused on the maintenance of the status quo, although there was a trend in some scores towards the transformational style, mainly among nurse managers. Both styles correlate with satisfaction and willingness to strive to work better.
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Affiliation(s)
- Glòria Jodar I Solà
- Public Health Nursing, Mental, and Maternal and Infant Health, Universidad de Barcelona, Campus Bellvitge, c/Feixa Llarga s/n. 08907 L'Hospitalet de Llobregat, Barcelona, Spain.
| | - Joan Gené I Badia
- Public Health Departament, Consorci d'Atenció Primària de Salut de l'Eixample (CAPSE), Barcelona University, Roselló 161, 08036, Barcelona, Spain
| | - Pilar Delgado Hito
- Fundamental and Surgical-Medical Department, Universidad de Barcelona, Campus Bellvitge, c/Feixa Llarga s/n. 08907 L'Hospitalet de Llobregat, Barcelona, Spain
| | - M Antonia Campo Osaba
- Institut Universitari d'Investigación en Atenció Primària (IDIAP) Jordi Gol Unidad de investigación de Barcelona, Gran Via de les Corts Catalanes 587, àtic, 08007, Barcelona, Spain
| | - Jose Luís Del Val García
- Barcelona's Primary Health Care Research, Evaluation and Quality Unit Institut Català de la Salut, Numància n° 23, 08029, Barcelona, Spain
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Husebø SE, Olsen ØE. Impact of clinical leadership in teams' course on quality, efficiency, responsiveness and trust in the emergency department: study protocol of a trailing research study. BMJ Open 2016; 6:e011899. [PMID: 27515758 PMCID: PMC4985869 DOI: 10.1136/bmjopen-2016-011899] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Clinical leadership has long been recognised as critical for optimising patient safety, quality of care and interprofessional teamwork in busy and stressful healthcare settings. There is a need to compensate for the absence of the conventional mentor-to-apprentice transfer of clinical leadership knowledge and skills. While young doctors and nurses are increasingly proficient in medical, surgical and technical skills, their training in, and knowledge of clinical leadership skills, is not adequate to meet the demands for these non-technical skills in the emergency department. Thus, the purpose of the paper is to present and discuss the study protocol of clinical leadership in a course for teams that aims to improve quality, efficiency, responsiveness of healthcare services and collegial trust in the emergency department. METHODS AND ANALYSIS The study employs a trailing research design using multiple quantitative and qualitative methods in the summative (pretest and post-test) and formative evaluation. Quantitative data have been collected from a patient questionnaire, the emergency departments' database and by the observation of team performance. Qualitative data have been collected by shadowing healthcare professionals and through focus group interviews. To ensure trustworthiness in the data analysis, we will apply member checks and analyst triangulation, in addition to providing contextual and sample description to allow for evaluation of transferability of our results to other contexts and groups. ETHICS AND DISSEMINATION The study is approved by the ethics committee of the western part of Norway and the hospital. The study is based on voluntary participation and informed written consent. Informants can withdraw at any point in time. The results will be disseminated at research conferences, peer review journals and through public presentations to people outside the scientific community.
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Affiliation(s)
- Sissel Eikeland Husebø
- Department of Health Studies, Faculty of Social Science, University of Stavanger, Stavanger, Norway
- Department of Surgery, Stavanger University Hospital, Stavanger, Norway
| | - Øystein Evjen Olsen
- Emergency Department, Stavanger University Hospital, Stavanger, Norway
- Global Health Priorities Research Group, Department of Global Public Health and Primary Care, Center for International Health, University of Bergen, Bergen, Norway
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Barkhordari-Sharifabad M, Ashktorab T, Atashzadeh-Shoorideh F. Ethical competency of nurse leaders: A qualitative study. Nurs Ethics 2016; 25:20-36. [DOI: 10.1177/0969733016652125] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Ethics play an important role in activating the manpower and achieving the organizational goals. The nurse leaders’ ethical behavior can promote the care quality by affecting the nurses’ performance and bringing up several positive consequences for the organization. Objectives: The aim of this study was to identify and describe the ethical competency of nurse leaders in cultural domains and the working conditions of the Iranian healthcare setting to arrive at a more comprehensive and specific perspective. Methods: This was a qualitative conventional content analysis study conducted with the participation of 14 nurse leaders at various levels. The participants were selected using the purposive sampling method, and the required data were collected using deep interview and also semi-structured interview. A deductive method of content analysis was applied in data analysis. Ethical considerations: This study was conducted in accord with the principles of research ethics and national rules and regulations relating to informed consent and confidentiality. Findings: Data analysis resulted in 17 subcategories that were subsequently grouped into three major categories including empathetic interactions, ethical behavior, and exalted manners. Discussion: Our findings are consistent with previous ones, yet presenting a more complete knowledge about aspects of ethical competency of nurse leaders. The nurse leaders can provide a proper behavioral model for the work environment through the use of new information. Conclusion: The nurse leaders introduced various aspects of ethical competency, so the leaders’ ethical competency could be promoted via planning and managing some ethical development programs. More future research is needed regarding the experiences of the subordinates and other related parties.
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Affiliation(s)
- Maasoumeh Barkhordari-Sharifabad
- Shahid Beheshti University of Medical Sciences, Tehran, Iran; Yazd Branch, Islamic Azad University, Yazd, Iran
- Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Ennis G, Happell B, Reid-Searl K. Intentional Modelling: A Process for Clinical Leadership Development in Mental Health Nursing. Issues Ment Health Nurs 2016; 37:353-9. [PMID: 27105347 DOI: 10.3109/01612840.2016.1158336] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Clinical leadership is becoming more relevant for nurses, as the positive impact that it can have on the quality of care and outcomes for consumers is better understood and more clearly articulated in the literature. As clinical leadership continues to become more relevant, the need to gain an understanding of how clinical leaders in nursing develop will become increasingly important. While the attributes associated with effective clinical leadership are recognized in current literature there remains a paucity of research on how clinical leaders develop these attributes. This study utilized a grounded theory methodology to generate new insights into the experiences of peer identified clinical leaders in mental health nursing and the process of developing clinical leadership skills. Participants in this study were nurses working in a mental health setting who were identified as clinical leaders by their peers as opposed to identifying them by their role or organizational position. A process of intentional modeling emerged as the substantive theory identified in this study. Intentional modeling was described by participants in this study as a process that enabled them to purposefully identify models that assisted them in developing the characteristics of effective clinical leaders as well as allowing them to model these characteristics to others. Reflection on practice is an important contributor to intentional modelling. Intentional modelling could be developed as a framework for promoting knowledge and skill development in the area of clinical leadership.
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Affiliation(s)
- Gary Ennis
- a University of Canberra , Synergy: Nursing and Midwifery Research Centre, Faculty of Health , Melbourne , Australia and ACT Health, North Western Mental Health , Melbourne , Australia
| | - Brenda Happell
- b University of Canberra , Synergy: Nursing and Midwifery Research Centre, Faculty of Health , Melbourne , Australia
| | - Kerry Reid-Searl
- c Central Queensland University , School of Nursing and Midwifery, Division of Higher Education , Rockhampton , Queensland , Australia
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Nichols L, Wright K. Implementing a Primary Healthcare Framework: The Importance of Nursing Leadership in Developing and Maintaining a Brain Tumor Support Group. Clin J Oncol Nurs 2015. [DOI: 10.1188/15.cjon.463-467] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Démeh W, Rosengren K. The visualisation of clinical leadership in the content of nursing education--a qualitative study of nursing students' experiences. NURSE EDUCATION TODAY 2015; 35:888-893. [PMID: 25779028 DOI: 10.1016/j.nedt.2015.02.020] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Revised: 02/17/2015] [Accepted: 02/25/2015] [Indexed: 06/04/2023]
Abstract
OBJECTIVE The aim of this study was to describe nursing students' experiences of clinical leadership during their last year of education. BACKGROUND Work as a nurse is complex with several demands from stakeholders who are colleagues, managers, patients and relatives. Therefore, it is important to provide students with tools for a forthcoming professional life as a nurse. SETTING, PARTICIPANTS AND METHOD A qualitative descriptive study was carried out in Jordan. Narratives (n=20) written by nursing students in their last year before graduation as a registered nurse were collected. The data were analysed by a manifest content analysis. RESULTS The results formed one category: (Clinical leadership-safety in being a nurse), and three subcategories (eye-opener, a role model and bridging the gap) described the students' clinical leadership experiences due to the preparation process for being a nurse. Clinical leadership applies theory to practice by using a holistic view in nursing. CONCLUSION Clinical leadership is a valuable tool for bridging the gap between theory and practice in nursing education. Skills within nursing management clarify and simplify nursing activities, which facilitates the transition from student to nurse. Focus on learning needs in nursing management is needed for stakeholders within education and health care organisations to facilitate graduation of well skilled nurses.
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Affiliation(s)
- Waddah Démeh
- Faculty of Nursing, Clinical Nursing Department, The University of Jordan, P.O. Box 850869, Amman 11185, Jordan.
| | - Kristina Rosengren
- Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, SE-405 30 Gothenburg, Sweden.
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Mannix J, Wilkes L, Daly J. Grace under fire: aesthetic leadership in clinical nursing. J Clin Nurs 2015; 24:2649-58. [DOI: 10.1111/jocn.12883] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/18/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Judy Mannix
- School of Nursing & Midwifery; University of Western Sydney; Sydney Australia
| | - Lesley Wilkes
- School of Nursing & Midwifery; University of Western Sydney; Sydney Australia
- Nepean Blue Mountains Local Health District; Penrith NSW Australia
| | - John Daly
- Faculty of Health; University of Technology, Sydney; Sydney NSW Australia
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Abstract
PURPOSE The purpose of this article is to provide a concept analysis of staff nurse clinical leadership (SNCL). A clear delineation of SNCL will promote understanding and encourage communication of the phenomenon. Clarification of the concept will establish a common understanding of the concept, and advance the practice, education, and research of this phenomenon. METHODS A review of the literature was conducted using several databases. The databases were searched using the following keywords: clinical leadership, nursing, bedside, staff nurse, front-line, front line, and leadership. The search yielded several sources; however, only those that focused on clinical leadership demonstrated by staff nurses in acute care hospital settings were selected for review. FINDINGS SNCL is defined as staff nurses who exert significant influence over other individuals in the healthcare team, and although no formal authority has been vested in them facilitates individual and collective efforts to accomplish shared clinical objectives. CONCLUSION The theoretical definition for SNCL within the team context will provide a common understanding of this concept and differentiate it from other types of leadership in the nursing profession. This clarification and conceptualization of the concept will assist further research of the concept and advance its practical application in acute care hospital settings.
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Peltzer JN, Ford DJ, Shen Q, Fischgrund A, Teel CS, Pierce J, Jamison M, Waldon T. Exploring leadership roles, goals, and barriers among Kansas registered nurses: A descriptive cross-sectional study. Nurs Outlook 2015; 63:117-23. [DOI: 10.1016/j.outlook.2015.01.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Revised: 12/17/2014] [Accepted: 01/10/2015] [Indexed: 11/24/2022]
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Martin JS, McCormack B, Fitzsimons D, Spirig R. Evaluation of leadership practices: how to develop a vision. J Res Nurs 2014. [DOI: 10.1177/1744987114523977] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Leadership competencies and more specifically a strategic vision are essential to managing increasingly complex healthcare organisations and change. However, Switzerland, like many other countries, has identified a lack of leadership skills among nurse leaders. Therefore the Royal College of Nursing’s (RCN) Clinical Leadership Programme has been adapted, implemented and evaluated in the Swiss nursing context. The aim of this qualitative study was to evaluate the Leadership Programme’s support for vision development. In-depth interviews with six nurse leaders, who were purposefully selected according to the quantitative results of the overall mixed-methods evaluation project were included. Interviews were audio-recorded and transcribed prior to qualitative content analysis. Findings showed the different approaches used in the process of vision formation. Some used cognitive-analytical techniques and proceeded very methodically and systematically, whereas others described a more intuitive approach. Some also used a combination of both approaches. Participants experienced fostering and hindering factors on different levels – personal as well as organisational. The identified factors in vision development may be helpful in the planning of educational programmes to facilitate visionary skills among nurse leaders. Vision formation requires time for reflection and the ability of creative thinking, which is distinct from day-to-day management tasks.
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Affiliation(s)
- Jacqueline S. Martin
- Director of Nursing and Allied Health Professions, Department of Nursing and Allied Healthcare Professions, University Hospital Basel, Switzerland
| | - Brendan McCormack
- Director, Institute of Nursing and Health Research & Head, Person-centred Practice Research Centre, University of Ulster, Northern Ireland
| | - Donna Fitzsimons
- Senior Manager, Nursing Research, Belfast Trust, Northern Ireland; Institute of Nursing and Health Research, University of Ulster, Northern Ireland
| | - Rebecca Spirig
- Director, Department of Nursing and Allied Healthcare Professions, University Hospital Zurich, Switzerland; Professor, Institute of Nursing Science, University of Basel, Switzerland
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Mathew L. An Examination of Transformational Leadership among Graduating Baccalaureate Nursing Students and Practicing Nurses. ACTA ACUST UNITED AC 2014. [DOI: 10.4236/ojn.2014.411079] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Nurse retention: A review of strategies to create and enhance positive practice environments in clinical settings. Int J Nurs Stud 2014; 51:85-92. [DOI: 10.1016/j.ijnurstu.2013.05.015] [Citation(s) in RCA: 108] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2012] [Revised: 04/30/2013] [Accepted: 05/31/2013] [Indexed: 11/17/2022]
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Lau R, Cross W, Moss C, Campbell A, De Castro M, Oxley V. Leadership and management skills of general practice nurses: Experience or education? Int J Nurs Pract 2013; 20:655-61. [DOI: 10.1111/ijn.12228] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Rosalind Lau
- School of Nursing and MidwiferyMonash University, Clayton Campus Clayton Victoria Australia
| | - Wendy Cross
- School of Nursing and MidwiferyMonash University Melbourne Victoria Australia
| | - Cheryle Moss
- School of Nursing and MidwiferyMonash University Melbourne Victoria Australia
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Mannix J, Wilkes L, Daly J. Attributes of clinical leadership in contemporary nursing: an integrative review. Contemp Nurse 2013. [DOI: 10.5172/conu.2013.3505] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Linga S, Curtis J, Brightond R, Dunlopb A. An examination of barriers to nurse practitioner endorsement in senior rural drug and alcohol nurses in New South Wales. Collegian 2013; 20:79-86. [PMID: 23898595 DOI: 10.1016/j.colegn.2012.03.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION AND AIMS To examine barriers senior rural nurses in New South Wales drug and alcohol clinical settings perceive when considering endorsement to Nurse Practitioner (NP). DESIGN AND METHODS A survey was designed to record views of senior alcohol and drug nurses in rural New South Wales about becoming a NP. Participants were identified by Area Health Service Directors of Drug and Alcohol Services for each Area Health Service in NSW excluding metropolitan Sydney. Forty eight surveys were distributed, with 17 (35%) completed surveys included in the results. RESULTS Of the 17 participants, 12 (70.6%) expressed interest in becoming a NP. The majority (12, 70.6%) were unaware or unsure of endorsement processes. Lack of clarity about the NP role and processes and benefits to becoming a NP was found to be of most concern to all participants. Only 6 participants (35%) indicated they would consider seeking endorsement to NP. DISCUSSION AND CONCLUSION Despite agreeing that NP positions in alcohol and drug settings would improve patient access to treatment and care, senior nurses working in these settings in regional areas are unfamiliar with pathways to becoming endorsed. Barriers, such as a lack of internal support from management and colleagues, as well as the fact that respondents reported no foreseeable financial gain in endorsement, also need to be addressed, before more nurses will consider endorsement. Further evaluation of the views of senior nurses in metropolitan alcohol and other drug settings in the process to NP endorsement is needed before clients will benefit from the expertise and enhanced care that NP's may provide.
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Affiliation(s)
- Stephen Linga
- Drug and Alcohol, John Hunter Hospital, Hunter New England Area Health Service, New South Wales, Australia.
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Higgins A, Begley C, Lalor J, Coyne I, Murphy K, Elliott N. Factors influencing advanced practitioners' ability to enact leadership: a case study within Irish healthcare. J Nurs Manag 2013; 22:894-905. [DOI: 10.1111/jonm.12057] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2012] [Indexed: 11/30/2022]
Affiliation(s)
- Agnes Higgins
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - Cecily Begley
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - Joan Lalor
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - Imelda Coyne
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
| | - Kathy Murphy
- School of Nursing and Midwifery; National University of Ireland; Galway Ireland
| | - Naomi Elliott
- School of Nursing and Midwifery; Trinity College Dublin; Dublin Ireland
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Lord L, Jefferson T, Klass D, Nowak M, Thomas G. Leadership in context: Insights from a study of nursing in Western Australia. LEADERSHIP 2013. [DOI: 10.1177/1742715012468780] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This paper investigates the importance of integrating context when analysing the role and practice of leadership within a specific organization or profession. It does this with reference to a study of nursing in Western Australia. Using theoretical sampling, qualitative data were collected through interviews and focus groups with targeted stakeholders in Western Australia’s public health system. The main purpose of the data collection and analysis was to identify perceptions and understandings of leadership among key stakeholders. Findings emerged which identified the importance of considering specific dimensions of the cultural, social and institutional context in order to understand the practice and experience of leadership among nurses in the Western Australian public health sector.
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Phillips N, Byrne G. Enhancing frontline clinical leadership in an acute hospital trust. J Clin Nurs 2013; 22:2625-35. [DOI: 10.1111/jocn.12088] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2012] [Indexed: 11/29/2022]
Affiliation(s)
- Natasha Phillips
- University College Hospitals London NHS Foundation Trust; London
| | - Geraldine Byrne
- School of Nursing, Midwifery and Social Work; University of Hertfordshire; Hatfield Herts UK
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Miskelly P, Duncan L. ‘I'm actually being the grown-up now’: leadership, maturity and professional identity development. J Nurs Manag 2013; 22:38-48. [DOI: 10.1111/jonm.12030] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2012] [Indexed: 11/28/2022]
Affiliation(s)
- Philippa Miskelly
- Nursing & Midwifery; Professional Development Unit; Waikato District Health Board; Hamilton New Zealand
| | - Lindsay Duncan
- Nursing & Midwifery; Professional Development Unit; Waikato District Health Board; Hamilton New Zealand
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Nelsey L, Brownie S. Effective leadership, teamwork and mentoring – Essential elements in promoting generational cohesion in the nursing workforce and retaining nurses. Collegian 2012; 19:197-202. [DOI: 10.1016/j.colegn.2012.03.002] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Walker R, Cooke M, Henderson A, Creedy DK. Characteristics of leadership that influence clinical learning: a narrative review. NURSE EDUCATION TODAY 2011; 31:743-756. [PMID: 21255881 DOI: 10.1016/j.nedt.2010.12.018] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2010] [Revised: 12/07/2010] [Accepted: 12/20/2010] [Indexed: 05/30/2023]
Abstract
Leadership has been consistently implied in fostering clinical learning. However there is a lack of clarity about the form leadership should take. Limited quantitative research indicated a narrative approach to review literature from a broad perspective. A framework to guide the synthesis was developed to ensure a rigorous review process. Preliminary reading and review of papers using search terms nursing and leadership and clinical learning and learning culture narrowed the inclusion criteria to 245 papers published between 2000 and 2010. Given the diversity of the papers' focus, aim and context, a refined screening process justified the inclusion of twenty-six papers in the review. A critical appraisal of these peer-reviewed quantitative, qualitative and commentary papers identified factors/elements integral to effective leadership. Across the literature leadership was discussed in relation to two broad themes: influence of leadership on organisational learning and development and; influence of leadership on undergraduate clinical education. The factors central to leadership emerged as transformative principles, the role of the nurse unit/ward manager, collaboration and relationship building and role-modelling. The review has raised some suggestions for future research aimed at examining the impact of a leadership capacity building intervention that supports clinical learning.
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Affiliation(s)
- Rachel Walker
- School of Nursing and Midwifery, Research Centre for Clinical & Community Practice Innovation, Griffith Institute of Health and Medical Research, Griffith University, Nathan, 4111, Queensland, Australia.
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MARTIN JACQUELINES, MCCORMACK BRENDAN, FITZSIMONS DONNA, SPIRIG REBECCA. Evaluation of a clinical leadership programme for nurse leaders. J Nurs Manag 2011; 20:72-80. [DOI: 10.1111/j.1365-2834.2011.01271.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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McNamara MS, Fealy GM, Casey M, Geraghty R, Johnson M, Halligan P, Treacy P, Butler M. Boundary matters: clinical leadership and the distinctive disciplinary contribution of nursing to multidisciplinary care. J Clin Nurs 2011; 20:3502-12. [PMID: 21631616 DOI: 10.1111/j.1365-2702.2011.03719.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS To describe Irish nurses' views of clinical leadership and to describe their clinical leadership development needs. BACKGROUND Nurses are often unclear about the precise nature of clinical leadership and its impact on the processes and outcomes of care and little is known about their self-perceived clinical leadership development needs. DESIGN Seventeen focus group interviews were conducted with a purposive sample of 144 nurses from 13 practice settings. A conceptual lens was provided by the work of Bernstein and Young who emphasise the epistemological, practical and relational significance of boundaries and how they relate in fundamental ways to professionals' sense of their distinctive disciplinary identities and membership of specialised communities of practice. METHODS Focus group data were collected using semi-structured topic guides. Analysis was facilitated by NVivo 7© and interpretation was informed by a conceptual framework arising from the interplay of emerging themes and the literature review. RESULTS The implications for clinical leadership development of two critical concepts, 'representing nursing' and 'compensatory action', are discussed in detail. CONCLUSIONS Clinical leadership development should emphasise the development of all nurses as clinical leaders in the context of the delineation, clarification and articulation of their distinctive contribution in multidisciplinary care settings. RELEVANCE TO CLINICAL PRACTICE Clinical leaders are recognised as practice experts and as leaders in their particular fields. Recognition and influence in and beyond the immediate context of care depends greatly on their ability to articulate the distinct nursing contribution to patient care. This ability provides an essential resource to resist the ongoing blurring, effacement and dilution of nurses' roles.
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Affiliation(s)
- Martin S McNamara
- UCD School of Nursing, Midwifery and Health Systems, UCD Dublin, Dublin, Ireland.
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PATRICK ALLISON, LASCHINGER HEATHERKSPENCE, WONG CAROL, FINEGAN JOAN. Developing and testing a new measure of staff nurse clinical leadership: the clinical leadership survey. J Nurs Manag 2011; 19:449-60. [DOI: 10.1111/j.1365-2834.2011.01238.x] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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