Abstract
Aim: To explore the differences in perceived importance and actual performance of clinical leadership for all grades of nurses and midwives engaged in clinical practice.
Background: Clinical leadership is central to the provision of person-centred care. However, little is known about how nurses and midwives perceive this in practice.
Methods: Data were collected on a sample of nurses and midwives in the Republic of Ireland, using a cross-sectional study design (n = 324). The clinical leadership needs analysis instrument was used to measure perceived importance and performance of clinical leadership in practice. Grades of nurses/midwives included; staff, manager, advanced practitioner and senior manager.
Results: Senior managers were more likely to report significantly higher scores than staff grades for perceived importance of Technology & Care Initiatives (p <.01) and Financial & Service Management (p =.02). Performance of Staff & Care Delivery was significantly higher for senior managers than staff grades [F(5,309) = 6.06 p <.01].
Conclusion: There was a mismatch between the perceived importance and actual performance of clinical leadership in practice between different grades of staff.
Implications for Nursing Management: Leadership training for all grades and mentoring of staff grades can promote the building of confidence and empower staff in leading clinical practice.
| Original language | English |
|---|---|
| Pages (from-to) | 1738-1746 |
| Number of pages | 9 |
| Journal | Journal of Nursing Management |
| Volume | 27 |
| Issue number | 8 |
| Early online date | 16 Sept 2019 |
| DOIs | |
| Publication status | Published - 01 Nov 2019 |
Bibliographical note
Funding Information:Leadership training for all grades and mentoring of staff grades can promote the building of confidence and empower staff in leading clinical practice. Funding information This study was funded by The National Leadership and Innovation Centre for Nursing and Midwifery, Office of the Nursing and Midwifery Services Director, Health Service Executive, Ireland.
Funding Information:
The authors would like to thank the participants of this study, the Nursing and Midwifery Board of Ireland for distributing the instrument and The National Leadership and Innovation Centre for Nursing and Midwifery, Office of the Nursing and Midwifery Services Director, Health Service Executive, Ireland for funding the study.
Funding Information:
Funding information This study was funded by The National Leadership and Innovation Centre for Nursing and Midwifery, Office of the Nursing and Midwifery Services Director, Health Service Executive, Ireland. The authors would like to thank the participants of this study, the Nursing and Midwifery Board of Ireland for distributing the instrument and The National Leadership and Innovation Centre for Nursing and Midwifery, Office of the Nursing and Midwifery Services Director, Health Service Executive, Ireland for funding the study.
Publisher Copyright:
© 2019 John Wiley & Sons Ltd
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
Keywords
- CLeeNA
- importance of clinical leadership
- midwives
- nurses
- performance of clinical leadership
ASJC Scopus subject areas
- Leadership and Management