Clinical leadership and nursing explored: A literature search

Stanley, David; Stanley, Karen

doi:10.1111/jocn.14145

Cited by 60 publications

(174 citation statements)

References 43 publications

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“…For Staff and Care Delivery, our findings indicate staff grades do not put as much importance on this as their senior managers, nor do they perceive this being performed highly in practice. This is somewhat at odds with previous findings (Larsson & Sahlsten, ; Stanley & Stanley, ) and may be due to the “invisible” nature of this type of work known as “informal leadership” (Larsson & Sahlsten, ). Patient safety is an important aspect of clinical leadership.…”

Section: Discussioncontrasting

confidence: 79%

“…This is described as an informal leadership role (Larsson & Sahlsten, 2016). Previously, researchers found that staff nurse grades expressed a need to advance skills in clinical leadership and were in key positions to positively influence patient care (Casey, McNamara, Fealy, & Geraghty, 2011;Chavez & Yoder, 2015;Stanley & Stanley, 2018). Staff grades view recognized leaders (managers) as "gatekeepers" for the enablement of initiatives (Harvey et al, 2019); however, clinical patient issues that are important to staff may not be embraced by managers and hence not performed.…”

Section: Backg Rou N Dmentioning

confidence: 99%

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Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

et al. 2019

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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.

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Section: Discussioncontrasting

confidence: 79%

Section: Backg Rou N Dmentioning

confidence: 99%

Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

et al. 2019

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“…Many of the negative qualities were identified in prior studies, with Carney (), Fealy et al, (), Stanley () and Stanley (, ), all suggesting that effective CL was hampered by a lack of confidence (Stanley & Stanley, ), communication problems, blurred role boundaries, a lack of clinical experience and clinicians that were not respected. A number of participants expressed a degree of role conflict around their leadership and management roles (Firth, ; Stanley, ) with one participant saying, “they felt like the meat in the sandwich” (P12), torn between their managerial and CL responsibilities.…”

Section: Discussionmentioning

confidence: 99%

“…While a significant number of previously published research papers were located that outlined; the attributes of clinical leaders (Carney, ; Cook, ; Patrick, Laschinger, Wong, & Finegan, ; Stanley, , ; Won, ); definitions of clinical leadership (Cook & Leathard, ; Fealy et al, ; Stanley, ; Stoddart, Bugge, Shepherd, & Farquharson, ); models to support an understanding of clinical leadership (Cook, ; Leigh et al, ; Patrick et al, ); the focus of clinical leader activity in practice (Jeon et al, ; Patrick et al, ; Stanley, Cuthbertson, & Latimer, ; Stanley, Latimer, & Atkinson, ; Stoddart et al,; Supamanee, Krairiksh, Singhakhumfu, & Turale, ); and barriers to effective clinical leadership (Bender, ; McNamara et al, ; Stanley, , ), no papers outlining research specifically describing clinical leadership in a rural and remote context were identified. A number of publications that detailed a review of previously published research papers on the topic of clinical leadership were also identified (Chavez & Yoder, ; Davidson, Elliott, & Daly, ; Mannix, Wilkes, & Daly, ; Solange & Voce, ; Stanley & Stanley, ; Stavrianopoulos, ); however, here too, nothing was found to illuminate the connection between CL and rural and remote health or the practice of clinical leadership in rural and remote practice environments. It was because of this and the authors experience in a R&R environment that the study was developed.…”

Section: Introductionmentioning

confidence: 99%

Clinical leadership and rural and remote practice: A qualitative study

Stanley

2019

J Nurs Manag

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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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“…RNs' leadership in municipal home health care implies that they lead, prioritize, allocate, coordinate, teach and participate in nursing care with older adults, next of kin and the care team [6,7]. Nursing leadership, clinical leadership and health care leadership are terms evident in nursing [8]. There is a need to focus on developing strong leadership in the nursing profession across the globe [9].…”

Section: Introductionmentioning

confidence: 99%

What implies registered nurses’ leadership close to older adults in municipal home health care? A systematic review

et al. 2020

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Background: Registered nurses are key figures in municipal home health care for older adults. Thus, registered nurses' leadership is crucial to a successful and preventive care process as well as a supportive organization in order to achieve safe care. However, there is limited research on what registered nurses' leadership implies close to older adults in municipal home health care. Thus, the aim is to compile and critically evaluate how international research results describe registered nurses' leadership close to older adults in municipal home health care. Methods: A systematic literature review was performed in accordance with a qualitative research study. The main search was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registered in the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. A synthesis of data was performed in four stages according to qualitative research synthesis. Results: Ten themes describe what registered nurses' leadership close to older adults in municipal home health care entails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on an organizational level; application of skills; awareness of the individual's needs and wholeness; mutual support; mutual relationships; collaborating on organizational and interpersonal levels; and exposure to challenges. Conclusions: Registered nurses leading close to older adults in municipal home health care implies being multi-artists. Nursing education, including specialist education for registered nurses, should prepare individuals for their unique and complex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses' leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Further research is warranted to explore registered nurses' leadership close to older adults in municipal home health care from different perspectives, such as older adults and next of kin.

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Clinical leadership and nursing explored: A literature search

Abstract: Clinical Leadership and an understanding on how clinical leaders contribute to the health service is central to the application of values-based practice and how clinical leaders impact on innovation, change and making care better.

Cited by 60 publications

References 43 publications

Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

Clinical leadership and rural and remote practice: A qualitative study

What implies registered nurses’ leadership close to older adults in municipal home health care? A systematic review

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