Development and psychometric testing of the clinical leadership needs analysis (CLeeNA) instrument for nurses and midwives.


Journal

Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 02 02 2018
revised: 10 05 2018
accepted: 19 05 2018
pubmed: 2 9 2018
medline: 21 5 2019
entrez: 2 9 2018
Statut: ppublish

Résumé

The aim of this study is to report the development and psychometric testing of the clinical leadership needs analysis instrument (CLeeNA). Limited emphasis is placed on the clinical leadership needs of nurses and midwives that are fundamental to supporting the delivery of high quality, safe patient care. A development and validation study of CLeeNA was undertaken using cross-sectional data. A sample of 324 registered nurses and midwives completed the questionnaire using a 7-point adjectival scale. Principal component analysis was conducted to explore scale grouping of items (n = 103 items). Principal component analysis, item reduction and parallel analysis on the items of the instrument resulted in seven factors consisting of 56 items. These factors were identified as: Staff and Care Delivery; Technology and Care Initiatives; Self and Team Development; Standards of Care; Financial and Service Management; Leadership and Clinical Practice; Patient Safety and Risk Management. The identified factors are reflective of an ever-changing health care environment. Potentially, after further testing, this instrument could be used by nursing management and educators to measure clinical leadership needs, inform the design of clinical leadership training programmes and provide valuable information about health care leadership development.

Sections du résumé

AIM OBJECTIVE
The aim of this study is to report the development and psychometric testing of the clinical leadership needs analysis instrument (CLeeNA).
BACKGROUND BACKGROUND
Limited emphasis is placed on the clinical leadership needs of nurses and midwives that are fundamental to supporting the delivery of high quality, safe patient care.
METHODS METHODS
A development and validation study of CLeeNA was undertaken using cross-sectional data. A sample of 324 registered nurses and midwives completed the questionnaire using a 7-point adjectival scale. Principal component analysis was conducted to explore scale grouping of items (n = 103 items).
RESULTS RESULTS
Principal component analysis, item reduction and parallel analysis on the items of the instrument resulted in seven factors consisting of 56 items. These factors were identified as: Staff and Care Delivery; Technology and Care Initiatives; Self and Team Development; Standards of Care; Financial and Service Management; Leadership and Clinical Practice; Patient Safety and Risk Management.
CONCLUSION CONCLUSIONS
The identified factors are reflective of an ever-changing health care environment.
IMPLICATIONS FOR NURSING MANAGEMENT CONCLUSIONS
Potentially, after further testing, this instrument could be used by nursing management and educators to measure clinical leadership needs, inform the design of clinical leadership training programmes and provide valuable information about health care leadership development.

Identifiants

pubmed: 30171645
doi: 10.1111/jonm.12672
doi:

Types de publication

Journal Article

Langues

eng

Pagination

245-255

Subventions

Organisme : The National Leadership and Innovation Centre for Nursing and Midwifery, Office of the Nursing and Midwifery Services Director, Health Service Executive, Ireland

Informations de copyright

© 2018 The Authors. Journal of Nursing Management Published by John Wiley & Sons Ltd.

Auteurs

Vera J C Mc Carthy (VJC)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Ashling Murphy (A)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Eileen Savage (E)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Josephine Hegarty (J)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Alice Coffey (A)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Patricia Leahy-Warren (P)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Aine Horgan (A)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Rhona O'Connell (R)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Lynne Marsh (L)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Jonathan Drennan (J)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

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Classifications MeSH