Perceived importance and performance of clinical leadership in practice: A cross-sectional study of nurses and midwives of all grades.
CLeeNA
importance of clinical leadership
midwives
nurses
performance of clinical leadership
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
14
03
2019
revised:
02
09
2019
accepted:
08
09
2019
pubmed:
17
9
2019
medline:
6
5
2020
entrez:
17
9
2019
Statut:
ppublish
Résumé
To explore the differences in perceived importance and actual performance of clinical leadership for all grades of nurses and midwives engaged in clinical practice. Clinical leadership is central to the provision of person-centred care. However, little is known about how nurses and midwives perceive this in practice. 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. 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]. There was a mismatch between the perceived importance and actual performance of clinical leadership in practice between different grades of staff. Leadership training for all grades and mentoring of staff grades can promote the building of confidence and empower staff in leading clinical practice.
Sections du résumé
AIM
OBJECTIVE
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
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
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
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
CONCLUSIONS
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
CONCLUSIONS
Leadership training for all grades and mentoring of staff grades can promote the building of confidence and empower staff in leading clinical practice.
Types de publication
Journal Article
Langues
eng
Pagination
1738-1746Subventions
Organisme : The National Leadership and Innovation Centre for Nursing and Midwifery
Organisme : Office of the Nursing and Midwifery Services Director
Organisme : Health Service Executive, Ireland
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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