School of Nursing and Midwifery, Trinity College Dublin, Ireland.
J Adv Nurs. 2013 May;69(5):1037-50. doi: 10.1111/j.1365-2648.2012.06090.x. Epub 2012 Jul 27.
To report a case study that identifies how leadership is enacted by advanced practitioners in nursing and midwifery and differentiates between clinical and professional leadership in advanced practice.
A national evaluation of advanced practitioners in nursing and midwifery was commissioned to inform policy makers' decision-making about future developments in Ireland. Leadership is a key aspect of the advanced practitioner role. However, leadership in the advanced practice context is under researched and lacks empirical evidence on how advanced practitioners enact their clinical and professional leadership function in practice.
A multiple case study methodology was used to identify the leadership activities of advanced practitioners.
Purposive sampling of advanced practitioners in nursing and midwifery across various specialities and health regions in Ireland was employed. Data sources included non-participant observation of advanced practitioners, interviews with key stakeholders, and documentary evidence including audits, policies, and guidelines. Collectively these data were used to identify the leadership activities of advanced practitioners in practice. The study was conducted between December 2008-December 2010.
Seven key activities that indicated clinical leadership and three key activities for professional leadership at advanced practice level were identified.
The leadership activities identified provide greater clarity in distinguishing between professional and clinical leadership and in specifying the nature and scope of leadership activities.
报告一项案例研究，该研究确定了护理和助产学的高级从业者如何实施领导力，并区分了高级实践中的临床领导和专业领导。
为了向爱尔兰的政策制定者提供有关未来发展的决策信息，对护理和助产学的高级从业者进行了国家评估。领导力是高级从业者角色的关键方面。然而，高级实践背景下的领导力研究不足，缺乏关于高级从业者如何在实践中发挥其临床和专业领导职能的经验证据。
采用多案例研究方法来确定高级从业者的领导活动。
在爱尔兰的各种专业和卫生区域，对护理和助产学的高级从业者进行了有目的的抽样。数据来源包括对高级从业者的非参与观察、对主要利益相关者的访谈，以及审计、政策和指南等文件证据。这些数据共同用于确定高级从业者在实践中的领导活动。研究于 2008 年 12 月至 2010 年 12 月进行。
确定了七个表明临床领导的关键活动和三个表明高级实践专业领导的关键活动。
确定的领导活动在区分专业领导和临床领导以及明确领导活动的性质和范围方面提供了更清晰的认识。
