University College Hospitals London NHS Foundation Trust, 250 Euston Road, London, UK.
J Clin Nurs. 2013 Sep;22(17-18):2625-35. doi: 10.1111/jocn.12088. Epub 2013 Apr 5.
To report on a leadership programme for ward managers in one National Health Service Trust that aimed to enhance their contribution to the delivery of the organisation's key objectives to support excellent patient experience.
Effective ward leadership has been recognised as vital to the quality of care, resource management and interprofessional working. However, there is evidence that, at present, front-line nurse leaders are ill equipped to lead effectively and lack confidence in their ability to do so.
The project aimed to provide a tailored programme for ward managers to develop their portfolio of skills to perform this pivotal role. The course contained two key elements: an integrated teaching programme to enhance leadership knowledge and skills and action learning to facilitate application to individual's own leadership practice. Both were underpinned by a change project where each individual identified, undertook and evaluated an innovation in practice.
Twenty-two ward managers completed the leadership programme. Participants completed semi-structured questionnaires after each taught module. Action learning was evaluated through a combined structured and semi-structured questionnaire.
All participants evaluated the programme as increasing their repertoire of leadership skills. Following completion of the programme, ward managers continue to work together as an evolving community of practice.
Ward managers' development is enhanced by a programme integrating theory, action learning and completion of a ward-based project.
Ward managers cannot be effectively developed in isolation. Leadership development is best supported where the organisation is also committed to developing. A leadership development programme that incorporates knowledge from within the organisation with external expertise can be an effective method to enhance front-line clinical leadership.
报告一项针对某国民保健服务信托中病房经理的领导力计划，旨在增强他们对实现组织关键目标的贡献，以支持卓越的患者体验。
有效的病房领导能力已被认为对护理质量、资源管理和跨专业工作至关重要。然而，有证据表明，目前一线护士领导者在领导能力方面准备不足，缺乏信心。
该项目旨在为病房经理提供量身定制的计划，以发展他们的技能组合，从而发挥这一关键作用。该课程包含两个关键要素：一个综合教学计划，以增强领导力知识和技能，以及行动学习，以促进将其应用于个人的领导实践。两者都以变革项目为支撑，每个参与者都确定、实施和评估实践中的一项创新。
22 名病房经理完成了领导力计划。参与者在每个教学模块后完成半结构化问卷。通过结构化和半结构化相结合的问卷对行动学习进行评估。
所有参与者都评价该计划增加了他们的领导技能储备。完成计划后，病房经理继续作为一个不断发展的实践共同体一起工作。
将理论、行动学习和完成病房项目相结合的计划可以增强病房经理的发展。
不能孤立地发展病房经理。只有在组织也致力于发展的情况下，领导力发展才能得到最佳支持。将组织内部知识与外部专业知识相结合的领导力发展计划可以是增强一线临床领导力的有效方法。
