Higgins Agnes, Begley Cecily, Lalor Joan, Coyne Imelda, Murphy Kathy, Elliott Naomi
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
J Nurs Manag. 2014 Oct;22(7):894-905. doi: 10.1111/jonm.12057. Epub 2013 Jul 23.
To report the factors that influence clinical specialists' and advanced nurse practitioners' ability to enact their clinical and professional leadership roles; findings from the SCAPE study.
The importance of leadership for specialist and advanced practitioners is highlighted in the international literature and is considered an important factor in the provision of improved patient outcomes. Despite many studies identifying the barriers in developing and integrating new specialist/advanced practice roles into health services, little is known about the factors that influence the leadership dimension of their role.
A case study design involving 23 clinical specialist/advanced practitioners working in Ireland and multidisciplinary team members working with them, was used. Data were collected using interview, observation and documentary analysis.
Four mediating factors influence the specialist/advanced practitioner's ability to perform a leadership role, namely the presence of a framework for the professional development of the role; opportunities to act as leaders; mechanisms for sustaining leadership; and personal attributes of practitioners.
Nursing/midwifery leaders and managers at all levels have a key role in supporting leadership potential, through countering the negative impact of professional isolation, expanding opportunities for specialist/advanced practitioners to influence policy and network with wider professional groups.
报告影响临床专科医生和高级护理执业人员发挥其临床和专业领导作用能力的因素；“SCAPE研究”的结果。
领导力对专科医生和高级执业人员的重要性在国际文献中得到了强调，并被视为改善患者治疗效果的一个重要因素。尽管许多研究确定了在将新的专科医生/高级执业角色纳入卫生服务体系时所面临的障碍，但对于影响其角色中领导层面的因素却知之甚少。
采用案例研究设计，涉及爱尔兰的23名临床专科医生/高级执业人员以及与他们共事的多学科团队成员。通过访谈、观察和文献分析收集数据。
有四个中介因素影响专科医生/高级执业人员发挥领导作用的能力，即存在该角色专业发展的框架；担任领导的机会；维持领导力的机制；以及执业人员的个人特质。
各级护理/助产领导者和管理者在支持领导潜力方面发挥着关键作用，可通过应对专业孤立的负面影响，为专科医生/高级执业人员扩大影响政策以及与更广泛专业群体建立联系的机会。
