Elliott Naomi
School of Nursing and Midwifery, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
J Nurs Manag. 2017 Jan;25(1):77-81. doi: 10.1111/jonm.12444. Epub 2016 Nov 21.
To highlight the organisation-level management's role in building leadership capacity in advanced nurse practitioners and the need for appropriate supports to increase their becoming leaders.
Little is published about the role of organisation-level management in building leadership capacity and in developing the next generation of nurse leaders. In times of economic constraint, organisations need to focus their efforts on targeted leadership initiatives. Advanced nurse practitioners are ideally positioned to act as leaders both within and beyond the health care organisation.
From the available research evidence, several support structures and mechanisms are identified as enablers for advanced nurse practitioners to enact their leadership role.
Health care organisations need to include building leadership capacity as a priority in their strategic plan and take action to build-up the level of advanced nurse practitioner leadership.
Nurse executives have a vital role in influencing the organisation's strategic plan and making a business case for prioritising leadership capacity building within advanced nurse practitioners. A challenge for nurse executives faced with competing service and leadership development demands, involves strategic decision-making regarding whether the advanced nurse practitioner's role is limited to service delivery or its potential in leading health care reforms is realised.
强调组织层面管理在培养高级执业护士领导能力方面的作用，以及提供适当支持以促进他们成为领导者的必要性。
关于组织层面管理在培养领导能力和发展下一代护士领导者方面的作用，发表的内容较少。在经济受限时期，组织需要将精力集中在有针对性的领导力举措上。高级执业护士在医疗保健组织内外都处于理想的领导地位。
从现有研究证据中，确定了几种支持结构和机制，作为高级执业护士发挥领导作用的推动因素。
医疗保健组织需要将培养领导能力作为战略计划的优先事项，并采取行动提高高级执业护士的领导水平。
护士管理人员在影响组织战略计划以及为优先培养高级执业护士的领导能力提供业务依据方面起着至关重要的作用。面对相互竞争的服务和领导力发展需求，护士管理人员面临的一个挑战是，要就是否将高级执业护士的角色局限于服务提供，还是实现其在引领医疗保健改革方面的潜力做出战略决策。
