Hunter New England Local Health District, Newcastle, NSW, Australia.
School of Health, University of New England, Armidale, NSW, Australia.
J Clin Nurs. 2018 May;27(9-10):1981-1993. doi: 10.1111/jocn.14327. Epub 2018 Apr 19.
Clinical leaders drive healthcare performance in the provision of safe, high-quality patient care by influencing others and augmenting change. Clinical leadership features strongly in nurse consultant roles and holds potential to strengthen the nurse consultant's place in healthcare teams, making their contribution as clinical leaders more recognisable. This study explores how clinical leadership is enacted through the nurse consultant role, providing understanding of the elements that influence their effectiveness as clinical leaders.
This study presents qualitative findings from a larger sequential mixed-method study conducted in a large Local Health District in New South Wales, Australia.
Focus groups were held with nurse consultants, managers and other stakeholders from a variety of context including acute, primary and community care settings across metropolitan and rural locations. An online discussion forum was provided for nurse consultants unable to attend focus groups. Transcript data were analysed using iterative theming techniques.
A total of 26 nurse consultants, 20 managers and 16 other stakeholders participated in focus groups and 22 nurse consultants contributed to the discussion forum. The role of the nurse consultant as clinical leader was a dominant feature, manifested through the following four themes: knowing and being known, being a collaborator, being a utility player and working across and within.
Nurse consultants are cogent clinical leaders, recognised and valued for their contribution to interprofessional teams and service delivery. The nurse consultant role is seen as having a broad sphere of influence and is able to action change through clinical leadership.
Findings give organisational leaders and other healthcare professional's greater understanding of nurse consultants as clinical leaders. This informs how nurse consultants are appointed and positioned and how they can be supported in fulfilling their clinical leadership potential.
临床领导者通过影响他人和推动变革来为安全、高质量的患者护理提供服务，从而推动医疗保健绩效。临床领导能力在护士顾问角色中表现突出，有可能增强护士顾问在医疗保健团队中的地位，使他们作为临床领导者的贡献更加显著。本研究探讨了临床领导力如何通过护士顾问角色来实施，以了解影响其作为临床领导者有效性的因素。
本研究呈现了在澳大利亚新南威尔士州一个大型地方卫生区进行的一项更大的顺序混合方法研究的定性发现。
在包括城市和农村地区的各种急性、初级和社区护理环境中，与护士顾问、经理和其他利益相关者举行了焦点小组会议。还为无法参加焦点小组会议的护士顾问提供了在线讨论论坛。使用迭代主题技术对转录数据进行了分析。
共有 26 名护士顾问、20 名经理和 16 名其他利益相关者参加了焦点小组会议，22 名护士顾问参与了讨论论坛。护士顾问作为临床领导者的角色是一个主导特征，通过以下四个主题体现出来：了解和被了解、协作、多面手和跨部门和部门内工作。
护士顾问是有说服力的临床领导者，他们为跨专业团队和服务提供做出了贡献，因此受到认可和重视。护士顾问的角色被视为具有广泛的影响力，并能够通过临床领导能力推动变革。
研究结果使组织领导者和其他医疗保健专业人员更深入地了解护士顾问作为临床领导者。这为如何任命和定位护士顾问以及如何支持他们发挥临床领导潜力提供了信息。
