Middlesex University, The Burroughs, London, UK.
London, UK.
J Nurs Manag. 2018 Apr;26(3):245-255. doi: 10.1111/jonm.12485. Epub 2018 Mar 5.
This paper reports the findings from a 2015 survey of the Commissioning Nurse Leaders' Network. Our aim was to understand how governing body nurses perceive their influence and leadership on clinical commissioning groups.
An online survey method was used with a census sample of 238 governing body nurses and nurses working in Commissioning Support Units, who were members of the Commissioning Nurse Leaders' Network. The response rate was 40.7% (n = 97).
While most governing body nurses felt confident in their leadership role, this was less so for non-executive governing body nurses. Nurses in Commissioning Support Units were much less positive than governing body nurses about their influence on clinical commissioning groups.
Governing body nurses were satisfied with their impact on clinical commissioning groups and so could be said to be leading a nursing agenda but this evidence is limited to their own perceptions and more objective or diverse measures of impact are needed. The purpose of such roles to 'represent nursing, and ensure the patient voice is heard' may be a flawed aspiration, conflating nursing leadership and patient voice.
This is the first study to explore explicitly the differences between executive and non-executive governing body nurses and nurses working in commissioning support units. Achieving clinical commissioning groups' goals, including developing and embedding nursing leadership roles in clinical commissioning groups, may be threatened if the contributions of governing body nurses, and other nurses supporting clinical commissioning groups, go unrecognised within the profession, or if general practitioners or other clinical commissioning group executive members dominate decision-making on clinical commissioning groups.
本文报告了 2015 年对委托护士领导网络的调查结果。我们的目的是了解治理机构护士如何看待他们对临床委托小组的影响和领导。
采用在线调查方法，对 238 名治理机构护士和在委托支持单位工作的护士进行普查，他们是委托护士领导网络的成员。回复率为 40.7%（n=97）。
虽然大多数治理机构护士对自己的领导角色有信心，但非执行治理机构护士则不然。在委托支持单位工作的护士对其对临床委托小组的影响的看法远不如治理机构护士积极。
治理机构护士对他们对临床委托小组的影响感到满意，可以说他们领导着护理议程，但这一证据仅限于他们自己的看法，需要更客观或多样化的影响衡量标准。这些角色的目的是“代表护理，确保患者的声音被听到”，可能是一个有缺陷的愿望，将护理领导和患者声音混为一谈。
这是第一项明确探讨执行和非执行治理机构护士以及在委托支持单位工作的护士之间差异的研究。如果治理机构护士的贡献，以及其他支持临床委托小组的护士的贡献，在专业内得不到认可，或者全科医生或其他临床委托小组执行成员主导临床委托小组的决策，那么实现临床委托小组的目标，包括在临床委托小组中发展和嵌入护理领导角色，可能会受到威胁。
