School of Nursing and Midwifery, University College Cork, Cork, Ireland.
J Nurs Manag. 2019 Mar;27(2):245-255. doi: 10.1111/jonm.12672. Epub 2018 Aug 31.
The aim of this study is to report the development and psychometric testing of the clinical leadership needs analysis instrument (CLeeNA).
Limited emphasis is placed on the clinical leadership needs of nurses and midwives that are fundamental to supporting the delivery of high quality, safe patient care.
A development and validation study of CLeeNA was undertaken using cross-sectional data. A sample of 324 registered nurses and midwives completed the questionnaire using a 7-point adjectival scale. Principal component analysis was conducted to explore scale grouping of items (n = 103 items).
Principal component analysis, item reduction and parallel analysis on the items of the instrument resulted in seven factors consisting of 56 items. These factors were identified as: Staff and Care Delivery; Technology and Care Initiatives; Self and Team Development; Standards of Care; Financial and Service Management; Leadership and Clinical Practice; Patient Safety and Risk Management.
The identified factors are reflective of an ever-changing health care environment.
Potentially, after further testing, this instrument could be used by nursing management and educators to measure clinical leadership needs, inform the design of clinical leadership training programmes and provide valuable information about health care leadership development.
本研究旨在报告临床领导力需求分析工具（CLeeNA）的开发和心理测量学测试。
对护士和助产士的临床领导力需求的重视程度有限，而这些需求是支持提供高质量、安全的患者护理的基础。
使用横断面数据进行了 CLeeNA 的开发和验证研究。324 名注册护士和助产士使用 7 点形容词量表完成了问卷。采用主成分分析探索项目的量表分组（n=103 项）。
对仪器项目进行主成分分析、项目缩减和并行分析，得出由 56 个项目组成的七个因素。这些因素被确定为：员工和护理提供；技术和护理举措；自我和团队发展；护理标准；财务和服务管理；领导和临床实践；患者安全和风险管理。
确定的因素反映了不断变化的医疗保健环境。
经过进一步测试后，该工具可由护理管理和教育工作者用于衡量临床领导力需求，为临床领导力培训计划的设计提供信息，并为医疗保健领导力发展提供有价值的信息。
