Faculty of Education and Health, University of Greenwich, London, UK.
NHS South (South East), London, UK.
J Nurs Manag. 2019 Jan;27(1):75-83. doi: 10.1111/jonm.12650. Epub 2018 Sep 27.
This article explores the views of current nursing leaders in the National Health Service on the actions and resources that are required to develop and maintain nursing leadership talent.
Although there is considerable talent and expertise within the nursing leadership community, numerous unfilled vacancies and gaps have been identified in competence and capability, with a national analysis indicating that nearly a third of National Health Service director posts are filled by interim appointments or are vacant. Nursing director posts are amongst those vacant for the longest periods.
Semi-structured interviews were conducted with NHS directors of nursing, chief nurses, directors of quality and their deputies in south-east England to explore the characteristics of their roles, development needs, barriers to applying for posts or staying in their posts, future talent identification, and support networks.
Nursing leadership roles are perceived as demanding, poorly remunerated, isolating, and representing a major increase in responsibility and career risk. Too much development is currently informal.
Talent identification and support need to be timely, structured, experientially based, and focused on building resilience and confidence. Coaching, mentoring, and support networks are considered crucial.
Nursing leadership talent needs to be formally identified, developed and supported within organisations and networks should be maintained to reduce professional isolation and counter negative perceptions.
本文探讨了英国国家医疗服务体系(NHS)中现任护理领导人对发展和维护护理领导人才所需的行动和资源的看法。
尽管护理领导社区内有相当多的人才和专业知识,但在能力和能力方面仍存在许多未填补的空缺和差距,国家分析表明,NHS 主任职位中有近三分之一是通过临时任命或空缺填补的。护理主任职位是空缺时间最长的职位之一。
对英格兰东南部的 NHS 护理主任、首席护士、质量主任及其副职进行了半结构化访谈,以探讨他们角色的特点、发展需求、申请职位或留任职位的障碍、未来人才识别以及支持网络。
护理领导角色被认为要求高、薪酬低、孤立,代表着责任和职业风险的大幅增加。目前,太多的发展都是非正式的。
人才识别和支持需要及时、有结构、基于经验,并注重培养韧性和信心。辅导、指导和支持网络被认为是至关重要的。
护理领导人才需要在组织内进行正式识别、发展和支持,并应维护网络,以减少职业孤立和应对负面看法。