Faculty of Nursing, University of Windsor, Windsor, Ontario, Canada.
J Adv Nurs. 2019 May;75(5):1000-1009. doi: 10.1111/jan.13895. Epub 2018 Dec 27.
To analyse the critical attributes of clinical leadership and test a model linking clinical leadership behaviours of staff nurses to patient care quality and job satisfaction.
Research has historically proclaimed the beneficial effects of clinical leadership for optimizing care and improving patient outcomes. Few studies, however, have assessed the influence of clinical leadership at the staff nurse level and empirically tested the concept.
A predictive cross-sectional design was used in this study.
Data were collected during January 2016 using a survey questionnaire. A random sample of Registered nurses working in direct care positions in acute care hospitals was surveyed. The hypothesized model was tested using structural equation modeling in the analysis of a moment structures software.
Nurses reported higher levels of clinical leadership skills in their practice. Staff nurses' use of clinical leadership behaviours directly and positively influenced the quality of care they given to patients and their satisfaction in the workplace.
The findings indicate that informal leadership at the clinical level may be an underused asset in health care and if identified and developed, staff nurse clinical leaders have potential to improve the delivery of patient care and may offer a tangible solution to the patient safety conundrum.
分析临床领导力的关键属性，并检验一个将护士员工的临床领导行为与患者护理质量和工作满意度联系起来的模型。
历史研究宣称临床领导对优化护理和改善患者结局有益。然而，很少有研究评估临床领导在护士层面的影响，并对该概念进行实证检验。
本研究采用预测性横断面设计。
于 2016 年 1 月使用问卷调查收集数据。调查了在急性护理医院从事直接护理岗位的注册护士的随机样本。在矩结构软件的分析中，使用结构方程模型检验假设模型。
护士报告在实践中具有更高水平的临床领导技能。护士员工对临床领导行为的运用直接且积极地影响了他们为患者提供的护理质量和工作场所满意度。
研究结果表明，临床层面的非正式领导可能是医疗保健中未被充分利用的资产，如果得到识别和发展，护士临床领导者有可能改善患者护理的提供，并可能为患者安全难题提供切实可行的解决方案。
