University of Hertfordshire, Hatfield, UK.
East/North Herts NHS Trust, Stevenage, UK.
J Clin Nurs. 2022 Feb;31(3-4):353-361. doi: 10.1111/jocn.15756. Epub 2021 Apr 2.
Clinical academic nursing roles are rare, and clinical academic leadership positions even more scarce. Amongst the United Kingdom (UK) academia, only 3% of nurses who are employed within universities are clinically active. Furthermore, access to research fellowships and research grant funding for nurses in clinical or academic practice is also limited. The work of Florence Nightingale, the original role model for clinical academic nursing, is discussed in terms of how this has shaped and influenced that of clinical academic nurse leaders in modern UK healthcare settings. We analysed case studies with a view to providing exemplars and informing a new model by which to visualise a trajectory of clinical academic careers.
A Framework analysis of seven exemplar cases was conducted for a network of Clinical Academic Nursing Professors (n = 7), using a structured template. Independent analysis highlighted shared features of the roles: (a) model of clinical academic practice, (b) infrastructure for the post, (c) capacity-building initiatives, (d) strategic influence, (e) wider influence, (f) local and national implementation initiatives, (g) research area and focus and (h) impact and contribution.
All seven of the professors of nursing involved in this discourse were based in both universities and healthcare organisations in an equal split. All had national and international profiles in their specialist clinical areas and were implementing innovation in their clinical and teaching settings through boundary spanning. We outline a model for career trajectories in clinical academia, and how leadership is crucial.
The model outlined emphasises the different stages of clinical academic roles in nursing. Nursing as a discipline needs to embrace the value of these roles, which have great potential to raise the standards of healthcare and the status of the profession.
临床学术护理角色较为少见,临床学术领导职位更是稀缺。在英国学术界,只有 3%在大学工作的护士具有临床实践经验。此外,在临床或学术实践中的护士获得研究奖学金和研究资助的机会也很有限。本文讨论了弗洛伦斯·南丁格尔(Florence Nightingale)的工作,她是临床学术护理的原始榜样,探讨了她的工作如何塑造和影响现代英国医疗保健环境中临床学术护士领导者的工作。我们分析了案例研究,旨在提供范例并为可视化临床学术职业轨迹提供新的模型。
对网络中的 7 名临床学术护理教授(n=7)进行了 7 个范例案例的框架分析,使用了结构化模板。独立分析突出了这些角色的共同特征:(a)临床学术实践模式,(b)职位基础设施,(c)能力建设举措,(d)战略影响力,(e)更广泛的影响力,(f)地方和国家实施举措,(g)研究领域和重点以及(h)影响和贡献。
参与这一讨论的 7 名护理教授都在大学和医疗机构中担任同等职务。他们在各自的专业临床领域都具有国内外的知名度,并通过跨越边界在其临床和教学环境中实施创新。我们概述了临床学术职业轨迹的模型,以及领导力的重要性。
概述的模型强调了护理临床学术角色的不同阶段。护理学科需要重视这些角色的价值,这些角色有很大的潜力提高医疗保健的标准和职业地位。