Faculty of Nursing, University of Calgary in Qatar, Doha, Qatar.
Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
J Nurs Manag. 2022 Jan;30(1):90-103. doi: 10.1111/jonm.13470. Epub 2021 Oct 19.
The aim of this study is to understand the concept of clinical leadership and clinical leadership development for nurses working with older adults in long-term care health care facilities.
In Canada, clinical care within long-term care is undertaken by registered nurses and licenced practical nurses working with health care aides. Effective clinical leadership is essential for providing quality nursing care.
An integrative literature review using the framework of Whittemore and Knafl (2005). All selected articles were quality appraised using the Critical Appraisal Skills Program and the accuracy, authority, coverage, objectivity, date and significance checklist.
The analysis resulted in four themes: ambiguous definitions, practice-based and value-driven care, the impact of clinical leadership and clinical leadership development for Canadian nurses.
The findings suggest that ambiguity surrounds the concept of clinical leadership, with the term denoting both 'management' as a formal administrative role and 'leadership' in general. More recently, the clinical leadership focus has been on informal leadership by nurses at the bedside, where personal and professional values align with clinical action.
Effective clinical leadership can have a positive impact on quality care and employee job satisfaction.
本研究旨在了解长期护理医疗机构中照顾老年人的护士的临床领导力概念及其发展。
在加拿大，长期护理中的临床护理由注册护士和执业护士与保健助理一起进行。有效的临床领导力对于提供高质量的护理至关重要。
使用 Whittemore 和 Knafl（2005 年）的框架进行综合文献综述。使用批判性评估技能计划和准确性、权威性、涵盖范围、客观性、日期和意义检查表对所有选定的文章进行质量评估。
分析结果产生了四个主题：定义不明确、基于实践和价值驱动的护理、临床领导力的影响以及加拿大护士的临床领导力发展。
研究结果表明，临床领导力的概念存在模糊性，该术语既表示正式管理角色的“管理”，也表示一般意义上的“领导”。最近，临床领导力的重点是护士在床边的非正式领导，个人和专业价值观与临床行动相一致。
有效的临床领导力可以对优质护理和员工工作满意度产生积极影响。
