Shen Mingyan, Feng Zhixian, Wan Pengxia, Liu Fangchi
Shulan (Hangzhou) Hospital, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, P.R. China.
Hangzhou Normal University, Hangzhou, 310010, P.R. China.
BMC Med Educ. 2025 Jul 1;25(1):885. doi: 10.1186/s12909-025-07455-6.
Double-qualified nursing educators (DQNEs) face significant challenges in balancing clinical and teaching duties. Distributed leadership offers a potential solution to these challenges by sharing responsibilities among team members. We studied how DQNEs respond to distributed leadership training and its impact on their dual-role performance.
Guided by descriptive phenomenology, we conducted semi-structured interviews with 16 DQNEs between October and November 2024, after an 18-month distributed-leadership training programme.We conducted thematic analysis of semi-structured interviews, following COREQ guidelines to ensure research quality.
Our analysis revealed two main themes. First, distributed leadership training improved participants' confidence, teamwork, and time management. DQNEs reported better role balance and more effective delegation. Second, we found that traditional hierarchies and cultural norms posed implementation challenges. Success factors included clear communication, defined roles, and ongoing leadership support.
Distributed leadership training shows promise in helping DQNEs manage their dual roles while promoting team efficiency. The approach requires careful attention to cultural and organizational barriers. These findings offer insights for adapting distributed leadership across different clinical and educational settings.
双师型护理教育工作者在平衡临床和教学职责方面面临重大挑战。分布式领导通过在团队成员之间分担责任，为应对这些挑战提供了一种潜在的解决方案。我们研究了双师型护理教育工作者如何应对分布式领导培训及其对他们双重角色表现的影响。
在2024年10月至11月期间，在为期18个月的分布式领导培训项目结束后，我们以描述性现象学为指导，对16名双师型护理教育工作者进行了半结构化访谈。我们按照COREQ指南对半结构化访谈进行了主题分析，以确保研究质量。
我们的分析揭示了两个主要主题。首先，分布式领导培训提高了参与者的信心、团队合作和时间管理能力。双师型护理教育工作者报告说角色平衡更好，授权更有效。其次，我们发现传统的等级制度和文化规范带来了实施挑战。成功因素包括清晰的沟通、明确的角色和持续的领导支持。
分布式领导培训在帮助双师型护理教育工作者管理其双重角色同时提高团队效率方面显示出前景。这种方法需要仔细关注文化和组织障碍。这些发现为在不同临床和教育环境中应用分布式领导提供了见解。
