TY - JOUR
T1 - Perceived importance and performance of clinical leadership in practice
T2 - A cross-sectional study of nurses and midwives of all grades
AU - Mc Carthy, Vera J.C.
AU - Murphy, Ashling
AU - Savage, Eileen
AU - Hegarty, Josephine
AU - Coffey, Alice
AU - Leahy-Warren, Patricia
AU - Horgan, Aine
AU - O'Connell, Rhona
AU - Marsh, Lynne
AU - Drennan, Jonathan
N1 - Publisher Copyright:
© 2019 John Wiley & Sons Ltd
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Aim: To explore the differences in perceived importance and actual performance of clinical leadership for all grades of nurses and midwives engaged in clinical practice. Background: Clinical leadership is central to the provision of person-centred care. However, little is known about how nurses and midwives perceive this in practice. Methods: Data were collected on a sample of nurses and midwives in the Republic of Ireland, using a cross-sectional study design (n = 324). The clinical leadership needs analysis instrument was used to measure perceived importance and performance of clinical leadership in practice. Grades of nurses/midwives included; staff, manager, advanced practitioner and senior manager. Results: Senior managers were more likely to report significantly higher scores than staff grades for perceived importance of Technology & Care Initiatives (p <.01) and Financial & Service Management (p =.02). Performance of Staff & Care Delivery was significantly higher for senior managers than staff grades [F(5,309) = 6.06 p <.01]. Conclusion: There was a mismatch between the perceived importance and actual performance of clinical leadership in practice between different grades of staff. Implications for Nursing Management: Leadership training for all grades and mentoring of staff grades can promote the building of confidence and empower staff in leading clinical practice.
AB - Aim: To explore the differences in perceived importance and actual performance of clinical leadership for all grades of nurses and midwives engaged in clinical practice. Background: Clinical leadership is central to the provision of person-centred care. However, little is known about how nurses and midwives perceive this in practice. Methods: Data were collected on a sample of nurses and midwives in the Republic of Ireland, using a cross-sectional study design (n = 324). The clinical leadership needs analysis instrument was used to measure perceived importance and performance of clinical leadership in practice. Grades of nurses/midwives included; staff, manager, advanced practitioner and senior manager. Results: Senior managers were more likely to report significantly higher scores than staff grades for perceived importance of Technology & Care Initiatives (p <.01) and Financial & Service Management (p =.02). Performance of Staff & Care Delivery was significantly higher for senior managers than staff grades [F(5,309) = 6.06 p <.01]. Conclusion: There was a mismatch between the perceived importance and actual performance of clinical leadership in practice between different grades of staff. Implications for Nursing Management: Leadership training for all grades and mentoring of staff grades can promote the building of confidence and empower staff in leading clinical practice.
KW - CLeeNA
KW - importance of clinical leadership
KW - midwives
KW - nurses
KW - performance of clinical leadership
UR - http://www.scopus.com/inward/record.url?scp=85074355560&partnerID=8YFLogxK
U2 - 10.1111/jonm.12867
DO - 10.1111/jonm.12867
M3 - Article
C2 - 31523876
AN - SCOPUS:85074355560
SN - 0966-0429
VL - 27
SP - 1738
EP - 1746
JO - Journal of Nursing Management
JF - Journal of Nursing Management
IS - 8
ER -