Clinical leadership for general practice nurses, 2: Facilitating factors

Burns, Dianne

doi:10.12968/pnur.2009.20.10.44617

Cited by 9 publications

(3 citation statements)

References 9 publications

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“…It is not only within a psychiatric context that nurses feel confident when they are able to trust the staff; similar results have been arrived at in the somatic nursing care (Linton & Farell, 2009). Furthermore, Burns's (2009) study, focusing on experiences within general practices, sheds light on the fact that experiencing a sense of confidence in one's leadership role is completely dependent on whom the work is done with, which is in accordance with the results of the present study.…”

Section: Discussion Of Re Sultssupporting

confidence: 89%

Nurses' leadership in psychiatric care—A qualitative interview study of nurses' experience of leadership in an adult psychiatric inpatient care setting

Sundberg

Vistrand

Sjöström

et al. 2021

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? Previous studies on leadership in psychiatric care have focussed on a diversity of staff and on different healthcare settings. Nurses in both Sweden and internationally, working with patients newly diagnosed with psychosis and addiction, describe an overwhelming workload. Existing research points out that experience and leadership training are the most important factors to exert a good nursing leadership. In Sweden, requirements for leadership exists already from the first day of a nurse's career. The relationship and communication between nurses in psychiatric care and members of the staff is decisive for whether the leadership will work. What the paper adds to existing knowledge The study adds knowledge regarding the challenges leading the nursing care for patients diagnosed with psychosis and addiction. Ambivalence in the leadership role is prominent among nurses in psychiatric care and feelings of responsibility and meaningfulness are mixed with feelings of powerlessness and uncertainty. Swedish psychiatric nurses lack mandate to lead psychiatric nursing care. This may increase the feelings of uncertainty in their leadership role. What are the implications for practice? A mandate to lead as well as a leadership guidance in communication and teambuilding will enhance the leadership, especially among newly graduated nurses. Heightened awareness within the healthcare organization about nurse's experience of difficulties in leading the psychiatric nursing care of the most severe psychiatric illnesses could increase the right prerequisites for leadership. Abstract IntroductionResearch shows that psychiatric nursing care puts additional demands on the nurse as a leader due to the psychological complexity of care. Experience and leadership training are most important to exert leadership. In Sweden, demands for leadership exist already at the beginning of a nursing career, and in psychiatry, it may lead to an overwhelming workload. Aim/QuestionThe aim of the present study is to highlight nurses' experiences of leading the psychiatric nursing care in an adult psychiatric context. MethodA qualitative interview study of eleven registered nurses within psychiatric inpatient care. Content analysis was used for analysis. ResultsLeading with combined feelings of both meaningfulness and uncertainty were the theme arising from the result. DiscussionFindings from Swedish and international studies stress special demands on leadership in psychiatric care. The result shows that nurses perceived an ambivalence of their leadership in terms of both meaningfulness and uncertainty. Implications for PracticeAn official mandate to lead as well as leadership guidance in communication and teambuilding will enhance leadership, especially among newly graduated nurses. Heightened awareness within healthcare organizations about difficulties in leading psychiatric nursing care could increase the possibility to create right prerequisites for leadership.

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Section: Discussion Of Re Sultssupporting

confidence: 89%

Nurses' leadership in psychiatric care—A qualitative interview study of nurses' experience of leadership in an adult psychiatric inpatient care setting

Sundberg

Vistrand

Sjöström

et al. 2021

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…14 Fachpersonen bekundeten Interesse an einem Interview. Die Kontaktdaten dieser Personen wurden an die Projektleitung (FG) zur Terminvereinbarung übermittelt, die daraufhin mit den Interessierten in Kontakt getreten ist, um anhand der Ein-und Ausschlusskriterien eine gezielte Stichprobenziehung vorzunehmen (Burns, 2009). Durch das Projektteam (FG, SM, KUS) wurden die Interessierten einem Einzelinterview oder dem Fokusgruppeninterview zugeteilt.…”

Section: Teilnehmende Und Rekrutierungunclassified

Evaluation of an APN service in acute inpatient care of patients with a malignant brain tumor: a qualitative study in a Swiss university hospital / Evaluation eines APN-Angebots in der akut-stationären Versorgung von Patienten und Patientinnen mit malignem Hirntumor: eine qualitative Studie in einem Schweizer Universitätsspital

Geese

Molls

Schucht

et al. 2022

International Journal of Health Professions

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Background Caring for patients with a malignant brain tumor is complex and requires a high degree of coordination. The disease reduces life expectancy and affects quality of life. Therefore, patients often depend on the support of their relatives. To achieve better care for such patients and their relatives, a Department of Neurosurgery at a Swiss university hospital introduced a Nurse Practitioner (NP) and their service in 2017. 18 months after implementation, an evaluation of this NP role was conducted. It was aimed for to explore the experience of the interprofessional health care team. Method A qualitative research design was used. Eight individual interviews and one focus group interview were conducted with representatives of the interprofessional health care team. Using a literature-based structured interview guide, the experience of participants was explored. Interviews were analyzed thematically. Results The NP and their service was appreciated. Collaboration with the medical profession and the coordination of profession-specific demands also improved. The NP as a constant person of contact had a positive effect on the continuity of care e.g., with regard to discharge management. Medical doctors and registered nurses experienced an improved patient satisfaction. Further need for improvement was identified regarding the clarification of the NP role and the interprofessional collaboration. Conclusion The study reports on the successful introduction of an NP and their service in oncological care; it demonstrates that the implementation of this role can also be beneficial in acute inpatient care.

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“…24,21 Despite formalized training and role development, nursing leadership is thwarted by a history of medical subordination, feminized professional roots, and health systems that are not ready to let clinicians lead. [25][26][27][28][29] While all of these measures add value and possibility, they only address fragmented process changes that are still constrained by disempowering structures and organizational pressures that place healthcare systems financial sustainability in competition with patient-centered care. Adding to the challenge is the autonomy of physicians who see little value in participating in collaborative efforts with other clinicians or advancing organizational priorities.…”

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confidence: 99%

Perspectives on healthcare leader and leadership development

Scott

2010

JHL

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Clinical leadership for general practice nurses, 2: Facilitating factors

Cited by 9 publications

References 9 publications

Nurses' leadership in psychiatric care—A qualitative interview study of nurses' experience of leadership in an adult psychiatric inpatient care setting

Nurses' leadership in psychiatric care—A qualitative interview study of nurses' experience of leadership in an adult psychiatric inpatient care setting

Perspectives on healthcare leader and leadership development

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