Development and psychometric testing of the clinical leadership needs analysis (CLeeNA) instrument for nurses and midwives

McCarthy, Vera J. C.; Murphy, Ashling; Savage, Eileen; Hegarty, Josephine; Coffey, Alice; Leahy‐Warren, Patricia; Horgan, Áine; O’Connell, Rhona; Marsh, Lynne; Drennan, Jonathan

doi:10.1111/jonm.12672

Cited by 9 publications

(55 citation statements)

References 25 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Clinical leadership needs analysis is a new instrument developed to measure the importance and performance of clinical leadership in practice. The psychometric properties of CLeeNA are acceptable in relation to the importance dimensions of the instrument (Mc Carthy et al, ); however, further testing of reliability and validity as well as confirmatory factor analysis is warranted with larger sample sizes. No validation tests have been conducted on the performance dimensions of the instrument but reliability tests indicated the presence of redundant items with Cronbach's alphas > .90.…”

Section: Discussionmentioning

confidence: 99%

“…A paper version of the online questionnaire was then posted to a randomly generated sample of nurses and midwives who were on the Register of Nurses and Midwives held by the Nursing and Midwifery Board of Ireland (NMBI) ( n = 2,200). Details of sample and data collection have been published previously (Mc Carthy et al, ). The calculation of a response rate from the online questionnaire was not possible due to uncertainty about the exact number of recipients.…”

Section: Methodsmentioning

confidence: 99%

“…Clinical leadership needs analysis (CLeeNA), a newly developed instrument (Mc Carthy et al, ) was used to measure the importance of leadership in clinical practice. In addition to measuring importance, we also asked respondents to report on the performance of leadership in their clinical area.…”

Section: Methodsmentioning

confidence: 99%

“…In addition to measuring importance, we also asked respondents to report on the performance of leadership in their clinical area. Clinical leadership needs analysis consisted of 56 items categorized into seven dimensions: Self and Team Development (10 items); Staff and Care Delivery (six items); Technology and Care Initiatives (six items); Financial and Service Management (six items); Leadership and Clinical Practice (11 items); Patient Safety and Risk Management (nine items); and Standards of Care (eight items) (Mc Carthy et al, ). Leadership needs (importance and performance) were scored on a 7‐point adjectival scale with 1 = not important or poorly performed to 7 = highly important or highly performed.…”

Section: Methodsmentioning

confidence: 99%

“…A linear transformation was conducted to obtain a theoretical range of 0–100 for each of the seven dimensions. Cronbach's alphas for the importance dimensions ranged from .86 to .89 (Mc Carthy et al, ) and the performance dimension .89–.93.…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

et al. 2019

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

A comparative study of clinical leadership needs analysis (CLeeNa) as perceived by nurses

Mrayyan

2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims: This study aimed to analyse nurses' perceptions of clinical leadership needs and compare their differences based on the sample's characteristics. Also, it aimed to compare nurses' perceptions of clinical leadership needs between nurses and nurse managers.Background: Various professional organisations have identified the need to develop clinical leaders. Clinical leadership is about having clinical expertise in specialised fields and having professionals involved in clinical care. However, worldwide, little emphasis is placed on the clinical leadership needs of nurses.Methods: Using STROBE (https://www.strob e-state ment.org/index.php?id=avail able-check lists), a cross-sectional study was conducted in 2020 using a purposive sample of 349 Jordanian nurses who were surveyed using the CLeeNA instrument.Different descriptive and inferential statistics were used to analyse the data. The response rate in the current study was 69.8%. Results:The 7-point CleeNa scale was reduced into 3 categories 1 = "not important (1-3)," 2 = "Neutral (4)" and 3 = "highly important (5-7)." The total mean score of perceived CleeNa was 2.61(SD = 0.50) indicating "very important." The highest perceived mean score of the subscales was for "leadership and clinical practice." In contrast, the lowest perceived mean score of the subscales was "financial and service management." The total mean scores of perceived CleeNa were higher among married nurses, nurse managers, those who have a master degree or more, aged 35 years or more, had more than 4 years of nursing experience or/and more than 4 years of leadership experience, supervised more than 10 employees and were working in teaching hospitals. The total mean scores of perceived CleeNa scale and subscales of staff and team development, patient safety and risk management, and perceived standards of care were higher among nurse managers when compared with nurses. Conclusion and relevance to clinical practice:Results indicated that innovative clinical leaders are needed. A paucity of research identifies the extent to which clinical leadership is enacted in clinical nursing practice. Developing a clinical leadership programme is warranted to contribute positively to nurses' leadership roles and outcomes, patients' outcomes, and in turn, organisational outcomes.

show abstract

Correlates and predictors of clinical leadership need analysis (CLeeNA) for nurses: A cross‐sectional web‐based study

Mrayyan

2022

Nursing Forum

View full text Add to dashboard Cite

Background Clinical leadership is the process of improving different organizational and patient care processes that achieve high‐quality and safety of care outcomes. Clinical leadership is about having the appropriate skills and attributes to manage clinical settings. Nurses need to develop managerial and leadership skills; thus, nurses clinical leadership skills should be developed in all clinical settings. The clinical leadership needs of nurses received limited focus; the concept is still not fully understood. Aim This study aimed to assess the correlates and predictors of nurses' clinical leadership needs in Jordan. Materials and Methods Using a cross‐sectional research design utilizing a purposive sample of 349 nurses were recruited from different hospitals. Pearson correlation coefficients standard multiple linear regressions were mainly used to analyze the data. Results The “leadership and clinical practice” was the highest mean score of the subscales, while the “financial and service management” was the lowest. At an alpha of 0.05, significant positive moderate correlations were found between nurses' clinical leadership needs and: level of education, age, years of experience in nursing, years of experience in leadership, number of employees under the direct supervision of the leader, and type of the hospitals. At an alpha of 0.01, significant positive weak correlations were found between nurses' clinical leadership needs and: marital status, title, and unit/ward organizational structure. Marital status‐separated/divorced/widowed, and years of nursing‐4 years or less predicted negatively affect nurses' clinical leadership needs. Discussion and Conclusion Meeting the clinical leadership needs of nurses will positively contribute to various clinical settings outcomes. Leadership training is needed to enhance nurses' clinical leadership skills and competencies.

show abstract

Development and psychometric testing of the clinical leadership needs analysis (CLeeNA) instrument for nurses and midwives

Abstract: Potentially, after further testing, this instrument could be used by nursing management and educators to measure clinical leadership needs, inform the design of clinical leadership training programmes and provide valuable information about health care leadership development.

Cited by 9 publications

References 25 publications

Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades

A comparative study of clinical leadership needs analysis (CLeeNa) as perceived by nurses

Correlates and predictors of clinical leadership need analysis (CLeeNA) for nurses: A cross‐sectional web‐based study

Contact Info

Product

Resources

About