Preliminary clinical nursing leadership competency model: A qualitative study from Thailand

Abstract

This qualitative study explored the clinical nursing leadership competency perspectives of Thai nurses working in a university hospital. To collect data, in-depth interviews were undertaken with 23 nurse administrators, and focus groups were used with 31 registered nurses. Data were analyzed using content analysis, and theory development was guided by the Iceberg model. Nurses' clinical leadership competencies emerged, comprising hidden characteristics and surface characteristics. The hidden characteristics composed three elements: motive (respect from the nursing and healthcare team and being secure in life), self-concept (representing positive attitudes and values), and traits (personal qualities necessary for leadership). The surface characteristics comprised specific knowledge of nurse leaders about clinical leadership, management and nursing informatics, and clinical skills, such as coordination, effective communication, problem solving, and clinical decision-making. The study findings help nursing to gain greater knowledge of the essence of clinical nursing leadership competencies, a matter critical for theory development in leadership. This study's results later led to the instigation of a training program for registered nurse leaders at the study site, and the formation of a preliminary clinical nursing leadership competency model.

Skills for Nurses in the Field of Management and Administration: Contemporary Challenges to the Profession

“…Distintos trabajos han establecido las competencias que debe desarrollar la enfermera, entre las que se encuentran las de liderazgo como comunicación, trabajo en equipo y motivación; y las de gestión como delegación y supervisión (30)(31)(32). También se ha intentado identificar los factores que podrían estar asociados con la eficacia de las enfermeras directoras o ejecutivas, encontrándose una relación significativa en atributos como: colaboración en equipos multidisciplinarios, habilidad en negocios, habilidades en gestión de personas, proporcionar a las enfermeras las herramientas adecuadas y los recursos para hacer su trabajo, conocimiento de enfermería, gestión de calidad y de proyectos (33).…”

Stakeholder Perspectives of an Approach to Healthcare Leadership Development through Use of a Multidimensional Leadership Development Conceptual Model

“…A further key success factor is to situate the leadership learning within a learning organisation (Supamanee et al 2011). A learning organisation is one which facilitates the learning of its members and continuously transforms itself (Senge 2006).…”

“…An example is the implementation of a leadership competency culture applied by healthcare organisations, to define and then measure the knowledge, skills and behaviours of the healthcare leader (Leigh et al 2013, Leigh et al 2015, Patrick et al 2011, Storey and Holti 2013, Supamanee et al 2011). …”

Research on the Application of Competency Model in Medical and Health Field

“…Sherman RO, Conley SB and some scholars have researched on the development of the competency model for nursing managers [18][19]. Supamanee T and some scholars have researched the competencies of nursing staff managers in Thailand [20].…”