Setting a course: A critical review of the literature on nurse leadership in Australia

Linking Unit Collaboration and Nursing Leadership to Nurse Outcomes and Quality of Care

“…[8][9][10] However, only a few studies have empirically linked NP collaboration and nursing leadership to nurse outcomes and quality of care. 11,12 In 1 study, the researcher found that NP communication, an approach to enhancing collaboration, had a direct effect on nurses' job satisfaction and mediated the relationship between structural factors (eg, practice environment) and nurse outcomes (eg, nurse job satisfaction).…”

Leadership and registered nurses (RNs) working after‐hours in Residential Aged Care Facilities (RACFs): A structured literature review

“…(). However, Barba, Hu, and Efird () and Hurley and Hutchinson () claimed that a lack of support for education in leadership was an obstacle to providing quality care in the aged care setting with Mitchell and Cooper () and Scott‐Cawiezell et al. () stating that leadership is often the one function that RNs are ill‐prepared to undertake.…”

“…Hurley and Hutchinson () and Venturato and Windsor () argued that the focus on compliance and regulation in aged care limits the opportunity for RNs to act as leaders, to take risks and learn from their mistakes, with the consequence being that they may not develop competence and confidence when undertaking a leadership role. This situation is often exacerbated after‐hours due to lack of support, a focus on clinical tasking and the need to react to residents’ changing needs (Marquis, ).…”

“…Being competent and confident in an after‐hours leadership role is required to ensure that staff are adequately supervised and there is an appropriate skill mix for the quality of care required in RACFs (Dwyer, ; Mitchell & Cooper, ). Stanley, Latimer, and Atkinson () asserted the importance of the use of a leadership training programme to improve knowledge in aged care settings, yet Hurley and Hutchinson () acknowledged that there is insufficient preparation for nurses expected to undertake leadership roles in the aged care sector and that there are no clear guidelines to assess leadership skills especially for those working after‐hours. However, Ekström and Idvall () and Josefsson and Hansson () asserted that RNs are willing to invest in developing competent leadership skills to provide quality resident outcomes.…”

“…Registered nurse leaders, while being accountable for providing safe nursing care to achieve good residents outcomes (Bianco, Dudkiewicz, & Linette, ), have minimal access to leadership training programmes in aged care. This limits their opportunities to build leadership competence (Barba et al., ; Ekström & Idvall, ; Hurley & Hutchinson, ), subsequent confidence and their ability to validate these when renewing their registration.…”