The identification of clinical and professional leadership activities of advanced practitioners: findings from the Specialist Clinical and Advanced Practitioner Evaluation study in Ireland
The identification of clinical and professional leadership activities of advanced practitioners: findings from the Specialist Clinical and Advanced Practitioner Evaluation study in Ireland
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DOI：
10.1111/j.1365-2648.2012.06090.x
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发表时间：
2013-05-01
影响因子：
3.8
通讯作者：
Murphy, Kathy
中科院分区：
文献类型：
--
作者：
Elliott, Naomi;Higgins, Agnes;Murphy, Kathy
目的 报告一项案例研究，该研究确定了护理和助产士领域的高级从业者如何发挥领导力，并区分高级实践中的临床领导力和专业领导力。背景 委托对护理和助产士的高级从业人员进行国家评估，以便为政策制定者提供有关爱尔兰未来发展的决策信息。领导力是高级实践者角色的一个关键方面。然而，高级实践背景下的领导力仍在研究中，并且缺乏关于高级实践者如何在实践中发挥其临床和专业领导职能的经验证据。设计 使用多个案例研究方法来确定高级从业者的领导活动。方法 对爱尔兰各专业和卫生地区的护理和助产高级从业人员进行有目的地抽样。数据来源包括对高级从业者的非参与观察、对主要利益相关者的访谈以及包括审计、政策和指南在内的书面证据。这些数据共同用于识别实践中高级从业者的领导活动。该研究于 2008 年 12 月至 2010 年 12 月期间进行。 结果 确定了七项表明临床领导力的关键活动和三项高级实践水平专业领导力的关键活动。结论 所确定的领导活动更清晰地区分了专业领导力和临床领导力，并明确了领导活动的性质和范围。
Aim To report a case study that identifies how leadership is enacted by advanced practitioners in nursing and midwifery and differentiates between clinical and professional leadership in advanced practice. Background A national evaluation of advanced practitioners in nursing and midwifery was commissioned to inform policy makers' decision-making about future developments in Ireland. Leadership is a key aspect of the advanced practitioner role. However, leadership in the advanced practice context is under researched and lacks empirical evidence on how advanced practitioners enact their clinical and professional leadership function in practice. Design A multiple case study methodology was used to identify the leadership activities of advanced practitioners. Methods Purposive sampling of advanced practitioners in nursing and midwifery across various specialities and health regions in Ireland was employed. Data sources included non-participant observation of advanced practitioners, interviews with key stakeholders, and documentary evidence including audits, policies, and guidelines. Collectively these data were used to identify the leadership activities of advanced practitioners in practice. The study was conducted between December 2008December 2010. Results Seven key activities that indicated clinical leadership and three key activities for professional leadership at advanced practice level were identified. Conclusions The leadership activities identified provide greater clarity in distinguishing between professional and clinical leadership and in specifying the nature and scope of leadership activities.