Barriers to clinical leadership development: findings from a national survey
Barriers to clinical leadership development: findings from a national survey
复制标题
DOI：
10.1111/j.1365-2702.2010.03599.x
复制
发表时间：
2011-07-01
影响因子：
4.2
通讯作者：
Johnson, Maree
中科院分区：
文献类型：
--
作者：
Fealy, Gerard M.;McNamara, Martin S.;Johnson, Maree
目的和目标。描述爱尔兰护士和助产士自我报告的临床领导力发展障碍。有效的临床领导对于优化护理和改善患者结局至关重要。临床领导力的发展与个人和人际能力有关，并受到环境的约束。护士和助产士之间的临床领导力发展的障碍与跨学科和组织因素，如缺乏跨学科的护理规划和政策的影响。对爱尔兰3000名护士和助产士进行了一项全国性的护士和助产士邮政调查。数据收集的方法是临床领导力需求分析问卷（CLAN-Q）障碍量表（CLAN-QBS（c）），一个自我管理，自我报告的问卷，以衡量临床领导力发展的障碍。平均得分的CLAN-Q障碍分量表显示，临床领导力发展的障碍被认为是较低的维度“质量护理因素”，与维度“跨学科关系，认可和影响”相比。职员及其他晋升职系在跨学科工作、影响及认可学科贡献的自我知觉障碍上有显著差异。较高和较低年级之间的差异经验的障碍表明，年级水平可能会影响谈判能力的工作相关的和组织的障碍，临床领导力的发展。克服临床领导力发展的障碍需要注意在实习中的跨学科关系，以及护士和助产士在更广泛的部门和组织层面上的实际和感知的相对影响程度。
Aims and objectives. To describe self-reported barriers to clinical leadership development among nurses and midwives in Ireland.Background. Effective clinical leadership is essential for optimising care and improving patient outcomes. Clinical leadership development is concerned with intrapersonal and interpersonal capabilities and is context bound. Barriers to clinical leadership development among nurses and midwives are associated with interdisciplinary and organisational factors, such as lack of influence in interdisciplinary care planning and policy.Design. A national postal survey of nurses and midwives was administered to a simple random sample of 3000 nurses and midwives in Ireland.Method. The method of data collection was the Clinical Leadership Analysis of Need Questionnaire (CLAN-Q) Barriers Scale (CLAN-QBS (c)), a self-administered, self-report questionnaire developed to measure the barriers to clinical leadership development.Results. Mean scores for the CLAN-Q barriers subscales showed that barriers to clinical leadership development were perceived as lower in the dimension 'quality care factors', when compared with the dimensions 'interdisciplinary relationships, recognition and influence'. Staff and other promotional grades differed significantly in self-perceived barriers related to interdisciplinary working, influence and recognition of the disciplinary contribution.Conclusions. Differential experiences of barriers among higher and lower grades suggest that grade level may influence ability to negotiate work-related and organisational barriers to clinical leadership development.Relevance to clinical practice. Overcoming the barriers to clinical leadership development requires attention to interdisciplinary relationships in the practicum and to the actual and perceived degree of relative influence that nurses and midwives have at wider departmental and organisational levels.