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Perceived importance and performance of clinical leadership in practice: A cross-sectional study of nurses and midwives of all grades
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Date
2019-09-16
Authors
McCarthy, Vera J. C.
Murphy, Ashling
Savage, Eileen
Hegarty, Josephine
Coffey, Alice
Leahy-Warren, Patricia
Horgan, Aine
O'Connell, Rhona
Marsh, Lynne
Drennan, Jonathan
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Volume Title
Publisher
Wiley
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Abstract
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.
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Keywords
CLeeNA , Importance of clinical leadership , Midwives , Nurses , Performance of clinical leadership , Transformational leadership , Nursing leadership , Patient outcomes , Management , Staff , Competences
Citation
McCarthy, V. J. C., Murphy, A., Savage, E., Hegarty, J., O'Connell, R., Marsh, L., and Drennan, J. (2019) 'Perceived importance and performance of clinical leadership in practice: A cross-sectional study of nurses and midwives of all grades', Journal of Nursing Management, 27, pp. 1738-1746. doi: 10.1111/jonm.12867
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© 2019 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Mc Carthy, VJC, Murphy, A, Savage, E, et al. Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades. J Nurs Manag. 2019; 27: 1738– 1746, which has been published in final form at https://doi.org/10.1111/jonm.12867. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.