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Developing team leadership to facilitate guideline utilization: planning and evaluating a 3‐month intervention strategy
Author(s) -
GIFFORD WENDY,
DAVIES BARBARA,
TOURANGEAU ANN,
LEFEBRE NANCY
Publication year - 2011
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2010.01140.x
Subject(s) - operationalization , nursing , psychological intervention , nursing management , guideline , audit , intervention (counseling) , medicine , health care , qualitative research , psychology , medical education , political science , social science , philosophy , management , epistemology , pathology , sociology , law , economics
gifford w., davies b., tourangeau a. & lefebre n . (2011) Journal of Nursing Management 19, 121–132
Developing team leadership to facilitate guideline utilization: planning and evaluating a 3‐month intervention strategy Background Research describes leadership as important to guideline use. Yet interventions to develop current and future leaders for this purpose are not well understood. Aim To describe the planning and evaluation of a leadership intervention to facilitate nurses’ use of guideline recommendations for diabetic foot ulcers in home health care. Method Planning the intervention involved a synthesis of theory and research (qualitative interviews and chart audits). One workshop and three follow‐up teleconferences were delivered at two sites to nurse managers and clinical leaders ( n = 15) responsible for 180 staff nurses. Evaluation involved workshop surveys and interviews. Results Highest rated intervention components (four‐point scale) were: identification of target indicators (mean 3.7), and development of a team leadership action plan (mean 3.5). Pre‐workshop barriers assessment rated lowest (mean 2.9). Three months later participants indicated their leadership performance had changed as a result of the intervention, being more engaged with staff and clear about implementation goals. Conclusions and implications for nursing management Creating a team leadership action plan to operationalize leadership behaviours can help in delivery of evidence‐informed care. Access to clinical data and understanding team leadership knowledge and skills prior to formal training will assist nursing management in tailoring intervention strategies to identify needs and gaps.