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Leadership in nursing and midwifery: Activities and associated competencies of advanced practice nurses and midwives
Author(s) -
Van Hecke Ann,
Goemaes Régine,
Verhaeghe Sofie,
Beyers Wim,
Decoene Elsie,
Beeckman Dimitri
Publication year - 2019
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/jonm.12808
Subject(s) - task (project management) , coaching , feeling , psychology , nursing , medical education , medicine , social psychology , management , economics , psychotherapist
Aim To explore the practice profile and competencies of advanced practice nurses (APNs) and midwives (AMPs), and factors associated with task non‐execution. Background Advanced practitioner roles are increasingly implemented internationally. Unofficial role introduction led to confusion regarding task performance. Studies examining associations between APNs’/AMPs’ task performance and competency levels, and factors associated with task non‐execution are lacking. Method A cross‐sectional study among APNs/AMPs in Flanders (Belgium) explored tasks and competencies in seven domains: clinical/professional leadership, change management/innovation, research, clinical expertise/guidance/coaching, consultation/consultancy, multidisciplinary cooperation/care coordination and ethical decision‐making. Task performance and competency level frequencies were calculated. Regression analysis identified factors associated with task non‐execution on domain/item level. Results Participants ( n = 63) executed tasks in all domains. Task non‐execution related to research and clinical expertise was associated with work setting; task non‐execution regarding care coordination and ethical decision‐making was associated with competency perception. Several tasks were performed by few APNs/AMPs despite many feeling competent. Five of ten tasks performed by fewest participants belonged to the leadership domain. Conclusion and implications for nursing and midwifery management Supervisors could play an important part in APNs’/AMPs’ role development, especially regarding leadership and tasks executed by few participants. Future studies should provide in‐depth knowledge on task non‐execution.