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Perceived importance and performance of clinical leadership in practice: A cross‐sectional study of nurses and midwives of all grades
Author(s) -
Mc Carthy Vera J. C.,
Murphy Ashling,
Savage Eileen,
Hegarty Josephine,
Coffey Alice,
LeahyWarren Patricia,
Horgan Aine,
O'Connell Rhona,
Marsh Lynne,
Drennan Jonathan
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.12867
Subject(s) - nursing , cross sectional study , clinical practice , nursing management , medicine , clinical supervision , nursing staff , nurse manager , medical education , psychology , pathology
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.