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Enhancing frontline clinical leadership in an acute hospital trust

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  • Natasha Phillips
  • Geraldine Byrne

Abstract

Aims and objectives To report on a leadership programme for ward managers in one National Health Service Trust that aimed to enhance their contribution to the delivery of the organisation's key objectives to support excellent patient experience. Background Effective ward leadership has been recognised as vital to the quality of care, resource management and interprofessional working. However, there is evidence that, at present, front‐line nurse leaders are ill equipped to lead effectively and lack confidence in their ability to do so. Design The project aimed to provide a tailored programme for ward managers to develop their portfolio of skills to perform this pivotal role. The course contained two key elements: an integrated teaching programme to enhance leadership knowledge and skills and action learning to facilitate application to individual's own leadership practice. Both were underpinned by a change project where each individual indentified, undertook and evaluated an innovation in practice. Methods Twenty‐two ward managers completed the leadership programme. Participants completed semi‐structured questionnaires after each taught module. Action learning was evaluated through a combined structured and semi‐structured questionnaire. Results All participants evaluated the programme as increasing their repertoire of leadership skills. Following completion of the programme, ward managers continue to work together as an evolving community of practice. Conclusion Ward managers' development is enhanced by a programme integrating theory, action learning and completion of a ward‐based project. Relevance to clinical practice Ward managers cannot be effectively developed in isolation. Leadership development is best supported where the organisation is also committed to developing. A leadership development programme that incorporates knowledge from within the organisation with external expertise can be an effective method to enhance front‐line clinical leadership.

Suggested Citation

  • Natasha Phillips & Geraldine Byrne, 2013. "Enhancing frontline clinical leadership in an acute hospital trust," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(17-18), pages 2625-2635, September.
  • Handle: RePEc:wly:jocnur:v:22:y:2013:i:17-18:p:2625-2635
    DOI: 10.1111/jocn.12088
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    Cited by:

    1. Natasha Phillips & Karen Norman, 2020. "A case study of frontline nurse leadership informed by complex responsive processes of relating," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2181-2195, July.
    2. Arijanti Susana Ulnang & Frans Salesman, 2023. "Clinical Leadership for Indonesian Midwifery Three Years Diploma Curricula from Australian Benchmarking," Global Journal of Health Science, Canadian Center of Science and Education, vol. 15(3), pages 1-32, March.
    3. Marie Hutchinson & John Daly & Kim Usher & Debra Jackson, 2015. "Editorial: Leadership when there are no easy answers: applying leader moral courage to wicked problems," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3021-3023, November.
    4. Sandra G. Leggat & Cathy Balding & Dan Schiftan, 2015. "Developing clinical leaders: the impact of an action learning mentoring programme for advanced practice nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(11-12), pages 1576-1584, June.
    5. Michelle Giles & Vicki Parker & Jane Conway & Rebecca Mitchell, 2018. "Knowing how to get things done: Nurse consultants as clinical leaders," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(9-10), pages 1981-1993, May.

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