IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i13-14p2644-2658.html
   My bibliography  Save this article

An inductive qualitative approach to explore Nurse Practitioners views on leadership and research: An international perspective

Author

Listed:
  • Mary Ryder
  • Elisabeth Jacob
  • Joyce Hendricks

Abstract

Aims and objectives To explore the ways in which Irish and Australian Nurse Practitioners (NPs) implement leadership and research in their roles and whether there is a difference in how leadership and research are demonstrated between NPs in Ireland and Australia. Background The original concept of the NP role was to expand nursing practice in order to provide high‐quality, accessible health care to patients. This placed NPs at the crux of changes to healthcare delivery. Implementing these changes requires leadership. Research demonstrates the effects of these changes to healthcare delivery and contributes to healthcare knowledge from the nursing profession. Design In the qualitative phase of a mixed methods study, an interpretative descriptive approach was used to draw on participant experiences. Methods Thirty‐eight respondents agreed to be interviewed following an online survey. Ten interviews were recorded and transcribed verbatim. Data were analysed using Braun and Clarke thematic analysis method. The research complied with the consolidated criteria for reporting qualitative research, COREQ. Results Ten participants, five NPs from Ireland and five from Australia were interviewed. Four themes emerged from the analysis: (a) Innovative leadership, which included the categories of leadership activities, the work of NPs and trailblazers; (b) Optimism, incorporating pride in achievements, the future outlook for the role and continued innovation of NPs over time; (c) Research, which included the NP research role, research challenges, support and research leadership; and (d) Resilience, which included overcoming resistance, isolation and seeking positive support systems. Conclusion Nurse Practitioners are clinical leaders focused on improving healthcare delivery for patient populations. There is a lack of understanding of the NP role. Nurse Practitioners lack confidence to be independently research active. Research by NPs requires support from nurses in academia. There is no difference in the role in Ireland and Australia. Relevance to clinical practice Nurse Practitioners are engaged in healthcare transformation. Nurse Practitioners require support from research experts in academia to make a significant contribution to nursing knowledge in healthcare delivery.

Suggested Citation

  • Mary Ryder & Elisabeth Jacob & Joyce Hendricks, 2019. "An inductive qualitative approach to explore Nurse Practitioners views on leadership and research: An international perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(13-14), pages 2644-2658, July.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:13-14:p:2644-2658
    DOI: 10.1111/jocn.14853
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14853
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14853?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Margaret Adams & Glenn Gardner & Patsy Yates, 2017. "Investigating nurse practitioners in the private sector: a theoretically informed research protocol," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(11-12), pages 1608-1620, June.
    2. Valeria Lo Iacono & Paul Symonds & David H.K. Brown, 2016. "Skype as a Tool for Qualitative Research Interviews," Sociological Research Online, , vol. 21(2), pages 103-117, May.
    3. Frank J van Rijnsoever, 2017. "(I Can’t Get No) Saturation: A simulation and guidelines for sample sizes in qualitative research," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-17, July.
    4. Marie-Laure Delamaire & Gaétan Lafortune, 2010. "Nurses in Advanced Roles: A Description and Evaluation of Experiences in 12 Developed Countries," OECD Health Working Papers 54, OECD Publishing.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ruth Martin‐Misener & Faith Donald & Abigail Wickson‐Griffiths & Noori Akhtar‐Danesh & Jenny Ploeg & Kevin Brazil & Sharon Kaasalainen & Carrie McAiney & Nancy Carter & Lori Schindel Martin & Esther S, 2015. "A mixed methods study of the work patterns of full‐time nurse practitioners in nursing homes," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(9-10), pages 1327-1337, May.
    2. Angela Dettori & Michela Floris, 2023. "Improving continuity by simplifying the structure of family firms: a replication study," Management Review Quarterly, Springer, vol. 73(2), pages 635-660, June.
    3. Munten, Pauline & Swaen, Valérie & Vanhamme, Joëlle, 2024. "Exploring rebound effects in Access-Based services (ABS)," Journal of Business Research, Elsevier, vol. 182(C).
    4. Fatoumata Fofana & Pat Bazeley & Antoine Regnault, 2020. "Applying a mixed methods design to test saturation for qualitative data in health outcomes research," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-12, June.
    5. Yukari Hara & Kyoko Asakura & Takashi Asakura, 2020. "The Impact of Changes in Professional Autonomy and Occupational Commitment on Nurses’ Intention to Leave: A Two-Wave Longitudinal Study in Japan," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    6. Catrin Evans & Ruth Pearce & Sarah Greaves & Holly Blake, 2020. "Advanced Clinical Practitioners in Primary Care in the UK: A Qualitative Study of Workforce Transformation," IJERPH, MDPI, vol. 17(12), pages 1-19, June.
    7. Temido, Marta & Dussault, Gilles, 2015. "How can a country learn from the experience of another? Expanding nurses’ scope of practice in Portugal: Lessons from England," Health Policy, Elsevier, vol. 119(4), pages 475-487.
    8. Tariq Umar, 2022. "The Impact of COVID-19 on the GCC Construction Industry," International Journal of Service Science, Management, Engineering, and Technology (IJSSMET), IGI Global, vol. 13(2), pages 1-17, March.
    9. Gerard M Fealy & Daniela Rohde & Mary Casey & Anne‐Marie Brady & Josephine Hegarty & Catriona Kennedy & Martin McNamara & Pauline O'Reilly & Geraldine Prizeman, 2015. "Facilitators and barriers in expanding scope of practice: findings from a national survey of Irish nurses and midwives," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3615-3626, December.
    10. Issaka Sule Ayannor, 2021. "Setbacks to the Implementation of the Nationally Appropriate Mitigation Actions: Case Studies of the Namas of Ethiopia, Georgia and Indonesia," Quaestiones Geographicae, Sciendo, vol. 40(3), pages 33-44, September.
    11. Agnes Higgins & Rebecca Murphy & Carmel Downes & Jarlath Varley & Cecily Begley & Naomi Elliott, 2020. "Factors influencing the implementation of Epilepsy Specialist Nurse role: Using the Consolidation Framework for Implementation Research," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(7-8), pages 1352-1364, April.
    12. Orelj, Ana & Torfason, Magnus Thor, 2022. "They didn't ask: Online innovation communities as a latent dynamic capability," Technological Forecasting and Social Change, Elsevier, vol. 180(C).
    13. Faith Donald & Kelley Kilpatrick & Kim Reid & Nancy Carter & Ruth Martin-Misener & Denise Bryant-Lukosius & Patricia Harbman & Sharon Kaasalainen & Deborah A. Marshall & Renee Charbonneau-Smith & Erin, 2014. "A Systematic Review of the Cost-Effectiveness of Nurse Practitioners and Clinical Nurse Specialists: What Is the Quality of the Evidence?," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-28, September.
    14. Xiujie Ma & George Jennings, 2021. "“Hang the Flesh off the Bones”: Cultivating an “Ideal Body” in Taijiquan and Neigong," IJERPH, MDPI, vol. 18(9), pages 1-20, April.
    15. Ruggeri, Matteo & Drago, Carlo & Moramarco, Vincenzo & Coretti, Silvia & Köppen, Julia & Islam, Muhammad Kamrul & Gibson, Jonathan & Busse, Reinhard & van Exel, Job & Sutton, Matthew & Askildsen, Jan , 2018. "New professional roles and patient satisfaction: Evidence from a European survey along three clinical pathways," Health Policy, Elsevier, vol. 122(10), pages 1078-1084.
    16. Prabath Chaminda Abeysiriwardana & Udith K. Jayasinghe-Mudalige & Saluka R. Kodituwakku, 2023. "Qualitative Inquiries by Transitioning to ‘Digital Methods’: A Case Study on Leaders’ Perspectives of Agriculture Research Management by Key Performance Indicators," Metamorphosis: A Journal of Management Research, , vol. 22(2), pages 178-192, December.
    17. Maier, Claudia B., 2015. "The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia," Health Policy, Elsevier, vol. 119(12), pages 1627-1635.
    18. Gabriele Torma, 2020. "How to Cope with Perceived Tension towards Sustainable Consumption? Exploring Pro-Environmental Behavior Experts’ Coping Strategies," Sustainability, MDPI, vol. 12(21), pages 1-27, October.
    19. Marlene Carvalho & Filomena Gaspar & Teresa Potra & Pedro Lucas, 2022. "Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    20. Köppen, Julia & Maier, Claudia B. & Busse, Reinhard, 2018. "What are the motivating and hindering factors for health professionals to undertake new roles in hospitals? A study among physicians, nurses and managers looking at breast cancer and acute myocardial ," Health Policy, Elsevier, vol. 122(10), pages 1118-1125.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:13-14:p:2644-2658. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.