IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i3-4p447-458.html
   My bibliography  Save this article

Nurse practitioners’ perceptions of their ability to enact leadership in hospital care

Author

Listed:
  • Julia van Kraaij
  • Catharina van Oostveen
  • Hester Vermeulen
  • Maud Heinen
  • Anita Huis
  • Marian Adriaansen
  • Jeroen Peters

Abstract

Aims and objective To gain insight into nurse practitioners’ (NP) leadership roles in Dutch hospital care, by exploring the perceptions regarding their current leadership role and the differences with their previous role as a registered specialised nurse. Background To meet today's challenges of the increasing healthcare demands, the employment of NPs is proliferating. NPs have the ideal position to play a pivotal role within healthcare reforms, yet full expansion of their scope of practice and expertise is having limited success. Long‐term sustainability of NPs depends on the ability to perform and develop a leading role. Design and methods This qualitative descriptive study was conducted in fifteen Dutch hospitals. Data were collected from April–July 2018, and purposive sampling was used for eighteen semi‐structured interviews. This study is conducted and reported according to the COREQ checklist. Results Three main themes concerning NPs’ current leadership role emerged, and they were all linked to a successful positioning of NPs. All themes seemed to be of influence on NPs’ scope of daily practice. Direct patient care was emphasised, and leadership on other levels appeared to be underused. Most NPs desired to reshape their profession. However, unprofitable use of their leadership skills especially on professional and organisational level and lack of supportive factors seemed to hinder them. Conclusions An adequate use of leadership is crucial for role development and positioning of NPs. Further development of the NP profession can help to better differentiate between the tasks of registered specialised nurses and NPs. Relevance to clinical practice Leadership in nursing contributes to the improvement of the quality and efficiency of health care. Further positioning of the NP profession depends on a profitable use of leadership competencies. Besides, NPs should collaborate with healthcare organisations, educational institutions and professional associations to value the NP profession in the current healthcare system.

Suggested Citation

  • Julia van Kraaij & Catharina van Oostveen & Hester Vermeulen & Maud Heinen & Anita Huis & Marian Adriaansen & Jeroen Peters, 2020. "Nurse practitioners’ perceptions of their ability to enact leadership in hospital care," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 447-458, February.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:3-4:p:447-458
    DOI: 10.1111/jocn.15105
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15105
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15105?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. 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.
    2. Gerard M Fealy & Mary Casey & Denise F O'Leary & Martin S McNamara & Denise O'Brien & Laserina O'Connor & Rita Smith & Diarmuid Stokes, 2018. "Developing and sustaining specialist and advanced practice roles in nursing and midwifery: A discourse on enablers and barriers," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3797-3809, October.
    3. Catharina J. van Oostveen & Nicole S. Goedhart & Anneke L. Francke & Hester Vermeulen, 2017. "Combining clinical practice and academic work in nursing: A qualitative study about perceived importance, facilitators and barriers regarding clinical academic careers for nurses in university hospita," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4973-4984, December.
    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. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. Maier, Claudia B. & Batenburg, Ronald & Birch, Stephen & Zander, Britta & Elliott, Robert & Busse, Reinhard, 2018. "Health workforce planning: which countries include nurse practitioners and physician assistants and to what effect?," Health Policy, Elsevier, vol. 122(10), pages 1085-1092.
    8. Eva F. Maassen & Eline J. Regeer & Joske F.G. Bunders & Ralph W. Kupka & Barbara J. Regeer, 2019. "Research Needs for Bipolar Disorder From Clinicians’ Perspectives: Narrowing the Research–Practice Gap," SAGE Open, , vol. 9(2), pages 21582440198, June.
    9. Catriona Kennedy & Patricia Brooks Young & Jacqueline Nicol & Karen Campbell & Carol Gray Brunton, 2015. "Fluid role boundaries: exploring the contribution of the advanced nurse practitioner to multi‐professional palliative care," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3296-3305, November.
    10. János Sándor & Anita Pálinkás & Ferenc Vincze & Valéria Sipos & Nóra Kovács & Tibor Jenei & Zsófia Falusi & László Pál & László Kőrösi & Magor Papp & Róza Ádány, 2018. "Association between the General Practitioner Workforce Crisis and Premature Mortality in Hungary: Cross-Sectional Evaluation of Health Insurance Data from 2006 to 2014," IJERPH, MDPI, vol. 15(7), pages 1-12, July.
    11. Gerard M Fealy & Mary Casey & Denise F O'Leary & Martin S McNamara & Denise O'Brien & Laserina O'Connor & Rita Smith & Diarmuid Stokes, 2018. "Developing and sustaining specialist and advanced practice roles in nursing and midwifery: A discourse on enablers and barriers," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3797-3809, October.
    12. 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.
    13. 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.
    14. 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.
    15. 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.
    16. 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.
    17. 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.
    18. Kelley Kilpatrick & Mira Jabbour & Chantal Fortin, 2016. "Processes in healthcare teams that include nurse practitioners: what do patients and families perceive to be effective?," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(5-6), pages 619-630, March.
    19. Silje Havrevold Henni & Marit Kirkevold & Konstantinos Antypas & Christina Foss, 2019. "The integration of new nurse practitioners into care of older adults: A survey study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2911-2923, August.
    20. Sharon Barak & Tzlil Rabinovitz & Achinoam Ben Akiva-Maliniak & Rony Schenker & Lian Meiry & Riki Tesler, 2022. "An Individually Tailored Program to Increase Healthy Lifestyle Behaviors among the Elderly," IJERPH, MDPI, vol. 19(17), pages 1-12, September.

    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:29:y:2020:i:3-4:p:447-458. 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.