Browsing by Subject "Clinical leadership"

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Perceptions of staff nurse clinical leadership and its influence on patient safety and quality of care in hospitals in Central Texas
(2019-05-07) Chávez, Eduardo Che; Yoder, Linda H.; Carter, Patricia A.; Jones, Terry; Kenny, Deborah; Volker, Deborah L.; Danesh, Valerie
The purpose of this qualitative descriptive study was to explore staff nurse and clinical manager perspectives of staff nurse clinical leadership in hospitals in Central Texas. The Institute of Medicine called for leadership throughout all areas and at every level of the nursing profession to help lead the transformation of healthcare in the United States. Frontline staff nurses have the most frequent and extended contact with patients and are uniquely positioned to be leaders in the advancement of patient care. However, there is a significant gap in the literature about staff nurse clinical leadership. Face-to-face semi-structured interviews were used to interview nine staff nurses and ten clinical managers to explore how staff nurse clinical leadership was perceived by nurses at the frontlines of patient care. Content analysis was used to analyze the interview transcripts. The data were coded to create categories of information from which common themes emerged. A total of seven themes emerged from the staff nurse interview data, these included: (1) Characteristics of the individual, (2) Human relation skills, (3) Build trust, (4) Unity, (5) Speaking-up, (6) Awareness, and (7) Role-modeling. In addition, nine distinct themes emerged from the clinical manager data, these included: (1) Characteristics of the individual, (2) Human relation skills, (3) Contribute to the team, (4) Speak-out, (5) Advocate for patients, (6) Generate followership, (7) Do the right thing, (8) Take the extra steps, and (9) Problem-solve. Moreover, the theme speak-out emerged twice as a theme from the clinical manager data. Although there were a few similarities between the staff nurse and manager themes, there were fundamental differences in how they perceived staff nurse clinical leadership. The staff nurse themes emphasized leadership qualities that favored teamwork and specific team-player qualities. In contrast, the manager themes emphasized leadership qualities that were more focused on staff nurses’ self-management and problem-solving abilities in their work environment. Therefore, the findings of this study suggested that while staff nurses were perceived as clinical leaders by their peers and managers, there were different perceptions of how they demonstrated those leadership qualities in their work environment.