Clinical leadership and rural and remote practice: A qualitative study
| Autor: | Karen Stanley, David Stanley |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Rural Population
Leadership and Management education Context (language use) Interviews as Topic 03 medical and health sciences nursing Nursing Health facility Health care rural and remote management Humans Community Health Services Nursing management Qualitative Research 030504 nursing Interpretative phenomenological analysis business.industry clinical leadership 030503 health policy & services Professional development Leadership qualitative methodology New South Wales Thematic analysis 0305 other medical science business Psychology Qualitative research |
| Zdroj: | Journal of Nursing Management. 27:1314-1324 |
| ISSN: | 1365-2834 0966-0429 |
| Popis: | Aim To explore how clinical leadership is perceived by nurses in rural and remote areas of New South Wales, Australia. Background There are few empirical studies aimed at understanding clinical leadership from a rural and remote perspective. Methods A qualitative approach, based on interpretive phenomenology, used thematic analysis of recorded and transcribed interviews. Ethical approval was secured, 56 interviews were undertaken, across 14 different rural and remote health facilities, with nurses across the spectrum of practice. Results Thematic analysis led to five themes and findings that support an understanding of clinical leadership from a rural and remote context. Clinical leaders were seen to considerably impact on the initiation of change and quality of care. They also faced barriers if the health facility was poorly staffed, lacked support and if the community were strongly co-dependent. Conclusion In rural and remote areas, clinical leadership is evident to support change, innovation and care quality. Implications for nursing management Managers should be aware that staff shortages and challenges to staff retention or the initiation of change are affected by poor clinical leadership. This paper suggests that managers who facilitate clinical leadership are better able to support professional education and greater efficiencies in the delivery of quality health care. |
| Databáze: | OpenAIRE |
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