Clinical leadership and rural and remote practice : A qualitative study

Journal article


Stanley, David and Stanley, Karen. (2019). Clinical leadership and rural and remote practice : A qualitative study. Journal of Nursing Management. 27(5), pp. 1314-1324. https://doi.org/10.1111/jonm.12813
AuthorsStanley, David and Stanley, Karen
Abstract

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.

Keywordsclinical leadership; leadership; nursing; qualitative methodology; rural and remote management
Year2019
JournalJournal of Nursing Management
Journal citation27 (5), pp. 1314-1324
PublisherBlackwell Publishing Ltd
ISSN0966-0429
Digital Object Identifier (DOI)https://doi.org/10.1111/jonm.12813
PubMed ID31162890
Scopus EID2-s2.0-85068674542
Research or scholarlyResearch
Page range1314-1324
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online04 Jun 2019
Publication process dates
Accepted31 May 2019
Deposited21 Dec 2021
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https://acuresearchbank.acu.edu.au/item/8x3w1/clinical-leadership-and-rural-and-remote-practice-a-qualitative-study

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