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Clinical leadership and rural and remote practice : A qualitative study
Stanley, David Stanley, Karen
Stanley, David
Stanley, Karen
Author
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.
Keywords
clinical leadership, leadership, nursing, qualitative methodology, rural and remote management
Date
2019
Type
Journal article
Journal
Journal of Nursing Management
Book
Volume
27
Issue
5
Page Range
1314-1324
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled