Nurses’ perceptions of clinical leadership in the emergency department: A qualitative descriptive study

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-02-10 DOI:10.1016/j.ienj.2025.101586

C. Scott , L. Kuhn , C. Moss

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引用次数: 0

Abstract

Aim

To understand and describe how clinical leadership practices in nursing are undertaken within the emergency department from the perspectives of experienced emergency nurses.

Research Question

How do emergency nurses perceive and practice clinical leadership in the emergency department?

Method

A qualitative descriptive design was used. Ten individual semi-structured interviews were conducted with registered nurses with experience working in Australian emergency departments. The data were analysed using thematic analysis.

Result

Analysis of how clinical leadership was practiced in the emergency department resulted in the identification of four themes: leadership as coaching; leadership as supporting others; leadership by being where the department needs are; and leadership by sustaining and using hospital systems.

Discussion

The findings highlight that clinical leadership is exercised in guiding and supporting less experienced staff through coaching. Clinical leadership is demonstrated through expertise and detailed understanding of hospital systems and is used to empower nurses to trust their clinical judgement. Through understanding hospital systems, clinical leadership is exercised to ensure staff are supported to perform their roles and cater for their departmental and hospital needs.

Conclusion

Emergency nurses utilise clinical leadership skills in their everyday practice to coach and support less experienced staff. Emergency nurses who utilise clinical leadership dynamically use their knowledge of staff and systems to meet the constantly changing needs of their respective departments.

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急诊科护士对临床领导的认知：一项定性描述性研究

目的从经验丰富的急诊护士的角度来理解和描述临床护理领导实践是如何在急诊科进行的。研究问题急诊科护士如何认识和实践临床领导？方法采用定性描述设计。对在澳大利亚急诊科工作过的注册护士进行了10次单独的半结构化访谈。使用专题分析对数据进行分析。结果分析临床领导在急诊科的实践情况，得出四个主题：领导作为指导；领导力就是支持他人；在部门需要的地方发挥领导作用；通过维持和使用医院系统来发挥领导作用。研究结果强调，临床领导是通过指导来指导和支持经验不足的员工。临床领导能力是通过专业知识和对医院系统的详细了解来证明的，并用于授权护士相信他们的临床判断。通过了解医院系统，临床领导的作用，以确保支持员工履行他们的角色，并满足他们的部门和医院的需要。结论急诊护士在日常工作中运用临床领导技能指导和支持经验不足的医护人员。运用临床领导能力的急诊护士动态地运用他们对员工和系统的知识来满足各自部门不断变化的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.