Impact of clinical leadership development on the clinical leader, nursing team and care-giving process: a case study.

Full Abstract

AIM: This study explored the dynamics related to a leadership development programme and their impact on the clinical leader, the nursing team and the care-giving process. BACKGROUND: While there is a growing conviction about the need to invest in transformational leadership in nursing, further insight into the true complexity of leadership development and, more specifically, how leadership can make a difference in nursing and patient outcomes is essential. METHOD: A single instrumental case study was conducted in a unit of a large academic hospital where a Clinical Leadership development Project (CLP) was implemented successfully. We used mixed methods with multiple sources of data to capture the complexity of leadership development. Data were collected through individual interviews, focus groups and observation of participants. A purposive sample of 17 participants representing a wide variety of team members has permitted data saturation. The data were categorized and conceptualized and finally organized into a framework describing leadership development on the unit and its impact on the leader, the nursing team and the care-giving process. RESULTS: Leadership development is an ongoing, interactive process between the clinical leader and the co-workers. The head nurse became more effective in areas of self-awareness, communication skills, performance and vision. The nursing team benefited because more effective leadership promoted effective communication, greater responsibility, empowerment and job clarity. Improved clinical leadership seemed also to influence patient-centred communication, continuity of care and interdisciplinary collaboration. CONCLUSIONS: The results of the study give more insight into the processes underlying the leader's progress towards attaining a transformational leadership style and its impact on the team members. The impact of leadership on the care-giving process, however, remains difficult to describe. IMPLICATIONS FOR NURSING MANAGEMENT: The interactive nature of leadership development makes CLP a challenge for the leader as well for the team members. Through its impact on the leader and the nursing team, CLP is a valuable instrument for improving work environments of nurses, contributing positively to patient-centred care.

Author information

Author/s: Dierckx de Casterlé, Bernadette (B); Willemse, An (A); Verschueren, Marc (M); Milisen, Koen (K);

Affiliation: Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium. bernadette.dierckxdecasterle(-atsign-)med.kuleuven.be

Journal and publication information

Publication Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't

Journal: Journal of nursing management (J Nurs Manag), published in England. (Language: eng)

Reference: 2008-Sep; vol 16 (issue 6) : pp 753-63

Dates: Created 2008/09/23; Completed 2009/01/09;

PMID: 18808470, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article
(including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.