Abstract:
AIMS:To report a secondary analysis of data collected from the case study phase of a national study of advanced practitioners and to develop leadership outcome-indicators appropriate for advanced practitioners. BACKGROUND:In many countries, advanced practitioners in nursing and midwifery have responsibility as leaders for health care development, but without having leadership outcome measures available they are unable to demonstrate the results of their activities. In Ireland, a sequential mixed method research study was used to develop a validated tool for the evaluation of clinical specialists and advanced practitioners. Despite strong evidence of leadership activities, few leadership-specific outcomes were generated from the primary analysis. DESIGN:Secondary analysis of a multiple case study data set. METHODS:Data set comprised 23 case studies of advanced practitioner/clinical specialists from 13 sites across each region in Ireland from all divisions of the Nursing Board Register. Data were collected 2008-2010. Data sources included non-participant observation (n = 92 hours) of advanced practitioners in practice, interviews with clinicians (n = 21), patients (n = 20) and directors of nursing/midwifery (n = 13) and documents. Analysis focused on leadership outcome-indicator development in line with the National Health Service's Good Indicators Guide. RESULTS:The four categories of leadership outcomes for advanced practitioner developed were as follows: (i) capacity and capability building of multidisciplinary team; (ii) measure of esteem; (iii) new initiatives for clinical practice and healthcare delivery; and (iv) clinical practice based on evidence. CONCLUSIONS:The proposed set of leadership outcome-indicators derived from a secondary analysis captures the complexity of leadership in practice. They add to existing clinical outcomes measuring advanced practice.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Elliott N,Begley C,Kleinpell R,Higgins Adoi
10.1111/jan.12262subject
Has Abstractpub_date
2014-05-01 00:00:00pages
1078-93issue
5eissn
0309-2402issn
1365-2648journal_volume
70pub_type
杂志文章abstract::This study details a programme which emphasized nursing interventions for women at high risk for preterm birth. Preterm birth continues to be a major health problem, with ongoing research being conducted both in the United States and internationally in an effort to find causative factors. Programmes designed to preven...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb03146.x
更新日期:1996-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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