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Leadership and management for nurses working at an advanced level.
1Research Fellow, Oxford Brookes University.
British Journal of Nursing (Mark Allen Publishing)
|March 18, 2021
Summary
Leadership and management are crucial for advanced clinical practice (ACP), enhancing patient outcomes and cost-effective care. Nurses in ACP roles should demonstrate leadership competencies across all practice settings.
Area of Science:
- Healthcare Management
- Nursing Practice
- Clinical Leadership
Background:
- Leadership and management are integral components of advanced clinical practice (ACP).
- Advanced clinical practitioners utilize evidence-based practice and expanded skills to improve patient outcomes and provide cost-effective care.
- ACP enables practitioners to perform at an advanced level, meeting diverse healthcare needs and influencing healthcare reform.
Purpose of the Study:
- To highlight the significance of leadership and management within advanced clinical practice.
- To delineate the four key leadership domains in advanced nursing practice.
- To emphasize the universal need for nurses to exhibit leadership competencies.
Main Methods:
- Conceptual analysis of leadership and management in advanced clinical practice.
- Identification and description of the four leadership domains within advanced nursing practice: clinical, professional, health system, and health policy leadership.
- Emphasis on the synergistic relationship between leadership and other pillars of advanced practice.
Main Results:
- Leadership and management are essential for ACP, working in synergy with other advanced practice pillars.
- Advanced clinical practitioners can improve patient outcomes and deliver cost-effective care through evidence-based practice and expanded skills.
- Four distinct leadership domains exist in advanced nursing practice: clinical, professional, health system, and health policy leadership, each with unique skill requirements and some overlaps.
Conclusions:
- Leadership and management are fundamental to advanced clinical practice, contributing to improved patient outcomes and efficient healthcare delivery.
- Nurses in advanced practice roles are pivotal in shaping healthcare reform and meeting evolving patient needs.
- All nurses are encouraged to demonstrate leadership competencies both individually and collectively to advance the profession.
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