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Similarities and Differences between Nurses' and Physicians' Clinical Leadership Behaviours: A Quantitative
Anoek Braam1, Martina Buljac-Samardžić1, Carina Hilders1,2
1Department Health Services Management & Organisation (HSMO) of the Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, Netherlands.
Physicians and nurses exhibit similar clinical leadership behaviors, but physicians perceive themselves as leaders more often. While both roles foster interdisciplinary collaboration, only physicians’ clinical leadership correlates with job satisfaction.
Area of Science:
- Healthcare Management
- Nursing Leadership
- Physician Leadership
Background:
- Healthcare professionals, including nurses and physicians, are expected to assume clinical leadership roles.
- These roles are crucial for reducing care fragmentation and improving interdisciplinary collaboration.
- Nurses may identify integration needs but often lack the perceived status to lead change compared to physicians.
Purpose of the Study:
- To analyze similarities and differences in clinical leadership roles between nurses and physicians in hospitals.
- To explore the relationship between clinical leadership, interdisciplinary collaboration, and job perception.
- To understand how leadership roles impact healthcare team dynamics and patient care.
Main Methods:
- A cross-sectional survey was administered to a sample of nurses and physicians.
- Data collected included measures of clinical leadership, job satisfaction, workload, and interdisciplinary collaborative behaviors.
- Statistical analysis was used to compare leadership styles and their correlates.
Main Results:
- Nurses (n=329) and physicians (n=100) demonstrated comparable clinical leadership behaviors.
- Physicians reported a higher self-perception of leadership compared to nurses.
- Both groups exhibited increased interdisciplinary collaboration when acting as clinical leaders.
- Physician clinical leadership correlated positively with job satisfaction, unlike for nurses.
Conclusions:
- Nurses, despite frequent patient contact, less often perceive themselves as clinical leaders.
- Effective clinical leadership by nurses is vital for promoting patient-centered care.
- Further research is needed on strategies nurses employ to exert clinical leadership and drive change.
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