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Nursing Leadership in Nursing Homes: An Evolutionary Concept Analysis
1School of Nursing, The University of North Carolina at Greensboro, Greensboro, North Carolina.
Research in Gerontological Nursing
|September 23, 2025
Summary
Nursing leadership in nursing homes (NHs) has distinct attributes that differentiate it from other roles. Clarifying these attributes is crucial for effective collaboration and improved patient care outcomes.
Area of Science:
- Gerontology
- Healthcare Management
- Nursing Science
Background:
- Nursing leadership is vital in nursing homes (NHs) for quality care delivery.
- The concept of nursing leadership in NHs is often conflated with related terms, potentially impacting its recognition and effectiveness.
- Understanding the precise attributes of nursing leadership is essential for optimizing care settings.
Purpose of the Study:
- To comprehensively identify the attributes, antecedents, consequences, surrogate terms, and related terms of nursing leadership within the nursing home context.
- To clarify the unique characteristics of nursing leadership in nursing homes (NHs).
Main Methods:
- Utilized Rodgers' evolutionary concept analysis methodology.
- Examined the concept of nursing leadership specifically within nursing home settings.
Main Results:
- Identified key attributes that define nursing leadership in nursing homes.
- Differentiated nursing leadership from closely related concepts such as Registered Nurse (RN) or clinical leadership.
- Highlighted how specific attributes distinguish nursing leadership.
Conclusions:
- Nursing leadership in NHs is frequently used interchangeably with surrogate and related terms, leading to confusion.
- This ambiguity can undermine the role of nursing leaders, hindering collaboration and setting incorrect expectations among interprofessional colleagues, operational leaders, and policymakers.
- Clarifying the concept of nursing leadership is essential for informed decision-making impacting nursing and resident outcomes in NHs.
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