The development of leadership outcome-indicators evaluating the contribution of clinical specialists and advanced practitioners to health care: a secondary analysis.

Hdl Handle:
http://hdl.handle.net/10147/348581
Title:
The development of leadership outcome-indicators evaluating the contribution of clinical specialists and advanced practitioners to health care: a secondary analysis.
Authors:
Elliott, Naomi; Begley, Cecily; Kleinpell, Ruth; Higgins, Agnes
Affiliation:
School of Nursing and Midwifery, Trinity College Dublin; Center for Clinical Research & Scholarship, Rush University Medical Center
Citation:
Elliott, N., Begley, C., Kleinpell, R. and Higgins, A. (2014) The development of leadership outcome-indicators evaluating the contribution of clinical specialists and advanced practitioners to health care: a secondary analysis. Journal of Advanced Nursing, 70(5), 1078-1093.
Journal:
Journal of advanced nursing
Issue Date:
May-2014
URI:
http://hdl.handle.net/10147/348581
DOI:
10.1111/jan.12262
PubMed ID:
24118050
Abstract:
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.; 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.; Secondary analysis of a multiple case study data set.; 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.; 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.; 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.
Item Type:
Article
Language:
en
Description:
Aims. To report a secondary analysis of data collected from the case study phase of a national study of advanced practitioners and develop leadership outcomes-indicators appropriate for advanced practitioners. Background. In many countries, advanced practitioners in nursing and midwifery have responsibility as leaders for healthcare 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 dataset. Methods. Dataset comprised twenty-three 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: 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.
Keywords:
NURSING; NURSE
Local subject classification:
ADVANCED NURSE PRACTITIONER; LEADERSHIP
MeSH:
Advanced Practice Nursing; Leadership; Outcome Assessment (Health Care); Specialties, Nursing
ISSN:
1365-2648
Sponsors:
Funder:National Council for the Professional Development of Nursing and Midwifery

Full metadata record

DC FieldValue Language
dc.contributor.authorElliott, Naomien
dc.contributor.authorBegley, Cecilyen
dc.contributor.authorKleinpell, Ruthen
dc.contributor.authorHiggins, Agnesen
dc.date.accessioned2015-04-07T14:50:48Zen
dc.date.available2015-04-07T14:50:48Zen
dc.date.issued2014-05en
dc.identifier.citationElliott, N., Begley, C., Kleinpell, R. and Higgins, A. (2014) The development of leadership outcome-indicators evaluating the contribution of clinical specialists and advanced practitioners to health care: a secondary analysis. Journal of Advanced Nursing, 70(5), 1078-1093.en
dc.identifier.issn1365-2648en
dc.identifier.pmid24118050en
dc.identifier.doi10.1111/jan.12262en
dc.identifier.urihttp://hdl.handle.net/10147/348581en
dc.descriptionAims. To report a secondary analysis of data collected from the case study phase of a national study of advanced practitioners and develop leadership outcomes-indicators appropriate for advanced practitioners. Background. In many countries, advanced practitioners in nursing and midwifery have responsibility as leaders for healthcare 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 dataset. Methods. Dataset comprised twenty-three 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: 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.en
dc.description.abstractTo 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.en
dc.description.abstractIn 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.en
dc.description.abstractSecondary analysis of a multiple case study data set.en
dc.description.abstractData 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.en
dc.description.abstractThe 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.en
dc.description.abstractThe 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.en
dc.description.sponsorshipFunder:National Council for the Professional Development of Nursing and Midwiferyen
dc.language.isoenen
dc.rightsArchived with thanks to Journal of advanced nursingen
dc.subjectNURSINGen
dc.subjectNURSEen
dc.subject.meshAdvanced Practice Nursingen
dc.subject.meshLeadershipen
dc.subject.meshOutcome Assessment (Health Care)en
dc.subject.meshSpecialties, Nursingen
dc.subject.otherADVANCED NURSE PRACTITIONERen
dc.subject.otherLEADERSHIPen
dc.titleThe development of leadership outcome-indicators evaluating the contribution of clinical specialists and advanced practitioners to health care: a secondary analysis.en
dc.typeArticleen
dc.contributor.departmentSchool of Nursing and Midwifery, Trinity College Dublin; Center for Clinical Research & Scholarship, Rush University Medical Centeren
dc.identifier.journalJournal of advanced nursingen
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