DierckxdeCasterl__2008 - Journal of Nursing Management 2008...

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Impact of clinical leadership development on the clinical leader, nursing team and care-giving process: a case study BERNADETTE DIERCKX DE CASTERLE ´ P H D , R N 1 , AN WILLEMSE M S N , R N 2 , MARC VERSCHUEREN M S N , R N 3 and KOEN MILISEN P H D , R N 4,5 1 Professor in Nursing Ethics , Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, 2 Infection Control Nurse , Onze-Lieve-Vrouwziekenhuis, Aalst, 3 Coordinator Development & Training , Department of Human Resources, University Hospitals of Leuven, Leuven and Lead Facilitator Clinical Leadership Project, Center of Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, 4 Associated Professor in Geriatric Nursing , Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven and 5 Clinical Nurse Specialist , Department of Geriatric Medicine, University Hospitals of Leuven, Leuven, Belgium Correspondence Bernadette Dierckx de Casterle ´ Associated Professor in Nursing Ethics Center for Health Services and Nursing Research Katholieke Universiteit Leuven Kapucijnenvoer 35/4 B-3000 Leuven Belgium E-mail: [email protected] med.kuleuven.be DIERCKX DE CASTERLE ´ B., WILLEMSE A., VERSCHUEREN M. & MILISEN K. (2008) Journal of Nursing Management 16 , 753–763 Impact of clinical leadership development on the clinical leader, nursing team and care-giving process: a case study Aim This study explored the dynamics related to a leadership development pro- gramme and their impact on the clinical leader, the nursing team and the care-giving process. Background While there is a growing conviction about the need to invest in transformational leadership in nursing, further insight into the true complexity of leadership development and, more specifically, how leadership can make a differ- ence in nursing and patient outcomes is essential. Method A single instrumental case study was conducted in a unit of a large aca- demic hospital where a Clinical Leadership development Project (CLP) was implemented successfully. We used mixed methods with multiple sources of data to capture the complexity of leadership development. Data were collected through individual interviews, focus groups and observation of participants. A purposive sample of 17 participants representing a wide variety of team members has per- mitted data saturation. The data were categorized and conceptualized and finally organized into a framework describing leadership development on the unit and its impact on the leader, the nursing team and the care-giving process. Results Leadership development is an ongoing, interactive process between the clinical leader and the co-workers. The head nurse became more effective in areas of self-awareness, communication skills, performance and vision. The nursing team benefited because more effective leadership promoted effective communication, greater responsibility, empowerment and job clarity. Improved clinical leadership seemed also to influence patient-centred communication, continuity of care and interdisciplinary collaboration.
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