DOI QR코드

DOI QR Code

Leadership Experience of Clinical Nurses: Applying Focus Group Interviews

임상간호사의 리더십 경험: 포커스 그룹 인터뷰 적용

  • Received : 2015.03.02
  • Accepted : 2015.06.08
  • Published : 2015.10.31

Abstract

Purpose: The purpose of this study was to understand and describe the leadership experience of clinical nurses. Methods: During 2014, data were collected using focus group interviews. Three focus group interviews were held with a total of 20 clinical nurses participating. All interviews were recorded as they were spoken and transcribed and data were analyzed using qualitative content analysis. Results: Fifteen categories emerged from the five main themes. 1) Thoughts on the leadership category: to lead others, to cope with problem situations adequately and to serve as a shield against difficulties. 2) Situations requiring leadership: situation that requires correct judgement, coping and situations that need coordination and cooperation. 3-1) Leadership behaviors: other-oriented approach and self-oriented approach. 3-2) Leadership behavior consequences: relevant compensation and unfair termination. 4-1) Facilitators of leadership: confidence and passion for nursing and external support and resources. 4-2) Barriers to leadership: non-supportive organization culture and deficiency in own leadership competencies. 5) Strategies of leadership development: strengthen leadership through self-development and organizational leadership development. Conclusion: In conclusion, the results indicate that it is necessary to enhance clinical nurses' leadership role in healthcare. Enhancement can be achieved through leadership programs focused on enlarging leadership experience, constant self-development, leadership training, and development of leadership competencies suited to the nursing environment.

Keywords

References

  1. Lee SH. The relationship between the personal and job characteristics on organizational citizenship behaviors in clinical nurses. Journal of Korean Academy of Nursing Administration. 2006;12(2):295-304.
  2. Bender M, Connelly CD, Brown C. Interdisciplinary collaboration: The role of the clinical nurse leader. Journal of Nursing Management. 2013;21(1):165-174. http://dx.doi.org/10.1111/j.1365-2834.2012.01385.x
  3. Han SS, Kim NE. Effects of nurses' perception of servant leadership on leader effectiveness, satisfaction and additional effort: Focused on the mediating effects of leader trust and value congruence. Journal of Korean Academy of Nursing. 2012;42(1):85-94. http://dx.doi.org/10.4040/jkan.2012.42.1.85
  4. Huston C. Preparing nurse leaders for 2020. Journal of Nursing Management. 2008;16(8):905-911. http://dx.doi.org/10.1111/j.1365-2834.2008.00942.x
  5. Watson L. Self-leadership: Becoming an exceptional leader. Radiologic Technology. 2004;75(6):457-467.
  6. Blanchard K, Player K. Nursing leadership nursing leadership can be taught. Nurse Leader. 2008;6(1):28-29. http://dx.doi.org/10.1016/j.mnl.2007.12.001
  7. Mannix J, Wilkes L, Daly J. Attributes of clinical leadership in contemporary nursing: An integrative review. Contemporary Nurse. 2013;45(1):10-21. http://dx.doi.org/10.5172/conu.2013.45.1.10
  8. Clavelle JT, Drenkard K, Tullai-McGuinness S, Fitzpatrick JJ. Transformational leadership practices of chief nursing officers in Magnet(R) organizations. The Journal of Nursing Administration. 2012;42(4):195-201. http://dx.doi.org/10.1097/NNA.0b013e31824ccd7b
  9. Korea Accreditation Board of Nursing Education. The criteria collection of Korean nursing education evaluation for bachelor's degree in 2012 [Internet]. Seoul: Author; 2014 [cited 2014 October 15]. Available from: http://kabon.or.kr/kabon02/150112_a.pdf.
  10. Ha NS, Choi J. The relationship among leadership styles of nurse managers, job satisfaction, organizational commitment, and turnover intention. Journal of Korean Academy of Nursing. 2002;32(6):812-822. https://doi.org/10.4040/jkan.2002.32.6.812
  11. Park YJ, Seomun GA, Lim JY, Kim IA. A review of studies on leadership in nursing organization. Journal of Korean Academy of Nursing Administration. 2010;12(2):311-322.
  12. Song B, Seomun G. The influential factors related to organizational citizenship behavior of nurses: With focus on authentic leadership and organizational justice. Journal of Korean Academy of Nursing Administration. 2014;20(2):237-246. http://dx.doi.org/10.11111/jkana.2014.20.2.237
  13. Won HJ, Cho SH. A review of research on self-leadership in nurses'. Journal of Korean Academy of Nursing Administration. 2013;19(3):382-393. http://dx.doi.org/10.11111/jkana.2013.19.3.382
  14. Kim SJ, Kim HJ, Lee KJ, Lee SO. Focus group method. Seoul: Hyunmoon; 2000.
  15. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-1288. http://dx.doi.org/10.1177/1049732305276687
  16. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105-112. http://dx.doi.org/10.1016/j.nedt.2003.10.001
  17. Pepin J, Dubois S, Girard F, Tardif J, Ha L. A cognitive learning model of clinical nursing leadership. Nurse Education Today. 2011;31(3):268-273. http://dx.doi.org/10.1016/j.nedt.2010.11.009
  18. Shin KR, Koh MS, Kong BH, Kim KS, Kim MY, Kim EH, et al. Qualitative methodology. Seoul: Ewha Womans University Press; 2004.
  19. Elo S, Kyngas H. The qualitative content analysis process. Journal of Advanced Nursing. 2008;62(1):107-115. http://dx.doi.org/10.1111/j.1365-2648.2007.04569.x
  20. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park, CA: Sage; 1985.
  21. Swearingen S. A journey to leadership: Designing a nursing leadership development program. Journal of Continuing Education in Nursing. 2009;40(3):107-112. http://dx.doi.org/10.3928/00220124-20090301-02
  22. Wong CA, Cummings GG, Ducharme L. The relationship between nursing leadership and patient outcomes: A systematic review update. Journal of Nursing Management. 2013;21(5):709-724. http://dx.doi.org/10.1111/jonm.12116
  23. Fardellone C, Click ER. Self-perceived leadership behaviors of clinical ladder nurses. Nurse Leader. 2013;11(6):51-3. http://dx.doi.org/10.1016/j.mnl.2013.05.016
  24. Kim JH, Lee HJ, Kim MS. Structural components of leadership perceived by head nurses. Journal of Korean Academy of Nursing Administration. 2005;11(3):233-241.
  25. Perra BM. Leadership: The key to quality outcomes. Nursing Administration Quarterly. 2000;24(2):56-61. http://dx.doi.org/10.1097/00006216-200001000-00011
  26. Geore V, Burke LJ, Rodgers B, Duthie N, Hoffmann ML, Koceja V, et al. Developing staff nurse shared leadership behavior in professional nursing practice. Nursing Administration Quarterly. 2002;26(3):44-59. http://dx.doi.org/10.1097/00006216-200204000-00008
  27. Abraham P, Burnette A, Wannarka E, Weerheim L. Nursing excellence: Leadership opportunities promote staff nurse growth and development. Nurse Leader. 2013;11(6):61-64. http://dx.doi.org/10.1016/j.mnl.2013.07.012
  28. Back CH. A study on the situational leadership theory: Mainly focus on the P. Hersey and K. H. Blanchard' theory [master's thesis]. Gwangju: Chonnam National University; 1987.
  29. Greenwood J. Clinical development units (nursing): Issues surrounding their establishment and survival. International Journal of Nursing Practice. 2000;6(6):338-344. http://dx.doi.org/10.1046/j.1440-172x.2000.00234.x
  30. Macphee M, Skelton-Green J, Bouthillette F, Suryaprakash N. An empowerment framework for nursing leadership development: Supporting evidence. Journal of Advanced Nursing. 2012;68(1):159-169. http://dx.doi.org/10.1111/j.1365-2648.2011.05746.x

Cited by

  1. Contribuições freirianas para entender o exercício da liderança dialógica dos enfermeiros no ambiente hospitalar vol.38, pp.1, 2015, https://doi.org/10.1590/1983-1447.2017.01.64764
  2. Liderança do enfermeiro e sua relação com o ambiente de trabalho hospitalar vol.31, pp.2, 2018, https://doi.org/10.1590/1982-0194201800027
  3. A Literature Review of Research on Leadership of Korean Hospital Nurse vol.25, pp.5, 2019, https://doi.org/10.11111/jkana.2019.25.5.404
  4. 일반간호사의 간호대학생 임상실습 지도 경험 vol.17, pp.12, 2019, https://doi.org/10.14400/jdc.2019.17.12.399
  5. Mixed Method Research Investigating Turnover Intension with ICU Nurses vol.27, pp.2, 2015, https://doi.org/10.7739/jkafn.2020.27.2.153
  6. 일반간호사의 간호정보역량 이해 및 향상 전략: 포커스 그룹 인터뷰를 중심으로 vol.26, pp.3, 2015, https://doi.org/10.5977/jkasne.2020.26.3.299
  7. Dialogic educational practices in the context of child intoxication: an approach based on Paulo Freire vol.74, pp.5, 2015, https://doi.org/10.1590/0034-7167-2020-1196