Actual clinical leadership: a shadowing study of charge nurses and doctors on-call in the emergency department
| العنوان: | Actual clinical leadership: a shadowing study of charge nurses and doctors on-call in the emergency department |
|---|---|
| المؤلفون: | Øystein Evjen Olsen, Sissel Eikeland Husebø |
| المصدر: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 27, Iss 1, Pp 1-9 (2019) |
| بيانات النشر: | BioMed Central, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, education, Exploratory research, Nursing Staff, Hospital, Charge nurses, Critical Care and Intensive Care Medicine, Medical disciplines: 700::Health sciences: 800 [VDP], 03 medical and health sciences, 0302 clinical medicine, Nursing, Health care, Medical Staff, Hospital, Doctors on-call, Humans, Human multitasking, Medicine, 030212 general & internal medicine, Competence (human resources), Curriculum, akuttmedisin, Original Research, Patient Care Team, Norway, Emergency department, business.industry, ledelse, lcsh:Medical emergencies. Critical care. Intensive care. First aid, 030208 emergency & critical care medicine, lcsh:RC86-88.9, Shadowing, Leadership, Nursing, Supervisory, sykehuspersonell, Clinical leadership, Emergency Medicine, Female, Health education, Thematic analysis, Emergency Service, Hospital, business |
| الوصف: | Background: The provision of safe, high quality healthcare in the Emergency Department (ED) requires frontline healthcare personnel with sufficient competence in clinical leadership. However, healthcare education curriculum infrequently features learning about clinical leadership, and there is an absence of experienced doctors and nurses as role models in EDs for younger and less experienced doctors and nurses. The purpose of this study was to explore the activities performed by clinical leaders and to identify similarities and differences between the activities performed by charge nurses and those performed by doctors on-call in the Emergency Department after completion of a Clinical Leadership course. Methods: A qualitative exploratory design was chosen. Nine clinical leaders in the ED were shadowed. The data were analyzed using a thematic analysis. Results: The analysis revealed seven themes: receiving an overview of the team and patients and planning the shift; ensuring resources; monitoring and ensuring appropriate patient flow; monitoring and securing information flow; securing patient care and treatment; securing and assuring the quality of diagnosis and treatment of patient; and securing the prioritization of patients. The last two themes were exclusive to doctors on-call, while the theme “securing patient care and treatment” was exclusive to charge nurses. Conclusions: Charge nurses and doctors on-call perform multitasking and complement each other as clinical leaders in the ED. The findings in this study provide new insights into how clinical leadership is performed by charge nurses and doctors on-call in the ED, but also the similarities and differences that exist in clinical leadership performance between the two professions. Clinical leadership is necessary to the provision of safe, high quality care and treatment for patients with acute health needs, as well as the coordination of healthcare services in the ED. More evaluation studies of this Clinical Leadership course would be valuable. publishedVersion |
| وصف الملف: | application/pdf |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::01034646a7c391dc8c74933525ff2c73Test https://hdl.handle.net/11250/2638534Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....01034646a7c391dc8c74933525ff2c73 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |