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Trimmer, W. C. (2006). The way things are done around here: Perceptions of clinical leadership in mental health nursing. Ph.D. thesis, , .
Abstract: This research project explored nurses' perceptions of clinical leadership in mental health nursing practice. Within New Zealand no research exists that evaluates the role and impact the clinical leadership has in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. The prime objective of this study was to increase knowledge about clinical leadership in mental health nursing practice. This research used a quantitative descriptive methodology, utilising survey design. A questionnaire was used to rank the attributes of the person the respondents identified as a clinical leader. The data was collected from 30 registered nurses working in mental health settings within the central region of New Zealand. Findings indicate that there is room for improvement with regard to clinical leadership in mental health nursing practice. Clinical leadership is perceived to be more effective by nurses in their second year of practice and in community settings. A statistically significant difference was indicated between nurses in their second year of practice and nurses in their third year of practice in terms of their ranking of clinical leadership abilities. Overall the respondents perceived poor communication and poor attitude as the biggest barriers to effective leadership. Support and good role models were said to influence nursing practice positively and the skills that were identified as being helpful in assisting and retaining nurses were mentorship and good communication. The results of the study are discussed in relation to the literature on transformational leadership skills. Finally, the general limitations of the study are outlined and implications for future research are discussed.
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Anderson, P. R. (2008). Determining competency for entry to nursing practice: A grounded theory study. Ph.D. thesis, , .
Abstract: Critical Comparative Nursing Assessment (CCNA) is a theory about how the competence of completing Bachelor of Nursing students in New Zealand is determined. Semi-structured, audio-taped interviews and field notes were used to collect data from twenty-seven nurses with experience in undertaking competency assessment. A Glaserian grounded theory approach was used to guide the data collection and analysis. This utilised the processes of constant comparative analysis, theoretical sampling and saturation to generate a middle range substantive grounded theory. This is presented as a model consisting of four emergent categories that explain how nurses formulate professional judgements about competence. These are a) gathering, which describes the processes used to collect evidence of practice to inform decisions; b) weighing up, which explains how evidence is analysed using the processes of benchmarking and comparative analysis; c) judging brings into focus the tensions inherent in making professional judgements about competence and how nurses formulated these, and d) moderating, which describes the processes nurses use to validate decisions and ensure that professional responsibilities and public safety are upheld. The basic social psychological process of comparing integrates these categories to explain how nurses resolve the tensions associated with making decisions about competence. This research presents a new way of viewing and understanding how nurses assess competence. It identifies where the challengers and tensions related to the assessment of competence lie and suggests strategies that if implemented, the author suggests could further enhance the validity and reliability of assessment outcomes.
Keywords: Professional competence; Clinical supervision; Nursing; Education
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Irvine, H. J. (1998). Professional supervision for nurses and midwives.
Abstract: Report to the Winston Churchill Memorial Trust on Professional Supervision for registered Nurses and Midwives, May 1998.
Objective of Project: To explore the extent of the development of a model of clinical supervision for nurses in the United Kingdom. Some of the key points that emerged: - Clinical supervision is a strong and accepted part of nursing culture in Britain. While not mandatory and not available to, or accepted by, all nurses, it is nevertheless generally known about and discussed at main nursing forums - The strong support and directives coming from nursing leadership is a major factor in the adoption of clinical supervision as a developmental, support and quality control - The increasing availability of resource material, courses, and in particular the investment made by the Department of Health and the Scottish Home and Health Office in funding a 23 site evaluation project has stimulated implementation of clinical supervision Keywords: Professional Supervision; Clinical supervision
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Golding, C. (2012). Clinical supervision for general nurses in NZ: the imperative of finding a way forward -- nurses perceptions of professional/clinical supervision. Master's thesis, Auckland University of Technology, .
Abstract: Focuses on two broad themes: perceptions and attitudes of general nurses in in-patient hospital settings towards clinical supervision and how they have found such support to be of benefit to themselves or their practice; organisational documentation policies and procedures available to nurses in order to understand their contribution to, and valuing of, clinical supervision. Seeks to discover whether there is evidence of other factors influencing the provision of, or access to, clinical supervision by general nurses, which influences attitudes and perceptions.
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Poffley, C. (2022). Everything matters: Exposing the complexity of stakeholder collaboration in clinical education for undergraduate nursing students. Doctoral thesis, Auckland University of Technology, Auckland.
Abstract: Explores the complexity of values and beliefs along with contextual factors that enable and constrain stakeholder collaboration between student nurses, registered nurses in clinical practice, and academic clinical educators. Gathers data through focus groups and individual interviews to identify how and when collaboration among the stakeholders occurs.
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