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Beyond profession: nursing leadership in contemporary
Citation
Sorensen, R and Iedema, R and Severinsson, E, Beyond profession: nursing leadership in contemporary, Journal of Nursing Management, 16, (5) pp. 535-544. ISSN 0966-0429 (2008) [Refereed Article]
DOI: doi:10.1111/j.1365-2834.2008.00896.x
Abstract
Aim(s) To examine nursing leadership in contemporary health care and its potential
contribution to health service organization and management.
Background As the nursing profession repositions itself as an equal partner in health
care beside medicine and management, its enhanced nursing standards and clinical
knowledge are not leading to a commensurate extension of nursings power and
authority in the organization.
Method(s) An ethnographic study of an ICU in Sydney, Australia, comprising:
interviews with unit nursing managers (4); focus groups (3) with less experienced,
intermediate and experienced nurses (29 in total); and interviews with senior nurse
manager (1).
Results Inter- and intra-professional barriers in the workplace, fragmentation of
multidisciplinary clinical systems that collectively deliver care, and clinical and
administrative disconnection in resolving organizational problems, prevented nurses
articulating a model of intensive and end-of-life care.
Conclusion(s) Professional advocacy skills are needed to overcome barriers and to
articulate and operationalize new nursing knowledge and standards if nurses are to
enact and embed a leadership role.
Implications for nursing management The profession will need to move beyond a
reliance on professional clinical models to become skilled multidisciplinary team
members and professional advocates for nurses to take their place as equal partners
in health care.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | ethnography, health service organization, intensive care, leadership, management, |
| Research Division: | Medical and Health Sciences |
| Research Group: | Nursing |
| Research Field: | Nursing not elsewhere classified |
| Objective Division: | Health |
| Objective Group: | Clinical Health (Organs, Diseases and Abnormal Conditions) |
| Objective Field: | Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified |
| Author: | Iedema, R (Professor Rick Iedema) |
| ID Code: | 94364 |
| Year Published: | 2008 |
| Web of Science® Times Cited: | 20 |
| Deposited By: | Health Sciences B |
| Deposited On: | 2014-09-08 |
| Last Modified: | 2014-09-08 |
| Downloads: | 0 |
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