Nurses’ perceptions of clinical leadership in the emergency department: A qualitative descriptive study

IF 1.8 4区医学 Q2 NURSING International Emergency Nursing Pub Date : 2025-02-10 DOI:10.1016/j.ienj.2025.101586

C. Scott , L. Kuhn , C. Moss

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Abstract

Aim

To understand and describe how clinical leadership practices in nursing are undertaken within the emergency department from the perspectives of experienced emergency nurses.

Research Question

How do emergency nurses perceive and practice clinical leadership in the emergency department?

Method

A qualitative descriptive design was used. Ten individual semi-structured interviews were conducted with registered nurses with experience working in Australian emergency departments. The data were analysed using thematic analysis.

Result

Analysis of how clinical leadership was practiced in the emergency department resulted in the identification of four themes: leadership as coaching; leadership as supporting others; leadership by being where the department needs are; and leadership by sustaining and using hospital systems.

Discussion

The findings highlight that clinical leadership is exercised in guiding and supporting less experienced staff through coaching. Clinical leadership is demonstrated through expertise and detailed understanding of hospital systems and is used to empower nurses to trust their clinical judgement. Through understanding hospital systems, clinical leadership is exercised to ensure staff are supported to perform their roles and cater for their departmental and hospital needs.

Conclusion

Emergency nurses utilise clinical leadership skills in their everyday practice to coach and support less experienced staff. Emergency nurses who utilise clinical leadership dynamically use their knowledge of staff and systems to meet the constantly changing needs of their respective departments.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.