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Original research
Effective clinical nursing leadership in hospitals: barriers from the perspectives of nurse managers
  1. Abdullah Algunmeeyn1,
  2. Majd T Mrayyan2,
  3. Wafika A Suliman1,
  4. Hamzeh Y Abunab3,
  5. Saleem Al-Rjoub4
  1. 1 Faculty of Nursing, Advanced Nursing Department, Isra University, Amman, Jordan
  2. 2 Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
  3. 3 Faculty of Nursing, Basic Nursing Department, Isra University, Amman, Jordan
  4. 4 Faculty of Nursing, Department of Community and Mental Health Nursing, Hashemite University, Amman, Jordan
  1. Correspondence to Dr Abdullah Algunmeeyn, Faculty of Nursing, Advanced Nursing Department, Isra University, Amman 11622, Jordan; abdullahalgunmeeyn{at}iu.edu.jo

Abstract

Aim The purpose of this study was to identify barriers to effective clinical nursing leadership in Jordanian hospitals from the perspectives of nurse managers (NMs).

Background Clinical leadership is about expertise in specialised fields and involving professionals in clinical care. Even though leadership terminology has been used in nursing and healthcare business literature, clinical leadership is still misunderstood, including its barriers.

Method This study adopted a qualitative narrative approach and recruited a purposive sample of 19 NMs and two associate executive directors of nursing from two hospitals. Data were collected through two focus group discussions and in-depth interviews and were analysed using content analysis. The study was guided by the ‘Consolidated Criteria for Reporting Qualitative Research’.

Result Four themes emerged regarding barriers to effective clinical nursing leadership: (1) power differential, (2) inconsistent connectedness with physicians, (3) lack of early socialisation experiences and (4) clinical practice reform is a mutual responsibility.

Conclusion and relevance to clinical practice Barriers are detrimental to effective clinical leadership; they are associated with interdisciplinary and professional socialisation factors. Managers and academicians at all levels should immediately consider these barriers as a priority. Innovative clinical leaders should identify barriers to effective clinical leadership at the early stages. Thus, innovative clinical leadership programmes are warranted.

  • clinical leadership
  • patient safety
  • performance management

Data availability statement

Data are available upon reasonable request.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/leader-2022-000681

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Data availability statement

Data are available upon reasonable request.

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Footnotes

  • Correction notice This article has been corrected since it was first published. Author 'Majd T Mrayyan' affiliation has been updated.

  • Contributors MM developed the study conception, introduction and part of the literature methodology, did critical revisions and proofread the whole first draft of the paper. Sulimanand AA wrote part of the literature review, analysed the data and wrote the results, limitations, implications and conclusion. HYA and SA-R did the critical revisions and proofread the whole final paper. MM supervised the whole work. AA is responsible for the overall content as the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.