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. 2019 Jan 8;27(1):2.
doi: 10.1186/s13049-018-0581-3.

Actual clinical leadership: a shadowing study of charge nurses and doctors on-call in the emergency department

Sissel Eikeland Husebø  1   2 , Øystein Evjen Olsen  3   4
Affiliations

Actual clinical leadership: a shadowing study of charge nurses and doctors on-call in the emergency department

Sissel Eikeland Husebø et al. Scand J Trauma Resusc Emerg Med. .

Abstract

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.

Keywords: Charge nurses; Clinical leadership; Doctors on-call; Emergency department; Shadowing.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Norwegian Regional Committee for Medical and Health Research Ethics (Reg. no. 2013/616) and the hospital’s research unit. The nursing and medical managers were informed of the study and agreed that staff could participate. All participants received oral and written information about the study and all those who were willing to participate provided written consent.

Competing interest

The authors declare there is no conflict of interest.

Consent for publication

Not applicable.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
The central area of the treatment section
Fig. 2
Fig. 2
Themes regarding charge nurses and doctors on call as clinical leaders
See this image and copyright information in PMC

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