Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/65390
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Type: Journal article
Title: Clinical nursing leaders’, team members’ and service managers’ experiences of implementing evidence at a local level
Author: Kitson, A.
Silverston, H.
Wiechula, R.
Zeitz, K.
Marcoionni, D.
Page, T.
Citation: Journal of Nursing Management, 2011; 19(4 Sp Iss):542-555
Publisher: Blackwell Science Ltd.
Issue Date: 2011
ISSN: 0966-0429
1365-2834
Statement of
Responsibility: 
Alison Kitson, Heidi Silverston, Rick Wiechula, Kathryn Zeitz, Danni Marcoionni and Tammy Page
Abstract: AIM: To describe the experiences of 14 clinical nursing leaders introducing a knowledge translation (KT) project into one metropolitan acute care hospital in South Australia. The study also explored team members’ and service managers’ experiences. BACKGROUND: KT strategies assume that local (nursing) clinical leaders have the capacity and capability to champion innovation combining positional leadership roles (ward leader) with a project lead role. There is limited evidence to support these assumptions. METHOD: Semi-structured interviews of clinical nursing leaders and managers were undertaken at month 4 and 12 of the project. Data were also collected from the interdisciplinary team members (n = 28). RESULTS: Clinical nursing leaders identified risks and anxieties associated with taking on an additional leadership role, whereas managers acknowledged the multiple pressures on the system and the need for local level innovation. Team members generally reported positive experiences. CONCLUSIONS: With support, clinical nursing leaders can effectively embrace KT project leadership roles that complement their positional leadership roles. Clinical nursing leaders’ experiences differed from nursing and medical managers’ experiences. IMPLICATIONS FOR NURSING MANAGEMENT: Managers need to be more attuned to the personal risks local leaders experience, providing support for leaders to experiment and innovate. Managers need to integrate local priorities with broader system wide agendas.
Keywords: Knowledge translation; leadership; managers' role; personal support
Rights: © 2011 The Authors. Journal compilation © 2011 Blackwell Publishing Ltd
RMID: 0020108731
DOI: 10.1111/j.1365-2834.2011.01258.x
Appears in Collections:Nursing publications

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