Barriers to clinical leadership development: findings from a national survey

Fealy, Gerard M., McNamara, Martin S., Casey, Mary, Geraghty, Ruth, Butler, Michelle, Halligan, Phil, Treacy, Margaret and Johnson, Maree (2011) Barriers to clinical leadership development: findings from a national survey. Journal of Clinical Nursing, 20 13-14: 2023-2032. doi:10.1111/j.1365-2702.2010.03599.x

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Author Fealy, Gerard M.
McNamara, Martin S.
Casey, Mary
Geraghty, Ruth
Butler, Michelle
Halligan, Phil
Treacy, Margaret
Johnson, Maree
Title Barriers to clinical leadership development: findings from a national survey
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2011-07
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2010.03599.x
Volume 20
Issue 13-14
Start page 2023
End page 2032
Total pages 10
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2012
Language eng
Formatted abstract Aims and objectives.
To describe self-reported barriers to clinical leadership development among nurses and midwives inIreland.


Effective clinical leadership is essential for optimising care and improving patient outcomes. Clinical leadership development is concerned with intrapersonal and interpersonal capabilities and is context bound. Barriers to clinical leadership development among nurses and midwives are associated with interdisciplinary and organisational factors, such as lack of influence in interdisciplinary care planning and policy.


A national postal survey of nurses and midwives was administered to a simple random sample of 3000 nurses and midwives in Ireland.


The method of data collection was the Clinical Leadership Analysis of Need Questionnaire (CLAN-Q) Barriers Scale (CLAN-QBS©), a self-administered, self-report questionnaire developed to measure the barriers to clinical leadership development.


Mean scores for the CLAN-Q barriers subscales showed that barriers to clinical leadership development were perceived as lower in the dimension ‘quality care factors’, when compared with the dimensions ‘interdisciplinary relationships, recognition and influence’. Staff and other promotional grades differed significantly in self-perceived barriers related to interdisciplinary working, influence and recognition of the disciplinary contribution.


Differential experiences of barriers among higher and lower grades suggest that grade level may influence ability to negotiate work-related and organisational barriers to clinical leadership development. Relevance to clinical practice. Overcoming the barriers to clinical leadership development requires attention to interdisciplinary relationships in the practicum and to the actual and perceived degree of relative influence that nurses and midwives have at wider departmental and organisational levels.
Keyword Barriers
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Under heading: PROFESSIONAL ISSUES IN NURSING

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Nursing and Midwifery Publications
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 10 Aug 2011, 10:23:35 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work