ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019
Actual clinical leadership: a shadowing study of charge nurses and doctors on-call in the emergency department.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Classroom to crisis: Exploring nursing students' preparedness for emergency unit placements in the Western Cape.Curationis · 2026Article
- Registered and Specialist Nurses' Perspectives on Organisational Changes in Swedish Municipal Home Care: A Qualitative Study Using Shadowing.Nursing open · 2026Article
- Psychosocial working conditions and violence prevention climate in German emergency departments - a cross-sectional study.BMC emergency medicine · 2025Article
- Perceived barriers and opportunities to improve working conditions and staff retention in emergency departments: a qualitative study.Emergency medicine journal : EMJ · 2024Article
- Well-Being and Leadership Within the Emergency Department.HCA healthcare journal of medicine · 2024Article
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Authors and funding
2 authors.
Funding
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Abstract
backgroundThe 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.
methodsA qualitative exploratory design was chosen. Nine clinical leaders in the ED were shadowed. The data were analyzed using a thematic analysis.
resultsThe 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.
conclusionsCharge 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.
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