ArticleJournal of clinical nursing2021
A scoping review of rebel nurse leadership: Descriptions, competences and stimulating/hindering factors.
Article in Journal of clinical nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Nurses' Experiences of Rebel Nurse Leadership in Psychiatric Care: A Qualitative Interview Study of Positive Deviance.Journal of nursing management · 2026Article
- CLeaFA: Development and Validation of the Clinical Leadership Contextual Factors Self-Assessment Tool in Belgian Hospitals.Journal of nursing management · 2026Article
- Measuring Stereotypes in Interprofessional Education: A Pilot High-Fidelity Simulation Study Among Postgraduate Nursing and Physician Students in a Spanish University.Healthcare (Basel, Switzerland) · 2024Article
- The impact of evidence-based nursing leadership in healthcare settings: a mixed methods systematic review.BMC nursing · 2024Article
- Using Electronic Health Records Data to Identify Strong Performers in Healthcare Quality Improvement.Perspectives in health information managemen · 2024Article
- Use of the positive deviance approach for healthcare system service improvement: a scoping review protocol.BMJ open · 2023Article
- Similarities and Differences between Nurses' and Physicians' Clinical Leadership Behaviours: A Quantitative Cross-Sectional Study.Journal of nursing management · 2023Article
- Nurse Leadership Development: A Qualitative Study of the Dutch Excellent Care Program.Journal of nursing management · 2023Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo (1) give an overview of rebel nurse leadership by summarising descriptions of positive deviance, tempered radicals and healthcare rebels; (2) examine the competences of nurse rebel leadership; and (3) describe factors that stimulate or hinder the development of rebel nurse leadership.
backgroundResearch shows nurses have lower intention to leave their jobs when they can control their work practices, show leadership and provide the best care. However, organisational rules and regulations do not always fit the provision of good care, which challenges nurses to show leadership and deviate from the rules and regulations to benefit the patient. Three concepts describe this practice: positive deviance, healthcare rebels and tempered radicals.
designScoping review using the Joanna Briggs Institute methodology and PRISMA-ScR checklist.
methodsPapers describing positive deviance, healthcare rebels and tempered radicals in nursing were identified by searching Scopus, CINAHL, PubMed and PsycINFO. After data extraction, these three concepts were analysed to study the content of descriptions and definitions, competences and stimulating and hindering factors.
resultsOf 2705 identified papers, 25 were included. The concept descriptions yielded three aspects: (1) positive deviance approach, (2) unconventional and non-confirmative behaviour and (3) relevance of networks and relationships. The competences were the ability to: (1) collaborate in/outside the organisation, (2) gain and share expert (evidence-based) knowledge, (3) critically reflect on working habits/problems in daily care and dare to challenge the status quo and (4) generate ideas to improve care. The factors that stimulate or hinder the development of rebel nurse leadership are as follows: (1) dialogue and reflection, (2) networking conditions and (3) the managers' role.
conclusionsBased on our analysis, we summarise the descriptions given of rebel nurse leadership, the mentioned competences and provide an overview of the factors that stimulate or hinder rebel nurse leadership. RELEVANCE TO CLINICAL PRACTICE: The descriptions produced in this review of rebel nurse leadership and the stimulating or hindering factors listed should help nurses and managers encourage rebel leadership.
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