Evidence map›Paper›PMID 40598080›Full record

ArticleBMC medical education2025

Navigating dual frontlines: transforming clinical urgency and academic excellence through distributed leadership.

Mingyan Shen, Zhixian Feng, Pengxia Wan, Fangchi Liu

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mingyan ShenShulan (Hangzhou) Hospital, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, P.R. China.
Zhixian FengShulan (Hangzhou) Hospital, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, P.R. China. 1838981759@qq.com.
Pengxia WanShulan (Hangzhou) Hospital, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, P.R. China.
Fangchi LiuHangzhou Normal University, Hangzhou, 310010, P.R. China.

Funding

Department of Education of Zhejiang Province jg20220475
6 · The paper itself

Abstract

introductionDouble-qualified nursing educators (DQNEs) face significant challenges in balancing clinical and teaching duties. Distributed leadership offers a potential solution to these challenges by sharing responsibilities among team members. We studied how DQNEs respond to distributed leadership training and its impact on their dual-role performance.

methodsGuided by descriptive phenomenology, we conducted semi-structured interviews with 16 DQNEs between October and November 2024, after an 18-month distributed-leadership training programme.We conducted thematic analysis of semi-structured interviews, following COREQ guidelines to ensure research quality.

resultsOur analysis revealed two main themes. First, distributed leadership training improved participants' confidence, teamwork, and time management. DQNEs reported better role balance and more effective delegation. Second, we found that traditional hierarchies and cultural norms posed implementation challenges. Success factors included clear communication, defined roles, and ongoing leadership support.

conclusionDistributed leadership training shows promise in helping DQNEs manage their dual roles while promoting team efficiency. The approach requires careful attention to cultural and organizational barriers. These findings offer insights for adapting distributed leadership across different clinical and educational settings.

Indexed as

Faculty, NursingLeadershipAdultFemaleHumansInterviews as TopicMaleQualitative ResearchContinuingLeadershipNursing EducationNursing FacultyQualitativeResearch

Identifiers

PMID40598080
PMCPMC12210652

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.