ArticleFrontiers in health services2025
Nurse leaders' perceptions of leadership development needs for strengthening the nursing workforce: a South African pilot study.
Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Identifying Clinical Managers' Leadership Competencies: A Systematic Review and Cross-Frameworks Mapping Using the CLCF.Healthcare (Basel, Switzerland) · 2026Review
- Work-Family Conflict and Intention to Leave Among Nursing Professionals: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Reimagining community health nursing: a qualitative participatory action research study of nurse-led primary healthcare innovation in rural Saudi Arabia.BMC nursing · 2026Article
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Authors and funding
3 authors.
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Abstract
Background: Nurses are central to South Africa's healthcare system, yet the sector faces ongoing challenges, including workforce shortages, high workloads, limited career progression, and weak institutional support. These issues are exacerbated by the absence of a structured leadership development framework. In response, the national Department of Health, through the South African Nursing Leadership Initiative, launched a pilot study to explore nurse leaders' perceptions of leadership development needs prior to the development of a national Nursing Leadership Competency Framework. This study explored nurse leaders' perceptions of the leadership capacity required to strengthen the nursing workforce and support national health priorities. Methods: A qualitative, exploratory study was conducted between May and July 2024, involving 153 purposively selected nurse leaders from four provinces. Data were collected through structured group narrative sessions, using semi-structured questionnaires aligned with global frameworks. A deductive thematic narrative analysis guided by Braun and Clarke's six-phase framework (2006) was employed to identify themes. Results: Three central themes emerged consistently across the pilot provinces. (1) Conclusion: This pilot study provides contextual insights into the leadership development needs of a limited group of nurse leaders, which will inform the refinement of data collection tools and the design of a larger, national study. The findings are not generalisable but offer valuable direction for developing a contextually grounded Nursing Leadership Competency Framework and supporting strategic leadership capacity-building aligned with South Africa's health system strengthening goals.
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