Evidence map›Paper›PMID 41863094›Full record

ArticleJournal of nursing management2026

Nursing Leadership in Practice: A Qualitative Scoping Review of Framework Implementation Experiences in Public Healthcare Systems.

Luke Marks, Jessica Biles, Rachel Kornhaber

Abstract readScoping Review
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Luke MarksSchool of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science, Charles Sturt University, Bathurst, New South Wales, Australia, csu.edu.au.ORCID https://orcid.org/0009-0009-0068-9569
Jessica BilesSchool of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science, Charles Sturt University, Bathurst, New South Wales, Australia, csu.edu.au.ORCID https://orcid.org/0000-0002-0107-7435
Rachel KornhaberSchool of Health, University of New England, Armidale, New South Wales, Australia, une.edu.ORCID https://orcid.org/0000-0001-6556-6775

Funding

CAULCharles Sturt University
6 · The paper itself

Abstract

aimTo explore how nurse leaders in public healthcare systems experience the implementation of professional practice and leadership frameworks and to identify contextual factors that influence their practical application.

backgroundLeadership frameworks are widely promoted to enhance nursing leadership capability, yet their translation into practice remains inconsistent. Understanding how nurse leaders experience these frameworks is essential to inform leadership development and organisational strategy.

methodsA qualitative scoping review was conducted using Braun and Clarke's reflexive thematic analysis. Fourteen qualitative studies published between 2015 and 2024 were identified through systematic searches of CINAHL, Scopus and MEDLINE. The review followed the Arksey and O'Malley framework and PRISMA-ScR guidelines.

resultsFive themes were identified: leadership skills, leadership development, leadership challenges, evidence-based practice and workplace culture. Leadership was described as a responsive practice shaped by clinical credibility, strategic management and interprofessional influence. A conceptual model, the Clinical-Administrative-Research Nexus, emerged reflecting the concurrent demands placed on nurse leaders. Systemic barriers such as hierarchical constraints, limited resources and inconsistent organisational support contributed to a persistent 'knowing-doing' gap. Workplace culture was the most influential factor, shaping leadership development, evidence translation and team cohesion.

conclusionLeadership frameworks were experienced as contextual tools rather than standalone solutions. Their implementation depends on structural support, mentorship and alignment with clinical realities. Leadership success was shaped more by the conditions in which it is enacted than by individual capability alone. IMPLICATIONS FOR NURSING MANAGEMENT: The findings highlight the need for integrated system-level support to enable nurse leaders to navigate the complexities of their clinical, administrative and research responsibilities. Organisational strategies must move beyond individual skill building to address structural barriers and foster cultures that support leadership development and evidence-based practice.

Indexed as

LeadershipNurse AdministratorsDelivery of Health CareHumansOrganizational CultureQualitative Researchadvanced practiceevidence-based practiceimplementationleadership frameworksnursing leadershipworkplace culture

Identifiers

PMID41863094
PMCPMC13140938

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.