Leadership experiences of London-based Advanced Nurse Practitioners - a case study analysis

Anderson, Claire (2017) Leadership experiences of London-based Advanced Nurse Practitioners - a case study analysis. In: UWL Research Conference 2017, 30 June 2017, London, UK. (Unpublished)

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In a culture where healthcare providers are expected to do more for less (Edwards 2014) there have been high profile failings linked to leadership. There is an overarching working culture, with each profession working ‘in silos’ (HM Government 2013). A review of NHS leadership in ‘Better leadership for tomorrow: NHS leadership review (Rose 2015) aimed to attract strong leadership that would transform healthcare provision in the UK. Within the nursing profession, the role of the Advanced Nurse Practitioner (ANP) is seen as part of the solution to this leadership dilemma.
Eight London-based ANPs were interviewed to explore how they define, understand, express and enact their leadership practice. Using an instrumental and collective case study methodological approach, each participant ANP was considered individually and then comparatively. The findings were focused around five themes. How the ANP viewed their leadership role and whether this was from within or at the forefront of the multidisciplinary team, their ‘placement on the leadership pyramid’. Influences upon the ANP’s expressed understanding of leadership included their relationship with medical colleagues. Whether the ANP, ‘assumed and accepted medical hierarchy’. The ANPs, who were all nurses before becoming ANPs, had a strong nursing identity, which, at times, they would relate to, by ‘retreating to the safety of the nursing profession’. The leadership position the ANPs often adopted was empowering and ‘motivating the team’. Finally, the role of the ANP remains, to some patients and some other professions, an enigma. The impact of the ANP relates clearly to ‘ANPs impact on patient outcomes’. The participant ANP’s demonstrable leadership, enables nursing and the multiprofessional team, in meeting the increasingly complex needs and expectations of patients.

Item Type: Conference or Workshop Item (Lecture)
Subjects: Medicine and health > Nursing > Nursing practice
Depositing User: Claire Anderson
Date Deposited: 08 Jul 2017 08:05
Last Modified: 28 Aug 2021 07:23
URI: https://repository.uwl.ac.uk/id/eprint/3587


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