Nurse's Leadership Challenges in Primary Health Care: A Focus Group Analysis in Albania
DOI:
https://doi.org/10.18662/eejmhb/6.1/35Keywords:
Primary health care, nursing, leadership, challenges, focus group, AlbaniaAbstract
For health and care systems to succeed in the future, primary head nurses must demonstrate leadership. A focus group discussion was used to assess the primary head nurses' leadership abilities in 2022 in Albania. The focus group was composed of 12 primary head health care nurses, two men and ten women, with a mean age of 40 ± (SD) years old. Eight participants were charged with the duty of head nurse for more than five years, while seven participants were in the position of paid head nurse for more than five years. The majority of nurses reported they lack a clearly defined, written job description relevant to the position. Additionally, they stated that they lacked a reference work plan based on which to organize and coordinate the associated healthcare service activities. Participants indicated that the role of the head nurse in daily practice is more focused on the work as a service nurse than as a head nurse. The majority of nurses reported having never received training expressly related to their role as head nurses. The most crucial aspects of the head nurse position were efficient planning and organization of work, vaccination, infrastructure improvement, and the effective use of human resources. The results of this study can be used by head nurses in primary healthcare settings to address and deal with problems in their leadership roles. The findings can also be used by policymakers when developing new regulations or guidelines for nursing leadership competencies. In addition to functioning in a crisis situation, nurse leaders have to demonstrate their capacity for effective leadership and transparent communication. In this regard, training is recommended.
References
Agyeman-Prempeh, C., Ndaago, A. I., Setordzi, M., & Abu, P. (2021). Challenges to Effective Nursing Leadership: a Systematic Review. PREPRINT. https://doi.org/10.21203/rs.3.rs-948602/v1
Aydogdu A. L. F. (2022). Challenges faced by nurse managers during the COVID-19 pandemic: an integrative review. Journal of Research in Nursing, 17449871221124968. https://doi.org/10.1177/17449871221124968
Azar, K. M. J. (2021). The Evolving Role of Nurse Leadership in the Fight for Health Equity. Nurse leader, 19(6), 571–575.
Baxter, E. (1993). Head nurses' perceptions of their roles--Part I & Part II. Canadian journal of nursing administration, 6(3), 7–16.
Berry, E., & Black, F. (2021). Leadership at all levels of primary health care nursing. APNA Primary Times Summer, 21(2). https://www.apna.asn.au/hub/primary-times-articles/2021-summer-primary-times/leadership-at-all-levels-of-primary-health-care-nursing
Bloor, M. (Ed.). (2001). Focus groups in social research. Sage.
Brunt, B. A., & Bogdan, B. A. (2022). Nursing Professional Development Leadership. In StatPearls. Treasure Island. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK519064/
Choi, E. H., Kim, E. K., & Kim, P. B. (2018). Effects of the Educational Leadership of Nursing Unit Managers on Team Effectiveness: Mediating Effects of Organizational Communication. Asian nursing research, S1976-1317(17)30696-5. https://doi.org/10.1016/j.anr.2018.03.001
Doody, O., Slevin, E., & Taggart, L. (2013). Focus group interviews part 3: analysis. British journal of nursing, 22(5), 266–269. https://doi.org/10.12968/bjon.2013.22.5.266
Edmonstone, J. (2018). Leadership development in health care in low and middle-income countries: Is there another way?. The International journal of health planning and management, 33(4), e1193–e1199. https://doi.org/10.1002/hpm.2606
Eslamian, J., Moeini, M., & Soleimani, M. (2015). Challenges in nursing continuing education: A qualitative study. Iranian journal of nursing and midwifery research, 20(3), 378–386. https://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2015;volume=20;issue=3;spage=378;epage=386;aulast=Eslamian
Ghiasipour, M., Mosadeghrad, A. M., Arab, M., & Jaafaripooyan, E. (2017). Leadership challenges in health care organizations: The case of Iranian hospitals. Medical journal of the Islamic Republic of Iran, 31, 96. https://doi.org/10.14196/mjiri.31.96
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing Shortage. In StatPearls. Treasure. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175/
Henderson A. (2015). Leadership and communication: what are the imperatives? Journal of nursing management, 23(6), 693–694. https://doi.org/10.1111/jonm.12336
Institute of Medicine. (2011). (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. 5, Transforming Leadership. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK209867/
Jankelová, N., & Joniaková, Z. (2021). Communication Skills and Transformational Leadership Style of First-Line Nurse Managers in Relation to Job Satisfaction of Nurses and Moderators of This Relationship. Healthcare (Basel, Switzerland), 9(3), 346. https://doi.org/10.3390/healthcare9030346
Jennings, B. M. (2008). Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions. In R. G. Hughes (ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses (Chapter 26). Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK2668/
Morganelli. M. (2021, Jul 13). What is Nurse Leadership? Southern New Hampshire University. https://www.snhu.edu/about-us/newsroom/health/what-is-nurse-leadership
Nene, S. E. (2021). Exploring the challenges in leadership roles experienced by nurse managers in a mining primary healthcare setting in South Africa. Curationis, 44(1), e1–e7. https://doi.org/10.4102/curationis.v44i1.2196
Phillips, N., Hughes, L., Vindrola-Padros, C., Petrella, A., Fern, L. A., Panel-Coates, F., & Taylor, R. M. (2022). Impact of leadership on the nursing workforce during the COVID-19 pandemic. BMJ Leader, 7, 21-27. https://doi.org/10.1136/leader-2021-000588
Raso, R. M. S. (2015). Leadership and learning. Nursing Management (Springhouse) 46(9), 6. https://doi.org/10.1097/01.NUMA.0000470774.02484.89
Scanlon, A., Murphy, M., Smolowitz, J., & Lewis, V. (2020). Low- and lower middle-income countries advanced practice nurses: an integrative review. International nursing review, 67(1), 19–34. https://doi.org/10.1111/inr.12536
Smith, T. B., & Welch, T. D. (2021). Interpreting Organizational-Level Financial Statements. Nursing administration quarterly, 45(4), 353–359. https://doi.org/10.1097/NAQ.0000000000000483
Solman, A. (2017). Nursing leadership challenges and opportunities. Journal of nursing management, 25(6), 405–406. https://doi.org/10.1111/jonm.12507
Stanley, D., Blanchard, D., Hohol, A., Hutton, M., McDonald, A., & Lee, A. (2017). Health professionals’ perceptions of clinical leadership: a pilot study. Cogent Medicine, 4(1), 1321193. https://doi.org/10.1080/2331205X.2017.1321193
Swanwick, T., & Varnam, R. (2019). Leadership development and primary care. BMJ Leader, 3(2), 59-61. http://dx.doi.org/10.1136/leader-2019-000145
Tingvoll, W. A., Sæterstrand, T., & McClusky, L. M. (2016). The challenges of primary health care nurse leaders in the wake of New Health Care Reform in Norway. BMC nursing, 15, 66. https://doi.org/10.1186/s12912-016-0187-x
Vera, M. G., Merighi, M. A. B., Conz, C. A., Silva, M. H. D., Jesus, M. C. P., & González, L. A. M. (2018). Primary health care: the experience of nurses. Revista brasileira de enfermagem, 71(suppl 1), 531–537. https://doi.org/10.1590/0034-7167-2016-0244
Waddell, S. (2018). Development of a Clinical Nurse Leadership Orientation Program. Walden University. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=6712&context=dissertations
Weaver, S. H., & Ellerbe, S. (2013). The Value of a Nursing Annual Report. NURSING ECONOMIC, 31(6), 309-310.
Willis, K., Green, J., Daly, J., Williamson, L., & Bandyopadhyay, M. (2009). Perils and possibilities: achieving best evidence from focus groups in public health research. Australian and New Zealand journal of public health, 33(2), 131-136. https://doi.org/10.1111/j.1753-6405.2009.00358.x
World Health Organization (WHO). (2017). Report of the Seventh Global Forum for Government Chief Nurses and Midwives: the future of nursing and midwifery workforce in the context of the Sustainable Development Goals and universal health coverage. World Health Organization. https://apps.who.int/iris/handle/10665/255045
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