Exploring senior nurses' experiences of leading organizational change

Leadership in Health Services
Amunpreet Boyal, Alistair Hewison

Abstract

Purpose - The aim of this paper is to explore Senior nurses' experiences of leading organizational change. There is a substantial literature reporting middle-level nurse managers' experiences of change; however, there is less evidence concerning senior nurses' perspectives. In view of this, interview data collected from senior nurses, as part of a study of major organizational change, were analysed to redress this imbalance. Design/methodology/approach - In-depth semi-structured interviews (n = 14) were conducted with senior nurses (between 2009 and 2012). Findings - Senior nurses' activity centred on leadership and workforce issues, internal influences and external pressures. In periods of change, appropriate leadership was vital, and "weak" leaders were considered to have an adverse effect on teams. Concerns were expressed about financial strictures and their impact on patient care and service provision. The senior nurses were striving to provide the best quality of service delivery with the limited resources available. Concentration on operational matters was necessary to maintain stability in periods of change. However, this prevented senior nurses from influencing strategic decision-making in their organizations. Practical...Continue Reading

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Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood

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Citations

Aug 5, 2017·Journal of Advanced Nursing·Arja Häggman-Laitila, Johanna Romppanen
Nov 24, 2018·Journal of Health Organization and Management·Timmy FrawleyAoife De Brún
Sep 2, 2017·Leadership in Health Services·Susan Waterworth

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