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Learning to lead: A scoping review of undergraduate nurse education

Scammell, Janet Mary Elizabeth and Apostolo, Joao Luis Alves and Bianchi, Monica and Costa, Rosa Dilar Pereira and Jack, Kirsten and Luiking, Marie Louise and Nilsson, Stefan (2020) Learning to lead: A scoping review of undergraduate nurse education. Journal of Nursing Management. ISSN 0966-0429

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Abstract

Aim - To explore undergraduate student’s preparation for leadership roles upon registration. Background - Effective leadership is vital when promoting positive workplace cultures and high-quality care provision. However, newly registered nurses are not always well-prepared for leadership roles. Evaluation - A scoping review of primary research published in English between 2009-2019 was undertaken. Data were analysed using an adapted version of Arksey and O’Malleys’ ( 2005) framework. Nine papers met the review eligibility criteria. Key issues– Findings revealed three themes: leadership education content; positioning of leadership education within the nursing programme; teaching and learning delivery. Conclusions– The review highlighted some agreement about the knowledge, skills and behaviours to be addressed in leadership education. What varied more was the pedagogical methods used to deliver this, the extent of its integration throughout the programme and the nature of collaborative academic-practice working to ensure good quality clinical supervision. Implications for Nursing Management– (1) students must be exposed to positive leadership practices during clinical placements to facilitate theory-practice integration. (2) Bullying negatively impacts on students’ self-efficacy whereas positive role modelling from registered nurses supports development of leadership competence. (3) Leadership theory and competence should be introduced early and revisited throughout the programme.

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