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Licensed Unlicensed Requires Authentication Published by De Gruyter September 11, 2018

Student Preparation for Nursing Leadership: Lessons from an Undergraduate Programs Review

  • Carolyn Ross EMAIL logo , Joanne K Olson , Kaysi Eastlick Kushner , Sadaf Saleem Murad , Wing Sze Wence Leung , Sara Daniels , Madge Applin and Tristan Eaton


Facilitating student achievement of nationally recognized entry-level-competencies in nursing leadership is a critical step in building capacity to promote patient safety, quality of care, and healthy work environments. Data for this substudy were drawn from a larger multi-phased, multi-method, cross-sectional, descriptive study conducted to inform comprehensive undergraduate curricular revision. The research question for this substudy was: what are the perceptions about undergraduate program preparation for nursing leadership? Frequencies and percentages summarized relevant quantitative data from the surveys and deductive content analysis was used to further explore the category of leadership which emerged from content analysis of qualitative data in the larger study. Key findings illustrate need for additional attention to learning experiences in conflict management, delegation and supervision of clinical teams, and advocacy. Greater collaboration between educational and clinical agencies is needed to find mutually beneficial strategies to support nursing leadership development for nursing students and new graduates.

Funding statement: This work was supported by Faculty of Nursing, University of Alberta.


Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.10.1097/00000446-198412000-00027Search in Google Scholar

Berkow, S., Virkstis, K., Stewart, J., & Conway, L. (2009). Assessing new graduate nurse performance. Nurse Educator, 34(1), 17–22.10.1097/01.NNE.0000343405.90362.15Search in Google Scholar PubMed

Birks, M., Cant, R. P., Budden, L. M., Russell-Westhead, M., Ozcetin, Y. S., & Tee, S. (2017). Uncovering degrees of workplace bullying: A comparison of baccalaureate nursing students’ experiences during clinical placement in Australia and the UK. Nurse Education in Practice, 25, 14–21.10.1016/j.nepr.2017.04.011Search in Google Scholar PubMed

Bittner, N. P., & Gravlin, G. (2009). Critical thinking, delegation, and missed care in nursing practice. Journal of Nursing Administration, 39(3), 142–146.10.1097/NNA.0b013e31819894b7Search in Google Scholar PubMed

Blažun, H., Kokol, P., & Vošner, J. (2015). Survey on specific nursing competences: Students’ perceptions. Nurse Education in Practice, 15, 359–365.10.1016/j.nepr.2015.02.002Search in Google Scholar PubMed

Brown, A., Crookes, P., & Dewing, J. (2016). Clinical leadership development in a pre-registration nursing curriculum: What the profession has to say about it. Nurse Education Today, 42, 30–34.10.1016/j.nedt.2015.08.006Search in Google Scholar PubMed

Canadian Association of Schools of Nursing. (2015). National nursing education framework: Final report. Ottawa, ON: Author.Search in Google Scholar

Canadian Nurses Association. (2009). Position statement - nursing leadership. Ottawa, ON: Author.Search in Google Scholar

Clarke, C. M., Kane, D. J., Rajacich, D. L., & Lafrenier, K. D. (2012). Bullying in undergraduate clinical nursing education. Journal of Nursing Education, 51, 269e–276e.10.3928/01484834-20120409-01Search in Google Scholar PubMed

College and Association of Registered Nurses of Alberta. (2013). Entry-to-practice competencies for the registered nurses profession. Edmonton, AB: Author.Search in Google Scholar

Cowan, D. T., Norman, I., & Coopnah, V. P. (2007). Competence in nursing practice: A controversial concept – A focused review of literature. Accident & Emergency Nursing, 15, 20–26.10.1016/j.aaen.2006.11.002Search in Google Scholar PubMed

Cummings, G., Lee, H., MacGregor, T., Davey, M., Wong, C., Paul, L., & Stafford, E. (2008). Factors contributing to nursing leadership: A systematic review. Journal of Health Services Research & Policy, 13(4), 240–248. doi:10.1258/jhsrp.2008.007154Search in Google Scholar PubMed

Curtis, E. A., Sheerin, F. K., & de Vries, J. (2011). Developing leadership in nursing: The impact of education and training. British Journal of Nursing, 20(6), 344–352.10.12968/bjon.2011.20.6.344Search in Google Scholar PubMed

Day, R. A., Field, P. A., Campbell, I. E., & Reutter, L. (2005). Students’ evolving beliefs about nursing: From entry to graduation in a four-year baccalaureate programme. Nurse Education Today, 25(8), 636–643.10.1016/j.nedt.2005.09.003Search in Google Scholar PubMed

DeWolfe, J. A., Perkin, C. A., Harrison, M. B., Spence Laschinger, S., Oakley, P., Peterson, J., & Seaton, F. (2010). Strategies to prepare and support preceptors and students for preceptorship: A systematic review. Nurse Educator, 35(3), 98–100.10.1097/NNE.0b013e3181d95014Search in Google Scholar PubMed

Ellenbecker, C. H., Fawcett, J., Jones, E. J., Mahoney, D., Rowlands, B., & Waddell, A. (2017). A staged approach to educating nurses in health policy. Policy, Politics, & Nursing Practice, 18(1), 44–56.10.1177/1527154417709254Search in Google Scholar PubMed

Elo, S., & Kyngäs, H. (2007). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115.10.1111/j.1365-2648.2007.04569.xSearch in Google Scholar PubMed

Fagan, A., Parker, V., & Jackson, D. (2016). A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. Journal of Advanced Nursing, 72(10), 2346–2357. doi:10.111/jan-13028Search in Google Scholar

Grindel, C. G. (2016). Clinical leadership: A call to action. Medical Surgical Nursing, 25(1), 9–16.Search in Google Scholar

Hasson, F., McKenna, H. P., & Keeney, S. (2013). Delegating and supervising unregistered professionals: The student experience. Nurse Education Today, 33, 229–235.10.1016/j.nedt.2012.02.008Search in Google Scholar PubMed

Iglesias, M. E. L., & de Bengoa Vallejo, B. R. (2012). Conflict resolution styles in the nursing professions. Contemporary Nurse, 43(1), 73–80.10.5172/conu.2012.43.1.73Search in Google Scholar PubMed

Iwasiw, C. L. (2008). Relevancy-congruency-adequacy-reasonableness model of curriculum evaluation. Unpublished manuscript.Search in Google Scholar

Johansen, M. L., & Cadmus, E. (2016). Conflict management style, supportive work environments and the experience of work stress in emergency nurses. Journal of Nursing Management, 24, 211–218.10.1111/jonm.12302Search in Google Scholar PubMed

Khoury, C. M., Blizzard, R., Wright Moore, L., & Hassmiller, S. (2011). Nursing leadership from bedside to boardroom: A gallup national survey of opinion leaders. Journal of Nursing Administration, 41(7/8), 299–305.10.1097/NNA.0b013e3182250a0dSearch in Google Scholar PubMed

Kilty, H. (2005). Nursing leadership development in Canada. A descriptive status report and analysis of leadership programs, approaches and strategies: Domains and competencies; knowledge and skills; gaps and opportunities. Ottawa, ON: Canadian Nurses Association.Search in Google Scholar

Latham, C. L., Hogan, M., & Ringl, K. (2008). Nurses supporting nurses: Creating a mentoring program for staff nurses to improve the workforce environment. Nursing Administration Quarterly, 32(1), 27–39.10.1097/01.NAQ.0000305945.23569.2bSearch in Google Scholar PubMed

Lavoie-Tremblay, M., Ferner, C., Lavigne, G. L., & Austin, S. (2016). Transformational and abusive leadership practices: Impacts on novice nurses, quality of care and intention to leave. Journal of Advanced Nursing, 72(3), 582–592.10.1111/jan.12860Search in Google Scholar PubMed

Mannix, J., Wilkes, L., & Daly, J. (2013). Attributes of clinical leadership in contemporary nursing: An integrative review. Contemporary Nurse., 45(1), 10–21.10.5172/conu.2013.45.1.10Search in Google Scholar PubMed

Mariani, B., Cantrell, M. A., Meakim, C., & Jenkinson, A. (2015). Improving students’ safety practice behaviors through a simulation-based learning experience. Journal of Nursing Education, 54(3 Suppl), S35–8.10.3928/01484834-20150218-05Search in Google Scholar PubMed

McKenna, L., & French, J. (2011). A step ahead: Teaching undergraduate students to be peer teachers. Nurse Education in Practice, 11, 141–145.10.1016/j.nepr.2010.10.003Search in Google Scholar PubMed

Morrow, K. J. (2015). Leadership curricula in nursing education: A critical literature review and gap analysis. Journal of Nursing Education, 54(7), 367–371.10.3928/01484834-20150617-02Search in Google Scholar PubMed

Olsen, E., Bjaadlid, G., & Mikkelsen, A. (2017). Work climate and the mediating role of workplace bullying related to job performance, job satisfaction, and work ability: A study among hospital nurses. Journal of Advanced Nursing, 73(11), 2709–2719.10.1111/jan.13337Search in Google Scholar PubMed

Ostrogorsky, T. L., Raber, A. M., McKinley Yoder, C. M., Nielsen, A. E., Lutz, K. F., & Wros, P. L. (2015). Becoming a nurse: Role formation among accelerated baccalaureate students. Nurse Educator, 40(1), 26–30.10.1097/NNE.0000000000000090Search in Google Scholar PubMed

Pearson, A., Laschinger, H., Porritt, K., Jordan, Z., Tucker, D., & Long, L. (2007). Comprehensive systematic review of evidence on developing and sustaining nursing leadership that fosters a healthy work environment in healthcare. International Journal of Evidence-Based Healthcare, 5(2), 208–253.Search in Google Scholar

Pepin, J., Dubois, S., Girard, F., Tardif, J., & Ha, L. (2011). A cognitive learning model of clinical nursing leadership. Nurse Education Today, 31(3), 268–273.10.1016/j.nedt.2010.11.009Search in Google Scholar PubMed

Pines, E. W., Rauschhuber, M. L., Norgan, G. H., Cook, J. D., Canchola, L., Richardon, C., & Jones, M. E. (2012). Stress resiliency, psychological empowerment and conflict management styles among baccalaureate nursing students. Journal of Advanced Nursing, 68(7), 1482–1493.10.1111/j.1365-2648.2011.05875.xSearch in Google Scholar PubMed

Prentice, D., Boscart, V., McGilton, K., & Escrig, A. (2017). Factors influencing new RNs’ supervisory performance in long-term care facilities. Canadian Journal on Aging, 26(4), 463–471.10.1017/S0714980817000411Search in Google Scholar PubMed

Rainer, J. (2015). Factors and issues in nurses advocating for patients when patients are in jeopardy. Journal of Nursing Care Quality, 30(1), 53–62.10.1097/NCQ.0000000000000081Search in Google Scholar PubMed

Read, E., & Spence Laschinger, H. K. (2013). Correlates of new graduate nurses’ experiences of workplace mistreatment. Journal of Nursing Administration, 43(4), 221–228.10.1097/NNA.0b013e3182895a90Search in Google Scholar PubMed

Regan, S., Wong, C., Laschinger, H. K., Cummings, G., Leiter, M., MacPhee, M., … Read, E. (2017). Starting out: Qualtiative perspectives of new graduate nurses and nurse leaders on transition to practice. Nursing Management, 25(4), 246–255.10.1111/jonm.12456Search in Google Scholar PubMed

Registered Nurses Association of Ontario. (2013). Best practice guidelines: Developing and sustaining nursing leadership best practice guideline (2nd ed.). Toronto, ON: Author. Available at in Google Scholar

Sigalet, E. L., Donnon, T. L., & Grant, V. (2015). Insight into team competence in medical, nursing and respiratory therapy students. Journal of Interprofessional Care, 29(1), 62–67.10.3109/13561820.2014.940416Search in Google Scholar PubMed

Siu, H., Spence Laschinger, H. K., & Finegan, J. (2008). Nursing professional practice environments - Setting the stage for constructive conflict resolution and work effectiveness. Journal of Nursing Administration, 38(5), 250–257.10.1097/01.NNA.0000312772.04234.1fSearch in Google Scholar PubMed

Spence Laschinger, H., Grau, A. L., & Wilk, P. (2010). New graduate nurses’ experiences of bullying and burnout in hospital settings. Journal of Advanced Nursing, 66(12), 2732–2742.10.1111/j.1365-2648.2010.05420.xSearch in Google Scholar PubMed

Spence Laschinger, H., & Read, E. A. (2016). The effect of authentic leadership, person-job fit, and civility norms on new graduate nurses’ experiences of coworker incivility and burnout. The Journal of Nursing Administration, 46(11), 574–580.10.1097/NNA.0000000000000407Search in Google Scholar PubMed

Spence Laschinger, H., Wong, C. A., Cummings, G., & Grau, A. L. (2014). Resonant leadership and workplace empowerment: The value of positive organizational cultures in reducing workplace incivility. Nursing Economics, 32(1), 5–15.Search in Google Scholar

Spenceley, S. M., Reutter, L., & Allen, M. N. (2006). The road less traveled: Nursing advocacy at policy level. Policy, Politics, & Nursing Practice, 7(3), 180–194.10.1177/1527154406293683Search in Google Scholar PubMed

Spiva, L., Hart, P., Pruner, L., Johnson, D., Martin, K., Brakovich, B., … Mendoza, S. (2013). Hearing the voices of newly liscensed RNs: The transition to practice. The American Journal of Nursing, 113(16), 312–323.Search in Google Scholar

Sportsman, S., & Hamilton, P. (2007). Conflict management styles in the health professionals. Journal of Professional Nursing, 23(3), 157–166.10.1016/j.profnurs.2007.01.010Search in Google Scholar PubMed

Standing, T. S., & Anthony, M. K. (2008). Delegation: What it means to acute care nurses. Applied Nursing Research, 21, 8–14.10.1016/j.apnr.2006.08.010Search in Google Scholar PubMed

Water, T., Ford, K., Spence, D., & Rasmussen, S. (2016). Patient advocacy by nurses – Past, present, and future. Contemporary Nurse, 52(6), 696–709.10.1080/10376178.2016.1235981Search in Google Scholar PubMed

Yonge, O., Hagler, P., Cox, C., & Drefs, S. (2008). Time to truly acknowledge what nursing preceptors do for students. Journal of Nurses in Professional Development, 24(3), 113–116.10.1097/01.NND.0000300879.03061.1bSearch in Google Scholar PubMed

Received: 2017-06-05
Revised: 2018-03-26
Accepted: 2018-04-01
Published Online: 2018-09-11

© 2018 Walter de Gruyter GmbH, Berlin/Boston

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