Leadership training effectiveness for high-performing young nurses in a teaching hospital - A quasi-experimental study

Nurse Educ Today. 2024 Mar 24:138:106155. doi: 10.1016/j.nedt.2024.106155. Online ahead of print.

Abstract

Background: Good nursing leadership management positively correlates with patient care quality and an organization's performance. Plans to nurture top-notch talents and strengthen management functions are essential to retain key talents and achieve sustainability. The leadership training for nursing staff should begin early to cope with complex clinical situations.

Objectives: To compare the impact of leadership training on high-performing young nurses' (young nursing elite) management functions and team behavior.

Setting: A public teaching hospital in Taipei, Taiwan.

Methods: This research implemented a longitudinal quasi-experimental study with a fixed time series design; the target subjects were youth nursing elites who received training, along with their direct managers and peers, for a total of 102 participants. The training course intervention included the classroom teaching of leadership management functions, arranging internships in the hospital's internal administrative units and professional nursing institutions, and the direct managers sharing their experiences during teaching. We measured the outcome indicators before the course intervention, at the end of the course intervention, and three months after using the management function and team behavior scales.

Results: The mean score of the direct managers' assessments regarding the youth nursing elite's pre-test team behavior was 4.18. This improved by 0.68 points (p < .001) after the program intervention and improved by 0.65 points (p < .001) three months after the program compared to the pre-test. There was no statistically significant difference between the two groups as analyzed using GEE. The mean score of the pre-test self-assessment management function of the young nursing elite was 3.27. This improved by 1.06 points (p < .001) after the program intervention and by 1.14 points (p < .001) three months after the program compared to the pre-test. There was no statistically significant difference between the three groups using GEE analysis.

Conclusions: Leadership training enhances young nursing professionals' leadership function and team behavior.

Keywords: Leadership; Leadership competence; Leadership training; Management; Nursing; Professional development; Team behavior.