Creating the Conditions for Growth: A Collaborative Practice Development Programme for Clinical Nurse Leaders

J Nurs Manag. 2010 Sep;18(6):633-44. doi: 10.1111/j.1365-2834.2010.01143.x.


Aim: To evaluate a 3-year practice development (PD) programme for clinical nurse leaders.

Background: The development of effective leaders is a key objective to progress the modernization agenda. This programme aimed to develop the participants alongside development of the culture and context of care.

Methods: Programme evaluation methodology to determine the 'worth' of the programme, inform the experience of the participation, effect on workplace cultures and determine effectiveness of the process used.

Results: Created the conditions for growth under two broad themes: process outcomes demonstrating growth as leaders contributing to cultural shifts; and general outcomes demonstrating practice changes.

Conclusions: Developing communities of reflective leaders are required to meet demands within contemporary healthcare. PD provides a model to develop leaders to achieve sustainable changes and transform practice.

Implications for nursing management: Active collaboration and participation of managers is crucial in the facilitation of and sustainability of cultural change. Approaches adopted to develop and sustain the transformation of practice need to focus on developing the skills and attributes of leaders and managers as facilitators.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Competence
  • Cooperative Behavior*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Leadership
  • Learning*
  • Nurse Administrators
  • Nursing, Supervisory*
  • Program Development*
  • Program Evaluation
  • Social Environment*
  • Staff Development / methods*
  • Time Factors
  • United Kingdom