Abstract
This study addresses the global leadership crisis in healthcare, which leaves an unprepared nursing workforce who are unable to achieve acceptable patient outcomes. Generation Y nurses will soon form the majority cohort of nurses; they therefore represent the future of the nursing profession worldwide. Their leadership ability will no doubt impact on healthcare globally. There has been a lack of academic research focusing on the leadership needs of Generation Y nurses, specifically bedside nurses who are closest to the point of care. There is also a lack of mixed methods research in this field. This research answers the question: How can the nursing profession prepare Generation Y nurses to become effective leaders? A multistage mixed methods advanced framework design was used, with data integration occurring at multiple levels. Data was collected on Generation Y nurses working at a hospital in Saudi Arabia, through the Values in action (VIA)-24 strengths survey, the American Organization of Nurse Executives (AONE) leadership survey on ‘The leader within’, and semi-structured face-to-face interviews. Data analysis included statistical measures and thematic analysis using Tesch’s coding. The aim of the study was to develop a sustainable leadership framework for generation Y bedside nurses, through data collected from them and for them. This study shows that Generation Y nurses have a clear leadership vision, and strongly desire leadership education that is creative, innovative, technology-driven and fun. It is vital that bedside nurses are given the opportunity to meet their full leadership potential, which will contribute towards the much needed transformation of healthcare globally.
Highlights
Introduction and BackgroundThere is a lack of effective leadership in healthcare, which, according to the World Health Organization (WHO) constitutes a global crisis (WHO, 2015)
There has been a lack of academic research focusing on the leadership needs of Generation Y nurses, bedside nurses who are closest to the point of care
This study has found that the Generation Y sample display characteristics and needs that led to the development of the leadership framework revealed above, the potential utility of this framework at a global level requires further studies across other cultures, countries and linguistic groups
Summary
There is a lack of effective leadership in healthcare, which, according to the World Health Organization (WHO) constitutes a global crisis (WHO, 2015). Because healthcare delivery relies on good leadership, a lack thereof can have an enormous impact on patient outcomes (West et al, 2014). Nurses form the backbone of any healthcare organisation; they make up 40-50% of any healthcare workforce (Stanley, 2010). They have a key role to play in the provision of universal health coverage (Mitchell, 2015; WHO, 2013), especially at the point of care (Sherman & Pross, 2010). It is predicted that by the end of this decade, there will be a worldwide shortage of nurse leaders, which will be a key challenge to rectify (Dyess et al, 2016; Holland, 2015; Sherman, Dyess, & Prestia, 2013)
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