ORIGINAL ARTICLE
Developing clinical leaders: the impact of an action learning
mentoring programme for advanced practice nurses
Sandra G. Leggat, Cathy Balding and Dan Schiftan
Aims and objectives. To determine whether a formal mentoring programme
assists nurse practitioner candidates to develop competence in the clinical leader-
ship competencies required in their advanced practice roles.
Background. Nurse practitioner candidates are required to show evidence of defined
clinical leadership competencies when they apply for endorsement within the Aus-
tralian health care system. Aiming to assist the candidates with the development or
enhancement of these leadership skills, 18 nurse practitioner candidates participated
in a mentoring programme that matched them with senior nurse mentors.
Design. A pre-postlongitudinal intervention study.
Method. Eighteen nurse practitioner candidates and 17 senior nurses participated
in a voluntary mentoring programme that incorporated coaching and action learn-
ing over 18 months in 2012 and 2013. Participants completed a pen and paper
questionnaire to document baseline measures of self-reported leadership practices
prior to commencement of the programme and again at the end of the programme.
Results. The mentors and the nurse practitioner candidates qualitatively evaluated
the programme as successful and quantitative data illustrated significant improve-
ment in self-reported leadership practices among the nurse practitioner candi-
dates. In particular, the nurse practitioner candidates reported greater competence
in the transformational aspects of leadership, which is directly related to the nurse
practitioner candidate clinical leadership standard.
Conclusions. A formal, structured mentoring programme based on principles of
action learning was successful in assisting Australian advanced practice nurses
enhance their clinical leadership skills in preparation for formal endorsement as a
nurse practitioner and for success in their advanced practice role.
Relevance to clinical practice. Mentoring can assist nurses to transition to new
roles and develop knowledge and skills in clinical leadership essential for
advanced practice roles. Nurse managers should make greater use of mentoring
programmes to support nurses in their transition to new roles.
Key words: action learning, advanced scope, clinical leadership, longitudinal
intervention, mentoring, nurse practitioner, skill development
What does this paper contribute
to the wider global community?
• Clinical leadership is recognised
as important for nurses, and
advanced practice nurses in par-
ticular, and this paper provides
empirical evidence of the effec-
tiveness of a formal mentoring
programme with an action learn-
ing approach in assisting
advanced practice nurses to
develop competence in clinical
leadership.
• A formal mentoring intervention
with an action learning approach
can assist nurses to overcome
barriers to clinical leadership
development, thereby enhancing
knowledge and skills in transfor-
mation leadership that assist in
the transition to new nursing
roles.
Accepted for publication: 26 November 2014
Authors: Sandra G. Leggat, PhD, Professor, La Trobe University,
Bundoora; Cathy Balding, PhD, Adjunct Associate Professor, La
Trobe University, Bundoora, Bundoora; Dan Schiftan, RN,
PDACN, MPH, Senior Policy Advisor, Victorian Department of
Health, Melbourne, Victoria, Australia
Correspondence: Sandra G. Leggat, La Trobe University, Bundoora,
Victoria 3086, Australia. Telephone: +613 94791749.
E-mail: s.leggat@latrobe.edu.au
© 2014 John Wiley & Sons Ltd
Journal of Clinical Nursing, doi: 10.1111/jocn.12757 1