Elucidating strategies used by clinical nurse leaders to facilitate fundamental care delivery: a qualitative study

MUDD, Alexandra, FEO, Rebecca, MCCLOUD, Christine and CONROY, Tiffany (2023). Elucidating strategies used by clinical nurse leaders to facilitate fundamental care delivery: a qualitative study. Journal of advanced nursing, 79 (3), 1069-1081.

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Official URL: https://onlinelibrary.wiley.com/doi/10.1111/jan.15...
Link to published version:: https://doi.org/10.1111/jan.15352



To investigate the strategies used by nurse leaders to facilitate fundamental care delivery in their clinical area.


An interpretative qualitative design study reported in line with the Consolidated Criteria for Reporting Qualitative Research (COREQ).


Twenty-four self-identified nurse leaders from across Australia were interviewed between November 2020 and April 2021 to discuss their strategies for facilitating fundamental care. Data was analysed using inductive thematic analysis.


Nurse leaders' experience of facilitating fundamental care produced two major themes, delivery of fundamental care (comprising three sub-themes: valuing fundamental care, understanding and developing staff capacity and supportive relationships), and monitoring of fundamental care (including three sub-themes: visibility in the clinical area, embedding fundamental care in the practice setting and specific direct actions).


Facilitating fundamental care delivery is complex. This study highlighted the importance of nurse leaders' individual characteristics, and nurse leaders' ability to establish and maintain relationships alongside the role of informal and formal monitoring of fundamental care delivery.


Findings from this study build on existing research into fundamental care and contribute to our understanding of the role, characteristics and actions of nurse leaders to facilitate fundamental care. The results demonstrate the complexity and intricacy of nursing leadership to facilitate fundamental care, and that a dynamic 'thinking and linking' approach is required. The results show individualized practice which may create challenges for new nurse leaders seeking guidance, and for monitoring nurse leader activity. Further research is advocated to explore insights and tools to optimize nurse leaders' endeavours in facilitating fundamental care.

Patient or public contribution

This study was designed using insights generated from patient and public involvement in nursing leadership and fundamental care.

Item Type: Article
Uncontrolled Keywords: care; leadership; nurse roles; qualitative approaches; staff development; 1110 Nursing; Nursing; 4204 Midwifery; 4205 Nursing
Identification Number: https://doi.org/10.1111/jan.15352
Page Range: 1069-1081
SWORD Depositor: Symplectic Elements
Depositing User: Symplectic Elements
Date Deposited: 10 Mar 2023 16:17
Last Modified: 11 Oct 2023 16:45
URI: https://shura.shu.ac.uk/id/eprint/31651

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