title: Enhancing nursing leadership in long-term care. A review of the literature.
abstract: The quality of care provided to nursing home residents has been the subject of broad criticism for years. Mounting evidence suggests that the quality of nursing home care can be improved by strengthening the roles of nurses in these facilities. This article reviews the literature on programs designed to enhance nursing leadership in long-term care, examines outcomes associated with leadership in long-term care, and outlines recommendations for programs to enhance nursing leadership in nursing home settings. The findings suggest that nursing leadership training programs for nurses working in nursing homes are urgently needed to improve quality in the nation's nursing homes and stabilize the workforce. To maximize their effectiveness, these leadership training programs should be part of a continuum of leadership development that begins in nursing education programs and persists throughout a nurse's career trajectory.
authors.affiliation: John A. Hartford Center for Geriatric Nursing Excellence, School of Nursing, Oregon Health & Science University, 3455 SW U.S. Veterans Road, Portland, OR 97239-2941, USA. harvatht@ohsu.edu
authors.forename: Theresa A
authors.initials: TA
authors.lastname: Harvath
authors.forename: Kristen
authors.initials: K
authors.lastname: Swafford
authors.forename: Kathryn
authors.initials: K
authors.lastname: Smith
authors.forename: Lois L
authors.initials: LL
authors.lastname: Miller
authors.forename: Miriam
authors.initials: M
authors.lastname: Volpin
authors.forename: Kathryn
authors.initials: K
authors.lastname: Sexson
authors.forename: Diana
authors.initials: D
authors.lastname: White
authors.forename: Heather A
authors.initials: HA
authors.lastname: Young
mesh_terms: D004509:Education, Nursing, Continuing / Q000458:organization & administration; D005851:Geriatric Nursing / Q000193:education / Q000458:organization & administration; D006801:Humans; D007857:Leadership; D008134:Long-Term Care / Q000458:organization & administration; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration; D024802:Nurse's Role; D009735:Nursing Homes / Q000458:organization & administration; D015399:Nursing Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration; D017009:Professional Autonomy; D011361:Professional Competence; D011787:Quality of Health Care / Q000458:organization & administration