title: Facilitators and barriers to the increased supervisory role of senior charge nurses: a qualitative study.
abstract: OBJECTIVE
  To explore the experiences of senior charge nurses provided with 'increased supervisory hours'.
  
  
  BACKGROUND
  Designated supervisory time is essential for senior charge nurses to provide effective clinical leadership. It is important to explore the impact arises of such an increase.
  
  
  METHODS
  An online questionnaire collected exploratory data from senior charge nurses (n = 60). Semi-structured interviews gathered in-depth qualitative data (n = 12). Findings were analysed for common themes associated with implementation of the increased senior charge nurse supervisory role.
  
  
  RESULTS
  The majority of senior charge nurses were unable to use their full allocation of supervisory time. They struggled to accomplish leadership goals because of managing staffing levels, increased workload, time constraints and limited support. Factors that facilitated the role included preparation and support, adequate staff capacity, effective leadership skills and availability of supervisory time. The senior charge nurses took pride in providing clinical leadership, promoting staff development and delivering patient care. Support, in terms of preparation, capacity building and ongoing mentoring, was a key factor for achieving senior charge nurse goals.
  
  
  CONCLUSIONS
  Senior charge nurses should be supported to maximise supervisory time through the provision of an induction programme, formal coaching and ongoing training and development.
  
  
  CONCLUSIONS
  Preparation and support is essential for senior charge nurses to deliver enhanced clinical leadership through increased supervisory time.
authors.affiliation: School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK.
authors.forename: J
authors.initials: J
authors.lastname: Rankin
authors.affiliation: Leading Better Care, School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK.
authors.forename: C
authors.initials: C
authors.lastname: McGuire
authors.affiliation: Leading Better Care, School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK.
authors.forename: L
authors.initials: L
authors.lastname: Matthews
authors.affiliation: NHS Lanarkshire, Bothwell, UK.
authors.forename: M
authors.initials: M
authors.lastname: Russell
authors.affiliation: Leading Better Care, School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK.
authors.forename: D
authors.initials: D
authors.lastname: Ray
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D007407:Interviews as Topic; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D009745:Nursing, Supervisory / Q000458:organization & administration*; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D013997:Time Factors; D016526:Workload
keywords: Leading Better Care; clinical leadership; qualitative; senior charge nurse; senior nurse; supervisory time