title: Building leadership capacity in advanced nurse practitioners - the role of organisational management.
abstract: OBJECTIVE
  To highlight the organisation-level management's role in building leadership capacity in advanced nurse practitioners and the need for appropriate supports to increase their becoming leaders.
  
  
  BACKGROUND
  Little is published about the role of organisation-level management in building leadership capacity and in developing the next generation of nurse leaders. In times of economic constraint, organisations need to focus their efforts on targeted leadership initiatives. Advanced nurse practitioners are ideally positioned to act as leaders both within and beyond the health care organisation.
  
  
  RESULTS
  From the available research evidence, several support structures and mechanisms are identified as enablers for advanced nurse practitioners to enact their leadership role.
  
  
  CONCLUSIONS
  Health care organisations need to include building leadership capacity as a priority in their strategic plan and take action to build-up the level of advanced nurse practitioner leadership.
  
  
  CONCLUSIONS
  Nurse executives have a vital role in influencing the organisation's strategic plan and making a business case for prioritising leadership capacity building within advanced nurse practitioners. A challenge for nurse executives faced with competing service and leadership development demands, involves strategic decision-making regarding whether the advanced nurse practitioner's role is limited to service delivery or its potential in leading health care reforms is realised.
authors.affiliation: School of Nursing and Midwifery, Trinity College Dublin, The University of Dublin, Dublin, Ireland.
authors.forename: Naomi
authors.initials: N
authors.lastname: Elliott
mesh_terms: D057191:Capacity Building; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000639:trends*; D024802:Nurse's Role; D009937:Organizational Objectives
keywords: advanced nurse practitioner; clinical leadership; leadership capacity; nurse consultant; organisational management