A Co-Produced Comprehensive Transition Programme Designed Using Experience-Based Co-Design to Support First-Line Nurse Managers
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 22
- 主要终点
- Change in leadership practices (Leadership Practices Inventory, LPI)
研究概览
简要总结
This study will pilot a Comprehensive Transition Programme (CTP) to support nurses who move into first-line nurse manager (FLNM) roles at Clínica Universidad de Navarra. The transition to frontline management can be challenging and is linked to uncertainty, workload stress, and role ambiguity. The CTP was co-designed with clinical nurses, FLNMs, nursing directors and chief nursing officers using experience-based co-design methods so that its content fits the organisation's practice model and priorities.
The programme combines classroom training, online learning, mentorship, and structured reflective practice. Participants complete brief assessments before and after the programme. The primary focus is to see whether leadership practices improve; we will also examine feasibility and acceptability to inform future refinement.
This pilot uses a simple pre-post design with data collected at baseline and immediately after the programme. Findings will be used to optimise the CTP and to guide broader implementation in the health system.
(Eligibility, outcomes, dates and intervention components are detailed in their specific sections of this record.)
详细描述
Rationale and aim. The move from bedside nursing to first-line nurse management is a critical career transition that requires new leadership, managerial and relational capabilities. In response, a multicomponent Comprehensive Transition Programme (CTP) was co-designed with stakeholders across organisational levels using experience-based co-design. The aim of this pilot is to generate preliminary evidence on usefulness and feasibility and to explore changes in leadership practices among novice FLNMs.
Design overview. Single-group, pre-post mixed-methods pilot conducted at a tertiary university hospital. Data are collected at two timepoints: baseline (prior to programme start) and immediately post-intervention. The primary outcome is change in leadership practices; additional indicators include acceptability, fidelity and qualitative insights from reflective narratives.
(Primary/secondary outcome measures, time frames and sample size appear in the Outcomes and Enrollment fields.)
Participants. Eligible participants are nurses on the institutional pathway to frontline management, including (a) clinical nurses with responsibility roles not yet formally appointed as supervisors; (b) FLNMs with <5 years' experience at the institution; and (c) FLNMs with prior experience elsewhere recently appointed at the institution. Participation is voluntary with written informed consent.
(Full inclusion/exclusion criteria are provided in the Eligibility section.)
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Clinical nurses with responsibility roles at Clínica Universidad de Navarra (CUN) but not yet formally appointed as supervisors.
- •First-Line Nurse Managers (FLNMs) with less than five years of managerial experience in the CUN.
- •FLNMs with more than five years of managerial experience acquired mainly in other institutions but recently appointed as first-line managers at the CUN.
- •Ability to understand and provide informed consent.
排除标准
- •Nurses with more than five years of continuous experience as FLNMs at the CUN.
- •Nurses in middle or executive management roles (e.g., area directors, chief nursing officers).
- •Clinical nurses without any responsibility or leadership role.
- •Inability or unwillingness to provide informed consent.
研究组 & 干预措施
Comprehensive Transition Programme (CTP)
Participants will receive the Comprehensive Transition Programme (CTP), a multicomponent intervention including face-to-face training modules, online learning, mentorship, and reflective practice over a 3-month period.
干预措施: Comprehensive Transition Programme (CTP) (Behavioral)
结局指标
主要结局
Change in leadership practices (Leadership Practices Inventory, LPI)
时间窗: Up to 12 months (Baseline, 3 months, 6 months, 12 months)
Leadership behaviours will be assessed using the Leadership Practices Inventory (LPI), a validated 30-item questionnaire covering five domains: Model the Way, Inspire a Shared Vision, Challenge the Process, Enable Others to Act, and Encourage the Heart. Scores range from 10 to 100 per domain, with higher scores indicating more frequent leadership behaviours. Mean change between baseline and post-intervention will be analysed.
次要结局
- Quality of reflective narratives(Up to 12 months (Baseline, 3 months, 6 months, 12 months))
研究者
Idoia Pardavila
PhD, Faculty of Nursing, University of Navarra
University of Navarra