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TABLE OF CONTENTS

ABSTRACT ..................................................................................................................................................ii

ACKNOWLEDGEMENTS ...........................................................................................................................iii

TABLE OF CONTENTS ...............................................................................................................................iv

LIST OF FIGURES.......................................................................................................................................vii

LIST OF TABLES........................................................................................................................................vii

CHAPTER 1. SETTING THE CONTEXT................................................................................................... 1

    • 1.1.

      Introduction.............................................................................................................................. 1

    • 1.2.

      Purpose and Rationale.............................................................................................................3

    • 1.3.

      The District Health Board: The Setting.................................................................................6

    • 1.4.

      The CNL Within the District Health Board ..........................................................................8

    • 1.5.

      The CNL Within the New Zealand Nursing Environment ................................................11

    • 1.6.

      Summary ................................................................................................................................ 13

CHAPTER 2. LITERATURE REVIEW .................................................................................................... 16

    • 2.1.

      Introduction............................................................................................................................ 16

    • 2.2.

      Search Strategy ......................................................................................................................17

    • 2.3.

      Leadership and Nursing........................................................................................................18

    • 2.4.

      Clinical Leadership in Nursing.............................................................................................21

Defining the Role.....................................................................................................................21

    • 2.5.

      Effective Attributes and Competencies................................................................................23

    • 2.6.

      Pivotal Nature of the Role.....................................................................................................24

    • 2.7.

      Professional Development .....................................................................................................25

    • 2.8.

      Conclusion .............................................................................................................................. 26

CHAPTER

3. METHODOLOGY ............................................................................................................... 28

3.1. 3.2. 3.3. 3.4. 3.5. 3.6.

Introduction............................................................................................................................ 28 Qualitative and Quantitative Research................................................................................28 The Beginning of Action Research .......................................................................................30 Agreed Features of Action Research....................................................................................34 Action Research and Nursing Research...............................................................................35 Conclusion .............................................................................................................................. 37

CHAPTER

4. METHODS AND PROCESSES .......................................................................................... 38

4.1. 4.2. 4.3. 4.4. 4.5. 4.6. 4.7. 4.8.

Introduction............................................................................................................................ 38 Recruitment of Participants..................................................................................................39 Ethics....................................................................................................................................... 40 Rigour ..................................................................................................................................... 40 Phase One Interview..............................................................................................................43 Analysis of the Interview Data..............................................................................................44 Phase Two Action Research Group Process........................................................................46 Action Research Meetings.....................................................................................................48 Analysis of Action Research Meetings....................................................................................49

4 . 9 .

Summar

y ................................................................................................................................

49

iv

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