Clinical leadership and organisational governance in primary care
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Clinical leadership and organisational governance in primary care

Natasha Duke Advanced nurse practitioner, GP surgery in Hampshire, University of Southampton

This article examines nurse clinical leadership in primary care from the perspective of nurses working at an advanced level, such as advanced nurse practitioners or senior practice nurses. The lead nurse is pivotal to clinical effectiveness and quality of care. Aspects of leadership and its impact on how the nursing team functions are discussed. The article also identifies ways to improve morale, the facets of governance in primary care, ideas on sourcing funds for training and development, and encouraging innovation in the nursing team.

Primary Health Care. 25, 9, 34-39. doi: 10.7748/phc.25.9.34.s29


Peer review

This article has been subject to double-blind review and checked using antiplagiarism software

Conflict of interest

The author gratefully acknowledges financial support for the study of a Doctorate of Clinical Practice from the RCN Foundation and the Florence Nightingale Foundation.

Received: 25 February 2015

Accepted: 23 April 2015