Leadership and Management Preparedness after Completing Induction Programme for Newly Graduate Nurses: A Cross- Sectional Study

Abstract

Background: Leadership and management skills are essential and foundational in nursing, yetthey arevery complex and built through years of work experiences.Aim: Toexamine newly graduate nurses’ preparedness of their knowledge, attitude and practice ofleadership and managementskills after aone-year induction programme in the clinical setting.Methods:A cross-sectional study on newly graduated Registered Nurses in Brunei Darussalamusingsurvey developed from key indicators ofthe Nursing Board for Brunei Darussalam and InternationalCouncil of Nurses.Results:Knowledge level of leadership and management skills ranged from 66.1% to 100%. Attitudescore was between 15.2% to 93.2%. Practice score was between 19.0% to 94.9%. The results showedthat nurses with clinical experiences are more prepared in terms of knowledge, attitude and practiceof various leadership and management skills compared to those immediately working in managerialposition. Some leadership and management skills (such as task-oriented management and conflictmanagement) were enhanced, and yet certain essential skills (such as advocacy and communicationwith patients) were diminished as nurses acquired more work experiences.Conclusion: A well-defined framework on foundational leadership and management skills is deemedimportant that should commence from nursing educational preparation and consistently assessed andmonitored throughout the nursing profession.