Challenges to Effective Nursing Leadership: a Systematic Review
Abstract Background: Nurses have been at the center of major improvements in the health. However these feet could not have been achieved without effective leadership. Leadership is required on every sector such education, military and health. Effective leadership tends to blend the thoughts reflection and images as well as influencing followership to achieve a desired goal. Nursing leadership has however been confronted with major challenges despite the major achievements by the health workforce. Hence this review was to describe the findings of a systematic review of studies that examine the challenges of nursing leadership and to make recommendations for further study.Methods: The search strategy of this systematic review included six (6) electronic databases. Published studies that focused on the challenges of nursing leadership were included. Data extractions and analysis were completed on all included studies by the researcher.Results: About 29,851 articles and abstracts were screen resulting in 8 included studies. Using content analysis the challenges faced by the nursing leaders as identified in the studies were group into six (6),namely workload, Human resource recruitment and staffing, budget, Change management and team diversity, Unclear job description and patient safety and expectations. The analysis shows that the main challenge facing nursing leaders were workload, Human resource recruitment and staffing as indicated by six(6) studies with the patient safety and expectation being the least as cited by two(6) studies.Conclusion: This review concludes that nursing leadership should be looked at critically at all levels of health while giving enough support to the nurse leaders in the discharge of their duties.