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