wileyonlinelibrary.com/journal/jonm J Nurs Manag. 2018;26:148–157.
© 2017 John Wiley & Sons Ltd
Accepted: 13 June 2017
Kansas nurse leader residency programme: advancing leader
knowledge and skills
Qiuhua Shen PhD, APRN, RN, Assistant Professor, Project Staff
| Jill Peltzer PhD,
APRN-CNS, RN, Assistant Professor, Project Staff
| Cynthia Teel PhD, RN, FAAN, Professor
and Associate Dean, Co-lead
| Janet Pierce PhD, APRN, CCRN, FAAN,
Christine A. Hartley Centennial Professor
School of Nursing, University of Kansas,
Kansas City, KS, USA
Promoting Nursing Education in Kansas,
Kansas City, KS, USA
Kansas Action Coalition, Kansas City, KS,
Qiuhua Shen, School of Nursing, University of
Kansas, Kansas City, Kansas, USA
Robert Wood Johnson Foundation
Aims: To evaluate the effectiveness of the Kansas Nurse Leader Residency (KNLR)
programme in improving nurses’ leadership knowledge and skills and its acceptability,
feasibility and fidelity.
Background: The Future of Nursing Report (Institute of Medicine, 2011) calls for
nurses to lead change and advance health. The 6- month KNLR programme was devel-
oped by the Kansas Action Coalition to support nurses’ leadership development.
Methods: Nurses (n = 36) from four nursing specialties (acute care, long- term care,
public health and school health) participated in the programme. The adapted Leader
Knowledge and Skill Inventory was used to assess leadership knowledge and skills.
Programme acceptability, feasibility and implementation fidelity also were evaluated.
Results: The programme completion rate was 67.7% (n = 24). Programme completers
had significantly improved self- assessed and mentor- assessed leadership knowledge
and skills (p < .05). These post- programme gains were maintained 3 months after pro-
Conclusions: The KNLR programme effectively improved leadership knowledge and
skills and was positively evaluated by participants. The implementation of the KNLR
programme using a hybrid format of in- person sessions and online modules was feasi-
ble across four specialty areas in both rural and urban regions.
Implications for Nursing Management: The next steps include the development of an
advanced programme. Residency programmes for new nurse leaders are critical for
successful transition into management positions.
future of nursing, leader knowledge and skills, nursing leadership, programme evaluation
1 | INTRODUCTION
Effective nursing leadership plays a key role in building and maintaining
healthy team relationships (Squires, Tourangeau, Spence Laschinger, &
Doran, 2010), creating a healthy and safe working environment that
fosters high- quality and safe nursing care, improving nursing staff sat-
isfaction and retention (Dignam et al., 2012), and leading evidence-
based practice changes (Martin, McCormack, Fitzsimons, & Spirig,
2012). Strong leadership knowledge and skills are required for nurses
at all levels of practice and education, especially those who provide
direct care to patients and their families. In pursuit of a high quality
of nursing care, leadership development opportunities are needed for
current and future nurse leaders to build leadership knowledge and
skills. Nurses in some specialty areas of practice, such as school and
public health, who work with vulnerable children and families and
often hold key decision making roles, are frequently overlooked in