Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.
J Nurs Manag. 2012 Mar;20(2):187-95. doi: 10.1111/j.1365-2834.2011.01377.x. Epub 2012 Jan 23.
To explore and debate nursing leadership and challenges on organizational and group levels when conducting rehabilitation groups for people suffering from chronic pain.
Group approaches based on cognitive behavioural therapy are generally described as effective. Leadership in group approaches offered to people suffering from chronic pain is a great challenge for nurses on an organizational as well as a group level.
One overall leader and nine group leaders conducting 13 groups constituted the sample. Qualitative content analysis was used by identifying categories, subthemes and themes.
The results from the content analysis revealed one main theme ('Complexity in nursing leadership') and three subthemes ('Challenges in leadership on organizational level', 'Challenges in leadership on teamwork level' and 'Challenges in leadership on group level'.
The results show how important it is to have firm overall leadership and trained group leaders with a common purpose, interdependent roles and complementary skills, who are thus well prepared to prevent or deal with challenging group processes.
The leaders of both levels, which are highly interrelated, should have a current theoretical understanding of pain theory, group leadership skills and a cognitive behavioural approach.
探讨和辩论在组织和团队层面进行慢性疼痛患者康复小组时的护理领导力和挑战。
基于认知行为疗法的小组方法通常被描述为有效。在为慢性疼痛患者提供的小组方法中，领导力对组织和团队层面的护士来说都是一个巨大的挑战。
一位总领导者和九位小组领导者组成了 13 个小组的样本。通过确定类别、子主题和主题，使用定性内容分析。
内容分析的结果揭示了一个主要主题（“护理领导力的复杂性”）和三个子主题（“组织层面领导力的挑战”、“团队合作层面领导力的挑战”和“小组层面领导力的挑战”）。
结果表明，拥有坚定的整体领导力和具有共同目标、相互依存的角色和互补技能的经过培训的小组领导者是多么重要，他们因此能够很好地准备预防或处理具有挑战性的小组过程。
这两个高度相关的层面的领导者应该具备疼痛理论、小组领导技能和认知行为方法的当前理论理解。
