Stefancyk Amanda, Hancock Beverly, Meadows Mary T
American Organization of Nurse Executives, Chicago, IL 60606, USA.
Nurs Adm Q. 2013 Jan-Mar;37(1):13-7. doi: 10.1097/NAQ.0b013e31827514f4.
Change in today's health care landscape is a daily, if not hourly, reality. The nurse manager must have strong leadership skills to navigate through change with a focus on the patient and the provision of safe and reliable care. The historical term for those leading change is "change agent." In this article, the authors introduce the idea of a change coach, building on the nurse manager foundational skill of coaching and weaving this concept into the manager's role in change. A change coach uses the coaching behaviors including guidance, facilitation, and inspiration to inspire others toward change, altering human capabilities, and supporting and influencing others toward change. An exemplar of the nurse manager's role as a change coach in practice is provided using American Organization of Nurse Executives' Care Innovation and Transformation initiative. It is the agile manager that is able to successfully move between the roles of change agent and change coach to continuously transform the environment and how care is delivered.
在当今的医疗环境中，变革即便不是每时每刻，也是每天都在发生的现实。护士长必须具备强大的领导技能，以便在变革中前行，同时专注于患者以及提供安全可靠的护理。过去，那些引领变革的人被称为“变革推动者”。在本文中，作者在护士长指导这一基本技能的基础上，引入了变革教练的概念，并将此概念融入护士长在变革中的角色。变革教练运用包括指导、促进和激励在内的教练行为，激励他人进行变革，改变人的能力，并支持和影响他人实现变革。本文以美国护士行政管理人员组织的护理创新与转型倡议为例，展示了护士长在实践中作为变革教练的角色典范。能够在变革推动者和变革教练这两个角色之间成功切换，从而持续改变环境以及护理提供方式的，是那些具备灵活性的管理人员。
