Lead Nurse for Children and Safeguarding, Royal Devon and Exeter NHS Foundation Trust, Exeter, UKProfessor of Health Service Research (Honorary Consultant in Public Health-NHS Plymouth), Faculty of Health, Education and Society, Plymouth University, Plymouth, UK.
J Nurs Manag. 2014 Jan;22(1):70-9. doi: 10.1111/j.1365-2834.2012.01432.x. Epub 2012 Jul 10.
Aim The aim of this study was to explore and understand the leadership experiences of modern matrons. Background Modern matrons were re-introduced to the National Health Service in 2002, and effective leadership has been identified as being essential for the role to be successful. However, there is minimal evidence of how modern matrons experience effective leadership. Methods The study used a descriptive generic qualitative methodology; one-to-one semi-structured interviews were conducted with nine matrons. This was subjected to an inductive thematic analysis. Results Three themes were found to influence modern matron's leadership experiences: leadership behaviours, negative influences and leadership investment. They did not follow one leadership style but adapted this to their situation. Various factors appeared to restrict their leadership effectiveness. Conclusions The findings suggest that exposure to a range of leadership styles should be included in preparation and CPD for the modern matron role and a more consistent job description and job purpose should be developed. Implications for nursing management Leadership styles such as transformational leadership alone do not meet the complex demands of nursing leaders, and therefore there is a requirement for greater flexibility in leadership development for all health care professionals.
目的 本研究旨在探索和了解现代护士长的领导经验。 背景 2002 年，现代护士长重新引入国民保健制度，人们认为有效的领导对于该角色的成功至关重要。然而，几乎没有证据表明现代护士长是如何体验有效的领导的。 方法 该研究采用描述性一般定性方法；对 9 名护士长进行了一对一的半结构化访谈。这采用了归纳主题分析。 结果 发现三个主题会影响现代护士长的领导经验：领导行为、负面影响和领导投入。他们并没有遵循一种领导风格，而是根据自己的情况进行了调整。各种因素似乎限制了他们的领导效力。 结论 研究结果表明，应该在现代护士长角色的准备和持续专业发展（CPD）中纳入一系列领导风格的培训，并且应该为护士长制定更一致的工作描述和工作目的。 对护理管理的意义 变革型领导等单一领导风格并不能满足护理领导者的复杂需求，因此，所有医疗保健专业人员的领导力发展都需要更大的灵活性。
