University of Colorado Hospital, Aurora, CO 80045, USA.
J Nurs Adm. 2013 Sep;43(9):438-46. doi: 10.1097/NNA.0b013e3182a23b26.
The study's aim was to examine longitudinal outcomes of a leadership program for permanent and relief charge nurse from 1996 to 2012 using action research and Kouzes and Posner's The Leadership Challenge conceptual frameworks.
Charge nurses hold significant oversight of patient safety, quality, and team functioning. This study contributes knowledge regarding charge nurse leadership and organization outcomes associated with these essential roles over time.
Data were collected over 6 time periods using Kouzes and Posner's The Leadership Practices Inventory (LPI) and internally developed action research tools. Surveys were aligned with leadership and work environment changes to examine outcomes.
Charge nurse leadership LPI mean ratings improved. Relief charge nurses reached similar LPI outcomes by 2012, with no statistical differences in mean or domain scores. Action research methods facilitated executive decision making during change processes. Demographics shifted with younger charge nurses with less practice experience serving as charge nurses in the most recent years.
Charge nurse leadership reported significant gains despite institutional changes and uneven delivery of educational interventions.
本研究旨在使用行动研究和库泽斯与波斯纳的《领导力挑战》概念框架，从 1996 年到 2012 年，对固定和临时护士长领导力项目的纵向结果进行考察。
护士长对患者安全、质量和团队功能负有重要监督责任。这项研究为随着时间的推移，与这些重要角色相关的护士长领导能力和组织结果提供了知识。
在 6 个时间段内，使用库泽斯和波斯纳的《领导力实践调查》（LPI）和内部开发的行动研究工具收集数据。调查与领导和工作环境的变化保持一致，以检验结果。
护士长领导能力 LPI 的平均评分有所提高。到 2012 年，临时护士长达到了类似的 LPI 结果，在平均或领域得分方面没有统计学差异。行动研究方法为变革过程中的行政决策提供了便利。随着年轻、实践经验较少的护士长担任最近几年的护士长，人口统计学特征发生了变化。
尽管机构变革和教育干预的实施不均衡，但护士长领导能力报告显示出了显著的收益。
