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从历史视角看护理领域的领导力与创新。

Leadership and innovation in nursing seen through a historical lens.

作者信息

Harris Ruth, Bennett Janette, Ross Fiona

机构信息

Faculty of Health, Social Care and Education, Kingston University and St George's, University of London, Surrey, UK.

出版信息

J Adv Nurs. 2014 Jul;70(7):1629-38. doi: 10.1111/jan.12325. Epub 2013 Dec 3.

DOI:10.1111/jan.12325
PMID:24313536
Abstract

AIM

To explore nurses' archived accounts of Matron Muriel Powell's management and leadership style and the impact of this on the implementation and sustainability of innovation in the workplace.

BACKGROUND

In popular discourse, the matron has become an emblem of leadership. Although the title disappeared in the UK in the late 1960s as part of the re-organization recommended by the Salmon Report, it re-appeared in 2002 in an attempt to improve care standards by reasserting a strong nursing presence and clinical leadership role.

DESIGN

Secondary data analysis using qualitative thematic analysis.

METHODS

This paper draws on interview data held in the 'Nurses Voices' archive. The interview transcripts of 132 nurses who trained or worked at St George's hospital in 1920-1980 were analysed in depth between March 2011-January 2012 and themes were generated inductively by grouping together emergent codes in the data with similar meaning.

RESULTS

Looking back, the nurses recalled strong memories of the leadership of Matron Powell. Her presence emerged as a significant influence throughout the interviews. Two resonant themes were identified: innovation and open communication.

CONCLUSIONS

Through her visibility and direct access with patients and staff, Dame Muriel Powell showed what we would now call transformative leadership qualities. Her leadership created a culture of open communication and innovation that initiated change in the organization and the nursing workforce. Looking back and learning from historical figures can deepen understanding and provide pointers for the nurse leaders of today.

摘要

目的

探讨护士们存档的关于护士长缪丽尔·鲍威尔管理与领导风格的描述,以及这对工作场所创新的实施和可持续性产生的影响。

背景

在大众话语中,护士长已成为领导力的象征。尽管该头衔在20世纪60年代末作为《萨尔蒙报告》建议的重组的一部分在英国消失,但在2002年又重新出现,试图通过重新确立强大的护理影响力和临床领导角色来提高护理标准。

设计

采用定性主题分析的二次数据分析。

方法

本文借鉴了“护士之声”档案中的访谈数据。2011年3月至2012年1月期间,对1920年至1980年在圣乔治医院接受培训或工作的132名护士的访谈记录进行了深入分析,并通过将数据中具有相似含义的新出现的编码归为一组,归纳出主题。

结果

回首往事,护士们对鲍威尔护士长的领导有着深刻的记忆。在整个访谈过程中,她的影响力显著显现。确定了两个共鸣主题:创新和开放沟通。

结论

通过她的现身说法以及与患者和员工的直接接触,缪丽尔·鲍威尔 Dame Muriel Powell展现出了我们现在所说的变革型领导品质。她的领导营造了一种开放沟通和创新的文化,引发了组织和护理人员队伍的变革。回首往事并向历史人物学习可以加深理解,并为当今的护士领导者提供指引。

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