Dearmon Valorie A, Riley Bettina H, Mestas Lisa G, Buckner Ellen B
College of Nursing, University of South Alabama (Drs Dearmon, Riley, and Buckner), and University of South Alabama Medical Center (Ms Mestas), Mobile, Alabama.
Nurs Adm Q. 2015 Jan-Mar;39(1):69-77. doi: 10.1097/NAQ.0000000000000082.
Transforming health care systems to improve quality is the responsibility of nurse executives and frontline nurses alike, yet frontline nurses are often ill-prepared to share leadership and accountability needed for transformation. The aim of this qualitative study was to describe the process used to build leadership capacity of frontline nurses engaged in resolving operational failures interrupting nursing care. The leadership development process served to bridge staff transition to shared governance. This institutional review board-approved qualitative research was designed to identify the effects of mentoring by the chief nursing officer and faculty partners on leadership development of frontline nurses working to find solutions to operational failures. Twelve nurses from 4 medical surgical units participated in a Frontline Innovations' nurse-led interdisciplinary group, which met over 18 months. Transcriptions of audiotaped meetings were analyzed for emerging process and outcome themes. The transcripts revealed a robust leadership development journey of frontline nurses engaged in process improvement. Themes that emerged from the mentoring process included engagement, collaboration, empowerment, confidence, and lifelong learning. The mentoring process provided frontline nurses the leadership foundation necessary to initiate shared governance.
转变医疗保健系统以提高质量是护士管理人员和一线护士共同的责任，然而一线护士往往没有做好充分准备来承担转型所需的领导职责和责任。这项定性研究的目的是描述用于培养参与解决干扰护理工作的操作失误的一线护士领导能力的过程。领导力发展过程有助于促进员工向共同治理的过渡。这项经机构审查委员会批准的定性研究旨在确定首席护理官和教师合作伙伴的指导对致力于寻找操作失误解决方案的一线护士领导力发展的影响。来自4个内科外科病房的12名护士参加了一个由护士主导的“一线创新”跨学科小组，该小组进行了18个月的活动。对录音会议的文字记录进行了分析，以找出新出现的过程和结果主题。文字记录揭示了参与过程改进的一线护士强大的领导力发展历程。从指导过程中出现的主题包括参与、协作、赋权、信心和终身学习。指导过程为一线护士提供了启动共同治理所需的领导基础。
