“观察艺术家工作”：临床护理工作场所中的审美领导力
'Watching an artist at work': aesthetic leadership in clinical nursing workplaces.
作者信息
Mannix Judy, Wilkes Lesley, Daly John
机构信息
School of Nursing & Midwifery, University of Western Sydney, Sydney, NSW, Australia.
School of Nursing & Midwifery, University of Western Sydney/Nepean Blue Mountains Local Health District, Penrith, NSW, Australia.
出版信息
J Clin Nurs. 2015 Dec;24(23-24):3511-8. doi: 10.1111/jocn.12956. Epub 2015 Sep 30.
AIMS AND OBJECTIVES
To explore how clinical leaders enact aesthetic leadership in clinical nursing workplaces.
BACKGROUND
Clinical leadership is heralded as vital for safe and effective nursing. Different leadership styles have been applied to the clinical nursing workplace over recent years. Many of these styles lack an explicit moral dimension, instead focusing on leader qualities and developing leader competence around team building, quality and safety. Aesthetic leadership, with its explicit moral dimension, could enhance clinical leadership effectiveness and improve nursing workplaces. How aesthetic leadership is enacted in clinical nursing settings requires exploration.
DESIGN
A qualitative design, employing conversation-style interviews with experienced registered nurses and written responses gathered from an online descriptive survey.
METHODS
Narrative data were gathered from interviews with 12 registered nurses and written accounts from 31 nurses who responded to an online survey. Together, transcribed interview data and the written accounts were subject to thematic analysis.
RESULTS
Three main themes emerged: Leading by example: 'be seen in the clinical area'; Leading with composure: 'a sense of calm in a hideous shift'; and Leading through nursing values: 'create an environment just by your being'.
CONCLUSIONS
Aesthetic leadership was shown to enhance clinical leadership activities in the nursing workplace. The capacity for clinical leaders to be self-reflective can positively influence the nursing workplace. It was apparent that clinical leader effectiveness can be enhanced with nursing values underpinning leadership activities and by being a visible, composed role model in the clinical workplace.
RELEVANCE TO CLINICAL PRACTICE
Aesthetic leadership can enhance clinical nursing workplaces with its explicit moral purpose and strong link to nursing values. Clinical leaders who incorporate these attributes with being a visible, composed role model have the capacity to improve the working lives of nurses across a range of clinical settings.
目的与目标
探讨临床领导者如何在临床护理工作场所践行审美领导力。
背景
临床领导力被视为安全有效护理的关键。近年来，不同的领导风格已应用于临床护理工作场所。其中许多风格缺乏明确的道德维度，而是侧重于领导者素质以及围绕团队建设、质量和安全培养领导者能力。具有明确道德维度的审美领导力可以提高临床领导效能并改善护理工作场所。审美领导力在临床护理环境中是如何践行的需要进行探索。
设计
一种定性设计，采用对经验丰富的注册护士进行对话式访谈以及从在线描述性调查中收集书面回复的方式。
方法
从对12名注册护士的访谈和31名回复在线调查的护士的书面描述中收集叙事数据。转录后的访谈数据和书面描述共同进行主题分析。
结果
出现了三个主要主题：以身作则：“在临床区域被看到”；沉着领导：“在可怕的轮班中保持冷静”；通过护理价值观领导：“仅通过你的存在创造一种氛围”。
结论
审美领导力被证明可以增强护理工作场所的临床领导活动。临床领导者进行自我反思的能力可以对护理工作场所产生积极影响。很明显，以护理价值观为领导活动的基础，并在临床工作场所成为一个可见、沉着的榜样，可以提高临床领导者的效能。
与临床实践的相关性
审美领导力以其明确的道德目的和与护理价值观的紧密联系，可以改善临床护理工作场所。将这些特质与成为一个可见、沉着的榜样相结合的临床领导者有能力改善各类临床环境中护士的工作生活。
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