Van Bogaert Peter, Peremans Lieve, de Wit Marlinde, Van Heusden Danny, Franck Erik, Timmermans Olaf, Havens Donna S
Division of Nursing and Midwifery Sciences, Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, University of Antwerp Antwerp, Belgium ; Department of Nursing, Antwerp University Hospital Antwerp, Belgium.
Division of Nursing and Midwifery Sciences, Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, University of Antwerp Antwerp, Belgium.
Front Psychol. 2015 Oct 14;6:1585. doi: 10.3389/fpsyg.2015.01585. eCollection 2015.
To study nurse managers' perceptions and experiences of staff nurse structural empowerment and its impact on the nurse manager leadership role and style.
Nurse managers' leadership roles may be viewed as challenging given the complex needs of patients and staff nurses' involvement in both clinical and organizational decision-making processes in interdisciplinary care settings.
Qualitative phenomenological study.
Individual semi-structured interviews were conducted with 8 medical or surgical nurse managers in a 600-bed Belgian university hospital between December 2013 and June 2014. This hospital was undergoing conversion from a classical hierarchical, departmental structure to a flat, interdisciplinary model.
Nurse managers were found to be familiar with the structural empowerment of clinical nurses in the hospital and to hold positive attitudes toward it. They confirmed the positive impact of empowerment on their staff nurses, as evidenced by increased responsibility, autonomy, critical reflection and enhanced communication skills that in turn improved the quality and safety of patient care. Structural empowerment was being supported by several change initiatives at both the unit and hospital levels. Nurse managers' experiences with these initiatives were mixed, however, because of the changing demands with regard to their manager role and leadership style. In addition, pressure was being experienced by both staff nurses and nurse managers as a result of direct patient care priorities, tightly scheduled projects and miscommunication.
Nurse managers reported that structural empowerment was having a favorable impact on staff nurses' professional attitudes and the safety and quality of care in their units. However, they also reported that the empowerment process had led to changes in the managers' roles as well as daily practice dilemmas related to the leadership styles needed. Clear organizational goals and dedicated support for both clinical nurses and nursing unit managers are imperative to maintaining an empowering practice environment which can ensure the best care and healthy, engaged staff.
研究护士长对护士结构赋权的认知与体验，及其对护士长领导角色和领导风格的影响。
鉴于患者的复杂需求以及护士参与跨学科护理环境中的临床和组织决策过程，护士长的领导角色可能被视为具有挑战性。
质性现象学研究。
2013年12月至2014年6月期间，对比利时一家拥有600张床位的大学医院的8名内科或外科护士长进行了个人半结构式访谈。该医院正在从传统的层级式部门结构转变为扁平化的跨学科模式。
发现护士长熟悉医院临床护士的结构赋权，并对其持积极态度。他们证实了赋权对其护士的积极影响，表现为责任感增强、自主性提高、批判性反思能力提升以及沟通技能增强，进而改善了患者护理的质量和安全性。结构赋权得到了科室和医院层面多项变革举措的支持。然而，由于对护士长角色和领导风格的要求不断变化，护士长对这些举措的体验喜忧参半。此外，由于直接的患者护理优先级、紧凑的项目安排和沟通不畅，护士和护士长都感受到了压力。
护士长报告称，结构赋权对护士的职业态度以及科室护理的安全性和质量产生了积极影响。然而，他们也报告称，赋权过程导致了护士长角色的变化以及与所需领导风格相关的日常实践困境。明确的组织目标以及对临床护士和护理单元管理者的专门支持对于维持一个能确保最佳护理以及员工健康且积极投入工作的赋权实践环境至关重要。
