Westcott Liz
Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK.
J Clin Nurs. 2016 Sep;25(17-18):2669-77. doi: 10.1111/jocn.13315. Epub 2016 Aug 8.
The aim of this study was to explore empirically the role that coaching plays in the development of nurse managers in order to inform further research and policy makers about the potential utility and value of this means of development.
There is evidence of the importance of the role of nurse managers who are first line managers of a team of nurses within any health sector. However, there appears to be little understanding of the United Kingdom wide scope of nurse manager development across the United Kingdom and the means to increase its effectiveness. At the same time, it appears that some nurse managers receive coaching to help in their development.
This is a mixed methods study, using a pragmatist paradigm.
Data was gathered from a quantitative survey and qualitative interviews. This paper is reporting the results of the qualitative interviews only. Twenty-one qualitative interviews were undertaken with nurse managers, coaches and directors of nursing to draw out their own experiences of coaching for nurse managers. Thematic analysis framework was used for data interrogation, identifying new patterns and emerging themes.
Themes that emerged from interviews include how nurse managers were introduced to coaching, how they balanced transitions, the role of reflection, the value of relationships and overlaps between clinical supervision, mentoring and coaching.
Findings show that following coaching, nurse managers gained increased resilience, confidence and better coping mechanisms. This resulted in perceived improved team management and cohesion and appeared to lead to better quality of care for patients.
This study suggests the importance of nurse managers accessing coaching, to enable transformational leadership of their teams of nurses. It suggests also the importance of organisations supporting a coaching culture, to ensure staff satisfaction, motivation and improved quality of patient care.
本研究旨在通过实证探索辅导在护士长发展过程中所起的作用,以便为进一步的研究及政策制定者提供信息,使其了解这种发展方式的潜在效用和价值。
有证据表明护士长作为任何卫生部门护士团队的一线管理者,其角色至关重要。然而,对于全英国范围内护士长发展的整体情况以及提高其有效性的方法,人们似乎了解甚少。与此同时,似乎有一些护士长接受辅导以助于自身发展。
这是一项采用实用主义范式的混合方法研究。
数据收集自定量调查和定性访谈。本文仅报告定性访谈的结果。对护士长、辅导人员及护理主任进行了21次定性访谈,以了解他们在护士长辅导方面的自身经历。采用主题分析框架对数据进行分析,识别新的模式和浮现的主题。
访谈中出现的主题包括护士长如何接触到辅导、他们如何平衡转型、反思的作用、关系的价值以及临床督导、指导和辅导之间的重叠。
研究结果表明,接受辅导后,护士长的适应力、自信心增强,应对机制更佳。这带来了团队管理和凝聚力的提升,似乎也为患者带来了更高质量的护理。
本研究表明护士长接受辅导对于实现其护士团队的变革型领导具有重要意义。同时也表明组织支持辅导文化对于确保员工满意度、积极性以及提高患者护理质量的重要性。