School of Nursing, Fudan University, Shanghai, China.
PICU, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.
J Nurs Manag. 2018 Sep;26(6):671-678. doi: 10.1111/jonm.12594. Epub 2018 Feb 21.
To explore leadership of Chinese nurse managers in evidence-based nursing implementation.
Despite much in the literature that highlights the significance of involving nurse managers, the qualitative nature of how their leadership practices influence the evidence implementation has not yet been fully explored.
A qualitative secondary data analysis was conducted on 15 transcripts of interviews of nurse managers from a parent grounded theory study. The method for analysis employed the directed content analysis approach, using the framework of Kouzes & Posner's Five Practices of Exemplary Leadership model.
All the leadership practice categories of Five Practices of Exemplary Leadership were observed in the data. Two additional categories "getting oneself prepared" and "keep it going" were also identified as important leadership practices of nurse managers to exhibit during evidence-based practice implementation.
This study advances the leadership model by providing validation of existing exemplars and suggests two new practices with exemplars for a better understanding of the nurse managers' role during evidence implementation.
Strategies are proposed to recognise, value and prepare nurse managers' leadership practices during evidence implementation. Emphasis should also be put on cultivating and developing individual nurses' professional practice to sustain evidence-based practice.
探讨中国护士长在循证护理实施中的领导作用。
尽管文献中有很多内容强调了让护士长参与的重要性，但他们的领导实践如何影响证据实施的性质仍然没有得到充分探索。
对一项关于护士长的扎根理论研究的 15 份访谈记录进行了定性二次数据分析。分析方法采用了有针对性的内容分析方法，使用了 Kouzes 和 Posner 的卓越领导的五种实践模式框架。
在数据中观察到了卓越领导的五种实践模式的所有领导实践类别。还确定了另外两个类别“自我准备”和“保持下去”，这也是护士长在实施循证实践时表现出的重要领导实践。
这项研究通过对现有范例的验证，推进了领导模式，并提出了两种新的范例实践，以更好地理解护士长在证据实施过程中的角色。
提出了在证据实施过程中识别、重视和准备护士长领导实践的策略。还应强调培养和发展个人护士的专业实践，以维持循证实践。
