Shillam Casey R, MacLean Lola
Associate Dean of Baccalaureate Education (Dr Shillam) and FNP/DNP student (Ms MacLean), School of Nursing, University of Portland, Portland, Oregon.
Nurs Adm Q. 2018 Apr/Jun;42(2):150-153. doi: 10.1097/NAQ.0000000000000276.
As the largest segment of the health care workforce, nurses have the greatest potential for advancing systems and services to improve health care delivery in the United States. This article presents a framework for nurse administrators to use in developing direct care nurses in their leadership influence competency as a means of increasing their advocacy potential. A systematic review resulted in establishing a nurse leadership influence framework based on the Kouzes and Posner leadership model. The framework includes leadership competencies by nursing professional organizations and was validated by 2 national nurse leader focus groups. Nurse administrators have the opportunity to adopt an evidence-based leadership influence framework to ensure development of advocacy competency in direct care nurses. The impact of nurse administrators systematically adopting a standardized leadership influence framework will result in setting a strong foundation for nurse advocacy. Successful long-term impacts will result in nurses skillfully integrating leadership influence and advocacy into all aspects of daily practice.
作为医疗保健劳动力的最大组成部分，护士在推进美国医疗保健系统和服务以改善医疗保健服务方面具有最大潜力。本文提出了一个框架，供护士管理人员用于培养直接护理护士的领导影响力能力，以此作为提高其倡导潜力的一种手段。一项系统综述促成了基于科兹斯和波斯纳领导模型建立护士领导影响力框架。该框架包括护理专业组织的领导能力，并得到了两个全国护士领导者焦点小组的验证。护士管理人员有机会采用基于证据的领导影响力框架，以确保培养直接护理护士的倡导能力。护士管理人员系统地采用标准化领导影响力框架的影响将为护士倡导奠定坚实基础。成功的长期影响将使护士能够巧妙地将领导影响力和倡导融入日常实践的各个方面。
