Connolly Megan, Jacobs Stephen, Scott Karyn
Auckland City Hospital, Auckland, New Zealand.
The University of Auckland, Auckland, New Zealand.
J Nurs Manag. 2018 Oct;26(7):881-887. doi: 10.1111/jonm.12619. Epub 2018 Apr 19.
To examine clinical leadership of registered nurses in an emergency department, based on evidence that it is important for nurses to feel psychologically and structurally empowered in order to act as clinical leaders.
Every registered nurse has the ability to act as a clinical leader. Clinical leadership is the registered nurse's behaviours that provide direction and support to patients and the team in the delivery of patient care. This study explores the connection between the need for structural and psychological empowerment and clinical leadership behaviours.
A mixed method, non-experimental survey design was used to examine the psychological empowerment, structural empowerment and clinical leadership of registered nurses working in an emergency department.
Emergency department nurses believe they show clinical leadership behaviours most of the time, even though their sense of being psychologically empowered is only moderate.
While registered nurses believe they perform clinical leadership behaviours, it is also clear that improvements in structural and psychological empowerment would improve their ability to act as clinical leaders.
The results show that for nurses to be able to provide clinical leadership to their patients and colleagues, management must create empowering environments.
基于护士在心理和结构上获得授权对于其担任临床领导者至关重要这一证据，考察急诊科注册护士的临床领导力。
每位注册护士都有能力担任临床领导者。临床领导力是指注册护士在提供患者护理时为患者和团队提供指导与支持的行为。本研究探讨结构和心理授权需求与临床领导行为之间的联系。
采用混合方法、非实验性调查设计，考察急诊科注册护士的心理授权、结构授权和临床领导力。
急诊科护士认为他们大部分时间都表现出临床领导行为，尽管他们的心理授权感仅为中等水平。
虽然注册护士认为他们履行了临床领导行为，但同样明显的是，结构和心理授权的改善将提高他们担任临床领导者的能力。
结果表明，为使护士能够为患者和同事提供临床领导，管理层必须营造授权环境。
