School of People & Heathcare Studies, Fontys University of Applied Sciences, Eindhoven, The Netherlands.
Division of Nursing, Queen Margaret University, Edinburgh, UK.
J Clin Nurs. 2018 Aug;27(15-16):3056-3069. doi: 10.1111/jocn.14492.
How does person-centred leadership manifest in clinical nursing.
Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and health care, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing.
A 3-year participatory action research study where participant leaders planned, researched and learned from their practice development.
After an orientation phase, four action spirals focused on: critical and creative reflective inquiries into leadership practice change; leading the implementation and evaluation of a new nursing system; facilitating storytelling sessions with staff; and annually reflecting on personal leadership change. Multiple data gathering methods offered insight into leadership development from several perspectives.
Critical and creative thematic data analysis revealed a set of attributes, relational processes and contextual factors that influenced the being and becoming of a person-centred leader. Comparing the findings with nursing leadership literature supports a conceptual framework for person-centred leadership.
Person-centred leadership is a complex, dynamic, relational and contextualised practice that aims to enable associates and leaders achieve self-actualisation, empowerment and well-being.
This study and its conceptual framework is of relevance to practitioners, educationalists and researchers interested in developing a relational approach to nurse leadership and person-centred cultures.
以人为中心的领导方式如何在临床护理中体现。
以人为中心的实践促进了健康的人际关系，在护理和医疗保健领域越来越受到关注，但对于以人为中心的领导方法对实践的影响知之甚少。大多数在护理中使用的领导模式最初都是在护理之外开发的。
一项为期 3 年的参与式行动研究，参与者领导在计划、研究和从实践发展中学习。
在一个定位阶段之后，四个行动螺旋集中在：对领导实践变革的批判性和创造性反思性探究；领导新护理系统的实施和评估；促进员工的故事讲述会议；以及每年反思个人领导变革。多种数据收集方法从多个角度深入了解领导力发展。
批判性和创造性的主题数据分析揭示了一系列影响以人为中心领导者的存在和发展的属性、关系过程和背景因素。将这些发现与护理领导文献进行比较，支持了以人为中心领导的概念框架。
以人为中心的领导是一种复杂、动态、关系和背景化的实践，旨在使同事和领导者实现自我实现、赋权和幸福感。
这项研究及其概念框架与对发展护士领导的关系方法和以人为中心的文化感兴趣的从业者、教育者和研究人员有关。
