CQUniversity Australia, Brisbane, QLD, Australia.
CQUniversity Australia, Rockhampton, QLD, Australia.
J Clin Nurs. 2018 Nov;27(21-22):3872-3881. doi: 10.1111/jocn.14565. Epub 2018 Jul 24.
The aim of this literature review is to synthesise and analyse the literature pertinent to the RN's competence and confidence to undertake the leadership role when working in residential aged care facilities after-hours and to determine any association of leadership with quality resident outcomes.
Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016). Researchers have commented that effective nurse leadership can improve quality of care, improved resident outcomes and reduce adverse events.
A review of original research papers based on the structured methodology described by Kable, Pich, and Maslin-Prothero (Nurse Education Today, 32, 2012, 878-886).
The review was conducted according to the 12-step structured framework by Kable et al. (Nurse Education Today, 32, 2012, 878-886). The search included peer-reviewed papers published between 2002-2017 on RN leadership after-hours, factors contributing to or with relationships to nursing leadership. Nineteen papers were found that researched the impact of leadership in aged care settings.
The literature review concluded that nursing leadership has been linked to the quality of care and clinical outcomes in the aged care setting. However, RNs in the aged care setting have limited opportunities to develop key leadership competencies and confidence in order to meet the many challenges found in this environment due to lack of access to aged-care-specific leadership education. Minimal publications address the importance of the leadership of after-hours RNs. Results from this literature review will inform future research in this area.
Nineteen papers identified the leadership required of RNs in aged care settings. However, limited research investigating the association between nursing leadership and clinical outcomes was found. The findings from this literature review suggest that leadership in the aged care setting may be facilitated through specific educational activities such as RN shadowing shifts, continuing professional development, working with peers and by demonstrating and practising leadership competencies. Based on the literature reviewed, a need for more research in this area is required. In a specific manner, research into RN leadership, competence and confidence in aged care facilities after-hours is needed.
Registered nurses working in the aged care setting after-hours need access to leadership education. Better quality of care, improved resident outcomes and reduced adverse events are associated with sound leadership.
本文献综述的目的是综合分析与注册护士（RN）在住宅老年护理机构夜间工作时的领导能力和信心相关的文献，并确定领导力与居民护理结果之间的任何关联。
在住宅老年护理机构工作的注册护士需要承担复杂的管理任务，包括领导护理团队、监督非护理人员以及根据居民的护理需求、员工技能和经验分配工作量。注册护士根据《护理标准实践》（2016 年）规划、评估、管理药物、评估每位居民的护理情况、与医生和联合健康专业人员联络，并负责循证实践。研究人员评论说，有效的护士领导可以提高护理质量、改善居民的结果并减少不良事件。
基于 Kable、Pich 和 Maslin-Prothero（Nurse Education Today，32，2012，878-886）描述的结构化方法对原始研究论文进行综述。
该综述按照 Kable 等人（Nurse Education Today，32，2012，878-886）提出的 12 步结构化框架进行。搜索包括 2002-2017 年间发表的关于 RN 夜间领导能力、对护理领导有贡献或有影响的因素的同行评审论文。发现了 19 篇研究老年护理环境中领导能力影响的论文。
文献综述的结论是，护理领导能力与老年护理环境中的护理质量和临床结果有关。然而，由于缺乏对老年护理特定领导力教育的机会，RN 在老年护理环境中发展关键领导能力和信心的机会有限，无法满足该环境中的许多挑战。很少有出版物关注夜间 RN 领导能力的重要性。本文献综述的结果将为该领域的未来研究提供信息。
19 篇论文确定了老年护理环境中 RN 所需的领导能力。然而，发现的调查护理领导与临床结果之间关联的研究有限。本文献综述的结果表明，通过特定的教育活动，如 RN 跟随轮班、持续专业发展、与同事合作以及展示和实践领导能力，可能会促进老年护理环境中的领导。基于综述的文献，该领域需要更多的研究。具体来说，需要研究夜间在老年护理机构中 RN 的领导能力、能力和信心。
夜间在老年护理机构工作的注册护士需要获得领导力教育。更好的护理质量、改善的居民结果和减少的不良事件与良好的领导力相关。
