Columbia University School of Nursing, New York, New York.
MGH Institute of Health Professions, Boston, Massachusetts.
J Nurs Manag. 2018 Nov;26(8):1066-1073. doi: 10.1111/jonm.12636. Epub 2018 Aug 20.
This study investigated transformational leadership from the perspectives of primary care nurse practitioners.
The growing workforce of nurse practitioners in the United States could play a critical role in meeting the increasing demand for primary care. Little is known about how leadership within primary care practices could promote nurse-practitioner care. Transformational leadership is a widely recognized leadership style that affects clinician practice and outcomes.
A cross-sectional survey design was used to collect data from nurse practitioners in New York state in 2012. The online survey containing measures of nurse practitioners and leadership relationships was completed by 278 nurse practitioners.
The four factors of transformational leadership-idealized influence, inspirational motivation, intellectual stimulation, and individual consideration-were recognized by nurse practitioners. Almost half of nurse practitioners reported that leadership did not share information equally between nurse practitioners and physicians (idealized influence), and 45.9% reported that nurse practitioners were not represented on important organisational committees (intellectual stimulation).
Transformational leadership can be applied to promote nurse practitioner practice in primary care. Future research should explore how transformational leadership affects nurse practitioner care and outcomes.
Leaders in primary care practices should consider applying transformational leadership principles to promote nurse practitioner practice.
本研究从初级保健护士从业者的角度探讨了变革型领导。
美国日益增长的护士从业者劳动力可能在满足对初级保健日益增长的需求方面发挥关键作用。关于初级保健实践中的领导力如何促进护士从业者的护理，知之甚少。变革型领导是一种广泛认可的领导风格，它影响着临床医生的实践和结果。
2012 年，采用横断面调查设计，从纽约州的护士从业者中收集数据。在线调查包含了护士从业者和领导关系的测量，共有 278 名护士从业者完成了调查。
护士从业者认可变革型领导的四个因素——理想化影响、激励动机、智力激发和个体关怀。近一半的护士从业者报告称，领导没有在护士从业者和医生之间平等地分享信息（理想化影响），45.9%的护士从业者报告说护士从业者没有代表参加重要的组织委员会（智力激发）。
变革型领导可以应用于促进初级保健中的护士从业者实践。未来的研究应该探讨变革型领导如何影响护士从业者的护理和结果。
初级保健实践中的领导者应该考虑应用变革型领导原则来促进护士从业者的实践。
