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护士领导行为对护理质量及患者结局的影响。

The Effect of Nurses' Leadership Behavior on the Quality of Nursing Care and Patient Outcomes.

作者信息

Akbiyik Ayse, Akin Korhan Esra, Kiray Servet, Kirsan Merve

出版信息

Creat Nurs. 2020 Feb 1;26(1):e8-e18. doi: 10.1891/1078-4535.26.1.e8.

Abstract

OBJECTIVE

The effect of nursing management styles on patient outcomes and the quality of nursing care (QNC) has recently become a topic of discussion. This review was conducted to examine the effects of leadership styles or behaviors on QNC and on patient outcomes.

METHODS

13 research studies published between 1 January 2010 and 31 May 2016 which conformed to the inclusion criteria were reviewed.

RESULTS

The effects of nursing leaders' leadership styles or behaviors were examined in studies on patient mortality, QNC from the perspective of nurses, patient satisfaction, unwanted/adverse events, health-care-associated infections, pressure ulcers, falls, unwanted weight loss, hospital readmissions, mismanagement of feeding tubes, and inadequacies in daily nursing care.

CONCLUSIONS

Relationship-focused leadership behaviors directly or indirectly improved patient outcomes and raised the QNC compared with task-focused leadership behaviors.

摘要

目的

护理管理方式对患者预后及护理质量(QNC)的影响近来已成为一个讨论话题。本综述旨在探讨领导风格或行为对护理质量及患者预后的影响。

方法

对2010年1月1日至2016年5月31日期间发表的13项符合纳入标准的研究进行综述。

结果

在关于患者死亡率、护士视角的护理质量、患者满意度、不良/有害事件、医疗相关感染、压疮、跌倒、非意愿性体重减轻、医院再入院、饲管管理不当以及日常护理不足等研究中,考察了护理领导者的领导风格或行为的影响。

结论

与任务导向型领导行为相比,关系导向型领导行为直接或间接改善了患者预后并提高了护理质量。

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