College of Nursing, Walden University, Minneapolis, Minnesota (Dr Losty); and UCLA Health, Santa Monica, California (Dr Bailey).
Nurs Adm Q. 2021;45(2):118-125. doi: 10.1097/NAQ.0000000000000456.
The COVID-19 crisis created unique and interesting challenges for health care systems and changed how health care professionals delivered care. Evidence suggests that leadership skills remain of utmost importance during crises as it is the leader who often determines the response of the follower. A descriptive qualitative approach was used to ascertain the essence of nurse executive leadership and innovation during the COVID-19 crisis. Nurse executives were recruited via personal invitations to participate in the study. Participants were asked about their current challenges of COVID-19 on health care delivery, their leadership style, and what innovative processes their teams deployed. Using a thematic analysis approach, 3 themes emerged and resonated from the interviews: the importance of communication; the need for leadership presence; and mental toughness. With any health care crisis, leadership is essential to guide followers. As demonstrated by these findings, communication, leadership presence, and mental toughness are 3 key components to promoting and providing quality care in an austere, complex, and changing health care environment. Further understanding of the roles of these key concepts may add insight into nurse leaders and leadership development.
新冠疫情给医疗系统带来了独特而有趣的挑战，改变了医疗专业人员提供护理的方式。有证据表明，领导力在危机期间仍然至关重要，因为领导者往往决定着追随者的反应。本研究采用描述性定性方法来确定新冠疫情期间护理管理人员的领导能力和创新的本质。通过个人邀请招募护理管理人员参与研究。要求参与者谈谈他们在医疗服务方面目前面临的新冠疫情挑战、他们的领导风格，以及他们的团队部署了哪些创新流程。通过主题分析方法，从访谈中得出了 3 个主题：沟通的重要性；领导存在的必要性；和心理韧性。在任何医疗危机中，领导力对于引导下属至关重要。正如这些发现所表明的，沟通、领导存在和心理韧性是在严峻、复杂和不断变化的医疗环境中促进和提供优质护理的 3 个关键组成部分。进一步了解这些关键概念的作用可能会深入了解护理领导者和领导力发展。
