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护理领导力在危机中的体验:一种阐释现象学研究。

The experience of nursing leadership in a crisis: A hermeneutic phenomenological study.

机构信息

Nelda C. Stark College of Nursing, Texas Woman's University, Houston, TX, USA.

Memorial Hermann The Woodlands Medical Center, Houston, TX, USA.

出版信息

J Nurs Manag. 2021 Sep;29(6):1535-1543. doi: 10.1111/jonm.13310. Epub 2021 Apr 6.

Abstract

AIM

This study aimed to understand nursing leaders' experience during the pandemic.

BACKGROUND

COVID-19 is a public health crisis that affects every nation in the world.

METHODS

Purposeful sampling was used to recruit 28 leaders in a large health care system. Data were collected via semi-structured audiotaped interviews. Results were analysed using hermeneutic phenomenology.

RESULTS

The structure in which leaders worked was described as: from the day-to-day grind to derailment and from manning the hospital to manning the frontlines. Five phenomenological themes were as follows: embodied leadership, navigating differently, trusting and earning trust, being the calm voice and envisioning the future.

CONCLUSION

Disaster policies and procedures are needed that will alleviate leadership angst, maximize nursing resources, heighten trust and enhance communications.

IMPLICATIONS FOR NURSING MANAGEMENT

In 2020, we witnessed a previously inconceivable media and public focus on the value of nursing care. Leaders can use this pivotal moment in time as a catalyst towards securing the support needed in planning for the next pandemic.

摘要

目的

本研究旨在了解疫情期间护理领导者的经验。

背景

COVID-19 是一场影响世界上每个国家的公共卫生危机。

方法

采用目的性抽样方法招募了一家大型医疗保健系统中的 28 名领导者。通过半结构化录音访谈收集数据。使用解释现象学对结果进行分析。

结果

领导者工作的结构被描述为:从日常的辛苦工作到脱轨,从管理医院到管理前线。五个现象学主题如下:体现领导力、以不同的方式进行导航、信任和赢得信任、保持冷静的声音和展望未来。

结论

需要制定灾害政策和程序,以减轻领导焦虑,最大限度地利用护理资源,增强信任和加强沟通。

对护理管理的影响

2020 年,我们看到了媒体和公众对护理价值前所未有的关注。领导者可以将这个关键时刻用作催化剂,为下一次大流行做好规划所需的支持。

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