Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Department of Social Services and Health Care, City of Helsinki, Finland.
J Nurs Manag. 2021 Sep;29(6):1398-1409. doi: 10.1111/jonm.13377. Epub 2021 May 26.
To identify the interventions for strengthening professional nursing governance and describe their outcomes.
The ever-changing health care environment requires empowering governance structures and shared decision-making. The costly nature of reshaping governance makes the identification of effective interventions vital.
An integrative review was carried out between January 2007 and May 2020 in the CINAHL, PubMed, Scopus, PsycINFO, Business source, Cochrane and Medic databases. The quality of the 12 included studies was evaluated with the Joanna Briggs Institute critical appraisal tools.
Eight studies reported that the implemented interventions had positively influenced organisation regarding creating positive work environments, building new leadership competencies and increasing personnel's ability to take part in decision-making. The overall quality of the evidence was judged to be moderate.
Comprehensive decision-making structures, efficient teamwork and transformational leadership competencies among nurse leaders enable personnel to participate in decision-making. Further research is needed to identify the most effective interventions for improving professional governance.
Nurse leaders have to ensure that personnel have adequate opportunities to congregate and decide over matters concerning their work. Positive organisational climate and relational leadership style, along with highly functioning teams, are important prerequisites to nursing councils producing the desired outcomes.
确定加强专业护理治理的干预措施，并描述其结果。
不断变化的医疗保健环境需要赋权治理结构和共享决策。重塑治理的成本高昂，因此确定有效的干预措施至关重要。
在 2007 年 1 月至 2020 年 5 月期间，在 CINAHL、PubMed、Scopus、PsycINFO、Business source、Cochrane 和 Medic 数据库中进行了综合审查。使用 Joanna Briggs 研究所的批判性评估工具评估了 12 项纳入研究的质量。
八项研究报告称，所实施的干预措施对组织产生了积极影响，创造了积极的工作环境，培养了新的领导能力，并提高了人员参与决策的能力。证据的总体质量被评为中等。
全面的决策结构、高效的团队合作和护士领导者的变革型领导能力使人员能够参与决策。需要进一步研究以确定改善专业治理的最有效干预措施。
护士领导者必须确保人员有足够的机会聚集在一起，对与工作相关的事项做出决定。积极的组织氛围和关系领导风格，以及运作良好的团队，是护理委员会产生预期结果的重要前提条件。
