Clínica Universidad de Navarra, Madrid, Spain.
Clínica Universidad de Navarra, Pamplona, Spain.
J Nurs Manag. 2022 May;30(4):913-925. doi: 10.1111/jonm.13570. Epub 2022 Mar 15.
This study aims to identify the most effective interventions to facilitate nurses' clinical leadership in the hospital setting.
There is a gap in the literature on the identification and measurement of effective interventions for leadership skill development among clinical nurses in hospitals. To the best of our knowledge, no systematic review has been performed on this issue.
A systematic review was conducted. The PubMed, CINAHL, PsycINFO and Cochrane databases were reviewed. Data extraction, quality appraisal and narrative synthesis were conducted in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
The evidence reveals that interventions designed to promote nurses' clinical leadership are complex, requiring that cognitive, interpersonal and intrinsic competencies as well as psychological empowerment, emotional intelligence and critical reflexivity skills be addressed.
The development of multicomponent, theory-based and mixed-format programmes may be more suitable to facilitate nurses' clinical leadership in the hospital setting.
Strategies to facilitate nurses' clinical leadership in the hospital setting should address simultaneously the knowledge and ability of bedsides nurses to solve the practical problem collaboratively with a sense of control, competency and autonomy. Hence, it would promote high quality care, satisfaction and retention of bedside nurses.
本研究旨在确定最有效的干预措施，以促进医院环境中护士的临床领导力。
在确定和衡量医院临床护士领导力技能发展的有效干预措施方面，文献存在空白。据我们所知，尚未对此问题进行系统评价。
进行了系统评价。检索了 PubMed、CINAHL、PsycINFO 和 Cochrane 数据库。根据系统评价和荟萃分析的首选报告项目（PRISMA）指南进行了数据提取、质量评估和叙述性综合。
证据表明，旨在促进护士临床领导力的干预措施很复杂，需要解决认知、人际关系和内在能力以及心理授权、情绪智力和批判性反思技能。
开发多组件、基于理论和混合格式的计划可能更适合促进医院环境中的护士临床领导力。
促进医院环境中护士临床领导力的策略应同时解决床边护士的知识和能力，以便与控制感、能力和自主性一起共同解决实际问题。因此，它将促进高质量的护理、满意度和床边护士的留用。
