André Beate, Jacobsen Frode F, Haugan Gørill
Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), 7491, Trondheim, Norway.
NTNU Center for Health Promotion Research, 7491, Trondheim, Norway.
BMC Nurs. 2022 Mar 29;21(1):73. doi: 10.1186/s12912-022-00850-0.
Nursing homes are under strong pressure to provide good care to the patients. In Norway, municipalities have applied the 'Joy-of-Life-Nursing-Homes' (JoLNH) strategy which is based on a health-promoting approach building on the older persons' resources. Meanwhile job satisfaction is closely related to less intention to leave, less turnover and reduced sick leave. The knowledge about adjustable influences related with job satisfaction might help nursing home leaders to minimize turnover and preserve high quality of care. This study explores leadership in Norwegian nursing homes with and without implementation of JoLNH: How does leadership influence the work environment and how is leadership experienced in JoLNH compared to ordinary Nursing Homes?
We used a qualitative approach and interviewed 19 health care personnel working in nursing homes in two Norwegian municipalities. The analysis was conducted following Kvale's approach to qualitative analysis.
The main categories after the data condensing were [1] the importance of leadership, and [2] the importance of leadership for the work environment in a municipality with (a) and without (b) an implementation of the JoLNH strategy.
The health care personnel in the municipality with an implementation of JoLNH emphasize that the leader's influence may lead to increased motivation among the staff and better control of changes and implementation processes. Our findings may indicate that the employee from a JoLNH municipality experience a more trustful relationship to the leader.
养老院在为患者提供优质护理方面面临巨大压力。在挪威，各市采用了“生活乐趣养老院”（JoLNH）策略，该策略基于一种以老年人资源为基础的促进健康的方法。同时，工作满意度与较低的离职意愿、较少的人员流动和减少的病假密切相关。了解与工作满意度相关的可调节影响因素可能有助于养老院领导减少人员流动并保持高质量的护理。本研究探讨了挪威实施和未实施JoLNH的养老院中的领导力：领导力如何影响工作环境，与普通养老院相比，在JoLNH中领导力的体验如何？
我们采用定性方法，采访了挪威两个市养老院的19名医护人员。分析按照克瓦尔的定性分析方法进行。
数据浓缩后的主要类别为[1]领导力的重要性，以及[2]在实施（a）和未实施（b）JoLNH策略的市中，领导力对工作环境的重要性。
实施JoLNH的市中的医护人员强调，领导者的影响可能会提高员工的积极性，并更好地控制变革和实施过程。我们的研究结果可能表明，来自实施JoLNH的市的员工与领导者之间的关系更具信任度。
