Department of surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
J Adv Nurs. 2023 Mar;79(3):1044-1055. doi: 10.1111/jan.15329. Epub 2022 Jun 24.
To explore and describe hospital nurses' perceptions of leadership behaviours in facilitating patient participation in fundamental care.
An ethnographic interview study.
Individual semi-structured interviews with 12 nurses with a bachelor's or master's degree working at a university medical centre were conducted between February and April 2021. The interview data were analysed using thematic analysis.
Six themes were derived from the data: (1) nursing leadership; (2) patient participation; (3) using patients' preferences; (4) building relationships; (5) task-focused nursing; (6) need for role modelling.
Nurses indicated leadership behaviour to facilitate patient participation in fundamental care as inviting patients to participate and eliciting and supporting patients' preferences. Although nurses also regarded leadership as motivating colleagues to act and enhancing evidence-based practice, they appeared not to practise this themselves about patient participation. Role modelling was indicated as a need for improvement.
The findings established that not all leadership behaviours mentioned were used in practice about patient participation in fundamental care. Role modelling and the use of evidence-based practice are needed to increase patient participation. Further research will be necessary to develop and test leadership interventions to improve patient participation in fundamental care.
探索并描述医院护士对促进患者参与基本护理的领导行为的看法。
人种学访谈研究。
2021 年 2 月至 4 月，对在一所大学医学中心工作的 12 名具有学士或硕士学位的护士进行了个人半结构化访谈。使用主题分析对访谈数据进行分析。
从数据中得出了六个主题：（1）护理领导力；（2）患者参与；（3）利用患者的偏好；（4）建立关系；（5）以任务为中心的护理；（6）需要树立榜样。
护士表示，领导行为可以促进患者参与基本护理，包括邀请患者参与、引出并支持患者的偏好。尽管护士还将领导力视为激励同事采取行动和增强循证实践，但他们似乎并没有在患者参与方面实践这一点。榜样作用被认为是需要改进的。
研究结果表明，并非所有提到的领导行为都在基本护理中患者参与的实践中得到应用。需要树立榜样和使用循证实践来增加患者参与。需要进一步研究以开发和测试领导力干预措施，以改善基本护理中的患者参与。
