Al Anwer Ashour Heba Mohamed, Banakhar Maram Ahmed, Elseesy Naglaa Abd Elaziz
Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Department of Public Health Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
Int J Nurs Sci. 2022 Jun 28;9(3):357-363. doi: 10.1016/j.ijnss.2022.06.017. eCollection 2022 Jul.
This study aimed to investigate clinical leadership behaviors among critical care nurses and compare the differences between nurses in private and public hospitals.
A cross-sectional survey including 365 critical care nurses with a bachelor's degree in nursing science were recruited in two Egyptian hospitals (a government teaching hospital and one private hospital from January to March 2019. A socio-demographic characteristics form and the Clinical Leadership Behaviors Questionnaire (CLB-Q) were used to collect data. For comparison and analysis, the mean score was calculated and converted to a percentage value.
Results showed that the overall mean score of nurses' clinical leadership behaviors was 77.11 ± 11.87, the level was higher, and the highest score of the communication dimension was 91.84 ± 7.38. The mean score of nurses at a private hospital (90.48 ± 5.53) was higher than that at a government teaching hospital (68.29 ± 4.21) ( < 0.001). On nursing experience, nurses with 5-10 years had higher mean score in self-awareness, advocacy and empowerment, decision making, quality and safety, teamwork, and clinical excellence dimension of clinical leadership behavior than those who worked less than 5 years or more than 10 years ( < 0.01). Single nurses had higher mean score in advocacy and empowerment, decision making, quality and safety, and clinical excellence dimension of clinical leadership behavior than those who married ( < 0.01).
Nurse managers should foster clinical leadership by enabling critical care nurses to practice clinical excellence and encouraging their attendance in training programs on quality and safety. Nurses in government hospitals need improvement in clinical leadership behaviors regarding all dimensions.
本研究旨在调查重症监护护士的临床领导行为，并比较私立医院和公立医院护士之间的差异。
2019年1月至3月，在埃及的两家医院（一家政府教学医院和一家私立医院）招募了365名拥有护理学学士学位的重症监护护士进行横断面调查。使用社会人口学特征表格和临床领导行为问卷（CLB-Q）收集数据。为了进行比较和分析，计算平均得分并转换为百分比值。
结果显示，护士临床领导行为的总体平均得分为77.11±11.87，水平较高，沟通维度得分最高，为91.84±7.38。私立医院护士的平均得分（90.48±5.53）高于政府教学医院护士（68.29±4.21）（<0.001）。在护理经验方面，工作5至10年的护士在临床领导行为的自我意识、倡导与赋权、决策、质量与安全、团队合作以及临床卓越维度上的平均得分高于工作年限少于5年或超过10年的护士（<0.01）。单身护士在临床领导行为的倡导与赋权、决策、质量与安全以及临床卓越维度上的平均得分高于已婚护士（<0.01）。
护士长应通过使重症监护护士实践临床卓越并鼓励他们参加质量与安全培训项目来培养临床领导力。政府医院的护士在临床领导行为的各个维度上都需要改进。
