Prinsloo Carine, Jooste Karien
School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.
Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.
Health SA. 2022 Jul 29;27:1965. doi: 10.4102/hsag.v27i0.1965. eCollection 2022.
Globally, critical care outreach services (CCOS) were implemented in health care facilities; however, compliance with guidelines is poor. The authors have noticed that a gap exists in the literature on how self-leadership might influence nurses' implementation of CCOS. Self-leadership is about leadership applied to oneself. Critical care outreach services assist nurses with the nursing care of a patient whose health is declining. Leadership is needed for the successful implementation of CCOS.
This article aims to outline the method the authors followed for developing the conceptual framework for how self-leadership amongst nurses influenced the functioning of CCOS.
The research was conducted at a private hospital in Pretoria.
A qualitative approach was followed to provide an accurate description of nurses' experiences on their self-leadership in a CCOS. The practice-oriented theory of Dickoff (1968) was the reasoning map for developing and constructing the conceptual framework.
Bedside nurses experienced the following self-leadership strategies: constructive thought patterns, natural rewards and behaviours focused on their implementation of CCOS.
The conceptual framework was part of another study and provided the authors with a rationale that guided the authors with the development of self-leadership strategies in a CCOS.
The conceptual framework provided the authors with an understanding of how nurses' self-leadership influenced the implementation of CCOS. The conceptual framework can also assist in developing training programmes for nurses to improve their self-leadership and ultimately improve nurses' competence in providing quality nursing care to patients.
在全球范围内，医疗保健机构都实施了重症监护外展服务（CCOS）；然而，对指南的遵守情况不佳。作者注意到，关于自我领导如何影响护士实施CCOS的文献存在空白。自我领导是指应用于自身的领导。重症监护外展服务协助护士对健康状况正在下降的患者进行护理。成功实施CCOS需要领导力。
本文旨在概述作者为制定护士自我领导如何影响CCOS运作的概念框架所采用的方法。
该研究在比勒陀利亚的一家私立医院进行。
采用定性方法，以准确描述护士在CCOS中自我领导方面的经历。迪科夫（1968年）的实践导向理论是开发和构建概念框架的推理图。
床边护士经历了以下自我领导策略：建设性思维模式、自然奖励以及专注于其CCOS实施的行为。
该概念框架是另一项研究的一部分，为作者提供了一种理论依据，指导作者在CCOS中制定自我领导策略。
该概念框架使作者了解护士的自我领导如何影响CCOS的实施。该概念框架还可协助制定护士培训计划，以提高他们的自我领导能力，并最终提高护士为患者提供优质护理的能力。
