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与在医疗机构工作了 25 年的领导者进行领导成员交换。

Leader-member exchanges with leaders who have worked for 25 years in health institutions.

机构信息

Department for Health, University college in Moldes, Molde, Norway.

Faculty of Education and Welfare Studies, Åbo Akademi University, Turku, Finland.

出版信息

Nurs Open. 2023 Jun;10(6):3659-3665. doi: 10.1002/nop2.1616. Epub 2023 Jan 29.

DOI:10.1002/nop2.1616
PMID:36710388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10170889/
Abstract

AIM

The aim is to investigate long-term leader experiences with leader- member exchanges (LMX) over 25 years. Leader-member exchanges focus on relational power and communication exchanges between leaders and employees when they communicate with each other or perform an action.

DESIGN

This qualitative study is characterized by a phenomenological hermeneutical design and is based on the informants' interpretation and construction of meaning.

METHOD

A qualitative study with eight interviews with supreme nurse leaders from the Norwegian and Finnish health care services.

RESULT

The data analysis and interpretation show that relationships are built through trust, dialogue and confirmation and are affected by other contextual aspects such as the organizational size or workload and human factors such as safety, angst, and self-esteem. The informants fight for their subordinates. Interprofessional management and obtaining good relations with the doctors was challenging. No Patient or Public Contribution.

摘要

目的

旨在调查 25 年来领导者在领导-成员交换(LMX)方面的长期经验。领导-成员交换侧重于领导者和员工在相互沟通或采取行动时的关系权力和沟通交流。

设计

本定性研究的特点是现象学解释学设计,并基于信息提供者对意义的解释和构建。

方法

一项对来自挪威和芬兰卫生保健服务的八位最高护士领导者的定性研究,采用了 8 次访谈。

结果

数据分析和解释表明,关系是通过信任、对话和确认建立起来的,并受到其他背景方面的影响,如组织规模或工作量,以及安全、焦虑和自尊等人为因素。这些受访者为他们的下属而战。跨专业管理并与医生建立良好关系具有挑战性。无患者或公众贡献。

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Nurse leaders' changing roles over 25 years: a qualitative study.25 年来护士领导者角色的变化:一项定性研究。
Leadersh Health Serv (Bradf Engl). 2022 Aug 3;ahead-of-print(ahead-of-print). doi: 10.1108/LHS-03-2022-0025.
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Using Benner's model of clinical competency to promote nursing leadership.运用本纳的临床能力模型来促进护理领导力。
Nurs Manag (Harrow). 2020 Mar 26;27(2):33-41. doi: 10.7748/nm.2020.e1911. Epub 2020 Mar 19.
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Characterising and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period.基于访谈的研究中样本量充足性的特征描述和论证:对 15 年来定性健康研究的系统分析。
BMC Med Res Methodol. 2018 Nov 21;18(1):148. doi: 10.1186/s12874-018-0594-7.