Prinsloo Carine
School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.
SAGE Open Nurs. 2023 Apr 17;9:23779608231167804. doi: 10.1177/23779608231167804. eCollection 2023 Jan-Dec.
Nurses are responsible for monitoring and providing nursing care to patients. The early detection of a patient who is starting to deteriorate - and the activation of critical care outreach services (CCOS) - can improve patient outcomes. However, the literature indicates that CCOS are underutilised. Self-leadership is a process whereby persons influence their own behaviour.
The purpose of this study was to develop strategies for the facilitation of self-leadership in ward nurses that will enable them to act proactively and promptly in utilising CCOS at a private hospital group in South Africa.
A sequential exploratory mixed-method research approach was followed to develop strategies for the facilitation of self-leadership in nurses that will enable them to utilise CCOS proactively when a patient starts to deteriorate. An adapted version of Neck and Milliman's self-leadership strategic framework was used as the methodological steps of the study.
The quantitative analysis extracted eight factors, which were used as the departure point to develop strategies for the facilitation of self-leadership among nurses in a CCOS. Five strategies were developed that related to self-motivation, role models, patient outcome, assistance and guidance from CCOS, and the power of self-confirmation; these strategies aligned with the themes and categories extracted from the qualitative data analysis.
There is a need for self-leadership among nurses in a CCOS.
护士负责对患者进行监测并提供护理服务。尽早发现病情开始恶化的患者并启动重症监护外展服务（CCOS），可以改善患者的治疗效果。然而，文献表明CCOS的利用率较低。自我领导是一个人影响自己行为的过程。
本研究的目的是制定促进病房护士自我领导的策略，使他们能够在南非一家私立医院集团积极主动且及时地利用CCOS。
采用顺序探索性混合方法研究方法，制定促进护士自我领导的策略，使他们在患者病情开始恶化时能够主动利用CCOS。Neck和Milliman的自我领导战略框架的改编版本被用作研究的方法步骤。
定量分析提取了八个因素，以此为出发点制定促进CCOS中护士自我领导的策略。制定了五项策略，分别涉及自我激励、榜样、患者结果、CCOS的协助和指导以及自我确认的力量；这些策略与定性数据分析中提取的主题和类别一致。
CCOS中的护士需要具备自我领导能力。
