Department of Administration, UCHealth, Erie (Dr Bernard); and Ingenovis Health, Greenwood Village, Colorado (Dr Geiger).
Nurs Adm Q. 2024;48(2):187-195. doi: 10.1097/NAQ.0000000000000633. Epub 2024 Mar 29.
This article explores leader practices for rebuilding health system nursing culture by leveraging feedback from clinical nurses and applying Social Identity Theory (SIT) and inclusivity frameworks. An enriched nursing culture is the foundation of quality patient care, and as healthcare systems evolve, it becomes increasingly essential to foster a cohesive and inclusive environment in every aspect of employment practices. Social Identity Theory, which emphasizes how individuals define their self-concept through group affiliations, offers a lens to understand the interplay of identity, values, and behavior within nursing teams. Inclusivity practices are pivotal in creating a welcoming and diverse health care workplace. By employing these approaches, health care systems can rebuild and strengthen their nursing culture, improving retention, onboarding, job satisfaction, teamwork, and enhancing the quality of care provided to patients. This article delves into practical strategies and application of SIT and inclusivity practices to restructure and revitalize nursing culture, emphasizing the positive impact on health care outcomes. An exemplar demonstrating the impact of the voice of the clinician in program development highlights the application of SIT and inclusivity to create culture. It concludes with leader practices for rebuilding nursing culture to include contingent labor as part of the care team.
本文探讨了通过利用临床护士的反馈并应用社会认同理论(SIT)和包容性框架,来重建卫生系统护理文化的领导者实践。丰富的护理文化是提供优质患者护理的基础,随着医疗保健系统的发展,在就业实践的各个方面培养一个凝聚力和包容性的环境变得越来越重要。社会认同理论强调个人如何通过群体归属来定义自己的自我概念,它提供了一个视角来理解护理团队内部的身份、价值观和行为的相互作用。包容性实践在创建一个受欢迎和多元化的医疗保健工作场所方面至关重要。通过采用这些方法,医疗保健系统可以重建和加强他们的护理文化,提高员工保留率、入职率、工作满意度、团队合作,并提高为患者提供的护理质量。本文深入探讨了 SIT 和包容性实践的实际策略和应用,以重塑和振兴护理文化,强调对医疗保健结果的积极影响。一个展示临床医生在项目开发中的声音对计划产生影响的范例,突出了 SIT 和包容性在创建文化方面的应用。最后,本文提出了领导者的实践方法,将临时工纳入护理团队的一部分。