Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brazil.
Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.
Rev Lat Am Enfermagem. 2024 Aug 19;32:e4281. doi: 10.1590/1518-8345.7151.4281. eCollection 2024.
to understand nurses' leadership perceptions during the COVID-19 pandemic in Brazilian university hospitals, through the lens of John Kotter's concepts and his eight-step change model.
a multicenter qualitative research with an analytical design. The sample comprised 139 nurses working in COVID-19 settings, interviewed using a semi-structured interview guide. Data were categorized through Bardin's content analysis based on John Kotter's concepts and his eight-step change model.
the findings yielded significant insights into nurses' perceptions of leadership during the COVID-19 response, which exhibited characteristics consistent with Kotter's principles. There is evidence of leadership based on the pursuit of knowledge, grounded in polished communication, facilitating teamwork through a relationship of trust and respect. The recognition of the complexity and difficulty of exercising nursing leadership, particularly in crisis contexts, is apparent.
nurses' perceptions reinforce essential elements for leadership practice, such as the importance of seeking diverse knowledge, polished communication, relationships based on trust and respect, and recognition of the complexity of leadership, thus presenting characteristics in line with Kotter's principles.
(1) Nurses' perceptions of leadership during COVID-19 were highlighted. (2) COVID-19 intensified the complexity in nurses' leadership roles. (3) Nurses' leadership was consolidated in knowledge, communication, trust. (4) Working in the COVID-19 response as a nurse-leader has become challenging. (5) Kotter's principles assist in reflections on nurses' leadership.
通过约翰·科特的概念及其八步变革模型，从视角理解巴西大学附属医院护士在 COVID-19 大流行期间的领导认知。
一项多中心定性研究，采用分析性设计。样本包括 139 名在 COVID-19 环境中工作的护士，使用半结构化访谈指南进行访谈。根据约翰·科特的概念及其八步变革模型，通过巴丁内容分析法对数据进行分类。
研究结果深入了解了护士在 COVID-19 应对期间对领导力的认知，这些认知表现出与科特原则一致的特征。有证据表明，领导力是基于对知识的追求，以精炼的沟通为基础，通过信任和尊重的关系促进团队合作。人们认识到，在危机背景下，行使护理领导力具有复杂性和难度。
护士的认知强化了领导力实践的基本要素，例如寻求多样化知识、精炼沟通、基于信任和尊重的关系以及对领导力复杂性的认识的重要性，从而呈现出与科特原则一致的特征。
（1）突出了 COVID-19 期间护士对领导力的认知。（2）COVID-19 加剧了护士领导角色的复杂性。（3）护士的领导力在知识、沟通、信任方面得到巩固。（4）作为护士领导者在 COVID-19 应对工作中具有挑战性。（5）科特原则有助于反思护士的领导力。
