母婴健康单元中基于证据的实践实施的单元领导与氛围：一项横断面描述性研究
Unit Leadership and Climates for Evidence-Based Practice Implementation in Maternal-Infant Health Units: A Cross-Sectional Descriptive Study.
作者信息
Hsu Jessica, Morgan Mikayla, Veliz Philip, Shuman Clayton
机构信息
School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
School of Nursing, Duke University, Durham, North Carolina, USA.
出版信息
J Adv Nurs. 2024 Oct 9. doi: 10.1111/jan.16531.
AIMS
To describe unit leadership and climates for evidence-based practice implementation and test for differences in unit leader and staff nurses' perceptions within maternal-infant units.
DESIGN
A cross-sectional descriptive study.
METHODS
A convenience sample of maternal-infant unit leaders and nurses (labour, postpartum, neonatal intensive care, paediatrics) from four Midwestern United States hospitals completed a survey including the Implementation Leadership Scale (ILS) and Implementation Climate Scale (ICS). Descriptive statistics described items, subscales and total scores. Independent t-tests with Bonferroni correction tested for differences in perceptions.
RESULTS
A total of 470 nurses and 21 unit leaders responded, representing 17 units. Ratings of unit leadership and climates for implementation were modest at best [ICS: M = 2.17 (nurses), 2.41 (leaders); ILS: M = 2.4 (nurses), 2.98 (leaders)]. Unit leader ratings were statistically significant and higher than nurse ratings.
CONCLUSION
This study is one of the first to describe unit leadership and climates for implementation in maternal-infant health. To improve outcomes and equity in maternal-infant health, attention on leadership behaviours and unit climates for evidence-based practice implementation is needed.
IMPLICATIONS FOR THE PROFESSION
Nurse leaders are encouraged to evaluate their leadership behaviours and the unit climates they facilitate, and work to improve areas of concern or where staff perceptions differ. Staff nurses should work with their leaders to identify resources and rewards/recognition which support and facilitate EBP implementation.
IMPACT
This study addressed a gap in research examining the social dynamic factors of unit leadership and climate for evidence-based practice implementation in maternal-infant units. Leadership behaviours for implementation and unit climate were rated moderately by both staff and leaders. Unit leaders rated their implementation leadership and climates higher in almost all items. This study is relevant to unit leaders and nurses in maternal-infant units in the United States.
REPORTING METHOD
This study adhered to STROBE guidelines.
PATIENT OR PUBLIC CONTRIBUTION
No patient or public contribution.
目的
描述母婴单元基于循证实践实施的科室领导情况及氛围，并检验母婴单元科室领导与护士对这些方面认知的差异。
设计
横断面描述性研究。
方法
来自美国中西部四家医院的母婴单元领导及护士（产房、产后、新生儿重症监护室、儿科）的便利样本完成了一项调查，其中包括实施领导力量表（ILS）和实施氛围量表（ICS）。描述性统计分析各项、分量表及总分情况。采用经Bonferroni校正的独立t检验来检验认知差异。
结果
共有470名护士和21名科室领导做出回应，代表17个单元。实施科室领导及氛围的评分至多为中等水平（ICS：护士M = 2.17，领导M = 2.41；ILS：护士M = 2.4，领导M = 2.98）。科室领导的评分具有统计学意义且高于护士的评分。
结论
本研究是首批描述母婴健康领域基于循证实践实施的科室领导情况及氛围的研究之一。为改善母婴健康的结局及公平性，需要关注基于循证实践实施的领导行为及科室氛围。
对该专业的启示
鼓励护士长评估自身领导行为及所营造的科室氛围，并努力改进存在问题或员工认知存在差异的方面。护士应与领导共同确定支持并促进循证实践实施的资源及奖励/认可方式。
影响
本研究填补了母婴单元基于循证实践实施的科室领导及氛围社会动态因素研究的空白。员工和领导对实施领导行为及科室氛围的评分均为中等。科室领导在几乎所有项目中对其实施领导力及氛围的评分更高。本研究对美国母婴单元的科室领导和护士具有参考价值。
报告方法
本研究遵循STROBE指南。
患者或公众参与
无患者或公众参与。
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