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成为以患者为中心的护士领导者:一项变革性专业发展计划的成果

Knowing, Being and Becoming a Person-Centred Nurse Leader: Findings from a Transformative Professional Development Programme.

作者信息

Cable Clare, McCance Tanya, McCormack Brendan

机构信息

Queen's Nursing Institute Scotland, Edinburgh EH1 2EL, UK.

Institute of Nursing and Health Research, Ulster University, Belfast BT15 1AP, Northern Ireland, UK.

出版信息

Nurs Rep. 2024 Oct 23;14(4):3165-3177. doi: 10.3390/nursrep14040230.

Abstract

Leadership is central to the development of effective workplace cultures and as such should be viewed as a practice that is relational, exercised through a process of mutual and reciprocal influence. Person-centred leadership is an approach to leadership that supports a way of being that is authentic, prioritising values lived out in action. However, there is an increasing recognition that leadership development has not been impactful in relation to workplace culture. This paper reports on the ongoing evaluation of an innovative development programme (Queen's Nurse Development Programme), the overall aim of which was to illuminate the participants' experiences of engaging in transformative learning and development and identify the technical and transformative outcomes arising. The programme focused on developing leadership capacity for societal change and maximising the health impact of community nursing leaders. The methodological framework for evaluation was underpinned by a Collaborative Critical Creative Inquiry. Twenty community nurses were selected to undertake the programme during 2020. The collection and analysis of data was consistent with the Collaborative Critical Creative Inquiry and was conducted as a one-day workshop, with participants engaged in a cycle of creative hermeneutic analysis. A total of seven themes were identified, including: sense of belonging; personal growth; developing new skills; finding voice; importance of self-care; and creating a safe place. This illuminated how the transformative learning and development processes within this programme were experienced and how these enabled participants to explore how they influence their practice and workplace. It is the journey with self that generates a sense of belonging and enables personal growth and the ability to care for self and others. The key learning from this innovative development programme is the importance of focusing on the attributes of practitioners and the key building blocks for knowing, being, and becoming a person-centred practitioner.

摘要

领导力对于有效职场文化的发展至关重要,因此应被视为一种通过相互和互惠影响的过程来实施的关系性实践。以人为本的领导力是一种领导方式,它支持一种真实的存在方式,将行动中践行的价值观置于优先地位。然而,人们越来越认识到领导力发展对职场文化的影响并不显著。本文报告了一项创新发展计划(女王护士发展计划)的持续评估情况,该计划的总体目标是阐明参与者参与变革性学习与发展的经历,并确定由此产生的技术和变革性成果。该计划侧重于培养推动社会变革的领导能力,并最大限度地提高社区护理领导者对健康的影响。评估的方法框架以协作性批判性创造性探究为基础。2020年挑选了20名社区护士参加该计划。数据的收集和分析与协作性批判性创造性探究一致,作为为期一天的研讨会进行,参与者参与创造性诠释分析循环。总共确定了七个主题,包括:归属感;个人成长;培养新技能;找到自我表达的声音;自我护理的重要性;以及创造一个安全的环境。这阐明了该计划中的变革性学习与发展过程是如何被体验的,以及这些过程如何使参与者探索他们如何影响自己的实践和工作场所。正是与自我的旅程产生了归属感,并使人能够实现个人成长以及具备照顾自己和他人的能力。从这个创新发展计划中获得 的关键经验是关注从业者的特质以及成为以人为本的从业者所需了解、存在和成长的关键要素的重要性。

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