新冠疫情期间不同医院环境下的真实护理领导力与安全氛围：一项横断面研究
Authentic Nursing Leadership and Safety Climate Across Hospital Settings During the COVID-19 Pandemic: A Cross-Sectional Study.
作者信息
Bernardes Andrea, Dias Bruna Moreno, de Moura André Almeida, Morcelli Lorena Maria Barcellos, Gardim Lucas, Araújo Agostinho A C, Gabriel Carmen Silvia, Cummings Greta G
机构信息
University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil.
University of São Paulo, School of Nursing, São Paulo, Brazil.
出版信息
J Adv Nurs. 2024 Dec 18. doi: 10.1111/jan.16686.
AIM
To analyse the relationship between authentic nursing leadership and safety climates across hospital settings during the COVID-19 pandemic.
BACKGROUND
Authentic nursing leadership shapes the safety climate by fostering positive perceptions of workplace policies, processes, procedures and practices that influence how safety is prioritised and addressed within an organisation.
DESIGN
A cross-sectional study.
METHODS
Our study was conducted from December 2021 to December 2022 in six Brazilian hospitals. Participants were nursing staff working in General Medicine Units, Intensive Care Units (ICU) and Emergency Departments (ED) who provided care to patients with COVID-19. The Authentic Leadership Questionnaire and the Safety Attitudes Questionnaire were used to measure nursing staff perceptions of authentic leadership and safety climates. Data were analysed using descriptive and inferential statistics.
RESULTS
391 nursing staff across six hospitals participated. Self-awareness significantly enhanced perceptions of the safety climates. Additionally, being a Registered Nurse and working in the ICU were positively associated with achieving safe climates in the working environment. In contrast, working in EDs was significantly negatively related to safety climates.
CONCLUSIONS
The COVID-19 pandemic underscored a lack of authentic nursing leadership and unsafe climates. Therefore, it is critical to implement educational strategies that foster authentic leadership, particularly focusing on self-awareness, to promote more positive safety climates. Ensuring that leadership and safety climates are relationship-focused is critical to enhancing patient outcomes.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nursing staff's perceptions of authentic leadership and safety climates are important in making more informed decisions about patient management.
IMPACT
Since self-awareness increases positive perceptions of safety climates, nursing staff should exercise it to guide their actions in facing future health crises.
REPORTING METHOD
STROBE guidelines.
PATIENT OR PUBLIC CONTRIBUTION
Higher self-awareness in relationships with others is a predictor of safety climates and can lead to enhanced patient outcomes.
目的
分析2019冠状病毒病大流行期间不同医院环境中真实护理领导力与安全氛围之间的关系。
背景
真实护理领导力通过培养对工作场所政策、流程、程序和实践的积极认知来塑造安全氛围，这些因素会影响组织内安全的优先级和处理方式。
设计
一项横断面研究。
方法
我们的研究于2021年12月至2022年12月在巴西的六家医院进行。参与者为在内科病房、重症监护病房（ICU）和急诊科工作的护理人员，他们负责照顾感染2019冠状病毒病的患者。使用真实领导力问卷和安全态度问卷来衡量护理人员对真实领导力和安全氛围的认知。数据采用描述性和推断性统计方法进行分析。
结果
六家医院的391名护理人员参与了研究。自我意识显著增强了对安全氛围的认知。此外，作为注册护士且在ICU工作与在工作环境中实现安全氛围呈正相关。相比之下，在急诊科工作与安全氛围显著负相关。
结论
2019冠状病毒病大流行凸显了真实护理领导力的缺乏和不安全的氛围。因此，实施培养真实领导力的教育策略至关重要，尤其要注重自我意识，以促进更积极的安全氛围。确保领导力和安全氛围以关系为重点对于改善患者结局至关重要。
对专业和/或患者护理的启示：护理人员对真实领导力和安全氛围的认知对于做出更明智的患者管理决策很重要。
影响
由于自我意识会增加对安全氛围的积极认知，护理人员应运用自我意识来指导他们在面对未来健康危机时的行动。
报告方法
STROBE指南。
患者或公众贡献
在与他人的关系中具有更高的自我意识是安全氛围的一个预测因素，并且可以带来更好的患者结局。
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