Hugelius Karin
Faculty of Medicine and Health, Örebro university, Örebro, Sweden.
BMC Nurs. 2025 Jan 25;24(1):91. doi: 10.1186/s12912-025-02748-z.
Given the increasing trend of disasters, terrorist attacks, pandemics and other crises, crisis leadership is crucial for nurses who lead others and for those working in such situations. There is a need to define and explore the concept of trust as a component of crisis leadership in nursing. This concept analysis aimed to explore the concept of trust in crisis leadership from a nursing perspective.
A hybrid concept analysis was conducted. The method consisted of three phases: (I) a theoretical phase relying on a structured literature search, including 11 scientific publications; (II) a field-work phase, in which qualitative thematic analysis of interviews with 30 nurses who had been deployed and/or had led others during crises, was conducted and (III) a final analytic phase, where the results from these data collections were merged.
The analysis suggested that the fundamentals of trust included a perceived intention to do good, the capabilities of both the leader and the team and the perceived predictability of the leader's behaviour. Trust was found to be built on a perceived forward-looking direction, self-trust and the personal attributes of the leader, such as ethical conduct, the ability to predict the development of crises and an intention to take responsibility and be honest. The social attributes of the relationship between the leader and the team included the intention not to leave anyone behind, loyalty and fostering a sense of belonging among team members. The organisational attributes included a clear organisational structure and clarity of mandate.
Trust is an essential component of crisis leadership that depends on a leader's perceived intention to do good, predictability of the leader's behaviour and the capabilities of both the leader and the team. The development of trust relies on the personal attributes of the leader, the social relationship between the leader and the team and organisational attributes. Nurses appointed to lead others during a crisis need to understand the fundamentals of trust as part of leadership in highly demanding situations. Thus, it can be argued that being a leader in a crisis situation requires distinct personal and professional attributes and skills compared to those used to meet routine demands.
鉴于灾害、恐怖袭击、大流行病及其他危机呈上升趋势，危机领导力对于带领他人的护士以及在这类情况下工作的护士而言至关重要。有必要界定并探讨信任这一概念，将其作为护理领域危机领导力的一个组成部分。本概念分析旨在从护理角度探讨危机领导力中的信任概念。
进行了一项混合概念分析。该方法包括三个阶段：（一）理论阶段，依靠结构化文献检索，包括11篇科学出版物；（二）实地工作阶段，对30名在危机期间被部署和/或带领过他人的护士进行访谈，并进行定性主题分析；（三）最后分析阶段，将这些数据收集的结果进行合并。
分析表明，信任的基础包括做好事的可感知意图、领导者和团队的能力以及领导者行为的可感知可预测性。发现信任建立在可感知的前瞻性方向、自我信任以及领导者的个人特质之上，如道德行为、预测危机发展的能力以及承担责任和诚实的意图。领导者与团队关系的社会属性包括不抛弃任何人的意图、忠诚以及培养团队成员的归属感。组织属性包括清晰的组织结构和明确的任务授权。
信任是危机领导力的重要组成部分，它取决于领导者做好事的可感知意图、领导者行为的可预测性以及领导者和团队的能力。信任的发展依赖于领导者的个人特质、领导者与团队的社会关系以及组织属性。在危机期间被任命带领他人的护士需要理解信任的基础，将其作为在高要求情况下领导力的一部分。因此，可以说在危机情况下担任领导者需要具备与应对日常需求不同的个人和专业特质及技能。
