Feo Rebecca, Pearce Susanne, Kitson Alison, Conroy Tiffany
College of Nursing and Health Sciences, Flinders University, Sturt Road Beford Park, Adelaide, SA 5042, Australia.
J Nurs Manag. 2023 Aug 31;2023:1318377. doi: 10.1155/2023/1318377. eCollection 2023.
The aim of this article is to report the process and outcomes of codesigning a nursing leadership program for fundamental care. The leadership program is designed to empower nursing leaders, across research, education, clinical practice, and policy, to challenge and change how fundamental care is valued, prioritised, and actioned within health and care systems.
Deficits in fundamental care represent an intractable problem adversely impacting care recipients, care providers, and health and care systems globally. These deficits stem from the minimal value placed on fundamental care and its subsequent invisibility across research, education, clinical practice, and policy. Sustainable systems change requires effective nursing leadership; however, existing nursing leadership programs tend to address only one area of health and care systems, typically clinical practice, and do not focus specifically on fundamental care.
The Fundamentals of Care Leadership Program was codesigned with current and emerging nursing leaders using a participatory action research approach. The collaborative codesign process involved two stages: (1) idea generation and preliminary program development via Nominal Group Technique ( = 60 participants from 11 countries) and (2) refinement and trialling of program content and process via a three-day workshop ( = 19 participants from 9 countries).
Participants prioritised a program that provided clear understanding of the concept of fundamental care, enabled the development of influencing and negotiating skills to advocate for this care, and offered resources on knowledge translation, implementation, and measurement strategies. Participants also wanted allotted time to design research and quality improvement projects that would allow them to transfer the skills learned to the real-world issues occurring within their respective organisations.
The codesign process, embedded within a participatory action approach, enabled the development of a Fundamentals of Care Leadership Program that is shaped by, and meets the needs of, current and emerging nursing leaders. The leadership program will enable nursing leaders to challenge value systems on fundamental care and to champion this care across research, education, clinical practice, and policy, working towards enhanced fundamental care outcomes and experiences.
本文旨在报告共同设计一项基础护理领导力项目的过程和成果。该领导力项目旨在使护理领导者在研究、教育、临床实践和政策等方面能够挑战并改变基础护理在卫生和护理系统中被重视、优先考虑及付诸行动的方式。
基础护理的不足是一个棘手的问题，对全球范围内的护理接受者、护理提供者以及卫生和护理系统都产生了不利影响。这些不足源于对基础护理的价值重视不足，以及其在研究、教育、临床实践和政策中随后的被忽视。可持续的系统变革需要有效的护理领导力；然而，现有的护理领导力项目往往只涉及卫生和护理系统的一个领域，通常是临床实践，并且没有专门关注基础护理。
护理基础领导力项目是通过参与式行动研究方法与现任和新兴护理领导者共同设计的。协作式共同设计过程包括两个阶段：（1）通过名义小组技术（来自11个国家的60名参与者）进行想法产生和初步项目开发，以及（2）通过为期三天的研讨会（来自9个国家的19名参与者）对项目内容和流程进行完善和试验。
参与者优先选择一个能清晰阐释基础护理概念、培养影响和谈判技能以倡导这种护理，并提供知识转化、实施和测量策略相关资源的项目。参与者还希望有时间来设计研究和质量改进项目，以便他们能够将所学技能应用于各自组织中出现的实际问题。
嵌入参与式行动方法的共同设计过程促成了护理基础领导力项目的开发，该项目由现任和新兴护理领导者塑造并满足他们的需求。该领导力项目将使护理领导者能够挑战基础护理的价值体系，并在研究、教育、临床实践和政策中倡导这种护理，努力实现更好的基础护理成果和体验。
