Mahmoudirad Gholamhossein, Akbari Ayob
Nursing and Midwifery School, Birjand University of Medical Sciences, Birjand, Iran.
Nurs Res Pract. 2025 Feb 27;2025:9309685. doi: 10.1155/nrp/9309685. eCollection 2025.
The roles of nursing managers are diverse and demand high proficiency, with transformational approach recognized as a key competency for achieving organizational goals. A transformational approach is identified as essential in addressing the unique challenges of healthcare management, particularly in nursing, by enhancing self-efficacy and fostering trust among team members. This study employed a conventional qualitative content analysis design. Purposive sampling was used to recruit 23 nurse managers from hospital settings between April 2022 and August 2023. Data were collected through semistructured interviews, which were audiorecorded with participants' consent, transcribed verbatim into Word documents, and imported into MAXQDA software (Version 2020) for systematic organization and analysis. The data were analyzed using Graneheim and Lundman's (2020) qualitative content analysis method, while trustworthiness was ensured based on the criteria proposed by Kyngas, Kaariainen, and Elo (2020). Eight subcategories and three final categories were identified as key strategies used by nursing managers in a transformational approach. The findings revealed that nursing managers employ strategies such as drawing the path of transformation, fostering a transformation-based culture, and facilitating transformational change within their practices. This study emphasizes the transformational strategies employed by nursing managers, which involve establishing clear pathways for transformation, fostering a culture of change, and acting as facilitators of the transformation process. It is recommended that nursing managers consistently implement and refine these strategies to promote innovation, adaptability, and a culture centered around change and transformation. Through these efforts, nursing managers can significantly enhance organizational effectiveness, improve patient outcomes, and drive substantial advancements in nursing practice.
护理管理者的角色多种多样,需要高度熟练的技能,其中变革型方法被认为是实现组织目标的关键能力。变革型方法被视为应对医疗管理独特挑战(尤其是护理领域)的关键,通过增强自我效能感和促进团队成员之间的信任来实现。本研究采用传统的定性内容分析设计。目的抽样法用于在2022年4月至2023年8月期间从医院环境中招募23名护理管理者。通过半结构化访谈收集数据,经参与者同意进行录音,逐字转录到Word文档中,并导入MAXQDA软件(2020版)进行系统整理和分析。数据采用格兰内海姆和伦德曼(2020年)的定性内容分析方法进行分析,同时根据京加斯、卡里亚宁和埃洛(2020年)提出的标准确保可信度。确定了八个子类别和三个最终类别,作为护理管理者在变革型方法中使用的关键策略。研究结果表明,护理管理者采用的策略包括描绘变革路径、培育基于变革的文化以及在实践中促进变革。本研究强调了护理管理者采用的变革型策略,包括建立明确的变革路径、培育变革文化以及充当变革过程的促进者。建议护理管理者持续实施和完善这些策略,以促进创新、适应性以及围绕变革和转型的文化。通过这些努力,护理管理者可以显著提高组织效能、改善患者结局并推动护理实践取得重大进展。