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护理中的审美领导力:关于使护理服务人性化的理论建议

Aesthetic Leadership in Nursing: A Theoretical Proposal for Rehumanizing Care Delivery.

作者信息

Monge Moreno Jesús Tomás

机构信息

University of the Balearic, Islands, Spain.

出版信息

Nurs Inq. 2025 Jul;32(3):e70034. doi: 10.1111/nin.70034.

DOI:10.1111/nin.70034
PMID:40417815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12105069/
Abstract

Aesthetic leadership in nursing constitutes a disruptive conceptual proposal that questions and redefines traditional leadership models within healthcare settings. This article develops an original theoretical framework that incorporates the aesthetic dimension as a structuring category of care, emphasizing the role of beauty, presence, and relational ethics in transforming healthcare delivery. Grounded in ontological, epistemological, ethical, and phenomenological dimensions, aesthetic leadership is framed as a praxis that transcends technical competence and operational management, aiming at transforming the caregiving experience and strengthening authentic bonds between nurses and patients. Based on a critical review of established nursing theories, including those proposed by Jean Watson, Imogene King, Betty Neuman, Madeleine Leininger, Patricia Benner, and Dorothy Johnson, a reconceptualization of leadership is proposed, integrating a holistic vision that articulates ethical, aesthetic, existential, and emotional dimensions in clinical practice. This theoretical model highlights the need to incorporate artistic, expressive, and symbolic resources into caregiving processes, with the purpose of enriching the caregiving experience, preserving human dignity, and promoting meaningful intersubjective relationships. Finally, it is argued that aesthetic leadership represents a pertinent pathway for the rehumanization of care in contemporary clinical contexts, proposing future research directions aimed at evaluating the impact of aesthetic practices on care quality, patient experience, and the professional well-being of nurses.

摘要

护理中的审美领导力构成了一种颠覆性的概念性提议,它对医疗环境中的传统领导模式提出质疑并进行重新定义。本文构建了一个原创的理论框架,将审美维度纳入护理的结构范畴,强调美、在场和关系伦理在转变医疗服务提供方式中的作用。基于本体论、认识论、伦理学和现象学维度,审美领导力被构建为一种超越技术能力和运营管理的实践,旨在转变护理体验并加强护士与患者之间的真实联系。通过对包括让·沃森、伊莫金·金、贝蒂·纽曼、玛德琳·莱宁格、帕特里夏·本纳和多萝西·约翰逊等人提出的既定护理理论进行批判性回顾,提出了对领导力的重新概念化,整合了一种在临床实践中阐明伦理、审美、存在和情感维度的整体愿景。这一理论模型强调了将艺术、表达和象征资源纳入护理过程的必要性,目的是丰富护理体验、维护人的尊严并促进有意义的主体间关系。最后,有人认为审美领导力是当代临床环境中护理重新人性化的一条相关途径,并提出了未来的研究方向,旨在评估审美实践对护理质量、患者体验和护士职业幸福感的影响。

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本文引用的文献

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Authentic Leadership-A Concept Analysis.真实领导——概念分析
J Adv Nurs. 2025 Apr;81(4):1775-1793. doi: 10.1111/jan.16496. Epub 2024 Oct 19.
2
Nursing leadership style and error management culture: a scoping review.护理领导风格和错误管理文化:范围综述。
Leadersh Health Serv (Bradf Engl). 2024 Sep 30;37(4):526-547. doi: 10.1108/LHS-12-2023-0099.
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Evaluation and mitigation of the limitations of large language models in clinical decision-making.评估和缓解大型语言模型在临床决策中的局限性。
Nat Med. 2024 Sep;30(9):2613-2622. doi: 10.1038/s41591-024-03097-1. Epub 2024 Jul 4.
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The Impact and Issues of Artificial Intelligence in Nursing Science and Healthcare Settings.人工智能在护理科学与医疗环境中的影响及问题
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5
Relationships between nursing leadership and organizational, staff and patient outcomes: A systematic review of reviews.护理领导力与组织、员工和患者结局之间的关系:系统评价综述。
Nurs Open. 2023 Sep;10(9):5920-5936. doi: 10.1002/nop2.1876. Epub 2023 Jun 12.
6
Enactment of compassionate leadership by nursing and midwifery managers: results from an international online survey.护士和助产士管理人员实施富有同情心的领导力:一项国际在线调查的结果。
BMJ Lead. 2022 Sep;6(3):186-191. doi: 10.1136/leader-2020-000385. Epub 2021 Sep 27.
7
Nurses' ratings of compassionate nursing leadership during the Covid-19 pandemic-A descriptive cross-sectional study.护士在新冠疫情期间对富有同情心的护理领导力的评价——一项描述性的横断面研究。
J Nurs Manag. 2022 Sep;30(6):1974-1980. doi: 10.1111/jonm.13642. Epub 2022 May 10.
8
Time to re-envisage integrity among nurse leaders.重新审视护理领导者的诚信问题。
J Nurs Manag. 2022 Oct;30(7):2236-2240. doi: 10.1111/jonm.13557. Epub 2022 Feb 15.
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Application Scenarios for Artificial Intelligence in Nursing Care: Rapid Review.人工智能在护理中的应用场景:快速综述。
J Med Internet Res. 2021 Nov 29;23(11):e26522. doi: 10.2196/26522.
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Reflecting Art in Nursing Practice: Developing Visual Arts Programs to Transform and Strengthen Practice.护理实践中的艺术反思:发展视觉艺术项目以改变和加强实践。
J Nurs Adm. 2020 May 1;50(5):274-280. doi: 10.1097/NNA.0000000000000883.