May K A, Ferguson-Paré M
School of Nursing, University of British Columbia, Vancouver, Canada.
Semin Nurse Manag. 1997 Jun;5(2):97-105.
Preparing nurse managers for the present and nurse leaders for the future in the Canadian health care system is discussed from the perspective of service and education. The Canadian health care system is undergoing change, as the need to reduce and control costs comes in conflict with strongly held principles of the Canada Health Act. Nurse leaders will require knowledge and skill in transformative leadership to enable nurses to focus on the core of professional practice as clinical settings shift to self-directed, transdisciplinary teams. Nurse leaders also will need skills in building alliances within an increasingly consumer-controlled health care system, and competencies in work redesign and system design and redesign to enable nursing to smooth the "seams" in a high-functioning, but not necessarily well-integrated health care system. Judgment and clarity of vision are needed to embrace conflict when necessary and to prevent the initiation of practices and structures that run counter to the values embedded in the Canada Health Act, and nursing itself.
从服务和教育的角度探讨了如何为加拿大医疗保健系统培养当下的护士管理者以及未来的护士领导者。加拿大医疗保健系统正在经历变革，因为降低和控制成本的需求与《加拿大健康法》中根深蒂固的原则产生了冲突。随着临床环境转向自我导向的跨学科团队，护士领导者需要具备变革型领导的知识和技能，以使护士能够专注于专业实践的核心。护士领导者还需要具备在日益由消费者控制的医疗保健系统中建立联盟的技能，以及工作重新设计和系统设计与再设计方面的能力，以使护理工作能够在高效但不一定整合良好的医疗保健系统中消除“缝隙”。需要判断力和清晰的愿景，以便在必要时接受冲突，并防止启动与《加拿大健康法》以及护理本身所蕴含的价值观背道而驰的做法和结构。
