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Nursing Open Sep 2023To assess and describe reviews of nursing leadership styles associated with organizational, staff and patient outcomes. (Review)
Review
AIM
To assess and describe reviews of nursing leadership styles associated with organizational, staff and patient outcomes.
DESIGN
A systematic review of reviews.
METHODS
Reviews describing a search strategy and quality assessment. The review followed the PRISMA statement. Nine databases were searched in February 2022.
RESULTS
After screening 6992 records, 12 reviews were included reporting 85 outcomes for 17 relational, nine task-oriented, five passive and five destructive leadership styles. Transformational leadership, which is one of the relational styles, was the most studied among all the styles. Of the outcomes, staff outcomes were the most reported, notably job satisfaction, and patient outcomes were less reported. Also, mediating factors between relational leadership styles and staff and patient outcomes were identified.
CONCLUSION
Extensive research shows the beneficial impacts of relational leadership; however, destructive leadership research is lacking. Relational leadership styles should be conceptually assessed. More research is needed on how nurse leadership affects patients and organizations.
Topics: Humans; Leadership; Nurse Administrators; Job Satisfaction; Interprofessional Relations; Workplace
PubMed: 37306328
DOI: 10.1002/nop2.1876 -
British Journal of Nursing (Mark Allen... Jan 2024The use of technology in health care, including nursing, is growing, owing in part to the COVID-19 pandemic and in response to national policy.
BACKGROUND
The use of technology in health care, including nursing, is growing, owing in part to the COVID-19 pandemic and in response to national policy.
AIMS
To investigate nurses' perceptions of digital nursing (DN).
METHODS
Community and primary care nurses from across Wales were recruited (=249) through a survey comprising open and closed questions. This was supplemented with semistructured interviews (=25). Thematic analysis was used to analyse qualitative data.
FINDINGS
Nurses had a broad range of perspectives on what DN meant, with four main themes being identified: access; impact on care; technology; and digital future. The positive impacts of DN on ways of working and patient outcomes were supported by answers to closed survey questions.
CONCLUSION
Many nurses understand the value of digital tools within nursing and are clear about their benefits for patients, nurses and multiprofessional teams. However, there is a need for a clear definition and increased awareness of DN.
Topics: Humans; Pandemics; Delivery of Health Care; Surveys and Questionnaires; Wales; Qualitative Research; Nurses
PubMed: 38271040
DOI: 10.12968/bjon.2024.33.2.72 -
Air Medical Journal 2024The inclusion of nurse practitioners (NPs) in critical care transport teams has the potential to enhance patient care and improve team operations. NPs can manage complex... (Review)
Review
The inclusion of nurse practitioners (NPs) in critical care transport teams has the potential to enhance patient care and improve team operations. NPs can manage complex clinical situations during transport and excel in various roles such as leadership, education, mentoring, research, quality improvement, and clinical expertise. As we navigate the evolving landscape of critical care transport, it is crucial to explore the potential benefits offered by NPs. Their distinct skills and experiences effectively position them to improve patient outcomes, enhance team performance, and contribute to health care's financial sustainability. This article discusses the role of NPs in critical care transport, providing insight into their current uses, and recommendations for optimal use.
Topics: Humans; Nurse Practitioners; Critical Care; Leadership; Clinical Competence
PubMed: 38490781
DOI: 10.1016/j.amj.2024.01.005 -
Nurse Education Today Dec 2023Indonesia and Australia are neighbouring countries; however, their nursing systems are very different and there is limited migration between countries. (Review)
Review
BACKGROUND
Indonesia and Australia are neighbouring countries; however, their nursing systems are very different and there is limited migration between countries.
AIM
As part of a larger study, the aim was to undertake a comparative analysis of postgraduate nurse education in Indonesia and Australia.
DESIGN
Detailed literature review across academic and grey literature and semi-structured interviews with key stakeholders in Indonesia (n = 52) and Australia (n = 13) representing education, governments, professional nursing organisations, and rural, remote and urban health care providers.
FINDINGS
Three key categories of comparison were identified: Higher Education System, Education Offerings, and Specialist practice and education standards. Regulation of higher education was found to generally be comparable. Postgraduate nursing specialisations are available in both countries, but there are currently more offerings in Australia. Furthermore, nurse practitioner education and graduate entry pathways into nursing are only currently available in Australia. Journal publications are required for graduation from masters and doctoral programmes in Indonesia, but not Australia.
CONCLUSIONS
While there are many areas of similarity, postgraduate nurse education is more diverse in Australia, while there are growing opportunities for new developments in Indonesia. This analysis identifies areas for future consideration around postgraduate education development in both countries, along with possibilities for future collaboration. Furthermore, comparative analysis provided a useful foundation on mapping key elements.
Topics: Humans; Australia; Education, Nursing, Graduate; Educational Status; Indonesia; Nurse Practitioners
PubMed: 37703747
DOI: 10.1016/j.nedt.2023.105954 -
Nurse EducatorNursing science is heavily dependent on nurse scientists with adequate funding. Nurse scientists should be aware of organizations' research agendas and, to the extent...
BACKGROUND
Nursing science is heavily dependent on nurse scientists with adequate funding. Nurse scientists should be aware of organizations' research agendas and, to the extent possible, align research with stated research priorities. Current information on the demographics of nurse scientists, their projects, and the alignment to known priorities is illusive.
PURPOSE
To describe areas of inquiry pursued by PhD-prepared nurses and congruence with the research agendas of nursing organizations.
METHODS
A descriptive, exploratory approach was undertaken with PhD-prepared nurse scientists to gather data about their PhD program, dissertation topic, current work status, productivity, and future recommendations.
RESULTS
Key findings were that dissertation topics were broad and aligned with research priorities. Elements influencing research productivity are described.
CONCLUSIONS
Understanding current nursing science stewardship and intentionally strategizing for the future of research, academia, and clinical practice will enhance our ability to tailor PhD programs accordingly.
Topics: Humans; Education, Nursing, Graduate; Nursing Education Research; Nursing Research; Forecasting; Nurses
PubMed: 36857770
DOI: 10.1097/NNE.0000000000001389 -
PloS One 2024While research on meditative mindfulness in nursing is abundant, research on socio-cognitive mindfulness is in its early stages despite its potential advantages to... (Review)
Review
BACKGROUND
While research on meditative mindfulness in nursing is abundant, research on socio-cognitive mindfulness is in its early stages despite its potential advantages to nursing practice and nursing education. This study introduces the under-examined concept of socio-cognitive mindfulness to the nursing field.
OBJECTIVE
To identify what is known in the research field of socio-cognitive mindfulness in nursing. Specific aims were to identify the effects of socio-cognitive mindfulness on nurses and nursing students, and the application of socio-cognitive mindfulness interventions and their effectiveness in nursing.
DESIGN
A scoping review following the Arksey and O'Malley framework.
METHODS
An electronic search of PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, ERIC, and ProQuest databases was conducted. The search included full-text papers published in peer-reviewed journals in English. The included studies were independently examined by the two authors to ensure the thorough inclusion of relevant research by screening of titles and abstracts and screening of full-texts. The selected papers were categorized based on the specific objectives of the review.
RESULTS
Out of 5,798 papers, six quantitative studies and one mixed method study were included in the review. Among the seven studies, two studies investigated the effects of socio-cognitive mindfulness on nurses, four examined the effects of socio-cognitive mindfulness on nursing students, and one conducted an intervention study applying socio-cognitive mindfulness and identified its effects on nurses. The findings revealed several benefits of applying socio-cognitive mindfulness to nursing practice and nursing education. Specifically, socio-cognitive mindfulness enhanced nurses' and nursing students' positive emotions and effective emotion regulation, which would positively influence nurses' nursing performance as well as students' academic outcomes and quality of college life.
CONCLUSIONS
This study raises researchers' awareness of the significance of socio-cognitive mindfulness in nursing, and strongly recommends applying socio-cognitive mindfulness to nursing practice and nursing education and evaluating its effects.
Topics: Mindfulness; Humans; Students, Nursing; Cognition; Nurses; Education, Nursing; Nursing
PubMed: 38683805
DOI: 10.1371/journal.pone.0300459 -
The Canadian Journal of Nursing... Dec 2023Despite a consensus that followers and leaders are interdependent, the focus of nursing education, practice, and research has been leader centred. This has spawned calls...
BACKGROUND
Despite a consensus that followers and leaders are interdependent, the focus of nursing education, practice, and research has been leader centred. This has spawned calls in the nursing literature for increased scholarship on followership in nursing.
PURPOSE
To develop a grounded theory of followership in nursing.
METHOD
This study addressed the question - how do registered nurses understand followership? 11 registered nurses participated in online interviews that were later transcribed and analyzed following Charmaz's approach to Constructivist Grounded Theory.
RESULTS
The core category of trusting informal and formal leaders was co-constructed from the data. A conceptual model, titled Followership as Trust in Acute Care Nursing Teams, illustrates that the nurses' decision to trust (and subsequently to engage in following) hinges on sharing the load (understanding one's role, accepting one's role, and working together); demonstrating knowledge (having experience, modelling, and mentoring); and connecting through communication (knowing the goal and communicating clearly). When participants fully trust formal and informal leaders, they engage in following as proactive members of the team, provide solutions to problems, and take initiative. Conversely, when they are less trusting of informal and formal leaders, they are less willing to follow.
CONCLUSIONS
This study underscores the importance of trust between followers and leaders for effective team function and safe patient care. More research on the follower-leader dynamic in nursing is needed to inform education, policy, and practice so that every nurse possesses the knowledge and skill to be both a follower and a leader.
Topics: Humans; Education, Nursing; Critical Care; Leadership; Nurses
PubMed: 37160740
DOI: 10.1177/08445621231173793 -
International Journal of Nursing Studies Oct 2023To describe nurse leaders' experiences of how culturally and linguistically diverse registered nurses integrate into healthcare settings.
AIM
To describe nurse leaders' experiences of how culturally and linguistically diverse registered nurses integrate into healthcare settings.
DESIGN
A qualitative descriptive study design.
PARTICIPANTS
A total of 13 nurse leaders were recruited from four primary and specialized healthcare organizations in Finland.
METHODS
Data were collected through individual semi-structured interviews and analyzed using inductive content analysis.
RESULTS
Nurse leaders' experiences were categorized into seven main categories as follows: leadership, which concerns a leader's roles, style, and experience; organizational strategy and culture, which includes structure, policies, and intra-organizational culture; support strategies, including workplace and outside-of-work integration strategies; relationships and interactions, which considers interpersonal relationships and interactions; nurse competence requirements and development, which concerns both organizational and ward level competence demands, and support for competence development; language competence, which concerns challenges relating to language proficiency and development of language competence; and cultural diversity, which considers the importance of competence development brought about through experiences of being in a multicultural workplace.
CONCLUSIONS
Culturally and linguistically diverse nurses are important within healthcare systems. These nurses constitute additional human resources, bring diverse experiences and expertise, and add to organizational cultural capital. Nurse leaders require competencies that are suitable for leading a diverse workforce, utilizing its competencies, establishing staff members' needs, and ensuring their continuous development. Resourcing, planning, and structuring the integration process affects nurses' experiences of the organizational socialization process.
IMPACT
The findings of our study can offer guidance to healthcare organizations with regard to structural integration strategies at an institutional level. Leadership and management educators can benefit from the findings towards developing a curriculum that supports leaders' diversity, equity and inclusion, knowledge management and formal leadership competencies. Finally, nurse leaders may benefit from this study through being more aware towards supporting a multicultural, cohesive, and competent workforce through strong social capital.
Topics: Humans; Nurses; Delivery of Health Care; Qualitative Research; Hospitals; Workforce; Leadership; Nurse Administrators
PubMed: 37523951
DOI: 10.1016/j.ijnurstu.2023.104559 -
Journal of Continuing Education in... Aug 2023
Topics: Humans; Nurses; Health Workforce
PubMed: 37531650
DOI: 10.3928/00220124-20230711-01 -
Nursing Outlook 2023Second victim describes the impact on health care professionals after an error causing preventable patient harm. However, to date, the impact of making errors in... (Review)
Review
BACKGROUND
Second victim describes the impact on health care professionals after an error causing preventable patient harm. However, to date, the impact of making errors in practice by nurses and/or nursing students is unclear.
PURPOSE
To describe and understand what is known about nurses and nursing students as second victims.
METHODS
A scoping review was completed using three databases: CINAHL, Medline, and Proquest for the period between 2010 and 2022. A total of 23 papers underwent thematic analysis.
DISCUSSION
Three themes were identified: (a) Psychological distress and symptomatology, (b) Coping-response/reactions to errors, and (c) Seeking support and understanding.
CONCLUSION
Nurses and nursing students' well-being and productivity levels can be negatively affected by inadequate team and organisational support. To improve team functioning, appropriate support mechanisms must be implemented to assist nurses who experience significant distress after making errors. Nursing leadership should prioritise improving support programs, assessing workload allocation, and increasing awareness amongst leaders of the potential benefits of providing support to second victims.
Topics: Humans; Students, Nursing; Adaptation, Psychological; Leadership; Health Personnel; Nurses
PubMed: 37302259
DOI: 10.1016/j.outlook.2023.101992