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Supportive leadership in Swedish community night nursing
Christine Gustafsson1, Ingegerd Fagerberg, Margareta Asp
1Department of Neurobiology, Division of Nursing, Karolinska Institutet, Stockholm, Sweden. christine.gustafsson@mdh.se
Aim:
The aim of the present study was to examine the support night nurses' give to staff in community night nursing.
Background:
Studies have shown that support given to staff is one of night registered nurses' (RNs') experiences of the meaning of caring. This support, that community RNs display for staff in night-time care, is sparsely described.
Methods:
All community night-duty nurses in a medium-sized municipal in Sweden participated in the present study. Thematic content analysis was used to analyse data from observations.
Results:
The support given by RNs to staff is described using three themes: (1) a conditional supporting stance, (2) preparing propitious conditions for caring and (3) confidence in the abilities of individual staff members and adaptation to their individual needs. The results reveal that RNs consider support to staff in terms of nursing leadership.
Conclusions:
Out of 'concern for the staff' the RNs try to be there for them, which corresponds to nursing leadership. Such concern also arises from the RNs' awareness that by giving support to staff this affects the staffs' caring for older people.
Implications For Nursing Management:
The current municipal social care organization of community nursing of older people in which RNs have extensive responsibilities with insufficient control, is a working condition with a risk for decreased quality of care and a high risk for work-related stress syndrome.
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