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了解反叛的护士领导力作为实践:挑战和改变医院的现状
Eline de Kok1,2, Lisette Schoonhoven2,3, Pieterbas Lalleman4
1Dutch Nurses' Association, Utrecht, The Netherlands.
Nursing inquiry
|July 6, 2023
概括
叛逆的护理挑战了低于最佳的做法,但变化往往是暂时的. 可持续的变革需要护士分享困境,管理者培养关系和实验,以实现集体学习.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 组织行为 组织行为
背景情况:
- 护士越来越多地挑战现状,以应对医疗保健变化.
- 反叛的护士领导被认为是不同的,被视为有益于患者护理或破坏性.
研究的目的:
- 探索围绕叛乱护士领导的背景,困境和互动.
- 通过检查平凡的护理实践来扩大领导作为实践的概念.
主要方法:
- 在荷兰的两家医院进行了一项多重案例研究.
- 研究人员使用影视直接观察叛乱护士的做法.
主要成果:
- 从观察到的"生活"经验和困境中,出现了三个典型的领导实践.
- 偏离行为往往导致快速修复,而不是可持续的改进.
结论:
- 可持续的变革需要护士和管理人员之间公开沟通解决困境.
- 护士经理应该建立关系,重视不同的观点,并支持实验,以促进集体学习和改进实践.
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