护士的关系领导力在战略医院危机管理中的地位上的斗争:一种定性解释性研究
Arjan Verhoeven1, Erik van de Loo2, Henri Marres1
1Radboud University Medical Center, Otorhinolaryngology, Head and Neck Surgery, Nijmegen, Netherlands.
Journal of nursing management
|April 14, 2025
概括
在医院危机期间,护士往往缺乏战略角色,经历关系领导力斗争. 解决权力动态和加强护士参与决策对于有效的危机管理至关重要.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 应对危机的应对措施
背景情况:
- 护理领导力研究往往忽略了关系动态,而是专注于技能.
- 护士在病床护理中至关重要,但被排除在战略危机决策之外.
- 研究表明,护士在医疗管理中需要平等参与.
研究的目的:
- 探索护士在医院危机期间的定位经验.
- 确定护士在危机管理结构中面临的挑战.
- 了解关系型领导对护士在危机中的作用的影响.
主要方法:
- 在COVID-19危机期间使用采访和焦点小组进行定性解释性研究.
- 采访了64位护士委员会主席.
- 进行了四个重点小组,共有34名参与者,以加深发现.
主要成果:
- 护士们对危机管理优先事项,贡献和参与价值的看法各不相同.
- 确定了三个关键的关系型领导力斗争:导航,定位和协作.
- 发现护士有限的战略参与阻碍了他们的危机管理角色.
结论:
- 护士在危机管理中的不良地位源于被排除在战略决策之外.
- 医院领导人 (董事会成员,医生,经理) 缺乏干预,加剧了这个问题.
- 需要明确的框架和政策来定义护士的危机角色,并解决权力动态.
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