Nurse Leader: A Definition for the 21st Century

Cline, Debbie; Woods, Stephanie

doi:10.1016/j.mnl.2021.12.017

“…It is necessary to have, in addition to nurses with specific and highly specialized functions, leaders able to make collegiate and interprofessional decisions, capable of valuing and enhancing initiatives and knowledge of users. Advanced nursing practice, user satisfaction and the quality of care depend greatly on Nursing leadership skills and competences (22) .…”

Section: Hierarchical Vertical Structure Of Care -Punctual and Linear...mentioning

confidence: 99%

Nursing care as a systemic and entrepreneurial phenomenon

Zamberlan

¹

,

Zinhani

²

,

Erdmann

³

et al. 2022

Rev. esc. enferm. USP

5

0

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The objective is to produce a critical-reflexivity analysis of nursing care, from the perspective of complexity thinking and social entrepreneurship. Theoretical-reflective study, supported by the framework of complexity thinking and social entrepreneurship. The main characteristics that lead and support nursing care are analyzed from a systemic-entrepreneurial perspective. A parallel is conceived between vertical care, design from a hierarchical structure and nursing care in the systemic-entrepreneurial perspective, which leads to singularity, originality, circularity, complementarity and interactivity. The centrality of nursing care is reaffirmed as a tangible social good or not. Theoretical reflection on nursing care as a systemic and entrepreneurial phenomenon raises a unique and multidimensional perception of the human being/user, health, the nursing work process, in order to achieve an increasingly agile, dynamic, circular, complementary and interdependent care.

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“…É necessário que se tenha, além de enfermeiros com funções determinadas e altamente especializadas, líderes aptos à tomada de decisões colegiadas e interprofissionais, capazes de valorizar e potencializar iniciativas e saberes dos usuários. A prática avançada em enfermagem, a satisfação do usuário e a qualidade do cuidado dependem, sobremaneira, das habilidades e competências de liderança da Enfermagem (22) .…”

Section: Estrutura Vertical Hierárquica De Cuidado -Ações Pontuais E ...unclassified

O cuidado de enfermagem como fenômeno sistêmico e empreendedor

Zamberlan

¹

,

Zinhani

²

,

Erdmann

³

et al. 2022

Rev. esc. enferm. USP

0

View full text Add to dashboard Cite

The objective is to produce a critical-reflexivity analysis of nursing care, from the perspective of complexity thinking and social entrepreneurship. Theoretical-reflective study, supported by the framework of complexity thinking and social entrepreneurship. The main characteristics that lead and support nursing care are analyzed from a systemic-entrepreneurial perspective. A parallel is conceived between vertical care, design from a hierarchical structure and nursing care in the systemic-entrepreneurial perspective, which leads to singularity, originality, circularity, complementarity and interactivity. The centrality of nursing care is reaffirmed as a tangible social good or not. Theoretical reflection on nursing care as a systemic and entrepreneurial phenomenon raises a unique and multidimensional perception of the human being/user, health, the nursing work process, in order to achieve an increasingly agile, dynamic, circular, complementary and interdependent care.

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“…Global health demands have set new roles for nurse leaders [ 1 ].Nurse leaders are referred to as nurses, nurse managers, or other nursing staff working in a healthcare context who attempt to influence the behavior of individuals or a group based on goals that are congruent with organizational goals [ 2 ]. They are seen as professionals “armed with data and evidence, and a commitment to mentorship and education”, and as a group in which “leaders innovate, transform, and achieve quality outcomes for patients, health care professionals, organizations, and communities” [ 3 ]. Effective leadership occurs when team members critically follow leaders and are motivated by a leader’s decisions based on the organization’s requests and targets [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of evidence-based nursing leadership in healthcare settings: a mixed methods systematic review

Välimäki,

Hu,

Lantta

et al. 2024

BMC Nurs

0

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Background The central component in impactful healthcare decisions is evidence. Understanding how nurse leaders use evidence in their own managerial decision making is still limited. This mixed methods systematic review aimed to examine how evidence is used to solve leadership problems and to describe the measured and perceived effects of evidence-based leadership on nurse leaders and their performance, organizational, and clinical outcomes. Methods We included articles using any type of research design. We referred nurses, nurse managers or other nursing staff working in a healthcare context when they attempt to influence the behavior of individuals or a group in an organization using an evidence-based approach. Seven databases were searched until 11 November 2021. JBI Critical Appraisal Checklist for Quasi-experimental studies, JBI Critical Appraisal Checklist for Case Series, Mixed Methods Appraisal Tool were used to evaluate the Risk of bias in quasi-experimental studies, case series, mixed methods studies, respectively. The JBI approach to mixed methods systematic reviews was followed, and a parallel-results convergent approach to synthesis and integration was adopted. Results Thirty-one publications were eligible for the analysis: case series (n = 27), mixed methods studies (n = 3) and quasi-experimental studies (n = 1). All studies were included regardless of methodological quality. Leadership problems were related to the implementation of knowledge into practice, the quality of nursing care and the resource availability. Organizational data was used in 27 studies to understand leadership problems, scientific evidence from literature was sought in 26 studies, and stakeholders’ views were explored in 24 studies. Perceived and measured effects of evidence-based leadership focused on nurses’ performance, organizational outcomes, and clinical outcomes. Economic data were not available. Conclusions This is the first systematic review to examine how evidence is used to solve leadership problems and to describe its measured and perceived effects from different sites. Although a variety of perceptions and effects were identified on nurses’ performance as well as on organizational and clinical outcomes, available knowledge concerning evidence-based leadership is currently insufficient. Therefore, more high-quality research and clinical trial designs are still needed. Trail registration The study was registered (PROSPERO CRD42021259624).

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Nurse Leader: A Definition for the 21st Century

Cited by 5 publications

References 2 publications

Nursing care as a systemic and entrepreneurial phenomenon

Nursing care as a systemic and entrepreneurial phenomenon

O cuidado de enfermagem como fenômeno sistêmico e empreendedor

The impact of evidence-based nursing leadership in healthcare settings: a mixed methods systematic review

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