Nurses' perceptions of leadership in Brazilian hospitals during COVID-19 through Kotter's conception.

IF 1.5 4区 医学 Q3 NURSING
Revista Latino-Americana De Enfermagem Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.7151.4281
Patrícia Alves Galhardo Varanda, Gilberto Tadeu Reis da Silva, Simone Coelho Amestoy, Vânia Marli Schubert Backes, Gabriela Marcellino de Melo Lanzoni, Augusto Ferreira Umpiérrez, Naomy Safira Batista da Silva
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引用次数: 0

Abstract

Objective: to understand nurses' leadership perceptions during the COVID-19 pandemic in Brazilian university hospitals, through the lens of John Kotter's concepts and his eight-step change model.

Method: a multicenter qualitative research with an analytical design. The sample comprised 139 nurses working in COVID-19 settings, interviewed using a semi-structured interview guide. Data were categorized through Bardin's content analysis based on John Kotter's concepts and his eight-step change model.

Results: the findings yielded significant insights into nurses' perceptions of leadership during the COVID-19 response, which exhibited characteristics consistent with Kotter's principles. There is evidence of leadership based on the pursuit of knowledge, grounded in polished communication, facilitating teamwork through a relationship of trust and respect. The recognition of the complexity and difficulty of exercising nursing leadership, particularly in crisis contexts, is apparent.

Conclusion: nurses' perceptions reinforce essential elements for leadership practice, such as the importance of seeking diverse knowledge, polished communication, relationships based on trust and respect, and recognition of the complexity of leadership, thus presenting characteristics in line with Kotter's principles.

Highlights: (1) Nurses' perceptions of leadership during COVID-19 were highlighted. (2) COVID-19 intensified the complexity in nurses' leadership roles. (3) Nurses' leadership was consolidated in knowledge, communication, trust. (4) Working in the COVID-19 response as a nurse-leader has become challenging. (5) Kotter's principles assist in reflections on nurses' leadership.

在 COVID-19 期间,护士通过科特概念对巴西医院领导力的看法。
目的:通过约翰-科特的概念及其八步变革模型,了解巴西大学医院护士在 COVID-19 大流行期间对领导力的看法。样本包括 139 名在 COVID-19 环境中工作的护士,采用半结构化访谈指南进行访谈。根据约翰-科特(John Kotter)的概念及其八步变革模型,通过 Bardin 内容分析法对数据进行了分类。有证据表明,领导力以追求知识为基础,以良好的沟通为基础,通过信任和尊重的关系促进团队合作。结论:护士的看法强化了领导力实践的基本要素,如寻求不同知识的重要性、良好的沟通、基于信任和尊重的关系以及对领导力复杂性的认识,从而呈现出符合科特原则的特点。(2) COVID-19 加强了护士领导角色的复杂性。(3) 护士的领导力在知识、沟通和信任方面得到巩固。(4) 作为护士长,在 COVID-19 应对行动中开展工作具有挑战性。(5) 科特原则有助于反思护士的领导力。
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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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