Nurses' Self-Leadership in the Face of Challenging Situations, Such as Patient Deterioration.

IF 2 Q2 NURSING
SAGE Open Nursing Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI:10.1177/23779608241274232
Carine Prinsloo
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Abstract

Background: Nurses play an essential role as frontline caregivers, particularly in recognizing and responding to patient deterioration. This study addresses nurses' self-leadership in the face of challenging situations such as patient deterioration, emphasizing the importance of self-leadership skills in navigating complex patient care scenarios. Delayed recognition of subtle changes in patient's conditions has been linked to adverse outcomes, necessitating a closer examination of the role of self-leadership in nursing practice.

Objective: The objective of this research was to explore and understand the implications of self-leadership among nurses when confronted with challenging situations, specifically focusing on patient deterioration.

Methods: A qualitative, exploratory, and descriptive research design was employed, utilizing focus group discussions (FGDs) with nurses from a private hospital in Pretoria, South Africa. Semistructured interview guide facilitated the FGDs, and data saturation was achieved after the eight sessions. The sample included nurses with various qualifications and shifts, offering diverse perspectives on self-leadership in patient care. Rigorous data collection and trustworthiness measures, including member checking and verbatim transcriptions, were employed to enhance the conformability of the study.

Results: The findings revealed six overarching themes and 15 subthemes, demonstrating the interconnectedness of self-leadership and nursing practice. Themes included responsibility and autonomy, compassion and care, support and collaboration, learning from experience, teamwork, and appreciation and recognition. These themes explained how nurses actively engaged in self-observation, constructive thought patterns, and natural reward strategies to proactively address patient deterioration.

Conclusion: The study underlines the significance of integrating self-leadership principles into nursing practice. Embracing self-leadership in nursing holds promise for improving patient outcomes and nurturing a resilient and competent nursing workforce.

面对病人病情恶化等挑战性情况时护士的自我领导能力。
背景:护士作为一线护理人员发挥着至关重要的作用,尤其是在识别和应对患者病情恶化方面。本研究探讨了护士在面对病人病情恶化等挑战性情况时的自我领导能力,强调了自我领导技能在驾驭复杂的病人护理情景中的重要性。延迟识别患者病情的细微变化与不良后果有关,因此有必要对自我领导在护理实践中的作用进行更深入的研究:本研究的目的是探索和了解护士在面对具有挑战性的情况时自我领导的意义,特别是在患者病情恶化的情况下:采用定性、探索和描述性研究设计,与南非比勒陀利亚一家私立医院的护士进行焦点小组讨论(FGD)。半结构化访谈指南为 FGD 提供了便利,八次访谈后数据达到饱和。样本包括不同资历和不同班次的护士,他们对病人护理中的自我领导提供了不同的观点。采用了严格的数据收集和可信度措施,包括成员核对和逐字记录,以提高研究的一致性:结果:研究结果显示了 6 个总主题和 15 个分主题,表明了自我领导与护理实践之间的相互联系。主题包括责任与自主、同情与关怀、支持与合作、从经验中学习、团队合作以及赞赏与认可。这些主题解释了护士如何积极开展自我观察、建设性思维模式和自然奖励策略,以积极应对患者病情恶化:本研究强调了将自我领导原则融入护理实践的重要性。在护理工作中实行自我领导有望改善患者的治疗效果,并培养一支有韧性、有能力的护理队伍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.10
自引率
5.00%
发文量
106
审稿时长
15 weeks
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