Nurses Leading the Way: A Qualitative Study of Nursing Leadership, Innovation and Opportunity in Primary Care During a Public Health Crisis.

Julia Lukewich, Dana Ryan, Maria Mathews, Lindsay Hedden, Emily Gard Marshall, Crystal Vaughan, Samina Idrees, Donna Bulman, Lauren R Renaud, Cheryl Cusack, Ruth Martin-Misener, Jill Bruneau, Jamie Wickett, Shabnam Asghari, Leslie Meredith, Sarah Spencer, Gillian Young
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Abstract

Introduction: Nurses in primary care play critical roles during public health crises; however, nursing leadership was underutilized during the COVID-19 response. This study explores nurses' leadership roles during the pandemic and their perspectives on the value of nursing leadership in primary care.

Methodology: We conducted qualitative interviews with 76 nurses across four Canadian regions. Participants described their roles and the barriers and facilitators encountered during the COVID-19 pandemic. We used thematic analysis and examined themes relevant to leadership.

Results: Three themes emerged: actualizing leadership, leveraging leadership experience and the value of nursing leadership. Nurses demonstrated leadership competencies, including educating teams and developing care delivery strategies. Participants emphasized the importance of involving nursing leadership in decision making and policy development.

Conclusion: Sustaining and leveraging nursing leadership post-pandemic is essential to enhance collaboration and strengthen healthcare systems. Involving nurses in decision making can address system challenges and improve responses to future public health crises.

护士领导方式:在公共卫生危机期间初级保健护理领导,创新和机会的定性研究。
初级保健护士在公共卫生危机中发挥关键作用;然而,在应对COVID-19期间,护理领导没有得到充分利用。本研究探讨了护士在大流行期间的领导作用,以及他们对初级保健护理领导价值的看法。方法:我们对加拿大四个地区的76名护士进行了定性访谈。与会者介绍了他们的角色以及在2019冠状病毒病大流行期间遇到的障碍和促进因素。我们使用了专题分析,考察了与领导力相关的主题。结果:出现了三个主题:领导力的实现、领导力经验的运用和护理领导力的价值。护士表现出领导能力,包括教育团队和制定护理服务策略。与会者强调了护理领导参与决策和政策制定的重要性。结论:大流行后维持和发挥护理领导作用对于加强协作和加强卫生保健系统至关重要。让护士参与决策可以解决系统挑战并改善对未来公共卫生危机的反应。
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