Nursing Leadership and Policy Implications: Insights From St. Kitts and Nevis

IF 3.8 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-06-29 DOI:10.1111/inr.70051

Raiden Gaul, Audrey Snyder, Matti Smith

{"title":"Nursing Leadership and Policy Implications: Insights From St. Kitts and Nevis","authors":"Raiden Gaul, Audrey Snyder, Matti Smith","doi":"10.1111/inr.70051","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>To analyze the contributions, challenges, and strategies for improving healthcare by past and present nursing leaders in St. Kitts and Nevis.</p>\n </section>\n \n <section>\n \n <h3> Background</h3>\n \n <p>St. Kitts and Nevis has made significant progress in healthcare delivery despite limited resources and geographical isolation. Nursing leaders have performed a critical role in the establishment of a preventative-focused, community-based healthcare system. However, little is known about their contributions, as no previous studies have been conducted on the role of nursing leadership in the region's healthcare transformation.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Qualitative interpretive phenomenological and historical methods were used to analyze historical documents and conduct 45 in-depth semi-structured interviews with nursing leaders. Colaizzi's (1978) seven-step method and the COREQ EQUATOR reporting guidelines were used to analyze and report findings.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Eleven significant themes emerged from data: historical leaders, leadership characteristics, international collaboration, the need to invest in infrastructure, lack of respect and slow advancement, a severe nursing shortage, limited resources, and the need for advocacy.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>These findings demonstrate nursing leaders’ critical role in improving healthcare outcomes despite significant barriers through collaboration, policy development, and investments in nursing education</p>\n </section>\n \n <section>\n \n <h3> Implications for nursing policy</h3>\n \n <p>This study provides insight into the accomplishments and challenges of nursing leaders in St. Kitts and Nevis and provides a foundation for future research on nursing leadership in similar settings. This research highlights the need for policies and international partnerships that advance nursing leadership capacity.</p>\n </section>\n </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Nursing Review","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/inr.70051","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

To analyze the contributions, challenges, and strategies for improving healthcare by past and present nursing leaders in St. Kitts and Nevis.

Background

St. Kitts and Nevis has made significant progress in healthcare delivery despite limited resources and geographical isolation. Nursing leaders have performed a critical role in the establishment of a preventative-focused, community-based healthcare system. However, little is known about their contributions, as no previous studies have been conducted on the role of nursing leadership in the region's healthcare transformation.

Methods

Qualitative interpretive phenomenological and historical methods were used to analyze historical documents and conduct 45 in-depth semi-structured interviews with nursing leaders. Colaizzi's (1978) seven-step method and the COREQ EQUATOR reporting guidelines were used to analyze and report findings.

Results

Eleven significant themes emerged from data: historical leaders, leadership characteristics, international collaboration, the need to invest in infrastructure, lack of respect and slow advancement, a severe nursing shortage, limited resources, and the need for advocacy.

Discussion

These findings demonstrate nursing leaders’ critical role in improving healthcare outcomes despite significant barriers through collaboration, policy development, and investments in nursing education

Implications for nursing policy

This study provides insight into the accomplishments and challenges of nursing leaders in St. Kitts and Nevis and provides a foundation for future research on nursing leadership in similar settings. This research highlights the need for policies and international partnerships that advance nursing leadership capacity.

查看原文本刊更多论文

护理领导和政策影响：来自圣基茨和尼维斯的见解

目的分析圣基茨和尼维斯过去和现在的护理领导者对改善医疗保健的贡献、挑战和策略。背景圣基茨和尼维斯尽管资源有限且地理位置孤立，但在提供保健服务方面取得了重大进展。护理领导在建立以预防为重点、以社区为基础的医疗保健系统方面发挥了关键作用。然而，很少有人知道他们的贡献，因为以前没有研究护理领导在该地区的医疗保健转型中的作用。方法采用定性解释现象学和历史学方法对历史文献进行分析，并对护理领导进行45次深度半结构化访谈。Colaizzi（1978）的七步法和COREQ EQUATOR报告指南被用于分析和报告研究结果。结果从数据中得出了11个重要主题：历史领导人、领导特征、国际合作、投资基础设施的必要性、缺乏尊重和进展缓慢、严重的护理短缺、有限的资源以及宣传的必要性。这些研究结果表明，护理领导者在改善医疗保健结果方面发挥着关键作用，尽管在合作、政策制定、本研究对圣基茨和尼维斯护理领导者的成就和挑战提供了深入的见解，并为未来类似环境下护理领导者的研究提供了基础。这项研究强调了促进护理领导能力的政策和国际伙伴关系的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.