Aim To examine the impact of nursing leadership styles on intensive care unit quality measures. Background Evidence on the impact of leadership styles has direct implications for building and strengthening leadership behaviours that foster quality nursing care in intensive care units. Evaluation An integrative review approach was adopted. Databases including the Cumulative Index of Nursing and Allied Health Literature, PubMed, Scopus, ProQuest, Google Scholar and the Cochrane Library were searched. Key issues(s) Out of 253 identified studies, seven were included in the review. Leadership styles in intensive care units include transformational, considerate, exemplary, trusted and absentee leadership. Active nurse leaders who share a common vision, and advocate for their staff are perceived as more effective than those who exhibit absentee characteristics. Structural measures influenced by leadership styles include productivity and morale of nursing staff. Outcome measures such as staff outcomes (intent to stay, job satisfaction), medication errors and periventricular/intraventricular haemorrhage in neonatal intensive care units have a positive relational effect with nursing leadership style. Conclusions The findings highlight the link between nursing leadership styles on structural and outcome measures in intensive care units. The current literature lacks studies highlighting the impact of nursing leadership styles on process measures in intensive care units. Implications for nursing management Transformational, considerate, exemplary leadership practices, and trusted leadership styles when used by nurse leaders guarantee higher quality of nursing care in intensive care units. Therefore, modern leadership styles need to be supported by health care organisations and education.
Aim The aim of the study was to test a nurse‐led intervention to enhance lifestyle modification and improve hypertension outcomes. Background Hypertension is the leading modifiable contributor to non‐communicable disease morbidity and mortality affecting more than 25% of adults in Uganda. Methods A mixed‐method study was conducted to evaluate nurse‐led interventions for hypertension. Group education and support with text message follow‐up was the bundled interventions implemented in an outpatient clinical setting. Conclusion and implications The statistically favourable outcomes of the nurse‐led interventions support a cost‐effective approach to, with policy support, sustainably improve practice outcomes.
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