Associations between nurse managers’ leadership styles, team culture and competence planning in Norwegian municipal in‐patient acute care services: A cross‐sectional study

Abstract

Background Increased complexity in the primary healthcare services has followed in the wake of health reforms and reveals the need for competence enhancement in the nursing services. Effective and visionary leadership, sufficiently qualified staff and cooperation among professionals are considered as key measures to safeguard quality in the services. Aims To identify which leadership styles characterise first‐line nurse managers in Norwegian municipal in‐patient acute care (MipAC) units and to investigate how first‐line nurse managers’ leadership styles are associated with team culture and documented nursing competence planning. Methods A cross‐sectional survey was distributed to all the first‐line nurse managers in Norwegian MipAC units (n = 229). Data were collected between March and June 2019. The response rate was 80.5% (n = 182). First‐line managers’ background information and data about their focus on team culture and competence planning were recorded. Furthermore, we noted organisational structural characteristics, and managers’ transformational (relational) leadership and transactional (task‐oriented) leadership styles. Results The managers exhibited a high degree of transformational leadership behaviour, which was significantly associated with team culture. No significant associations between leadership behaviours and documented competence planning were found. Notably, we found a significant correlation between transformational and transactional leadership styles, indicating that the managers adapt their leadership behaviours to actual requirements and situations. Organisational structural factors: the share of registered nurses (RNs) on the staff and having a position for a professional development nurse were positively associated with competence planning. Conclusion A relational leadership style promotes team culture and both factors may empower the professional nursing environment. However, first‐line nurse managers need to acknowledge nursing competence planning as a central part of effective leadership. Having a professional development nurse position seems to complement leadership and ease the manager's responsibilities regarding team culture and competence planning.

Liderança Transformacional De Enfermagem Na Atenção Primária À Saúde: Uma Abordagem Essencial Para O Avanço Do Cuidado

“…Enfermeiros apontaram que seus líderes em instituições de APS procuram criar ambientes de trabalho onde a equipe de enfermagem possa ter autonomia ao exercer suas funções através de distribuição igualitária de recursos e interações positivas com outros profissionais de saúde (POGHOSYAN; BERNHARDT, 2018). A cultura de equipe e o planejamento de competências também foram associados à liderança transformacional por enfermeiros que exercem suas funções em instituições de saúde primária (VATNØY et al, 2022). Enfermeiros que atuam na APS enfatizaram ainda que adquirir características pertinentes ao líder transformacional é difícil, pois, demanda tempo e experiência, uma vez que ao se formaram eles não se sentem totalmente aptos para exercerem a liderança (BRZOZOWSKI et al, 2022;.…”

“…Estudos incluídos nesta revisão enfatizaram que o estilo de liderança do gerente de enfermagem influencia a qualidade do cuidado (BRZOZOWSKI et al, 2022;LARA JAQUE et al, 2020;POGHOSYAN;BERNHARDT, 2018;VATNØY et al, 2022). Além disso, observou-se a importância de que gerentes de enfermagem adotem a liderança transformacional na APS (BRZOZOWSKI et al, 2022;POGHOSYAN;BERNHARDT, 2018;VATNØY et al, 2022). Portanto, instituições de ensino devem atentar para capacitar estudantes para serem líderes que inspirem e motivem suas equipes no futuro (BRZOZOWSKI et al, 2022;LARA JAQUE et al, 2020;.…”

“…Quanto aos aspectos éticos, foram observados os princípios de legitimidade das informações e atribuição adequada de autoria aos estudos pesquisados, citando-os e referenciando-os de acordo com as normas exigidas. Identificou-se através da literatura científica que enfermeiros atuantes na APS reconhecem características da liderança transformacional em seus gerentes de enfermagem (BRZOZOWSKI et al, 2022;POGHOSYAN;BERNHARDT, 2018) e em si mesmos (LARA JAQUE et al, 2020;VATNØY et al, 2022). No entanto, segundo BRZOZOWSKI et al (2022), quando comparados aos resultados de estudos realizados em instituições de saúde terciárias como hospitais de grande porte, os comportamentos de liderança transformacional se apresentam em menores proporções na APS.…”

Sistematik Reviu Literatur Gaya Kepemimpinan Positif di Bidang Pelayanan Kesehatan (2019- 2023): Tren dan Penelitian Lanjutan

“…Sistem dari layanan kesehatan selalu berada dalam kondisi bersaing untuk meningkatkan kesehatan masyarakat dan di saat yang bersamaan menghindari peningkatan biaya kesehatan (Specchia et al, 2021). Penelitian sebelumnya telah menunjukkan bahwa peran pemimpin dan gaya kepemimpinan yang diterapkan dapat mempengaruhi kinerja karyawan serta kinerja dari sistem layanan kesehatan itu sendiri (Daswati et al, 2021;Vatnøy et al, 2022)). Maka dari itu, teori kepemimpinan perlu terus dilakukan penelitian, baik untuk mengeksplorasi perannya terhadap aspek pelayanan kesehatan ataupun untuk menilai relevansinya dengan masa depan yang selalu berubah.…”

Beyond communication: an update on transforming healthcare teams

“…Using extant supporting research, we provide rationale for its strength as an intervention and call attention to it as a great tool in nurturing teams in their lifespan. 1) review [and more recently, Vatnøy et al (28)] corroborated the importance of team leadership-which, as many have found (29), can help members coordinate their collective resources in accomplishing the team's work (27,30). Furthermore, as the team coaching literature has evolved, it has been mostly conceptualized as a leadership strategy that both internal and external coaches can provide (31).…”