Nursing Leadership Learning in Practice: A Four Stage Learning Process

Abstract

Background: There is emerging evidence that most nursing leadership learning occurs in practice and through social interactions. However, how this social process of learning takes place is not clear and there is limited information about how to support nursing leadership learning as it occurs in clinical settings. The purpose of this study was to increase understanding of the nature of leadership learning in nursing practice. It further aimed to discover the ways in which this type of learning is important to leadership development, and to determine how and why this is the case. Methods: Using a constructivist grounded theory approach, a total of 19 semi-structured interviews with 15 nurse managers were undertaken. Data analysis consisted of coding, constant comparison, memo writing, theoretical sampling and conceptualisation. Results: It was found that learning occurs by engaging in social interactions, as these interactions are converted into learning events. A four-stage process of learning was identified: Reflecting, discovering, deciding, and choosing. Moving through this process can give rise to changed behaviours and leadership development. Conclusion: Nurse managers should be supported by providing them with the opportunity to engage in the learning process by providing action learning sets, focusing on reflection.

Measuring Transformational Leadership in Establishing Nursing Care Excellence

“…However, a caution needs to be applied in that self-identification by the NMs may not necessarily means that these behaviors are displayed. The enactment of leadership is influenced by the context in which leadership is practiced [45]. A work environment might contain barriers to enact TL in day-to-day operations, such as a lack of support from management and clinical staff, lack of authority, and lack of leadership skill development and education [46].…”

Liderança autêntica e satisfação no trabalho de coordenadores e docentes de cursos de graduação em enfermagem de universidades federais

“…Nesta posição, o enfermeiro líder deve desenvolver empatia, responsabilidade, compromisso, comunicação, habilidade para tomada de decisões e gerenciamento de forma efetiva e eficaz (BRASIL, 2001). Assim, a liderança poderá auxiliar o enfermeiro na construção de um ambiente de trabalho salutar, com vínculos profissionais satisfatórios e processos de comunicação com os demais integrantes da equipe de enfermagem ( VAN DAM;FORD, 2019).…”

“…No currículo da graduação em enfermagem, o processo administrativo/gerencial é comumente abordado na disciplina Administração e/ou Gerenciamento em Enfermagem, na qual são desenvolvidos conhecimentos sobre as concepções teóricas dos processos de formação de pessoas, recursos físicos e materiais, além da aptidão para gestão e liderança nas equipes de saúde (CAVEIÃO, 2016). Ressalta-se que esta disciplina normalmente é oportunizada apenas nos últimos períodos da graduação, deixando pouco tempo para que os estudantes internalizem conceitos importantes e pratiquem habilidades relacionadas (WAITE et al, 2014), ou seja, há um déficit na formação teórica dos enfermeiros quanto à liderança, reforçando a baixa valorização desta competência durante a formação ( VAN DAM;FORD, 2019).…”