Presence and availability: staff conceptions of nursing leadership on an intensive care unit

Abstract

A demand for high quality care has drawn attention to leadership issues. The nurse managing role has changed over the years and become more complex with a high burden of work. Few studies describe the perspective of 'those being lead'. The aim of this study was to describe staff conceptions about nursing leadership on an intensive care unit. Ten members of staff were interviewed and analysed according to a phenomenographical approach, focusing variations in how informants experience nursing leadership and make sense of the world around them. The findings show that nursing leadership was considered to be 'being present and available in daily work', 'supporting everyday practice', 'facilitating professional acknowledgement' and to 'improve care both as individuals and as a team'. Transformational leadership seemed to be suitable to meet the staff perspective. In such leadership communicative skills is a core to work with strong professionals by being present and available.

State of the Science of Nursing Presence Revisited: Knowledge for Preserving Nursing Presence Capability

“…The psychiatric/counseling search rendered 10 articles (Crane-Okada, 2012;Dunn, Callahan, Swift, & Ivanovic, 2013;Fraelich, 1989;Geller, 2001;Geller & Greenberg, 2002;Geller, Greenberg, & Watson, 2010;Granick, 2011, McCollum & Gehart, 2010Robbins, 1998;Tannen & Daniels, 2010). Seven sources were included from management literature (Baldoni, 2010;Fairhurst, 2009;Halpern & Lubar, 2004;Rosengren, Athlin, & Segesten, 2007;Scouller, 2011;Senge, Scharmer, Jaworski & Flower, 2004;Su & Wilkins, 2013). The nursing literature was next explored.…”

Liderança em ambientes de cuidados críticos: reflexões e desafios à Enfermagem Brasileira

“…Um estudo fenomenológico com o intuito de explorar como os indivíduos experenciavam a liderança, apontou a importância da presença do líder no seu trabalho diário para prestar um cuidado de qualidade ao paciente, cujos participantes descreveram o distanciamento das líderes em enfermagem como um obstáculo ao crescimento da equipe e a melhoria do cuidado ao paciente (7) . Dentre as várias definições de liderança concorda-se que a "liderança é um processo grupal, onde ocorre uma influência com a finalidade de alcançar uma meta; portanto, está ligada a um sentido de ação, um senso de movimento, passível de ser aprendida " (8) e, neste sentido, a enfermeira deve estar preparada para um novo agir, desenvolvendo e amadurecendo um novo tipo de liderança, mudando o perfil de burocrata para coordenadora do cuidado, sendo motivadora e integrada às ações das pessoas e da equipe (6,9) .…”

Using Numbers Creates Value for Health Professionals: A Quantitative Study of Pain Management in Palliative Care

“…The staff's experience of the pain was documented-not the patients'. Hence, the staff need feedback on work [29,30] and one way is by visualizing patients' pain intensity. Improvement work can help reduce financial costs by using resources in a systematic way based on clinical guidelines that are grounded in research [35][36][37][38].…”

“…The quality of operations is secured by offering staff systematic and continuous training. Hence, health care management and leadership are important influencing factors for patient safety and high-quality care [5,16,[25][26][27][28][29][30]. The staff need an effective learning environment, well-functioning communication, and competent leadership to develop a learning organization that promotes high-quality care [27,31].…”