背景:预算限制,人员短缺和高工作量给德国医院带来了挑战。Magnet®和Pathway®是实施组织范围变革和重新设计工作环境的概念。对护士领导在美国以外推动实施Magnet®/Pathway®原则的关键要素的研究有限我们探讨了护士领导者通过Magnet®/Pathway®原则在德国医院推动组织范围变革的关键属性。
方法:使用定性研究设计,半结构化访谈(n=18)与护士领导进行,经理,和临床医生,在五家德国医院中,他们已经开始实施Magnet®或Pathway®原则。访谈被逐字记录和转录。在Atlas中分析数据。ti使用内容分析。为了分析,使用演绎归纳法创建了一个类别系统。
结果:五个领导属性和11个子属性被确定为主要主题和子主题:具有远见的领导者,他们拥有并传达了强烈的愿景,并作为榜样来激励变革。专注于战略规划和获得最高管理层支持的战略领导者。赋权的支持性领导人,强调员工的积极性,个性化支持,和团队协作。耐力突出勇气,自信,面对挑战时的韧性。最后,敏捷性,解决领导者的存在,可访问性,和快速的反应能力,培养适应性。
结论:该研究表明,在德国五家医院中,领导属性明确关注通过Magnet®/Pathway®原则来激励和推动整个组织的变革。研究结果表明,需要全面准备和持续发展旨在建立和维持积极的医院工作环境的护士领导者。
BACKGROUND: Budget constraints, staff shortages and high workloads pose challenges for German hospitals. Magnet® and Pathway® are concepts for implementing organization-wide change and redesigning work environments. There is limited research on the key elements that characterize nurse leaders driving the implementation of Magnet®/Pathway® principles outside the U.S. We explored the key attributes of nurse leaders driving organization-wide change through Magnet®/Pathway® principles in German hospitals.
METHODS: Using a qualitative study design, semi-structured interviews (n = 18) were conducted with nurse leaders, managers, and clinicians, in five German hospitals known as having started implementing Magnet® or Pathway® principles. The interviews were recorded and transcribed verbatim. Data were analyzed in Atlas.ti using content analysis. For the analysis, a category system was created using a deductive-inductive approach.
RESULTS: Five leadership attributes and eleven sub-attributes were identified as main themes and sub-themes: Visionary leaders who possess and communicate a strong vision and serve as role models to inspire change. Strategic leaders who focus on strategic planning and securing top management support. Supportive leaders who empower, emphasizing employee motivation, individualized support, and team collaboration. Stamina highlights courage, assertiveness, and resilience in the face of challenges. Finally, agility which addresses a leader\'s presence, accessibility, and rapid responsiveness, fostering adaptability.
CONCLUSIONS: The study demonstrates leadership attributes explicitly focusing on instigating and driving organization-wide change through Magnet®/Pathway® principles in five German hospitals. The findings suggest a need for comprehensive preparation and ongoing development of nurse leaders aimed at establishing and sustaining a positive hospital work environment.