Leadership as a Facilitator of Evidence Implementation by Nurse Managers: A Metasynthesis.

Autor: Clavijo-Chamorro MZ; Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Extremadura, Spain., Romero-Zarallo G; Department of Nursing, Internal Medicine Unit, Llerena General Hospital, Badajoz, Extremadura, Spain., Gómez-Luque A; Department of Nursing, Faculty of Nursing, University of Extremadura, Plasencia, Extremadura, Spain., López-Espuela F; Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Extremadura, Spain., Sanz-Martos S; Department of Nursing, Faculty of Health Sciences, University of Jaén, Andalusia, Spain., López-Medina IM; Department of Nursing, Faculty of Health Sciences, University of Jaén, Andalusia, Spain.
Jazyk: angličtina
Zdroj: Western journal of nursing research [West J Nurs Res] 2022 Jun; Vol. 44 (6), pp. 567-581. Date of Electronic Publication: 2021 Apr 15.
DOI: 10.1177/01939459211004905
Abstrakt: Evidence-based practice is often not implemented in nursing for reasons relating to leadership. This article aims to cast light on the factors that facilitate nursing evidence implementation perceived by nurse managers in their practical experiences of this implementation. It is a qualitative, narrative metasynthesis of primary studies on nurse managers' leadership-related facilitation experiences, following the Joanna Briggs Institute meta-aggregative approach and the Promoting Action on Research Implementation in Health Services (PARiHS) model. Eleven primary studies were included and three general categories were identified as leadership-related factors facilitating evidence implementation: teamwork (communication between managers and staff nurses), organizational structures (strategic governance), and transformational leadership (influence on evidence application and readiness for change among leaders). Nurse managers act as facilitators of evidence-based practices by transforming contexts to motivate their staff and move toward a shared vision of change. Always providing support as managers and colleagues, sharing their experience in the clinic environment.
Databáze: MEDLINE