A influência do estilo de liderança nos resultados com pacientes, profissionais e instituições

Objective: to investigate, in the literature, evidence on the influence of different styles of leadership on results with patients, professionals and institutions. Method: integrative review of the literature on the portals Virtual Health Library (VHL) and Pubmed and databases Scopus, CINAHL and Embase, using the following descriptors: "leadership", "nursing", "patient safety", “burnout, professional”, "absenteeism" and "personnel turnover" in original articles. Results: 26 publications were included, of which 14 were related to patient outcomes (patient safety), ten related to professionals (burnout) and four to the institution (rotation). Regarding the patients, the leadership style that contributed the most to the favorable results was the transformational, followed by situational, ethical, clinical and coaching. Regarding the development of burnout, the leadership that contributed the most to the reduction of the level of the syndrome was the authentic one, followed by the transformational one and, as far as the intention to leave the job, the authentic one, followed by the transformational leadership were the ones that contributed the most to diminish this intention. In this item, abusive leadership contributed to the desire of professionals to quit their jobs. Conclusion: transformational and authentic leaderships were the ones that most influenced the positive results with patients, professionals and institutions.

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Factors Influencing Nurses’ Intention to Leave and Intention to Stay: An Integrative Review

Home Health Care Management & Practice ◽

10.1177/1084822320931363 ◽

2020 ◽

Vol 32 (4) ◽

pp. 218-228 ◽

Cited By ~ 2

Author(s):

Luma Ghazi Al Zamel ◽

Khatijah Lim Abdullah ◽

Chong Mei Chan ◽

Chua Yan Piaw

Keyword(s):

Leadership Style ◽

Turnover Intention ◽

Quality Care ◽

Intention To Leave ◽

Critical Issue ◽

Integrative Review ◽

Quality Of Work Life ◽

Intention To Stay ◽

Nursing Retention ◽

Work Family

Nursing retention is a critical issue for organization. High nurses’ turnover impact negatively on an organization requirement to meet patient needs and quality care. This integrative review aims to critically review and synthesize published studies to obtain better understanding of the determinants of nurse’s intention to leave or stay in the organization. Thirty-seven studies which met the inclusion criteria from different locations using a variety of instruments and research designs were identified using PRISMA guideline. Many factors including job satisfaction, organizational commitment, quality of work life, work environment, leadership style, bullying at work, family reason, and job security were identified to be associated negatively with nurse’s intention to leave and positively with intention to stay in organization. More qualitative studies are needed to understand in depth, the reasons and factors that underlie and influence turnover, intention to leave or remain in organization.

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Chemotherapy-induced peripheral neuropathies: an integrative review of the literature

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420150000200020 ◽

2015 ◽

Vol 49 (2) ◽

pp. 0335-0345 ◽

Cited By ~ 7

Author(s):

Talita Cassanta Costa ◽

Miriam Lopes ◽

Anna Cláudia Yokoyama dos Anjos ◽

Marcia Maria Fontão Zago

Keyword(s):

Latin American ◽

Health Sciences ◽

Integrative Review ◽

Cochrane Library ◽

Peripheral Neuropathies ◽

Review Of The Literature ◽

Electronic Library ◽

The Cochrane Library ◽

Chemotherapy Agents ◽

Positive Results

OBJECTIVE: To identify scientific studies and to deepen the knowledge of peripheral neuropathies induced by chemotherapy antineoplastic, seeking evidence for assistance to cancer patients. METHOD: Integrative review of the literature conducted in the databases Latin American and Caribbean Health Sciences (LILACS), Scientific Electronic Library Online (SciELO), Medical Literature Analysis (PubMed/MEDLINE), the Cochrane Library and the Spanish Bibliographic Index Health Sciences (IBECS). RESULTS: The sample consisted of 15 studies published between 2005-2014 that met the inclusion criteria. Studies showed aspects related to advanced age, main symptoms of neuropathy and chemotherapy agents as important adverse effect of neuropathy. CONCLUSION: We identified a small number of studies that addressed the topic, as well as low production of evidence related to interventions with positive results. It is considered important to develop new studies proposed for the prevention and/or treatment, enabling adjustment of the patient's cancer chemotherapy and consequently better service.

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Ensino da segurança do paciente na enfermagem: revisão integrativa

Enfermería Global ◽

10.6018/eglobal.441691 ◽

2021 ◽

Vol 20 (4) ◽

pp. 700-743

Author(s):

Ruth Cardoso Rocha Ruth ◽

Maria Augusta Rocha Bezerra ◽

Brenda de Meneses Barbosa Martins ◽

Benevina Maria Vilar Teixeira Nunes

Keyword(s):

United States ◽

Patient Safety ◽

Teaching Methods ◽

Web Of Science ◽

Scientific Evidence ◽

Problem Based Learning ◽

The United States ◽

Integrative Review ◽

Review Of The Literature

seguridad del paciente en la Enfermería.Metodología: Revisión integrativa de la literatura, realizada en las bases de datos: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science y SCOPUS.Resultados: Se seleccionaron 11 artículos publicados a partir de 2007, predominantemente en los Estados Unidos, descriptivos y de intervención, cuya estrategia para enseñanza de seguridad del paciente en la enfermería más utilizada fue la simulación y, en una investigación, el método del aprendizaje basado en el problema.Conclusión: La enseñanza sobre seguridad del paciente en la enfermería ha sido realizada en la mayoría de las veces por medio de simulación, pero es poco difundido en Brasil. Por lo tanto, es fundamental la inclusión de esta temática en las matrices curriculares de Enfermería desde el inicio del curso y el uso de métodos y estrategias robustos de enseñanza. Objective: To identify scientific evidence in the literature on how the teaching of patient safety takes place in Nursing.Methodology: It was an integrative review of the literature conducted in the following databases: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science, and Scopus.Results: 11 articles published from 2007 were selected, predominantly in the United States, descriptive and of intervention type, in which the most papers used strategy for teaching patient safety in Nursing was simulation and in research, the problem-based learning method.Conclusion: Teaching patient safety in Nursing has been carried out most of the time through simulation, but it remains little-known in Brazil. Therefore, it is essential to include this topic in Nursing curricular programs from the beginning of the course and the use of strong teaching methods and strategies. Objetivo: Identificar na literatura evidências científicas sobre como é realizado o ensino de segurança do paciente na Enfermagem. Metodologia: Revisão integrativa da literatura realizada nas bases de dados: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science e SCOPUS. Resultados: Foram selecionados 11 artigos publicados a partir de 2007, predominantemente nos Estados Unidos, descritivos e de intervenção, cuja estratégia para o ensino de segurança do paciente na Enfermagem mais utilizada foi a simulação e em uma pesquisa o método da aprendizagem baseada em problema. Conclusão: O ensino sobre segurança do paciente na Enfermagem tem sido realizado na maioria das vezes por meio de simulação, mas é pouco difundido no Brasil. Portanto, é fundamental a inclusão desta temática nas matrizes curriculares de Enfermagem desde o início do curso e uso de métodos e estratégias robustos de ensino.

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Transformational leadership and turnover

Leadership & Organization Development Journal ◽

10.1108/lodj-12-2014-0243 ◽

2018 ◽

Vol 39 (1) ◽

pp. 82-99 ◽

Cited By ~ 8

Author(s):

Sangeeta Sahu ◽

Avinash Pathardikar ◽

Anupam Kumar

Keyword(s):

Transformational Leadership ◽

Employee Engagement ◽

Leadership Style ◽

Intention To Leave ◽

Measurement Model ◽

Full Time ◽

Employer Branding ◽

Content Type ◽

Transformational Leadership Style ◽

The Relationship

Purpose The purpose of this paper is to report the findings of a study which examines the relationship between transformational leadership and intention to leave through the mediating role of employee engagement, employer branding, and psychological attachment. Design/methodology/approach Transformational leadership, employee engagement, employer branding, and psychological attachment were assessed in an empirical study based on a sample of 405 full-time employees working in information technology (IT) organizations in India. The data which were obtained using Google doc and a printed questionnaire was analyzed through structural and measurement model. Findings The results reveal that transformational leadership style directly influences employee intention to leave. Transformational leadership and employer branding is mediated by employee engagement. The leadership relation with psychological attachment is mediated by employer branding. Practical implications The implications of the study are of utmost importance for Indian IT industries facing high voluntary turnover in recent times. Transformational leaders in teams contribute to develop employee engagement, employer branding, and psychological attachment. Imparting transformational leadership training to team leaders can help in generating psychological attachment with the employees which would go a long way. Originality/value This study explores the relationship among transformational leadership style, employee engagement, employer branding, and psychological attachment which has not been explored theoretically and tested empirically in an Indian context.

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Linking Nurses' Clinical Leadership to Patient Care Quality: The Role of Transformational Leadership and Workplace Empowerment

Canadian Journal of Nursing Research ◽

10.1177/0844562117732490 ◽

2017 ◽

Vol 50 (1) ◽

pp. 9-19 ◽

Cited By ~ 8

Author(s):

Sheila Boamah

Keyword(s):

Transformational Leadership ◽

Patient Safety ◽

Patient Care ◽

Patient Outcomes ◽

Care Quality ◽

Direct Patient Care ◽

Equation Modeling ◽

Staff Nurse ◽

Structural Empowerment ◽

Clinical Leadership

Background While improving patient safety requires strong nursing leadership, there has been little empirical research that has examined the mechanisms by which leadership influences patient safety outcomes. Aim To test a model examining relationships among transformational leadership, structural empowerment, staff nurse clinical leadership, and nurse-assessed adverse patient outcomes. Methods A cross-sectional survey was conducted with a randomly selected sample of 378 registered nurses working in direct patient care in acute care hospitals across Ontario, Canada. Structural equation modeling was used to test the hypothesized model. Results The model had an acceptable fit, and all paths were significant. Transformational leadership was significantly associated with decreased adverse patient outcomes through structural empowerment and staff nurse clinical leadership. Discussion This study highlights the importance of transformational leadership in creating empowering practice environments that foster high-quality care. The findings indicate that a more complete understanding of what drives desired patient outcomes warrants the need to focus on how to empower nurses and foster clinical leadership practices at the point of care. Conclusion In planning safety strategies, managers must demonstrate transformational leadership behaviors in order to modify the work environment to create better defenses for averting adverse events.

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Effect of Transformational Leadership on Nursing Informatics Competency of Chinese Nurses: The Intermediary Function of Innovation Self-Efficacy

10.3233/shti210722 ◽

2021 ◽

Author(s):

Jie Jing ◽

Eksiri Niyomsilp ◽

Linli Xie ◽

Haixia Jiang ◽

Rong Li

Keyword(s):

Transformational Leadership ◽

Patient Safety ◽

Leadership Style ◽

Self Efficacy ◽

Public Hospitals ◽

Mediating Effect ◽

Self Concept ◽

Nursing Informatics ◽

Correlational Research ◽

Transformational Leadership Style

Nursing informatics competency has crucial functions in the development of a hospital and patient safety. On the basis of the theory of self-concept, there has been an inadequate study of the influence of transformational leadership on nursing informatics competency mediated by innovation self-efficacy. A descriptive correlational research design was conducted for 586 Chinese nurses from five public hospitals. The measurements were obtained from a questionnaire on transformational leadership, nursing informatics competency, innovation self-efficacy, and a sociodemographic datasheet. We identified a positive correlation between transformational leadership and nursing informatics competency. Innovation self-efficacy had a mediating effect. Managers need to provide measures to shape their transformational leadership style and promote innovation self-efficacy of nurses, which enhances nursing informatics competency of nurses.

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Social participation and personal autonomy of individuals with spinal cord injury

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0020 ◽

2019 ◽

Vol 72 (1) ◽

pp. 241-247

Author(s):

Valéria Sousa de Andrade ◽

Fabiana Faleiros ◽

Lais Magro Balestrero ◽

Viviane Romeiro ◽

Claudia Benedita dos Santos

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Social Participation ◽

Scientific Literature ◽

Personal Autonomy ◽

Integrative Review ◽

Review Of The Literature ◽

The Social ◽

Cord Injury ◽

Literature Evidence

ABSTRACT Objective: To investigate, based on scientific literature, evidence on social participation and personal autonomy of individuals with spinal cord injury. Method: Integrative review of the literature including studies published between January 2006 and September 2016, obtained in the databases PubMed, CINAHL and LILACS. The guiding question was: "What evidence is available in the scientific literature about the social participation and/or personal autonomy of individuals with spinal cord injury?" The data were processed by IRaMuTeQ and analyzed by the Hierarchical Descending Classification, according to the expertise of the researchers. Results: Six selected studies discussed social participation, one discussed personal autonomy and two discussed both. 107 text segments were retained and gave rise to five classes. Conclusion: There is little specificity regarding the characteristics of social participation and personal autonomy of individuals with spinal cord injury. The existence of barriers forces them to adopt strategies to participate autonomously.

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