Critical incidents connected to nurses' leadership in Intensive Care Units.

Rev Bras Enferm

Universidade Federal de São Paulo, São Paulo School of Nursing, Department of Administration in Health Care and Nursing Services. São Paulo, Brazil.

Published: June 2018

AI Article Synopsis

  • The study evaluates nurses' leadership in intensive care units in São Paulo, Brazil, focusing on both positive and negative critical incidents.
  • Researchers used the Critical Incident Technique with 24 nurses, categorizing 61 incidents that highlighted issues like communication gaps, daily conflicts, people management, and quality care targets.
  • The findings suggest a mixed leadership model and emphasize the importance of nurses understanding contemporary leadership styles to improve communication and flexibility, ultimately benefiting organizational outcomes.

Article Abstract

Objective:: The goal of this study is to analyze nurses' leadership in intensive care units at hospitals in the state of São Paulo, Brazil, in the face of positive and negative critical incidents.

Method:: Exploratory, descriptive study, conducted with 24 nurses by using the Critical Incident Technique as a methodological benchmark.

Results:: Results were grouped into 61 critical incidents distributed into categories. Researchers came to the conclusion that leadership-related situations interfere with IC nurses' behaviors. Among these situations they found: difficulty in the communication process; conflicts in the daily exercise of nurses' activities; people management; and the setting of high quality care targets.

Final Considerations:: Researchers identified a mixed leadership model, leading them to the conclusion that nurses' knowledge and practice of contemporary leadership theories/styles are crucial because they facilitate the communication process, focusing on behavioral aspects and beliefs, in addition to valuing flexibility. This positively impacts the organization's results.

Objetivo:: Analisar a liderança do enfermeiro em Centros de Terapia Intensiva de hospitais localizados no interior do estado de São Paulo, diante de incidentes críticos positivos e negativos.

MÉtodo:: Estudo exploratório, descritivo, realizado com 24 enfermeiros, que utilizou a Técnica do Incidente Crítico como referencial metodológico.

Resultados:: Os resultados foram agrupados em 61 incidentes críticos distribuídos em categorias. Identificou-se que situações relacionadas à liderança interferem no comportamento do enfermeiro de Terapia Intensiva, dentre elas: dificuldade no processo de comunicação, conflitos existentes no dia a dia do exercício profissional, gerenciamento de pessoas e estabelecimento de metas para o alcance da assistência qualificada.

ConsideraÇÕes Finais:: Encontrou-se um modelo misto de liderança, o que permite concluir que o conhecimento e a prática dos enfermeiros acerca de teorias/estilos contemporâneos de liderança tornam-se fundamentais, pois facilitam o processo de comunicação, focando nos aspectos comportamentais e crenças, e valorizam a flexibilidade, impactando positivamente os resultados da organização.

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Source
http://dx.doi.org/10.1590/0034-7167-2016-0137DOI Listing

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