Managerial leadership for research use in nursing and allied health care professions: a systematic review.
Managerial leadership for research use in nursing and allied health care professions: a systematic review.
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DOI：
10.1186/s13012-018-0817-7
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发表时间：
2018-09-27
期刊：
影响因子：
--
通讯作者：
Graham ID
中科院分区：
文献类型：
--
作者：
Gifford WA;Squires JE;Angus DE;Ashley LA;Brosseau L;Craik JM;Domecq MC;Egan M;Holyoke P;Juergensen L;Wallin L;Wazni L;Graham ID
护理点和高级管理人员的领导越来越被认为是在实践中接受和使用研究证据的关键。本系统综述的目的是确定与临床护理人员和专职医疗人员的研究使用相关的管理者的领导行为。进行了一项混合方法系统性综述。检索了8个电子书目数据库。研究检查领导行为和护士和专职医疗人员使用研究之间的关联有资格纳入。如果不能明确地将领导力归因于处于管理地位的人，则排除研究。两名评审员独立筛选摘要，审查全文文章，提取数据并进行质量评估。进行叙述性综合。删除重复文献后，检索得到7019个唯一标题和摘要。对305篇全文文献进行了综述，纳入了34篇文献中报告的31项研究。所用方法包括定性调查（n = 19）、横断面调查（n = 9）和混合调查（n = 3）。所有研究都包括护士，六项研究还包括专职医疗人员。从护理点管理人员的数据中提取了12种领导行为，高级管理人员提取了10种领导行为。研究结果表明，管理人员进行了各种各样的领导行为，包括面向变化，面向关系和面向任务的行为。最常描述的行为是对变革的支持，这包括展示对基于研究的实践的概念和操作承诺。这一系统的审查增加了越来越多的证据表明，管理人员的二元关系是有影响力的研究证据转化为行动。研究结果还表明，领导研究使用涉及变化和任务导向的行为，影响环境环境和组织基础设施，支持临床护理。虽然研究结果解释了管理人员如何制定领导研究使用，我们现在需要强大的方法研究，以确定哪些行为是有效的，使研究使用与护士和专职医疗人员的高质量的循证护理。PROSPERO CRD 42014007660本文的在线版本（10.1186/s13012-018-0817-7）包含补充材料，可供授权用户使用。
Leadership by point-of-care and senior managers is increasingly recognized as critical to the acceptance and use of research evidence in practice. The purpose of this systematic review was to identify the leadership behaviours of managers that are associated with research use by clinical staff in nursing and allied health professionals. A mixed methods systematic review was performed. Eight electronic bibliographic databases were searched. Studies examining the association between leadership behaviours and nurses and allied health professionals’ use of research were eligible for inclusion. Studies were excluded if leadership could not be clearly attributed to someone in a management position. Two reviewers independently screened abstracts, reviewed full-text articles, extracted data and performed quality assessments. Narrative synthesis was conducted. The search yielded 7019 unique titles and abstracts after duplicates were removed. Three hundred five full-text articles were reviewed, and 31 studies reported in 34 articles were included. Methods used were qualitative (n = 19), cross-sectional survey (n = 9), and mixed methods (n = 3). All studies included nurses, and six also included allied health professionals. Twelve leadership behaviours were extracted from the data for point-of-care managers and ten for senior managers. Findings indicated that managers performed a diverse range of leadership behaviours that encompassed change-oriented, relation-oriented and task-oriented behaviours. The most commonly described behavior was support for the change, which involved demonstrating conceptual and operational commitment to research-based practices. This systematic review adds to the growing body of evidence that indicates that manager-staff dyads are influential in translating research evidence into action. Findings also reveal that leadership for research use involves change and task-oriented behaviours that influence the environmental milieu and the organisational infrastructure that supports clinical care. While findings explain how managers enact leadership for research use, we now require robust methodological studies to determine which behaviours are effective in enabling research use with nurses and allied health professionals for high-quality evidence-based care. PROSPERO CRD42014007660 The online version of this article (10.1186/s13012-018-0817-7) contains supplementary material, which is available to authorized users.
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影响因子：
1.4
作者：
Barrett, Linda L;Plotnikoff, Ronald C;Raine, Kim
通讯作者：
Raine, Kim
影响因子：
4.2
作者：
Cheng, Lei;Broome, Marion E.;Hu, Yan
通讯作者：
Hu, Yan
影响因子：
2.3
作者：
Angus, Jan;Hodnett, Ellen;O'Brien-Pallas, Linda
通讯作者：
O'Brien-Pallas, Linda
DOI：
10.1348/096317999166789
发表时间：
1999-12-01
影响因子：
6.2
作者：
Avolio, BJ;Bass, BM;Jung, DI
通讯作者：
Jung, DI
DOI：
10.1108/01443570410552108
发表时间：
2004-01-01
影响因子：
9.9
作者：
Burnes, B
通讯作者：
Burnes, B