Strategies for the facilitation of Slef-Leadership among ward nurses in a nurse-led Critical Care Outreach Service

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Authors

Prinsloo, Carine

Issue Date

2023

Type

Article

Language

en

Keywords

critical care outreach service , nurse led critical care outreach , patient deterioration , patient outcome , quality , self-leadership strategies

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Abstract

Abstract Introduction: Nurses are responsible for monitoring and providing nursing care to patients. The early detection of a patient who is starting to deteriorate – and the activation of critical care outreach services (CCOS) – can improve patient outcomes. However, the literature indicates that CCOS are underutilised. Self-leadership is a process whereby persons influence their own behaviour. Objective: The purpose of this study was to develop strategies for the facilitation of self-leadership in ward nurses that will enable them to act proactively and promptly in utilising CCOS at a private hospital group in South Africa. Methods: A sequential exploratory mixed-method research approach was followed to develop strategies for the facilitation of self-leadership in nurses that will enable them to utilise CCOS proactively when a patient starts to deteriorate. An adapted version of Neck and Milliman’s self-leadership strategic framework was used as the methodological steps of the study. Results: The quantitative analysis extracted eight factors, which were used as the departure point to develop strategies for the facilitation of self-leadership among nurses in a CCOS. Five strategies were developed that related to self-motivation, role models, patient outcome, assistance and guidance from CCOS, and the power of self-confirmation; these strategies aligned with the themes and categories extracted from the qualitative data analysis. Conclusion: There is a need for self-leadership among nurses in a CCOS.

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SAGE Open Nursing Volume 9: 1–11 © The Author(s) 2023 Article: Prinsloo, C. 2023. Strategies for the Facilitation of Self-Leadership Among Ward Nurses in a Nurse-Led Critical Care Outreach Service DOI: 10.1177/23779608231167804 journals.sagepub.com/home/son

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Sage open nursing

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DOI

ISSN

2377-9608

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