传染病突发公共卫生事件护理危机领导力特征要素的质性研究

Characteristic elements of nursing crisis leadership in infectious public health emergencies:a qualitative study

目的探讨传染病突发公共卫生事件护理危机领导力的构成要素,为医院培养和评价护理人员提供参考。方法采用目的抽样法,基于危机领导力六力模型对参加过新型冠状病毒肺炎和/或埃博拉疫情救治或管理工作的11名护理管理者和10名临床护士进行半结构式访谈,采用内容分析法分析资料并提炼主题。结果传染病突发公共卫生事件护理危机领导力共包涵6个主题及17个亚主题:预警力(信息洞察能力、事件甄别能力、危害预判能力)、担当力(全局意识、责任心、奉献精神)、信念力(使命感、荣誉感、意志力)、驾驭力(决策能力、组织能力、教导能力)、凝聚力(共情能力、感召能力)、成长力(自我反思能力、把握机遇能力、快速学习能力)。结论提炼的护理人员应对传染病突发公共事件护理危机的核心要素及具体内涵,可以为管理者评估、选拔和培训护理人才提供参考。

Objective To explore the elements of nursing crisis leadership in infectious public health emergencies,and to provide a reference for hospital to train and evaluate nursing staff.Methods Based on the Six Dimensions Model of Crisis Leadership,semi-structured interviews were conducted among 11 nursing managers and 10 clinical nurses who had participated in the fight against the COVID-19 and/or Ebola outbreak using purposive sampling.Content analysis method was used to analyze the information and identify the themes.Results A total of 6 themes and 17 subthemes were included in nursing crisis leadership in infectious public health emergencies:foresee the crisis(information insight,event screening ability,danger prediction ability),load the responsibility(global awareness,responsibility,dedication),insist on the faith(sense of mission,sense of honor,willpower),govern the situation(decision-making ability,organizational ability,instructive ability),head the people(empathy,evocative ability),thrive on crisis(self-reflection ability,ability to grasp opportunities,rapid learning ability).Conclusion The identified core elements and specific connotations of nursing crisis leadership among nurses in coping infectious public health emergencies,can provide a reference for managers assessing,selecting and training nursing personnel.