Fortalecer la coordinación de enfermería para mejorar el cuidado hospitalario
DOI:
https://doi.org/10.15649/cuidarte.826Palabras clave:
Supervisión de Enfermería, Atención de Enfermería, Servicio de Enfermería en Hospital, Literatura de Revisión como AsuntoResumen
Introducción: La coordinación adecuada para organizar la atención de enfermería a nivel hospitalario es decisiva frente al servicio que se ofrece a los sujetos de cuidado y al mejoramiento permanente de la institución. Objetivo: Describir qué dice la literatura mundial sobre cómo fortalecer el rol de coordinación de enfermería a nivel hospitalario. Materiales y Métodos: Búsqueda integradora de literatura bajo parámetros de Ganong, con publicaciones arbitradas, observación de seis años, sin límites geográficos, en idiomas inglés, español y portugués. Resultados: De acuerdo con la literatura surgen tres categorías que incluyen: características del rol de coordinador de enfermería; impacto de esta coordinación en los resultados frente al sujeto de cuidado; y estrategias para fortalecer el rol de coordinación dentro de la institución. La evidencia que respalda el desarrollo de la coordinación de enfermería en el hospital es débil, con una mayoría de estudios de tipo descriptivo. Discusión: La coordinación de enfermería debe articular la dirección y la operación en el hospital y para ello requiere conocer y acompañar la directriz institucional a mediano y largo plazo y manejar estrategias de motivación y acompañamiento para facilitar su logro. Conclusiones: En una institución hospitalaria, la enfermera coordinadora debe mantener el norte en medio de la cotidianeidad de la asistencia; acompañar y motivar al personal a su cargo mediante competencias de liderazgo, trabajo en equipo y conocimiento clínico e institucional. Requiere para el ejercicio de su rol, proyectar el cambio y mantener un pensamiento integrador.
Como citar este artículo: Laverde Contreras Olga Lucia, Sánchez Herrera Beatriz. Fortalecer la coordinación de enfermería para mejorar el cuidado hospitalario. Revista Cuidarte. 2020; 11(2): e826. http://dx.doi.org/10.15649/cuidarte.826
Referencias
Finkelman A. Leadership and Management for Nurses: Core Competencies for Quality. Care 3th. ed.. USA: Pearson education: 2016.
Pullen RL. Leadership in nursing practice. Nurs Made Incred Easy. 2016; 14(3): 26-31. https://doi.org/10.1097/01.NME.0000481442.05288.05
Malik N, Dhar RL, Handa SC. Authentic leadership and its impact on creativity of nursing staff: A cross sectional questionnaire survey of Indian nurses and their supervisors. Int J Nurs Stud. 2016; 63: 28-36. https://doi.org/10.1016/j.ijnurstu.2016.08.004
Pipe T, FitzPatrick K, Doucette J, Cotton A, Arnow D. The mindful nurse leader: Improving processes and outcomes; restoring joy to nursing. Nurs Manage. 2016; 47(9): 44-8. https://doi.org/10.1097/01.NUMA.0000491135.83601.3e
Brown A, Dewing J, Crookes P. Clinical leadership as an integral curriculum thread in pre-registration nursing programmes. Nurse Educ Today. 2016; 38: 9-14. https://doi.org/10.1016/j.nedt.2015.11.024
Lamont S, Brunero S, Lyons S, Foster K, Perry L. Collaboration amongst clinical nursing leadership teams: a mixed-methods sequential explanatory study. J Nurs Manag. 2015; 23(8):1126-36. https://doi.org/10.1111/jonm.12267
Lavoie-Tremblay M, Fernet C, Lavigne GL, Austin S. Transformational and abusive leadership practices: impacts on novice nurses, quality of care and intention to leave. J Adv Nurs. 2016; 72 (3): 582-92. https://doi.org/10.1111/jan.12860
Cuadros CK, Grillo PK, Toffoletto MC, Henríquez-Roldán C, Canales JMA. Patient Safety Incidents and Nursing Workload. Rev Lat Am Enfermagem. 2017; 25: 1-8. https://doi.org/10.1590/1518-8345.1280.2841
Aiken LH, Sloane DM, Barnes H, Cimiotti JP, Jarrín OF, McHugh MD. Nurses’ and Patients’ Appraisals Show Patient Safety in Hospitals Remains a Concern. Health Affairs. 2018, 37 (11): 1744-51. https://doi.org/10.1377/hlthaff.2018.0711
Aiken LH, Cerón, C, Simonetti M, Lake ET, Galiano A, Garbarini A, et al. Hospital Nurse Staffing And Patient Outcomes. Rev. Med. Clin. Condes. 2018; 29 (3): 322-27. https://doi.org/10.1016/j.rmclc.2018.04.011
Albert DME, Gutiérrez MS, Márquez SCI, Despaigne MY. Procedimiento para la planificación estratégica con enfoque de proyecto. Folletos Gerenciales. 2018;22(4):222-32.
Ronda PGA. La integración de los niveles estrategico, táctico y operativo en la dirección estratégica. Revista EAN Escuela de Administración de Negocios, 2004; 52: 28-57
Christmals CD, Gross JJ. An integrative literature review for postgraduate nursing research reviews. European Journal of Research in Medical Sciences. 2017; 5 (1): 7-15.
LoBiondo-Wood G, Haber J. Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice. 8 ed. USA: Elsevier; 2018. p. 5-22.
Costa VT, Schlindwein MBH, Erdmann AL. Best practice of nurse managers in risk management. Rev Lat Am Enfermagem. 2013; 21 (5): 1165-1. https://doi.org/10.1590/S0104-11692013000500021
Lalleman PCB, Smid GAC, Lagerwey MD, Shortridge-Baggett LM, Schuurmans MJ. Curbing the urge to care: A Bourdieusian analysis of the effect of the caring disposition on nurse middle managers’ clinical leadership in patient safety practices. Int J Nurs Stud. 2016; 63: 179-88. https://doi.org/10.1016/j.ijnurstu.2016.09.006
Davis C, Burke L. The effectiveness of clinical supervision for a group of ward managers based in a district general hospital: an evaluative study. J Nurs Manag. 2012; 20 (6): 782-93. https://doi.org/10.1111/j.1365-2834.2011.01277.x
Salmela S, Koskinen C, Eriksson K. Nurse leaders as managers of ethically sustainable caring cultures. J Adv Nurs. 2017;73(4):871-82. https://doi.org/10.1111/jan.13184
Warshawsky NE, Havens DS. Nurse manager job satisfaction and intent to leave. Nurs Econ. 2014; (1): 32-9.
Bonner G, McLaughlin S. Leadership support for ward managers in acute mental health inpatient settings. Nurs Manag. 2014; 21 (2): 26-9. https://doi.org/10.7748/nm2014.04.21.2.26.e1206
O’Connor T. Managing after hours--a complex and diverse role. Nurs N Z. 2012; 18 (5): 18.
Ghebrehiwet T. Reflections on nursing ethics. Nurs Ethics. 2012; 19 (3): 313-15. https://doi.org/10.1177/0969733012440215
Kerlin MP, Harhay MO, Vranas KC, Cooney E, Ratcliffe SJ, Halpern SD. Objective factors associated with physicians’ and nurses’ perceptions of intensive care unit capacity strain. Ann Am Thorac Soc. 2014; 11 (2): 167-72.https://doi.org/10.1513/AnnalsATS.201306-141OC
Silva VLS, Camelo SHH, Soares MI, Resck ZMR, Chaves LEP, Santos FC, et al. Leadership practices in hospital nursing: a self of manager nurses. Rev Esc Enferm USP. 2017;51:e03206. https://doi.org/10.1590/s1980-220x2016099503206
Weaver SH, Lindgren T. Administrative Supervisors A Qualitative Exploration of Their Perceived Role. Nurs Admin Q. 2016;40(2):164-72. https://doi.org/10.1097/NAQ.0000000000000126
Kahn JM. What we talk about when we talk about intensive care unit strain. Ann Am Thorac Soc. 2014; 11 (2): 219-20. https://doi.org/10.1513/AnnalsATS.201311-406ED
Kenny A, Allenby A. Implementing clinical supervision for Australian rural nurses. Nurse Educ Pract. 2013; 13 (3): 165-69. https://doi.org/10.1016/j.nepr.2012.08.009
Agnew C, Flin R. Senior charge nurses’ leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014; 51 (5): 768-80. https://doi.org/10.1016/j.ijnurstu.2013.10.001
Papadopoulos C, Bowers L, Quirk A, Khanom H. Events preceding changes in conflict and containment rates on acute psychiatric wards. Psychiatr Serv. 2012; 63 (1): 40-7. https://doi.org/10.1176/appi.ps.201000480
Orgambídez A, Almeida H. Predictors of Organizational Commitment in Nursing: Results from Portugal. Invest Educ Enferm. 2018; 36(1): e14. https://doi.org/10.17533/udea.iee.v36n1e14
Koivu A, Saarinen PI, Hyrkas K. Who benefits from clinical supervision and how? The association between clinical supervision and the work-related well-being of female hospital nurses. J Clin Nurs. 2012; 21 (17–18): 2567-78. https://doi.org/10.1111/j.1365-2702.2011.04041.x
Krugman M, Heggem L, Kinney L, Frueh M. Longitudinal charge nurse leadership development and evaluation. J Nurs Adm. 2013; 43 (9): 438-46. https://doi.org/10.1097/NNA.0b013e3182a23b26
Weigl M, Stab BN, Herms I, Angerer P, Hacker W, Glaser J. The associations of supervisor support and work overload with burnout and depression: a cross-sectional study in two nursing settings. J Adv Nurs. 2016; 72 (8): 1774-88. https://doi.org/10.1111/jan.12948
García TNEM, Mendes GMF. Quality of the leader-member relationship and the organizational commitment of nurses. Rev Esc Enferm USP. 2017; 51:e03263. https://doi.org/10.1590/s1980-220x2016047003263
Spence LHK, Wong CA, Grau AL, Read EA, Pineau LM. The influence of leadership practices and empowerment on Canadian nurse manager outcomes. J Nurs Manag. 2012; 20 (7): 877-88. https://doi.org/10.1111/j.1365-2834.2011.01307.x
Murphy SO, Barth BE, Carlton EF, Gleason M, Cannon CM. Does an ED flow coordinator improve patient throughput? J Emerg Nurs. 2014; 40 (6): 605-12. https://doi.org/10.1016/j.jen.2014.03.007
Masood M, Afsar B. Transformational leadership and innovative work behavior among nursing staff. Nurs Inq. 2017; 24 (4). https://doi.org/10.1111/nin.12188
Cross WM, Moore AG, Sampson T, Kitch C, Ockerby C. Implementing clinical supervision for ICU Outreach Nurses: a case study of their journey. Aust Crit Care. 2012; 25 (4): 263-70. https://doi.org/10.1016/j.aucc.2012.01.004
Chang HY, Teng CI, Chu TL, Chang HT, Hsu WH. Impact of nurse agreeableness and negative mood of nursing supervisors on intention to help colleagues. J Adv Nurs. 2012; 68 (3): 636-46. https://doi.org/10.1111/j.1365-2648.2011.05776.x
Moura GMS, Magalhães MAM, Souza DB, Dall’agnol CM. The social representations of the process of choosing leaders in the perspective of the nursing team. Rev Esc Enferm USP. 2012; 46 (5): 1156-62. https://doi.org/10.1590/S0080-62342012000500017
Courtney-Pratt H, FitzGerald M, Ford K, Marsden K, Marlow A. Quality clinical placements for undergraduate nursing students: a cross-sectional survey of undergraduates and supervising nurses. J Adv Nurs. 2012; 68 (6): 1380-90. https://doi.org/10.1111/j.1365-2648.2011.05851.x
Kalisch BJ, Lee KH. Congruence of perceptions among nursing leaders and staff regarding missed nursing care and teamwork. J Nurs Adm. 2012; 42 (10): 473-7. https://doi.org/10.1097/NNA.0b013e31826a1fa4
Bower KA. Nursing Leadership and Care Coordination: Creating Excellence in Coordinating Care Across the Continuum. Nurs Adm Q. 2016; 40 (2): 98-102. https://doi.org/10.1097/NAQ.0000000000000162
Kendall-Raynor P. Ward sisters must be supervisory, ministers tell NHS trust boards. Nurs stand. 2013; 27 (31): 3-9. https://doi.org/10.7748/ns2013.04.27.31.6.p10892
Buus N, Cassedy P, Gonge H. Developing a manual for strengthening mental health nurses’ clinical supervision. Issues Ment Health Nurs. 2013; 34 (5): 344-9. https://doi.org/10.3109/01612840.2012.753648
Henderson A, Schoonbeek S, Auditore A. Processes to engage and motivate staff. Nurs Manag (Harrow). 2013; 20 (8): 18-24. https://doi.org/10.7748/nm2013.12.20.8.18.e1150
Hurtado DA, Nelson CC, Hashimoto D, Sorensen G. Supervisors’ support for nurses’ meal breaks and mental health. Workplace Health Saf. 2015; 63 (3): 107-15. https://doi.org/10.1177/2165079915571354
Centrella-Nigro A, Faber K, Wiklinski B, Bognar L, Flynn D, LaForgia M. Effective Collaboration Among Magnet Hospitals: A Win-Win for Nurses and Institutio Am J Nurs. 2015; 115 (7): 50-4. https://doi.org/10.1097/01.NAJ.0000467279.13447.ea
Heidari M, Seifi B, Gharebagh ZA. Nursing staff retention: Effective factors. Ann Trop Med Public Health. 2017; 10: 1467-73.https://doi.org/10.4103/ATMPH.ATMPH_353_17
Galletta M, Portoghese I, Battistelli A, Leiter MP. The roles of unit leadership and nurse-physician collaboration on nursing turnover intention. J Adv Nurs. 2013; 69 (8): 1771-84. https://doi.org/10.1111/jan.12039
Santos JLG, Erdmann AL. Governance of professional nursing practice in a hospital setting: a mixed methods study. Rev Lat Am Enfermagem. 2015; 23 (6): 1024-32. https://doi.org/10.1590/0104-1169.0482.2645
Thomas PL. Charge nurses as front-line leaders: development through transformative learning. J Contin Educ Nurs. 2012; 43 (2): 67-74. https://doi.org/10.3928/00220124-20111003-05
Vergílio MSTG, Toledo VP, Silva EM. Workshops as a democratic proposal in order to change the supervision work in nursing. Rev Bras Enferm. 2018; 71 (4): 2050-4. DOI: https://doi.org/10.1590/0034-7167-2017-0286
Zydziunaite V, Lepaite D, Suominen T. Leadership styles in ethical dilemmas when head nurses make decisions. Int Nurs Rev. 2013; 60 (2): 228-35. https://doi.org/10.1111/inr.12018
Lavoie-Tremblay M, O’Connor P, Lavigne GL, Biron A, Ringer J, Baillargeon S, et al. Transforming Care at the Bedside: managers’ and health care providers’ perceptions of their change capacities. J Contin Educ Nurs. 2014; 45 (11): 514-20. https://doi.org/10.3928/00220124-20141023-02
Gillen S, Duffin C. Spotlight on managers at fitness to practise hearings. Emer Nurse. 2013; 21 (1): 5-5. https://doi.org/10.7748/en2013.04.21.1.5.p10949
Davis ML, Costa L, Kulik S. Gap analysis: synergies and opportunities for effective nursing leadership. Nurs Econ. 2014; 32 (1): 17-25.
Sprinks J. Skill mix, not numbers, is the most important issue, says chief nurse. Nurs Stand. 2014; 28 (19): 9-9. https://doi.org/10.7748/ns2014.01.28.19.9.s7
Oliviera WT, Rodrigues AVD, Haddad MCL, Vannuch MTO, Taldivo MA. Conceptions of nurses from a public university hospital regarding the cost management report. Rev Esc Enferm USP. 2012; 46 (5): 1184-91. https://doi.org/10.1590/S0080-62342012000500021
Hunt N. What’s the care point campaign all about? Nurs N Z. 2014; 20 (5): 31.
Long CG, Harding S, Payne K, Collins L. Nursing and health-care assistant experience of supervision in a medium secure psychiatric service for women: implications for service development. J Psychiatr Ment Health Nurs. 2014; 21 (2): 154-62. https://doi.org/10.1111/jpm.12066
Tuck JA. A new approach to team clinical supervision on an acute admissions unit. Mental Health Practice. 2017; 20 (5): 24-7. https://doi.org/10.7748/mhp.2017.e1122
Russell M, Hogg M, Leach S, Penman M, Friel S. Developing a general ward nursing dashboard. Nurs Stand. 2014; 29 (15): 43-9.
Ravangard R, Yasami S, Shokrpour N, Sajjadnia Z, Farhadi P. The Effects of Supervisors’ Support and Mediating Factors on the Nurses’ Job Performance Using Structural Equation Modeling: A Case Study. Health Care Manag (Frederick). 2015; 34 (3): 265-76. https://doi.org/10.1097/HCM.0000000000000068
Bakker D, Keithley JK. Implementing a centralized nurse-sensitive indicator management initiative in a community hospital. J Nurs Care Qual. 2013; 28 (3): 241-9. https://doi.org/10.1097/NCQ.0b013e31827c6c80
Isfahani HM, Aryankhesal A, Haghani H. The relationship between the managerial skills and results of “performance evaluation” tool among nursing managers in teaching hospitals of Iran University of Medical Science. Glob J Health Sci. 2014; 7 (2): 38-43. https://doi.org/10.5539/gjhs.v7n2p38
Russell M, McGuire C. Implementing supervisory status for senior charge nurses. Nurs Stand. 2014; 29(12):37-43. https://doi.org/10.7748/ns.29.12.37.e9091
Roy C. Nursing Knowledge in the 21st Century Domain-Derived and Basic Science Practice-Shaped. Advances in Nursing Science. 2019; 42 (1): 28-42. https://doi.org/10.1097/ANS.0000000000000240
Smith M. Regenerating Nursing’s Disciplinary Perspective. Advances in Nursing Science. 2019; 42 (1): 3-16. https://doi.org/10.1097/ANS.0000000000000241
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