Fortalecer la coordinación de enfermería para mejorar el cuidado hospitalario

• Autores: Olga Lucía Laverde Contreras, Beatriz Sánchez Herrera
• Localización: Revista CUIDARTE, ISSN 2216-0973, ISSN-e 2346-3414, Vol. 11, Nº. 2, 2020, págs. 22-22
• Idioma: español
• DOI: 10.15649/cuidarte.826
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 1 Cita
• Resumen

  • 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.

• Referencias bibliográficas
  • 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...
  • Pipe T, FitzPatrick K, Doucette J, Cotton A, Arnow D. The mindful nurse leader: Improving processes and outcomes; restoring joy to nursing....
  • Brown A, Dewing J, Crookes P. Clinical leadership as an integral curriculum thread in pre-registration nursing programmes. Nurse Educ Today....
  • Lamont S, Brunero S, Lyons S, Foster K, Perry L. Collaboration amongst clinical nursing leadership teams: a mixed-methods sequential explanatory...
  • Lavoie-Tremblay M, Fernet C, Lavigne GL, Austin S. Transformational and abusive leadership practices: impacts on novice nurses, quality of...
  • Cuadros CK, Grillo PK, Toffoletto MC, Henríquez-Roldán C, Canales JMA. Patient Safety Incidents and Nursing Workload. Rev Lat Am Enfermagem....
  • Aiken LH, Sloane DM, Barnes H, Cimiotti JP, Jarrín OF, McHugh MD. Nurses’ and Patients’ Appraisals Show Patient Safety in Hospitals Remains...
  • Aiken LH, Cerón, C, Simonetti M, Lake ET, Galiano A, Garbarini A, et al. Hospital Nurse Staffing And Patient Outcomes. Rev. Med. Clin. Condes....
  • Albert DME, Gutiérrez MS, Márquez SCI, Despaigne MY. Procedimiento para la planificación estratégica con enfoque de proyecto. Folletos Gerenciales....
  • Ronda PGA. La integración de los niveles estrategico, táctico y operativo en la dirección estratégica. Revista EAN Escuela de Administración...
  • Christmals CD, Gross JJ. An integrative literature review for postgraduate nursing research reviews. European Journal of Research in Medical...
  • 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...
  • Davis C, Burke L. The effectiveness of clinical supervision for a group of ward managers based in a district general hospital: an evaluative...
  • 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...
  • Silva VLS, Camelo SHH, Soares MI, Resck ZMR, Chaves LEP, Santos FC, et al. Leadership practices in hospital nursing: a self of manager nurses....
  • 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;...
  • Papadopoulos C, Bowers L, Quirk A, Khanom H. Events preceding changes in conflict and containment rates on acute psychiatric wards. Psychiatr...
  • Orgambídez A, Almeida H. Predictors of Organizational Commitment in Nursing: Results from Portugal. Invest Educ Enferm. 2018; 36(1): e14....
  • Koivu A, Saarinen PI, Hyrkas K. Who benefits from clinical supervision and how? The association between clinical supervision and the work-related...
  • Krugman M, Heggem L, Kinney L, Frueh M. Longitudinal charge nurse leadership development and evaluation. J Nurs Adm. 2013; 43 (9): 438-46....
  • Weigl M, Stab BN, Herms I, Angerer P, Hacker W, Glaser J. The associations of supervisor support and work overload with burnout and depression:...
  • García TNEM, Mendes GMF. Quality of the leader-member relationship and the organizational commitment of nurses. Rev Esc Enferm USP. 2017;...
  • Spence LHK, Wong CA, Grau AL, Read EA, Pineau LM. The influence of leadership practices and empowerment on Canadian nurse manager outcomes....
  • Murphy SO, Barth BE, Carlton EF, Gleason M, Cannon CM. Does an ED flow coordinator improve patient throughput? J Emerg Nurs. 2014; 40 (6):...
  • 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....
  • 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....
  • Moura GMS, Magalhães MAM, Souza DB, Dall’agnol CM. The social representations of the process of choosing leaders in the perspective of the...
  • Courtney-Pratt H, FitzGerald M, Ford K, Marsden K, Marlow A. Quality clinical placements for undergraduate nursing students: a cross-sectional...
  • Kalisch BJ, Lee KH. Congruence of perceptions among nursing leaders and staff regarding missed nursing care and teamwork. J Nurs Adm. 2012;...
  • Bower KA. Nursing Leadership and Care Coordination: Creating Excellence in Coordinating Care Across the Continuum. Nurs Adm Q. 2016; 40 (2):...
  • 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;...
  • 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;...
  • Centrella-Nigro A, Faber K, Wiklinski B, Bognar L, Flynn D, LaForgia M. Effective Collaboration Among Magnet Hospitals: A Win-Win for Nurses...
  • 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....
  • Santos JLG, Erdmann AL. Governance of professional nursing practice in a hospital setting: a mixed methods study. Rev Lat Am Enfermagem. 2015;...
  • 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....
  • Zydziunaite V, Lepaite D, Suominen T. Leadership styles in ethical dilemmas when head nurses make decisions. Int Nurs Rev. 2013; 60 (2): 228-35....
  • Lavoie-Tremblay M, O’Connor P, Lavigne GL, Biron A, Ringer J, Baillargeon S, et al. Transforming Care at the Bedside: managers’ and health...
  • 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...
  • 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...
  • 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...
  • Bakker D, Keithley JK. Implementing a centralized nurse-sensitive indicator management initiative in a community hospital. J Nurs Care Qual....
  • Isfahani HM, Aryankhesal A, Haghani H. The relationship between the managerial skills and results of “performance evaluation” tool among nursing...
  • 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):...
  • Smith M. Regenerating Nursing’s Disciplinary Perspective. Advances in Nursing Science. 2019; 42 (1): 3-16. https://doi.org/10.1097/ANS.0000000000000241