10.1002/9781118797914

Vollständiger Abstract

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<h4>Aim</h4>To explore the enablers and barriers to nurse managers' leadership of evidence-based practice during organisational change, as perceived by clinical nurse specialists and nursing directors.<h4>Design</h4>A qualitative descriptive interview study.<h4>Methods</h4>Data were collected through semi-structured interviews with clinical nurse specialists and nursing directors selected using purposive sampling. The data were analysed using inductive content analysis.<h4>Results</h4>Three main categories were identified that influence nurse managers' leadership of evidence-based practice during organisational change, as perceived by clinical nurse specialists and nursing directors: organisational readiness, partnerships and expertise in evidence-based practice. Organisational readiness included standardised practices and supportive organisational structures. Partnerships involved collaboration with clinical nurse specialists, interprofessional teams and management. Expertise reflected nurse managers' competence in evidence-based practice and the use of digital tools to assess care quality and effectiveness.<h4>Conclusion</h4>Organisational readiness, partnerships and expertise in evidence-based practice shape how nurse managers lead evidence-based practice during organisational change. These factors influence the consistency of care, staff support and the ability to sustain evidence-based practice in evolving healthcare environments.<h4>Implications for the profession and/or patient care</h4>Strengthening organisational readiness, building collaborative partnerships and supporting nurse managers' competence in leading evidence-based practice can enhance care quality, staff wellbeing and patient outcomes during organisational change.<h4>Impact</h4>This study addressed the challenge of sustaining evidence-based practice during organisational change. The main findings highlight organisational, relational and competence-related factors that influence nurse managers' ability to lead evidence-based practice. The results are relevant for healthcare organisations, nurse leaders and policymakers seeking to strengthen leadership capacity and maintain evidence-based practice during transitions.<h4>Reporting method</h4>This study adhered to relevant EQUATOR guidelines. The Standards for Reporting Qualitative Research (SRQR) checklist was used to guide reporting.<h4>Patient or public contribution</h4>No patient or public contribution.

Abstract: PubMed · Datensatz