INFLUÊNCIA DA LIDERANÇA CLÍNICA EM ENFERMAGEM NA QUALIDADE E SEGURANÇA DOS CUIDADOS: REVISÃO DE ESCOPO

Autores

DOI:

https://doi.org/10.18471/rbe.v38.54941

Palavras-chave:

Liderança, Enfermagem, Governança clínica, QuQualidade da Assistência à Saúde, Revisão

Resumo

Objetivo: mapear a evidência científica disponível sobre a influência da liderança clínica em enfermagem na qualidade e segurança dos cuidados em organizações de saúde hospitalares. Método: revisão de escopo segundo recomendações do Joanna Briggs Institute e PRISMA-ScR. Pesquisa em três etapas, nas bases de dados MEDLINE Complete, CINHAL Complete, Web of Science, Scopus, ProQuest Dissertations and Theses e OpenGrey. Resultados: a maioria dos estudos evidencia o efeito positivo da liderança clínica em enfermagem na qualidade dos cuidados. As estratégias promotoras da liderança clínica relacionam-se com a capacitação do enfermeiro para o desempenho do papel. O enfermeiro líder clínico é modelo para os pares, demonstra competências de comunicação, mentoria e capacidade de influenciar o outro. Conclusão: a liderança clínica tem impacto no doente, enfermeiro e organização. As estratégias que permitem o desenvolvimento de liderança clínica devem fundamentar programas de liderança nas organizações de saúde que objetivam cuidados seguros e de qualidade.

Downloads

Não há dados estatísticos.

Biografia do Autor

Olga Alexandra Moura Ramos, Universidade Católica Portuguesa

Enfermeira. Doutoranda em Enfermagem na Universidade Católica Portuguesa. Mestre e Especialista em Enfermagem Comunitária. Atua no Departamento de Cirurgia e Departamento da Mulher, Criança e Jovem da Unidade Local de Saúde de Matosinhos, desde 2004.

 

José Alberto Fernandes Traila Monteiro de Sá, Hospital-Escola da Universidade Fernando Pessoa

Enfermeiro. Mestre em Cuidados Paliativos. Especialista em Supervisão Clínica em Enfermagem, Mestrando em Enfermagem à Pessoa em Situação Paliativa na Escola Superior de Saúde. Atualmente é coordenador na Unidade de Longa Duração e Manutenção do Hospital Escola Fernando Pessoa.

 

Ana Rita Capela Oliveira, Universidade Católica Portuguesa

Enfermeira. Doutoranda em Enfermagem no Instituto de Ciências da Saúde da Universidade Católica Portuguesa. Especialista em Enfermagem Médico-Cirúrgica. Mestrado em Enfermagem Médico-Cirúrgica. Atua como Enfermeira Especialista no serviço de Ortopedia e Traumatologia do Hospital Pedro Hispano da Unidade Local de Saúde de Matosinhos.

Maria José Almendra Rodrigues Gomes, Polytechnic Institute of Bragança

Enfermeira. Doutorada em Sociologia da Saúde, pelo Instituto de Ciências Sociais da Universidade do Minho. Especialista em Enfermagem de Reabilitação. Mestre em Saúde Pública. Pós-graduada em Cuidados Paliativos. Atua como Professora Adjunta na Escola Superior de Saúde do Instituto Politécnico de Bragança, é  diretora da Pós-Graduação de Cuidados Paliativos e integra a Comissão Científica do Curso de Licenciatura em Enfermagem e do Curso de Mestrado de Reabilitação. 

 

Maria Cristina Bompastor Augusto, Cooperativa de Ensino Superior Politécnico e Universitário

Enfermeira. Especialista em Enfermagem Médico-Cirúrgica. Mestre em Gestão e Desenvolvimento de Recursos Humanos. Doutora em Ciências da Enfermagem. Atua como Professora Adjunta na Escola Superior de Saúde Tâmega e Sousa.

Referências

International Council of Nurses. Strategic Plan 2019-2023 [Internet]. 2019 [cited 2023 Apr 27]. Available from: www.icn.ch

Scammell JME, Apóstolo JLA, Bianchi M, Costa RDP, Jack K, Luiking ML, et al. Learning to lead: A scoping review of undergraduate nurse education. J Nurs Manag. 2020;26:756–65. DOI: 10.1111/jonm.12951

United Nations. Transforming our world: The 2030 Agenda for Sustainable Development. 2015.

World Health Organization. Quality of care [Internet]. 2022 [cited 2023 Apr 27]. Available from: https://www.who.int/health-topics/quality-of-care#tab=tab_1

World Health Organization. Quality health services [Internet]. 2020 [cited 2023 Apr 27]. Available from: https://www.who.int/news-room/fact-sheets/detail/quality-health-services.

Canadian Patient Safety Institute. Effective Governance for Quality and Patient Safety [Internet]. 2022 [cited 2023 Jan 10] Available from: https://www.patientsafetyinstitute.ca/en/toolsResources/GovernancePatientSafety/Pages/default.aspx.

Bianchi M, Bagnasco A, Bressan V, Barisone M, Timmins F, Rossi S, et al. A review of the role of nurse leadership in promoting and sustaining evidence-based practice. J Nurs Manag. 2018 Nov 1;26(8):918–32. [cited 2023 Apr 30]. Available from: https://doi.org/10.1111/jonm.12638

Carvalho MC, Lucas PR. The effectiveness of the clinical nurse leader practice - Systematic Review. Millenium. 2020;2(11):57–64. [cited 2023 May 31]. Available from: https://doi.org/10.29352/mill0211.06.00274

Carvalho M, Gaspar F, Potra T, Lucas P. Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture. Int J Environ Res Public Health. 2022 Jul 14;19(14):8590. DOI: 10.3390/ijerph19148590

Al-Dossary RN. The effects of nursing work environment on patient safety in Saudi Arabian hospitals. Front Med (Lausanne). 2022;9(872091). DOI: 10.3389/fmed.2022.872091

Castillo ALR, Padilla MER, Hernández DG. Self-evaluation and evaluation of nursing leaders’ leadership styles. Rev Lat Am Enfermagem. 2021;29. DOI: 10.1590/1518-8345.3435.3393

Soto A. Barriers to effective care in the referral hospitals of Peru’s ministry of health: Serving patients in the 21st century with 20th century resources. Rev Peru Med Exp Salud Publica. 2019 Jun 1;36(2):304–11. DOI: 10.17843/rpmesp.2019.362.4425

Bender M, Murphy EA, Cruz M, Ombao H. System and Unit-Level Care Quality Outcome Improvements after Integrating Clinical Nurse Leaders into Frontline Care Delivery. Journal of Nursing Administration. 2019 Jun 1;49(6):315–22. DOI: 10.1097/NNA.0000000000000759

Smama’h Y, Eshah NF, Al-Oweidat IA, Rayan A, Nashwan AJ. The Impact of Leadership Styles of Nurse Managers on Nurses’ Motivation and Turnover Intention Among Jordanian Nurses. J Healthc Leadersh [Internet]. 2023 Jan;15:19–29. [cited 2023 May 31]. Available from: https://www.dovepress.com/the-impact-of-leadership-styles-of-nurse-managers-on-nurses-motivation-peer-reviewed-fulltext-article-JHL

Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A. An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing. Blackwell Publishing Ltd; 2019;75:2378–92. DOI: 10.1111/jan.14092

Grossman S, Valiga TM. The new leadership challenge. Creating the future of nursing. Sixth. F.A. Davis; 2021.

Boamah S. Linking Nurses’ Clinical Leadership to Patient Care Quality: The Role of Transformational Leadership and Workplace Empowerment. Can J Nurs Res. 2018 Mar 1;50(1):9–19. DOI: 10.1177/0844562117732490

Isler C, Maddigan J, Small S, Jarvis K, Swab M. Strategies and interventions that foster clinical leadership among registered nurses: A scoping review protocol. Vol. 19, JBI Evidence Synthesis. Lippincott Williams and Wilkins; 2021. p. 2839–46. DOI: 10.11124/JBIES-20-00342

Chávez EC, Yoder LH. Staff Nurse Clinical Leadership: A Concept Analysis. Nurs Forum (Auckl). 2015 Apr;50(2):90–100. DOI: 10.1111/nuf.12100

International Council of Nurses. Nurses´ role in achieving the sustainable development goals [Internet]. 2017 [cited 2023 Jan 28]. Available from: www.google.com.mx/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjykuKy1PrqAhUHKqwKHVGgD9MQFjACegQIBBAC&url=https%3A%2F%2Fwww.icnvoicetolead.com%2Fwp-content%2Fuploads%2F2017%2F04%2FICN_AVoiceToLead_guidancePack-9.pdf&usg=AOvVaw23C1UqNWK4YswsRBn6WW95

Jones TL. Self-Reported Leadership Practices among Frontline Medical-Surgical Nurses: An Exploratory Descriptive Study of Prevalence, Patterns, and Associated Factors. 2020;29(3):159–69. [cited 2023 May 31]. Available from: https://eds.p.ebscohost.com/eds/detail/detail?vid=0&sid=f6d1e0aa-47ac-4afe-be7a-d82944d906b3%40redis&bdata=JkF1dGhUeXBlPWlwLHNoaWImbGFuZz1wdC1wdCZzaXRlPWVkcy1saXZlJnNjb3BlPXNpdGU%3d#AN=143616911&db=a9h

Miles JM, Scott ES. A New Leadership Development Model for Nursing Education. Journal of Professional Nursing. 2019 Jan;35(1):5–11. DOI: 10.1016/j.profnurs.2018.09.009

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping reviews (2020 Version). In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. JBI; 2020. [cited 2023 Jan 10]. Available from: https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-12

Munn Z, Pollock D, Khalil H, Alexander L, McLnerney P, Godfrey CM, et al. What are scoping reviews? Providing a formal definition of scoping reviews as a type of evidence synthesis. Vol. 20, JBI Evidence Synthesis. Lippincott Williams and Wilkins; 2022. p. 950–2. DOI: 10.11124/JBIES-21-00483

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Vol. 169, Annals of Internal Medicine. American College of Physicians; 2018. p. 467–73. DOI: 10.7326/M18-0850

Bender M, Connelly CD, Glaser D, Brown C. Clinical nurse leader impact on microsystem care quality. Nurs Res. 2012 Sep;61(5):326–32. DOI: 10.1097/NNR.0b013e318265a5b6

Bender M, Spiva LA, Patrick S, Meffert S, Moton L, Clarke S, et al. Clinical Nurse Leader Knowledge Production to Quality Improvement in a Seamless Trajectory: A Participatory Research Approach. J Nurs Care Qual. 2019 Oct 1;34(4):301–6. DOI: 10.1097/NCQ.0000000000000386

Booher L, Yates E, Claus S, Haight K, Burchill CN. Leadership self-perception of clinical nurses at the bedside: A qualitative descriptive study. J Clin Nurs. 2021 Jun 1;30(11–12):1573–83. DOI: 10.1111/jocn.15705. DOI: 10.1111/jocn.15705

Hix C, Mckeon L, Walters S. Clinical Nurse Leader Impact on Clinical Microsystems Outcomes. J Nurs Adm. 2009;39(2):71–6. DOI: 10.1097/NNA.0b013e318195a612

Lawson T, Tecson M, Shaver C, Barnes S, Kavli S. The impact of informal leader nurses on patient satisfaction. J Nurs Manag. 2019 Jan 1;27(1):103–8. DOI: 10.1111/jonm.12653

Sorbello BC. Clinical nurse leader Stories: A Phenomenological study about the meaning of leadership at the bedside [Doctor thesis]. [Florida]: Florida Atlantic University; 2010. [cited 2023 Apr 30]. Available from: https://www.proquest.com/docview/288563328

Boamah S. Emergence of informal clinical leadership as a catalyst for improving patient care quality and job satisfaction. J Adv Nurs. 2019 May 1;75(5):1000–9. DOI: 10.1111/jan.13895

Ginsburg L, Norton PG, Casebeer A, Lewis S. An educational intervention to enhance nurse leaders’ perceptions of patient safety culture. Health Serv Res. 2005 Aug;40(4):997–1020. DOI: 10.1111/j.1475-6773.2005.00401.x

Mrayyan MT. Correlates and predictors of clinical leadership need analysis (CLeeNA) for nurses: A cross-sectional web-based study. Nurs Forum (Auckl). 2022 Nov 1;57(6):1434–44. DOI: 10.1111/nuf.12842

Mrayyan MT. A comparative study of clinical leadership needs analysis (CLeeNa) as perceived by nurses. J Clin Nurs. 2022 Oct 1;31(19–20):2754–64. DOI: 10.1111/jocn.16089

Ennis G, Happell B, Reid-Searl K. Clinical leadership in mental health nursing: The importance of a calm and confident approach. Perspect Psychiatr Care. 2015 Jan 1;51(1):57–62. DOI: 10.1111/ppc.12070

World Health Organization. Handbook for national quality policy and strategy. A practical approach for developing policy and strategy to improve quality of care [Internet]. 2018 [cited 2023 Apr 27]. Available from: http://apps.who.int/bookorders.

Duignan M, Drennan J, McCarthy VJC. Impact of clinical leadership in advanced practice roles on outcomes in health care: A scoping review. Journal of Nursing Management. Blackwell Publishing Ltd; 2021.29:613–22. DOI: 10.1111/jonm.13189

Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. BMC Health Serv Res. 2018 Dec 1;18(1):747. DOI: 10.1186/s12913-018-3561-4

Klopper HC, Madigan E, Vlasich C, Albien A, Ricciardi R, Catrambone C, et al. Advancement of global health: Recommendations from the Global Advisory Panel on the Future of Nursing & Midwifery (GAPFON®). J Adv Nurs. 2020 Feb 1;76(2):741–8. DOI: 10.1111/jan.14254

Sigma Theta Tau International. The Global Advisory Panel on the Future of Nursing & Midwifery (GAPFON) report : 2014-2017. 2018.

den Breejen-de Hooge LE, van Os-Medendorp H, Hafsteinsdóttir TB. Is leadership of nurses associated with nurse-reported quality of care? A cross-sectional survey. Journal of Research in Nursing. 2021 Mar 1;26(1–2):118–32. DOI: 10.1177/1744987120976176

McCaughey D, McGhan GE, Rathert C, Williams JH, Hearld KR. Magnetic work environments: Patient experience outcomes in Magnet versus non-Magnet hospitals. Health Care Manage Rev. 2020 Jan;45(1):21–31. DOI: 10.1097/HMR.0000000000000198

Guibert-Lacasa C, Vázquez-Calatayud M. Nurses’ clinical leadership in the hospital setting: A systematic review. J Nurs Manag. 2022;30(4):913–25. DOI: 10.1111/jonm.13570

Joseph ML, Huber DL. Clinical leadership development and education for nurses: Prospects and opportunities. J Healthc Leadersh. 2015;7:55–64. DOI: 10.2147/JHL.S68071

Harper J. Clinical leadership: bridging theory and practice. Nurse Educ. 1995;20(3):11–2. [cited 2023 Apr 30]. Available from: https://journals.lww.com/nurseeducatoronline/Citation/1995/05000/Clinical_Leadership___Bridging_Theory_and_Practice.11.aspx

Stanley D, Stanley K. Clinical leadership and nursing explored: A literature search. J Clin Nurs. 2018 May 1;27(9–10):1730–43. DOI: 10.1111/jocn.14145

Publicado

2025-01-08

Como Citar

Ramos, O. A. M., Sá, J. A. F. T. M. de, Oliveira, A. R. C., Gomes, M. J. A. R., & Augusto, M. C. B. (2025). INFLUÊNCIA DA LIDERANÇA CLÍNICA EM ENFERMAGEM NA QUALIDADE E SEGURANÇA DOS CUIDADOS: REVISÃO DE ESCOPO. Revista Baiana De Enfermagem‏, 38(.). https://doi.org/10.18471/rbe.v38.54941

Edição

Seção

Revisão