Unveiling the hidden connection:Investigating the relationship between shared leadership and missed nursing care  

埃及护士共享领导与护理缺失现状的调查与分析研究

作　　者：Amal Diab Ghanem Atalla Naglaa Abdelaziz Mahmoud Elseesy Ayman Mohamed El-Ashry Samia Mohamed Sobhi Mohamed Ebaa Marwan Felemban Abdulhafith Alharbi Nervana Abdelrahman Saied Gheith Sabrein Mahmoud khalifa khattab 

机构地区：[1]Department of Nursing Administration,Faculty of Nursing,Alexandria University,Alexandria,Egypt [2]Department of Public Health Nursing,Faculty of Nursing,King Abdulaziz University,Jeddah,Al-Qurayyat,Saudi Arabia [3]Department of Nursing,Collage of Applied Medical Sciences,Al-Qurayyat,Jouf University,Al-Qurayyat,Saudi Arabia [4]Department of Psychiatric and Mental Health Nursing,College of Nursing,University of Hail,Hail,Saudi Arabia [5]Department of Nursing Administration,Faculty of Nursing,Mansoura University,Mansoura,Egypt

出　　处：《International Journal of Nursing Sciences》2025年第1期12-18,I0001,共8页国际护理科学(英文)

摘　　要：Objectives:This study examined the levels of shared leadership and missed nursing care and their relationship among nurses in Egypt.Methods:A cross-sectional survey was conducted.From February to April 2024,340 nurses worked in all inpatient care units at Alexandria Main University Hospital.The Shared Leadership and Missed Nursing Care Survey was used for evaluation.Results:The overall score of shared leadership was(72.62±4.30),which imitates a high perception of shared leadership among nurses;the dimension of delegation achieved the highest average mean score(3.66±0.26),followed by collaboration(3.64±0.31),the vision dimension scored the lowest mean score(3.59±0.33).The elements of missed nursing care had a total score of(46.72±5.69),and the dimension of secondary care achieved the highest average mean score(3.74±0.31).The reasons for missed nursing care had a total mean score of(22.40±1.59),and the dimension of labor resources achieved the highest average mean score(3.20±0.22).Male nurses,less than 30 years old,married,held a bachelor’s degree in nursing sciences,less than five years of experience in the nursing profession,and less than five years of experience in the current working unit had higher total scores of the shared leadership and lower total scores of missed nursing care(P<0.001).A negative correlation existed between shared leadership and two dimentisons(the elements of nursing care[r=-0.383],the reasons for missing nursing care[r=-0.047])(P<0.001).Conclusions:The study’s findings can help as a theoretical underpinning for nursing leaders to stand in an environment that reduces the incidence of missed nursing care by encouraging teamwork,responsibility,workload management,and empowerment among nurses.目的旨在探讨埃及护士共享领导及护理缺失的现状,并分析其相关性。方法于2024年2月至4月,采用方便取样法选取亚历山大大学附属医院住院病房340名护士为研究对象。采用共享领导问卷和护理缺失量表进行调查。结果护士共享领导问卷得分为(72.62±4.30)分(量表得分范围为20~100),表明总体水平较高,其中授权维度得分最高为(3.66±0.26)分。护理缺失量表中,护理缺失要素得分为(87.44±7.97)分,其中二级护理缺失均分较高为(3.74±0.31)分;护理缺失原因得分为(54.05±3.42)分,其中人力资源原因均分较高为(3.20±0.22)分。男性、30岁以下、已婚、本科学历、护理经验及在目前岗位工作均少于5年的护士共享领导得分较高,护理缺失量表得分较低(P<0.001)。相关分析结果显示,共享领导得分与护理缺失要素(r=-0.383)及护理缺失原因(r=-0.047)2个分量表得分均呈负相关(P<0.001)。结论护理管理者可通过鼓励护士的团队合作,提高其责任感及授权水平,为减少护理差错的发生提供有利环境。

关 键 词：Missed nursing care Nurses Nursing administration research Shared leadership 

分 类 号：R47[医药卫生—护理学]