Hemşirelikte Liderlik ve İletişim

Yazarlar

Nihal Bostancı Daştan
Özgü Tekin Uluman

Özet

Sağlık sektöründe kritik bir iş gücünü temsil eden hemşireler için liderlik ve etkili iletişim becerileri, hasta bakım kalitesini artırmak, klinik yönetim süreçlerini optimize etmek ve güvenli bir bakım ortamı sağlamak adına hayati bir öneme sahiptir. Liderlik, hiyerarşik bir makamdan ziyade ortak hedeflere ulaşmak amacıyla ekibi motive etme, etkileme ve rehberlik etme süreci olarak tanımlanmaktadır. Bu bağlamda, hemşire liderlerin dürüstlük, cesaret, duygusal zeka, vizyonerlik ve etkili iletişim gibi nitelikleri barındırması, personelin iş doyumunu ve kurumsal bağlılığını doğrudan olumlu etkilemektedir. Alan yazında otokratik, demokratik, serbest bırakıcı, dönüşümcü ve paylaşılan liderlik gibi farklı modeller incelenmekte; ilişki odaklı yaklaşımların çalışan memnuniyetini ve verimliliği artırmada daha başarılı olduğu görülmektedir. Sağlık kurumlarının karmaşık ve çok disiplinli yapısı nedeniyle kaçınılmaz olan ekip içi ve disiplinler arası çatışmaların yönetiminde ise rekabet, kaçınma, uyum sağlama, uzlaşma ve iş birliği gibi stratejiler duruma göre tercih edilmektedir. Hemşire liderlerin açık, dürüst ve çift yönlü iletişimi benimseyerek çatışma çözüm süreçlerinde rol model olmaları, hem tıbbi hataları azaltmakta hem de hastaların tedaviye uyumunu ve güvenini pekiştirmektedir.

Leadership and effective communication skills are of vital importance for nurses, who represent a critical workforce in the healthcare sector, to improve patient care quality, optimize clinical management processes, and ensure a safe care environment. Rather than a hierarchical position, leadership is defined as a process of motivating, influencing, and guiding the team to achieve common goals. In this context, characteristics of nurse leaders such as honesty, courage, emotional intelligence, vision, and effective communication directly and positively affect staff job satisfaction and organizational commitment. Various models including autocratic, democratic, laissez-faire, transformational, and shared leadership are examined in the literature, revealing that relation-oriented approaches are more successful in increasing employee satisfaction and productivity. In managing intra-team and interdisciplinary conflicts, which are inevitable due to the complex and multidisciplinary structure of healthcare institutions, strategies such as competing, avoiding, accommodating, compromising, and collaborating are preferred depending on the situation. Nurse leaders acting as role models in conflict resolution processes by adopting open, honest, and two-way communication not only reduce medical errors but also reinforce patients' compliance with treatment and their trust.

Referanslar

Fennell, K. Conceptualisations of leadership and relevance to health and human service workforce development: a scoping review. J Multidiscip Healthc, 2021. 14, 3035-3051. https://doi.org/10.2147/JMDH.S329628

Smith, T., Fowler-Davis, S., Nancarrow, S., Ariss, S. M. B., & Enderby, P. Leadership in interprofessional health and social care teams: a literature review. Leadersh Health Serv.,2018 31(4):452-467. doi:10.1108/LHS-06-2016-0026

Smith, T., Fowler Davis, S., Nancarrow, S., Ariss, S., & Enderby, P. Towards a theoretical framework for integrated team leadership (IgTL). J İnterprof Care, 2020. 34(6), 726-736. doi:10.1080/ 13561820.2019.1676209

Durmuş, S. Ç., & Kırca, K. Leadership styles in nursing. In Nursing-New Perspectives, 2019. IntechOpen. doi: 10.5772/intechopen.89679. https://www.intechopen.com/chapters/69876. Erişim Tarihi: 01.06.2022

Sibiya, M. N. Effective communication in nursing. Nursing, 2018. 19, 20-34.

Cherian S, Karkada S. Review on leadership in nursing. International Journal of Nursing Research and Practice, 2017. 4 (1):57-66

Major, D. Developing effective nurse leadership skills. Nursing Standard, 2019. 34(6), 61-66. doi:10.7748/ns.2019.e11247

Eraslan, L. Liderlik olgusunun tarihsel evrimi, temel kavramlar ve yeni liderlik paradigmasının analizi. Milli Eğitim Dergisi, 2004. 162(3). http://dhgm.meb.gov.tr/yayimlar/dergiler/Milli_Egitim_Dergisi/162/eraslan.htm

Müftüoğlu, S. Lider yöneticiliğin iş motivasyonuna etkisi (Yüksek Lisans tezi). Beykent Üniversitesi, Sosyal Bilimler Enstitüsü, 2019, İstanbul.

Curtis, E. A., de Vries, J., & Sheerin, F. K. Developing leadership in nursing: exploring core factors. Br J Nurs., 2011. 20(5), 306-309. doi:10.12968/bjon.2011.20.5.306

Park, S., Jeong, S., Jang, S., Yoon, S. W., & Lim, D. H. Critical review of global leadership literature: Toward an integrative global leadership framework. Hum Resour Dev Rev., 2018. 17(1), 95-120. doi:10.1177/1534484317749030

Mumford, T. V., Campion, M. A., & Morgeson, F. P.. The leadership skills strataplex: Leadership skill requirements across organizational levels. Leadersh Q., 2007. 18(2), 154-166. doi:10.1016/j.leaqua.2007.01.005

Xhelilaj, E., & Sakaj, B. A review of leadership behaviour of maritime officers in international shipping. Pomorstvo, 2018. 32(1), 76-79. https://doi.org/10.31217/p.32.1.9

Yang, I. Positive effects of laissez-faire leadership: Conceptual exploration. J Manag Dev. 2015;34(10):1246–1261. doi:10.1108/JMD-02-2015-0016

Gün, İ., & Aslan, Ö. Leadership theories and leadership in health business. Journal of Health and Nursing Management, 2018. 5(3), 217-226. doi: 10.5222/SHYD.2018.217

Mansour Al‐Yami, M., Galdas, P., & Watson, R. Leadership style and organisational commitment among nursing staff in Saudi Arabia. J Nurs Manag., 2018. 26(5), 531-539. https://doi.org/10.1111/jonm.12578

10 Effective Nursing Communication Skills For Nurse Leaders. https://online.hpu.edu/blog/essential-nursing-communication-skills/#:~:text=Verbal%20Communication&text=Using%20calm%2C%20measured%20speech%20and,reciprocal%20respect%20through%20open%20communication. Erişim tarihi: 20.04.2022

Weiss, S.A., Tappen, R., M.. Essentials of Nursing Leadership and Management. Sixth Edition, F. A. Davis Company, Philadelphia. 2015https://dl.uswr.ac.ir/bitstream/Hannan/138758/1/9780803636637.pdf. Erişim tarihi: 20.04.2022

Nouthouse, P.G. Leadership “Theory and Practice”. Seventh Edition. Sage Publications, United States of America, 2016..pp.21. http://www.sarahnilsson.org/app/download/968226317/20160324050750leadership_theory_and_practice_7th___peter_g._northouse.pdf. Erişim tarihi: 19.04.2022

Cope, V. ve Murray, M.. Hemşirelikte liderlik tarzları. Hemşirelik Standardı, 2017, 31 (43).

Ham C, Berwick D, Dixon J. for The King’s Fund. Improving quality in the English NHS. A strategy for action. 2016

Başar, U., & Basım, N. Paradoksal liderlik modeli. Amme İdaresi Dergisi, 2018. 51(3), 121-153.

Tuckman, B. W. Leadership Teams: Developing and Sustaining High Performance. Management Decision. 2010.

Yeşil, A. Liderlik ve Motivasyon Teorilerine Yönelik Kavramsal Bir İnceleme, Uluslararası Akademik Yönetim Bilimleri Dergisi, 2016. 2 (3), 158-180

Gürer, A. 21. Yüzyılda Liderlik Yaklaşımları. Hiperlink Eğit. Ilet. Yay. San. Tic. Ve Ltd. Sti.Pp: 16-22.2019

Taştan, K. ve Sabır Taştan, N. Liderlik literatüründeki kavram karmaşası: teori-model-tarz ayrımı çerçevesinde liderliğin kategorize edilmesi/liderlik edebiyatındaki kavramların karmaşıklığı: liderliğin liderlik-çerçeve-çerçeveinde kategorize edilmesi. Nevşehir Hacı Bektaş Veli Üniversitesi SBE Dergisi,2021. 11(3), 1636-1653.

Çağlar, İ. İktisadi ve idari bilimler fakültesi öğrencileri ile mühendislik fakültesi öğrencilerinin liderlik tarzına ilişkin eğilimlerinin karşılaştırmalı analizi ve Çorum örneği. Gazi Üniversitesi Ticaret ve Turizm Eğitim Fakültesi Dergisi, 2004. (2), 91-108.

Rahim, M. A. Toward a theory of managing organizational conflict. International journal of conflict management. 2002.

Lewin, K., Lippitt, R., & White, R. K. Patterns of aggressive behavior in experimentally created “social climates”. The Journal of social psychology,1939. 10(2), 269-299.

Serinkan, Celalettin Liderlik ve Motivasyon (Geleneksel ve Güncel Yaklaşımlar). Ankara: Nobel Yayım Dağıtım. 2008.

Eryeşil, K., & İraz, R. Liderlik tarzları ile örgütsel bağlılık arasındaki ilişkinin incelenmesine yönelik bir alan araştırması. Selçuk üniversitesi sosyal bilimler meslek yüksekokulu dergisi, 2017, 20(2), 129-139.

Uhl-Bien M, Riggio R, Lowe K, Carsten M. Followership theory: a review and research agenda. Leadership Quarterly. 2014; 25(1): 83-104. https://doi. org/10.1016/

Storey, J., & Holti, R. Towards a New Model of Leadership for the NHS. (2013).

Mingay, J. Models of leadership and their implications for nursing practice. British Journal of Nursing,2019, 28(6).

Mary C. Townsend, Therapeutic Groups içinde Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice, phedelphia. 2015

D’Innocenzo L, Mathieu JE, Kukenberger MR. A meta-analysis of different forms of shared leadership–team performance relations. Journal of Management. 2016; 42(7):1964–1991. https://doi. org/10.1177/0149206314525205

Avery GC. Understanding leadership: paradigms and cases. London: Sage; 2004

Jameson J. Investigating collaborative leadership for communities of practice in learning and skills. Centre for Excellence in Leadership Research Report, 2007. https://tinyurl.com/y5uuhly9

Wang XF., Howell JM. A multilevel study of transformational leadership, identification, and follower outcomes. Leadership Quarterly. 2012; 23(5): 775–790. https://doi.org/10.1016

King, F. The role of leadership in developing and sustaining teachers' professional learning. Management in education, 2011, 25(4), 149-155. https://doi.org/10.1177/0892020611409791

Tse H, Chiu W. Transformational leadership and job performance: a social identity perspective. Journal of Business Research. 2014; 67(1):2827–2835. https://doi.org/10.1016

Pearce CL, Sims HP. Shared leadership: toward a multi-level theory of leadership. Advances in Interdisciplinary Studies of Work Teams. 2000; 7:115-139

Bass BM, Avolio BJ. Improving organisational effectiveness through transformational Leadership. Sage, London.1994

Braun S, Peus C, Weisweiler S, Frey D. Transformational leadership, job satisfaction, and team performance: a multilevel mediation model of trust. Leadership Quarterly. 2013; 24(1):270–283. https://doi.org/10.1016

Avolio BJ, Waldman DA, Yammarino FJ. Leading in the 1990s: the four I’s of transformational leadership. Journal of European Industrial Training. 1991;15(4). https://doi.org/10.1108/03090599110143366

Thusini, S. T., & Mingay, J. (2019). Models of leadership and their implications for nursing practice. British Journal of Nursing, 28(6), 356-360.

Saks, M. Leadership challenges: professional power and dominance in healthcare. Leadership in the Healthcare Professions, 2009. OPU/McGrawhill, Maidenhead, Berkshire, 52-74.

Gardner WL, Avolio BJ, Walumbwa FO (eds). Authentic leadership theory and practice: origins, effects and development. Bingley: Emerald Press; 2005

Ma, Y., Cheng, W., Ribbens, B. A., & Zhou, J. Linking ethical leadership to employee creativity: Knowledge sharing and self-efficacy as mediators. Social Behavior and Personality: an international journal, 2013. 41(9), 1409-1419.

Peter G. Northouse, Leadership Theory and Practice.Thousand Oaks, Calif.: Sage, 2004, pp. 35-52.

Cummings, G. G., MacGregor, T., Davey, M., Lee, H., Wong, C. A., Lo, E., ... & Stafford, E. Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. International journal of nursing studies, 2010. 47(3), 363-385.

Cummings, G. G., Tate, K., Lee, S., Wong, C. A., Paananen, T., Micaroni, S. P., & Chatterjee, G. E. Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International journal of nursing studies, 2018. 85, 19-60.

Günlü, E. Stratejik Yönetimde Liderlik ve Motivasyon. (Editör: Celalettin Serinkan). Liderlik ve Motivasyon Geleneksel ve Güncel Yaklaşımlar. Ankara: Nobel, 179-205. 2012.

Kumar, S. “Servant Leadership: A Review of Literature.” Pacific Business Review International, 2018, vol. 11, no. 1, pp. 43-50

Deshwal, V., & Ali, A. A systematic review of various leadership theories. Shanlax International Journal of Commerce, 2020. 8(1), 38-43.

West, P., & Carrier, J. (2004). Ecotourism and authenticity: Getting away from it all. Current anthropology, 45(4), 483-498.

Tsai, P. J. Influence of paternalistic leadership on organizational ethical climate. Huntsville, Texas, USA, 231. 2010.

Jacobs, A. J. Information System Implementations: Using a Leadership Quality Matrix for Success: System Implementations, Gain Significant Momentum, an Insiders Guide to What You Need to Know, 2012. AuthorHouse.

Margaret Jordan Halter, Theories and Therapies Esse n t ia ls o f Psychia tric Me n t a l He a lt h Nursing THIRD,pp:29-30, 2009.

Fernandez, R., Rosenman, E. D., Olenick, J., Misisco, A., Brolliar, S. M., Chipman, A. K., ... & Chao, G. T. Simulation-based team leadership training improves team leadership during actual trauma resuscitations: a randomized controlled trial. Critical Care Medicine, 2020,48(1), 73-82.

Abd-Elrhaman, E. S. A., & Ghoneimy, A. G. H. The effect of conflict management program on quality of patient care. American Journal of Nursing Science, 2018, 7(5), 192-201

Vivar, C. G. Putting conflict management into practice: a nursing case study. Journal of nursing management, 2006. 14(3), 201-206.

Grubaugh, M. L., & Flynn, L. Relationships among nurse manager leadership skills, conflict management, and unit teamwork. JONA: The Journal of Nursing Administration, 2018. 48(7/8), 383-388.

Garcia, H. F. (2006). Effective leadership response to crisis. Strategy & Leadership.

Hewko, S. J., Brown, P., Fraser, K. D., Wong, C. A., & Cummings, G. G. Factors influencing nurse managers' intent to stay or leave: a quantitative analysis. J Nurs Manag., 2015. 23(8), 1058-1066. doi: 10.1111/jonm.12252

Kömerik, A. Öğretmenlerin yöneticilerine ilişkin algiladiklari liderlik davranişlari ve iletişim becerileri ile öğretmenlerin mesleki aidiyetlerinin incelenmesi (Yayınlanmamış Yüksek Lisans tezi)., Recep Tayyip Erdoğan Üniversitesi Lisansüstü Eğitim Enstitüsü Eğitim Bilimleri Anabilim Dalı, Rize. 2021.

Barrett, D. J. Strong communication skills a must for today’s leaders. Handbook Of Business Strategy,2006. 7 (1). 385-390, doi: 10.1108/10775730610619124.

Johnson, C.E., Hackman, M.Z. Leadership “A Communication Perspective”. Seventh Edition. Waveland Press, United States of America. 2019. https://vdoc.pub/download/leadership-a-communication-perspective-seventh-edition-773hebe4rc30. Erişim tarihi: 19.04.2022

Henderson, A. Leadership and communication: what are the imperatives? J Nurs Manag., 2015. 23(6):693-4. doi: 10.1111/jonm.12336.

Çivitçi, A. Grup Psikoeğitimi. Pegem Akademi Yayıncılık, Ankara. ss. 108-116. 2018.

Jankelová, N., & Joniaková, Z. Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. In Healthcare, 2021. 9 (3):346. https://doi.org/10.3390/healthcare9030346

Essential Communication Skills for Nurse Administrators. https://online.ben.edu/programs/msn/resources/essential-communication-skills-for-nurse-administrators. Erişim tarihi: 19.04.2022

Feather, R. A., Ebright, P., & Bakas, T.. Nurse manager behaviors that RN s perceive to affect their job satisfaction. Nursing forum ,2015,50 (2): 125-136. https://doi.org/10.1111/nuf.12086

Sayfalar

335-362

Yayınlanan

2 Eylül 2022

Lisans

Lisans