Adaptive Leadership Among Nurses: A Qualitative Meta-Synthesis

Abstract

Background and Aims: With ever-changing innovations in health care, nurses need a proactive approach to patient care management from the perspectives of both patient and the health care team. Like any other allied health professions, nursing entails adaptive leadership approaches which judiciously explore the multifaceted aspects of management. This review explored the concept of how staff nurses and nurse managers utilize adaptive leadership behaviors in hospital and community settings. Methods: A systematic review of literature was performed on nine electronic databases, namely, i) CINAHL, (ii) Med- line, (iii) ProQuest: Nursing and Allied Health, (iv) DOAJ, (v) Springer, (vi) Wolters Kluwer, (vii) Taylor and Francis, (viii) Web of Science, and (ix) Google Scholar, with no year restrictions. English language and peer-reviewed journal articles were included. Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI) was used as a critical appraisal instrument to assess the articles for methodological validity. Results: Nine research articles were selected for the review. There were three main themes generated in presenting nurse's adaptive leadership. This includes leadership qualities, leadership challenges and leadership capacities. Conclusion: The review findings provide valuable insights on the complex issues of how staff nurses and nurse man- agers utilize adaptive leadership behaviors in hospital and community settings.

References

1. 1.Solman A. Nursing leadership challenges and opportunities. Journal of nursing management. 2017 Sep;25(6):405-6.
2. 2.Heifetz RA, Grashow A, Linsky M. The practice of adaptive leadership: Tools and tactics for changing your organization and the world [Internet]. Harvard Business Press; 2009 [cited 2018 May 15]. 325 p. Availablefrom:https://books.google.com. sa/books?hl=en&lr=&id=86OJwyvGzCo C&oi=fnd&pg=PR3&dq=1.%09Heifetz+ RA,+Grashow+A,+Linsky+M.+The+pra ctice+of+adaptive+leadership:+Tools+an d+tactics+for+changing+your+organizati on+and+the+world.+Harvard+Business+ Press%3B+2009.+&ots=b2H5OyKV8X &sig=r8TXN2aOf7HNWHZU1DruuSLx ipg&redir_esc=y#v=onepage&q&f=false DOI:10.1016/j.lisr.2009.05.001 doi:10.1016/j.lisr.2009.05.001
3. 3.Sherman DW. Nurses’ Stress & Burnout: How to care for yourself when caring for patients and their families experiencing life-threatening illness. AJN The American Journal of Nursing. 2004 May 1;104(5):48-56.
4. 4.Monegain B. Burnout rampant in healthcare [Internet]. Healthcare IT News. 2013.Available from: http://www. healthcareitnews.com/news/burnout -rampanthealthcare
5. 5.Halbesleben JR, Bowler WM. Emotional exhaustion and job performance: the mediating role of motivation. Journal of applied psychology. 2007 Jan;92(1):93. Adaptive LeadershipAmong Nurses: AQualitative Meta-Synthesis 73 73 Majmaah Journal of Health Sciences ,Vol. 7, Issue 2, May 2019, Ramadan - 1440
6. 6.LeiterMP,MaslachC.Nurseturnover:the mediatingroleofburnout.Journalofnursing management. 2009Apr;17(3):331-9.
7. 7.Sullivan DH. Technological advances in nursing care delivery. Nursing Clinics [Internet]. 2015 Dec [cited 2018 May
8. 8.1;50(4):663-77. Available from: https://www.sciencedirect.com/science/ article/abs/pii/S0029646515000833 DOI: 10.1016/j.cnur.2015.07.005 doi:10.1016/j.cnur.2015.07.005
9. 9.Maniago JD. Practice Change and Bricolage in Nursing: A Literature Review. International Journal of Nursing Science. 2018;8(1):1-7.
10. 10.Hussey T. Thinking about change [Internet]. Nursing philosophy. 2002 Jul [cited 2018 May 25]1;3(2):104-13. Available from: https://insights.ovid.com/nursingphilosophy/nphil/2002/07/000/thinkingchange1/4/00131050
11. 11.Henderson V. The Nature of Nursing A Definition and Its Implications for Practice [Internet], Research, and Education, 1966[cited2018May18].Availablefrom: https://philpapers.org/rec/HENTNO-7
12. 12.World Economic Forum. The future of jobs: Employment, skills and workforce strategy for the fourth industrial revolution [Internet]. In World Economic Forum 2016 Jan [cited 2018 May 23]. Available from: http://hdl.voced.edu. au/10707/393272
13. 13.Kaldal MH, Kristiansen J, Uhrenfeldt L. Nursing students’ experiences of professionalpatientcareencountersinahospital unit: a systematic review protocol [Internet]. JBI database of systematic reviews andimplementationreports.2015Sep[cited 2018 May 24]1;13(9):30-9. Available from: https://journals.lww.com/jbisrir/ Fulltext/2015/13090/Nursing_students__ experiences_of_professional.5.aspx
14. 14.Joanna Briggs Institute. Joanna Briggs Institute reviewers’ manual: 2014 edition [Internet]. Australia: The Joanna Briggs Institute.2014[cited2018May24].Available from: http://joannabriggs.org/assets/ docs/sumari/ReviewersManual-2014.pdf
15. 15.Whittemore R, Knafl K. The integrative review: updated methodology [Internet]. Journal of advanced nursing. 2005 Dec [cited 2018 May 12];52(5):546-53.Available from: https://doi-org.sdl.idm.oclc. org/10.1111/j.1365-2648.2005.03621.x doi:10.1111/j.1365-2648.2005.03621.x
16. 16.Pearson A, Wiechula R, Court A, Lockwood C. The JBI model of evidencebased healthcare [Internet]. International Journal of Evidence-Based Healthcare. 2005 Sep [cited 2018 May 19];3(8):207-
17. 17.Available from: https://onlinelibrary-wiley-com.sdl.idm.oclc.org/doi/ full/10.1111/j.1479-6988.2005.00026.x DOI: 10.1111/j.1479-6988.2005.00026.x doi:10.1111/j.1479-6988.2005.00026.x
18. 18.Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine. 2009Aug 18;151(4):264-9.
19. 19.Preece J. Negotiating service learning through community engagement: Adaptive leadership, knowledge, dialogue and power. Education as Change. 2016;20(1):1-22.
20. 20.Raney AF. Agility in adversity: Inte- Adaptive LeadershipAmong Nurses: AQualitative Meta-Synthesis 74 74 Majmaah Journal of Health Sciences ,Vol. 7, Issue 2, May 2019, Ramadan - 1440 grating mindfulness and principles of adaptive leadership in the administration of a community mental health center [Internet]. Clinical Social Work Journal. 2014 Sep [cited 2018 May 26]1;42(3):312-20. Available from: https://search-proquest-com.sdl.idm. oclc.org/docview/1552334817?pqorigsite=summon DOI:10.1007/s10615- 014-0487-0 doi:10.1007/s10615-
21. 21.Adams JA, Bailey Jr DE, Anderson RA, Thygeson M. Finding your way through EOL challenges in the ICU using Adaptive Leadership behaviours: A qualitative descriptivecasestudy[Internet].Intensive and Critical Care Nursing. 2013 Dec [cited 2018 May 27]1;29(6):329-36. Available from: https://www.ncbi.nlm.nih. gov/pubmed/23879936 DOI: 10.1016/j. iccn.2013.05.004 doi:10.1016/j
22. 22.Funari TS, Gentzler K, Wyssling PW, Schoneboom BA. Building adaptive nurse leaders for future Army full spectrum operations. Military medicine. 2011 Feb 1;176(2):186-91.
23. 23.Xiao Y, Seagull FJ, Mackenzie CF, Klein K. Adaptive leadership in trauma resuscitation teams: a grounded theory approach to video analysis. Cognition, Technology & Work. 2004Aug 1;6(3):158-64.
24. 24.Anderson RA, Bailey Jr DE, Wu B, Corazzini K, McConnell ES, Thygeson NM, Docherty SL. Adaptive leadership framework for chronic illness: framing a research agenda for transforming care delivery [Internet]. ANS. Advances in nursing science. 2015 Apr [cited 2018 May 14];38(2):83. Available from: https:// oce-ovid com.sdl.idm.oclc.org/article/00012272-201504000-00005/HTML DOI: 10.1097/ANS.0000000000000063 doi:10.1097/ANS.0000000000000063
25. 25.Bogdanovic J, Perry J, Guggenheim M, Manser T. Adaptive coordination in surgical teams: an interview study [Internet]. BMC health services research. 2015 Dec [cited 2018 May 12];15(1):128.Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015- 0792-5 DOI: 10.1186/s12913-015-0792-5 doi:10.1186/s12913-015-
26. 26.Corazzini K, Twersky J, White HK, Buhr GT, McConnell ES, Weiner M, Colón- Emeric CS. Implementing culture change in nursing homes: An adaptive leadership framework [Internet]. The Gerontologist. 2014 Jan [cited 2018 May 26] 22;55(4):616-27. Available from: https:// academic.oup.com/gerontologist/article/55/4/616/579130 DOI: 10.1093/ geront/gnt170
27. 27.Luo WY, Shen NP, Lou JH, He PP, Sun JW. Exploring competencies: a qualitative study of Chinese nurse managers [Internet]. Journal of nursing management. 2016 Jan [cited 2018 May 24];24(1):E87-
28. 28.Available from: https://doi-org.sdl. idm.oclc.org/10.1111/jonm.12295 doi:10.1111/jonm.12295
29. 29.Sandelowski M, Barroso J, Voils CI. Using qualitative metasummary to synthesize qualitative and quantitative descriptive findings [Internet]. Research in nursing & health. 2007 Feb [cited 2018 May 24];30(1):99-111. Available from: https://doi-org.sdl.idm.oclc.org/10.1002/ nur.20176 Adaptive LeadershipAmong Nurses: AQualitative Meta-Synthesis