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As competências do líder de enfermagem na promoção da cultura nos serviços hospitalares: scoping review
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Introdução: A cultura de segurança é uma prioridade global devido ao seu impacto direto nos doentes e nas instituições de saúde, sendo cada vez mais valorizada pelos administradores. A liderança organizacional, especialmente a liderança de enfermagem, tem um papel crucial na sua promoção, exigindo competências específicas para garantir o envolvimento de todos os colaboradores na responsabilidade pela segurança do doente. Objetivo: Mapear a evidência das competências do Líder de enfermagem na promoção da cultura de segurança do doente no hospital. Métodos: Foi realizada uma scoping review segundo a metodologia do Joanna Briggs Institute, recorrendo a várias bases de dados e literatura cinzenta. A pesquisa utilizou termos como nurse leader, leadership, safety culture e hospital. Incluíram-se artigos focados em competências de líderes de enfermagem na cultura de segurança hospitalar, excluindo os que não envolviam enfermeiros líderes ou não estavam em português, espanhol, inglês ou francês. Resultados: Dos 2243 artigos encontrados, 955 foram incluídos após eliminar duplicados. Excluíram-se 936 por não cumprirem os critérios, restando 19 para leitura integral. Após nova análise, 6 artigos foram selecionados. Destes, 4 destacaram a liderança transformacional e cultura positiva, 5 identificaram a comunicação como competência essencial para promover a cultura de segurança. Conclusão: Os enfermeiros, sendo os profissionais que estão em maior número e mais próximos dos doentes nas equipas de saúde, têm um papel central na identificação de riscos e na tomada de decisões que garantem a segurança dos doentes. Através da sua liderança, influenciam e motivam as equipas, alinhando-as com os objetivos institucionais. Para promover uma cultura de segurança sólida, destacam-se a transparência e a comunicação aberta como competências essenciais.
Introduction: Safety culture is a global priority due to its direct impact on patients and healthcare institutions, and it is increasingly valued by administrators. Organizational leadership, particularly nursing leadership, plays a crucial role in promoting it, requiring specific competencies to ensure the engagement of all staff in the responsibility for patient safety. Objective: To map the evidence regarding the competencies of nursing leaders in promoting a patient safety culture in hospitals. Methods: A scoping review was conducted following the Joanna Briggs Institute methodology, using multiple databases and grey literature. The search included terms such as nurse leader, leadership, safety culture, and hospital. Articles focusing on nursing leadership competencies in hospital safety culture were included, while those not involving nurse leaders or not written in Portuguese, Spanish, English, or French were excluded. Results: Out of 2,243 articles identified, 955 were included after removing duplicates. A total of 936 were excluded for not meeting the inclusion criteria, leaving 19 for full-text review. After further analysis, 6 articles were selected. Among these, 4 highlighted transformational leadership and a positive culture, while 5 identified communications as an essential competency for promoting a safety culture. Conclusion: Nurses, as the largest and closest group of professionals to patients within healthcare teams, play a central role in identifying risks and making decisions that ensure patient safety. Through their leadership, they influence and motivate teams, aligning them with institutional goals. To foster a strong safety culture, transparency and open communication stand out as essential competencies.
Introduction: Safety culture is a global priority due to its direct impact on patients and healthcare institutions, and it is increasingly valued by administrators. Organizational leadership, particularly nursing leadership, plays a crucial role in promoting it, requiring specific competencies to ensure the engagement of all staff in the responsibility for patient safety. Objective: To map the evidence regarding the competencies of nursing leaders in promoting a patient safety culture in hospitals. Methods: A scoping review was conducted following the Joanna Briggs Institute methodology, using multiple databases and grey literature. The search included terms such as nurse leader, leadership, safety culture, and hospital. Articles focusing on nursing leadership competencies in hospital safety culture were included, while those not involving nurse leaders or not written in Portuguese, Spanish, English, or French were excluded. Results: Out of 2,243 articles identified, 955 were included after removing duplicates. A total of 936 were excluded for not meeting the inclusion criteria, leaving 19 for full-text review. After further analysis, 6 articles were selected. Among these, 4 highlighted transformational leadership and a positive culture, while 5 identified communications as an essential competency for promoting a safety culture. Conclusion: Nurses, as the largest and closest group of professionals to patients within healthcare teams, play a central role in identifying risks and making decisions that ensure patient safety. Through their leadership, they influence and motivate teams, aligning them with institutional goals. To foster a strong safety culture, transparency and open communication stand out as essential competencies.
Descrição
Palavras-chave
Enfermeiro líder Liderança Cultura de segurança Hospital Segurança do doente Leadership Nurse leader Patient safety Safety culture
Contexto Educativo
Citação
Editora
Polytechnic Institute of Viseu