A systematic review and meta-synthesis of effective nursing leadership

Introduction. There is a prevailing view that leadership and management development play a vital role in the creating of high performing organisations. Aim of the study. The aim of this research is to review relevant qualitative studies to identify the attributes of effective Nursing Leadership. Material and methods. Healthcare systems have experienced a substantial transformation during recent decades. This has resulted in Nurse Managers dealing with increased levels of systemic complexity and change. It’s been found,that leadership skills may help nurse managers to deal with these difficulties. Nine databases, Nursing Journals, reference lists from relevant publications and grey literature were searched. From over identified 2,000 articles, 394 were reviewed at abstract and 257 reviewed in full. Twelve articles were accepted for the systematic review. Systematic review and meta-synthesis methodologies were employed in the study. Data was collected between November 2006 and January 2007. Results. A variety of effective nursing leadership attributes were identified. Six themes were identified through metasynthesis: personal characteristics, interpersonal relationships, future vision, management of change, managerial competence and clinical experience. Conclusions. Whilst the findings of the research could not be explained by any single leadership theory, all the themes and attributes identified (except clinical experience) could be all identified in the generic leadership theory system, particularly in transformational and charismatic leadership theories. Two recommendations arise from the research. Firstly that further enquiries into Nursing Leadership should encompass the views of other relevant groups, such as patients,and other hospital staff groups. Secondly, these attributes should be empirically tested through quantitative methods

Migracje personelu medycznego i jej skutki dla funkcjonowania systemu ochrony zdrowia w Polsce

Migration of the medical professionalsMigration of the healthcare personnel started long before Poland joined the EU. However, with the accession more and more people, especially doctors, decided to migrate. The main reason for migration was of a financial nature. In recent years the dynamics of this migration slowed down among physicians, but it increased among nurses. Though at the moment migration does not pose a serious problem for the healthcare system in Poland it may be one of the factors which will cause problems in the future. Majority of migrants are relatively young. There is a threat that there will be no replacement for nurses who will retire in the nearest future. State involvement / action is required to sustain the system

Funkcjonowanie i znaczenie rad nadzorczych przy niepublicznych szpitalach samorządowych

This article describes the results of research (conducted using a questionnaire) on the operation of boards of trustees in non-public local-government-owned hospitals. CEOs of the above-mentioned hospitals have positive opinions about the operation of the boards, recognizing them to be useful both for the owner authorities and the units themselves. Their supervisory function is particularly highly rated in economic and managerial areas. To a lesser extent this applies to the quality of services. No significant operational issues have been reported by respondents. The CEOs, however, stressed the fact that trustees are not always sufficiently prepared for meetings, moreover, when hospitals operated as independent public health care units, they did not have to finance the activities of such boards