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Hu S, Chen W, Hu H, Huang W, Chen J, Hu J. Coaching to develop leadership for healthcare managers: a mixed-method systematic review protocol. Syst Rev 2022; 11:67. [PMID: 35418168 PMCID: PMC9008960 DOI: 10.1186/s13643-022-01946-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 04/02/2022] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND An increasing number of interventions have focused on leadership development for healthcare managers, among which coaching is a common strategy. The purpose of the present systematic review is to synthesize evidence on the effect of coaching in developing leadership of healthcare managers. METHODS AND ANALYSIS A literature search will be conducted in six English databases (MEDLINE (Ovid), CINAHL, Embase, Cochrane library, Nursing & Allied Health Premium, and Scopus) and four Chinese databases (Wanfang, CNKI, SinoMed, and VIP) from inception to April 1st, 2022. The titles, abstracts, and full texts of the studies will be screened by two independent researchers to determine their eligibility. The RoB 2, ROBINS-I, CASP, and MMAT will be applied to assess the quality of randomized trials, non-randomized studies, qualitative studies, and mixed-method studies, respectively. We will then extract the study characteristics, participant characteristics, and study outcomes of the reviewed papers. The Aims, Ingredients, Mechanism, and Delivery framework will be used to extract the components of coaching strategies. For quantitative data, a meta-analysis will be performed if sufficient data are available; otherwise, we will conduct a narrative synthesis. Thematic synthesis methods will be used for qualitative data analysis. DISCUSSION By conducting this systematic review, we expect to synthesize evidence regarding the components of coaching for leadership development among healthcare managers; the influence of coaching on leadership development among managers at the individual, unit-wide, or organizational level; and how managers view coaching as a leadership development strategy. TRIAL REGISTRATION PROSPERO registration number: CRD42020194290 .
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Affiliation(s)
- Shuang Hu
- Xiangya School of Nursing, Central South University, Changsha, China
- School of Nursing, Changsha Medical University, Changsha, China
| | - Wenjun Chen
- School of Nursing, Faculty of Health Science, University of Ottawa, Ottawa, Ontario Canada
- Centre for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario Canada
| | | | - Wenqiu Huang
- School of Nursing, Faculty of Health Science, University of Ottawa, Ottawa, Ontario Canada
- Centre for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario Canada
| | - Jia Chen
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Jiale Hu
- Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, 907 Floyd Ave, Richmond, 23284 USA
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Chen W, Hu S, Liu X, Wang N, Zhao J, Liu P, Chen K, Hu J. Intensive care nurses' knowledge and practice of evidence-based recommendations for endotracheal suctioning: a multisite cross-sectional study in Changsha, China. BMC Nurs 2021; 20:186. [PMID: 34607576 PMCID: PMC8488919 DOI: 10.1186/s12912-021-00715-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 09/22/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Endotracheal suctioning is one of the most frequently performed invasive procedures by intensive care nurses. Nurses should have adequate knowledge and skills to perform endotracheal suctioning based on the best evidence. Little is known about intensive care nurses' knowledge and practice of evidence-based endotracheal suctioning in Chinese hospitals. The purpose of this study was to investigate intensive care nurses' knowledge and practice of evidence-based recommendations regarding endotracheal suctioning. Specifically, the study aimed to examine (1) intensive care nurses' awareness of and adherence to endotracheal suctioning guidelines and (2) factors influencing their level of awareness and adherence. METHODS A cross-sectional survey of 310 staff nurses working in intensive care units was carried out at Changsha, China. Data on participants' characteristics, awareness of, and adherence to the endotracheal suctioning guidelines were collected through online questionnaires. Following univariate descriptive statistics, the Mann-Whitney U test and Kruskal-Wallis H test were performed using Software Package Statistical Analysis Version 23.0. RESULTS A total of 281 nurses completed and returned the survey (response rate = 90.6 %). One-half to three-quarters of the nurses knew 21 of the 26 evidence-based practices and believed their practices followed the guidelines. Over half of them were unaware of the difference between open and close suctions and the pros and cons of using hyperinflation. Almost 50 % of nurses believed some of their clinical practices did not follow the evidence-based recommendations, such as not routinely using normal saline and using 80-120 mmHg suction pressure during endotracheal suctioning. Nurses with endotracheal suctioning training demonstrated significantly higher awareness of endotracheal suctioning recommendations and higher adherence levels than untrained nurses. CONCLUSIONS The study findings revealed that Chinese intensive care nurses lacked awareness of several essential evidence-based endotracheal suctioning practices, and there were gaps between their current practice and the guideline recommendations. Further research should emphasize revealing barriers and facilitators of implementing evidence-based endotracheal suctioning practices as well as developing context-suitable interventions for guideline implementation.
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Affiliation(s)
- Wenjun Chen
- School of Nursing, University of Ottawa, 451 Smyth Road, Ontario, Ottawa, Canada. .,Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, Canada. .,School of Nursing, Changsha Medical University, Hunan, Changsha, People's Republic of China.
| | - Shuang Hu
- School of Nursing, Changsha Medical University, Hunan, Changsha, People's Republic of China
| | - Xiaoli Liu
- Operating Room, Peking University People's Hospital, Beijing, People's Republic of China
| | - Nina Wang
- Department of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, People's Republic of China
| | - Junqiang Zhao
- School of Nursing, University of Ottawa, 451 Smyth Road, Ontario, Ottawa, Canada.,Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Peng Liu
- Cardiovascular Surgery ICU, Xiangya Hospital, Central South University, Changsha, People's Republic of China
| | - Kaixia Chen
- Paediatric Unit, Meitan Chinese and Western Integrative Medicine Hospital, Zunyi, People's Republic of China
| | - Jiale Hu
- Department of Nurse Anesthesia, Virginia Commonwealth University, VA, Richmond, USA
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Hu J, Gifford W, Ruan H, Harrison D, Li Q, Ehrhart MG, Harrison M, Barrowman N, Aarons GA. Validating the Implementation Leadership Scale in Chinese nursing context: A cross-sectional study. Nurs Open 2021; 8:3420-3429. [PMID: 33960677 PMCID: PMC8510775 DOI: 10.1002/nop2.888] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 03/14/2021] [Accepted: 03/29/2021] [Indexed: 11/11/2022] Open
Abstract
AIM This study aimed to evaluate the validity, reliability and acceptability of the Implementation Leadership Scale in the Chinese nursing context. DESIGN This study utilized a cross-sectional design. METHODS This study was conducted in one general tertiary hospital with 234 nurses (85.3% response rate) from 35 clinical units in China. Content validity, structural validity, convergent validity, reliability (internal consistency), agreement indices and acceptability were evaluated. The data collection was from December 1st, 2017 to June 30th, 2018. RESULTS Confirmatory factor analysis demonstrated a good model fit to the four-factor implementation leadership model. The psychometric testing also indicated good convergent validity, high internal consistency and acceptable aggregation. Most participants completed the scale in two minutes or less and agreed or strongly agreed that the questions were relevant to implementation leadership, clear and easy to answer. CONCLUSIONS This study demonstrated that the Chinese Implementation Leadership Scale is a valid, reliable and pragmatic tool for measuring strategic leadership for implementing evidence-based practices.
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Affiliation(s)
- Jiale Hu
- Department of Nurse AnesthesiaVirginia Commonwealth UniversityRichmondVAUSA,School of NursingUniversity of OttawaOttawaONCanada
| | - Wendy Gifford
- School of NursingUniversity of OttawaOttawaONCanada,Center for Research on Health and NursingUniversity of OttawaOttawaONCanada
| | - Hong Ruan
- Integrated Administration DepartmentShanghai Ninth People’s HospitalShanghaiChina,Shanghai Nursing AssociationShanghaiChina
| | - Denise Harrison
- School of NursingUniversity of OttawaOttawaONCanada,Department of NursingFaculty of MedicineDentistry and Health SciencesThe University of MelbourneMelbourneVIC.Australia
| | - Qingge Li
- Nursing DepartmentWomen’s Hospital affiliated to School of Medicine Zhejiang UniversityHangzhou CityZhejiang ProvinceChina
| | - Mark G. Ehrhart
- Department of PsychologyUniversity of Central FloridaOrlandoFLUSA
| | - Mary‐Ann Harrison
- Research Institute, Children's Hospital of Eastern OntarioOttawaONCanada
| | - Nick Barrowman
- Research Institute, Children's Hospital of Eastern OntarioOttawaONCanada
| | - Gregory A. Aarons
- Department of PsychiatryUniversity of CaliforniaLa JollaCAUSA,Child and Adolescent Services Research CenterUniversity of CaliforniaSan DiegoCAUSA,UC San Diego Dissemination and Implementation Science CenterLa JollaCAUSA
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Evidence-Based Leadership: A Study of Its Application to General Hospital of the Public Health System Through the Implementation Leadership Scale. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2021; 1337:9-15. [DOI: 10.1007/978-3-030-78771-4_2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hu J, Ruan H, Li Q, Gifford W, Zhou Y, Yu L, Harrison D. Barriers and Facilitators to Effective Procedural Pain Treatments for Pediatric Patients in the Chinese Context: A Qualitative Descriptive Study. J Pediatr Nurs 2020; 54:78-85. [PMID: 32585541 DOI: 10.1016/j.pedn.2020.06.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 06/05/2020] [Accepted: 06/09/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE To explore nurse and physician leaders' perceptions of barriers and facilitators to using evidence-based procedural pain treatments (i.e., sweet solutions, breastfeeding, and topical anesthetics) for hospitalized infants and children in the Chinese context. DESIGN AND METHODS A descriptive qualitative study was conducted at three pediatric inpatient surgical units in one hospital in China. Purposive sampling was used to recruit nurse/physician leaders who were engaged in the clinical management of the 3 units. Data collection included a focus group and individual interviews. The Consolidated Framework for Implementation Research (CFIR) was used to guide the analysis of the data. RESULTS Ten participants attended the focus group and 13 took part in individual interviews. The findings highlight 41 implementation determinants, including two neutral influencing factors, 22 barriers, and 17 facilitators. These influencing factors aligned with the four CFIR domains and 25 of the 29 CFIR constructs. Common barriers to using evidence-based pain treatments across different contexts were identified, such as health care professionals' limited knowledge and misconceptions on pediatric pain management, no specific policies, low priority, heavy workload, staff shortage, and limited time. Unique determinants in the Chinese context were also identified, including parents' concerns of these new interventions, parent wrath, hierarchical managerial system, and lower authority of nurses. CONCLUSIONS Multiple barriers as well as facilitators to using evidence-based pain management strategies were identified. PRACTICE IMPLICATIONS The findings inform further development of implementation strategies and could be used as baseline data for comparing the barriers and facilitators evaluated during and after implementation.
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Affiliation(s)
- Jiale Hu
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada; Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, VA, USA.
| | - Hong Ruan
- Integrated Administration Office, Shanghai Ninth People's Hospital, Shanghai, China; Shanghai Nursing Association, Shanghai, China.
| | - Qingge Li
- Nursing Department, Women's Hospital affiliated to School of Medicine Zhejiang University, Hangzhou City, Zhejiang Province, China
| | - Wendy Gifford
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada; Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Yiyan Zhou
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Leilei Yu
- Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai, China
| | - Denise Harrison
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada; School of Nursing, The University of Melbourne, Victoria, Australia
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Hu J, Gifford W, Ruan H, Harrison D, Li Q, Ehrhart MG, Aarons GA. Translation and linguistic validation of the implementation leadership scale in Chinese nursing context. J Nurs Manag 2019; 27:1030-1038. [DOI: 10.1111/jonm.12768] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 02/26/2019] [Accepted: 03/06/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Jiale Hu
- School of Nursing, Faculty of Health Science University of Ottawa Ottawa Ontario Canada
| | - Wendy Gifford
- School of Nursing, Faculty of Health Science University of Ottawa Ottawa Ontario Canada
- Center for Research on Health and Nursing University of Ottawa Ottawa Ontario Canada
| | - Hong Ruan
- Integrated Administration Department Shanghai Ninth People’s Hospital Shanghai China
- Shanghai Nursing Association Shanghai China
| | - Denise Harrison
- School of Nursing, Faculty of Health Science University of Ottawa Ottawa Ontario Canada
- Children’s Hospital of Eastern Ontario Research Institute Ottawa Ontario Canada
| | - Qingge Li
- School of Nursing Shanghai Jiaotong University Shanghai China
| | - Mark G. Ehrhart
- Department of Psychology University of Central Florida Orlando Florida
| | - Gregory A. Aarons
- Department of Psychiatry University of California San Diego California
- Child and Adolescent Services Research Center University of California San Diego California
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Hu J, Yu L, Jiang L, Yuan W, Bian W, Yang Y, Ruan H. Developing a Guideline for Endotracheal Suctioning of Adults With Artificial Airways in the Perianesthesia Setting in China. J Perianesth Nurs 2019; 34:160-168.e4. [DOI: 10.1016/j.jopan.2018.03.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 03/23/2018] [Accepted: 03/24/2018] [Indexed: 02/06/2023]
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Cheng L, Feng S, Hu Y, Broome ME. Response to Commentary on Cheng, Broome, Feng, and Hu (2017) Leadership behaviours play a significant role in implementing evidence-based practice. Journal of Clinical Nursing, 2018;27:e1684-e1685. J Clin Nurs 2018; 27:e1689-e1690. [DOI: 10.1111/jocn.14547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Accepted: 06/03/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Lei Cheng
- School of Nursing; Fudan University; Shanghai China
| | - Sheng Feng
- Shanghai Children's Medical Center; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Yan Hu
- School of Nursing; Fudan University; Shanghai China
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