Abstract
BackgroundRegistered nurses are key figures in municipal home health care for older adults. Thus, registered nurses’ leadership is crucial to a successful and preventive care process as well as a supportive organization in order to achieve safe care. However, there is limited research on what registered nurses’ leadership implies close to older adults in municipal home health care. Thus, the aim is to compile and critically evaluate how international research results describe registered nurses’ leadership close to older adults in municipal home health care.MethodsA systematic literature review was performed in accordance with a qualitative research study. The main search was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registered in the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. A synthesis of data was performed in four stages according to qualitative research synthesis.ResultsTen themes describe what registered nurses’ leadership close to older adults in municipal home health care entails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on an organizational level; application of skills; awareness of the individual’s needs and wholeness; mutual support; mutual relationships; collaborating on organizational and interpersonal levels; and exposure to challenges.ConclusionsRegistered nurses leading close to older adults in municipal home health care implies being multi-artists. Nursing education, including specialist education for registered nurses, should prepare individuals for their unique and complex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses’ leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Further research is warranted to explore registered nurses’ leadership close to older adults in municipal home health care from different perspectives, such as older adults and next of kin.
Highlights
Registered nurses are key figures in municipal home health care for older adults
Through the 10 themes, the results describe what registered nurses’ (RNs)’ leadership implies close to older adults in municipal home health care (Fig. 2)
Trust and control RNs’ leadership close to older adults in municipal home health care implies that RNs must be able to trust themselves and the nursing staff and their competence in assessment and information concerning older adults’ condition
Summary
Registered nurses are key figures in municipal home health care for older adults. There is limited research on what registered nurses’ leadership implies close to older adults in municipal home health care. The aim is to compile and critically evaluate how international research results describe registered nurses’ leadership close to older adults in municipal home health care. Leadership is included in registered nurses’ (RNs) responsibility and competence [1]. Leadership should not be confused with management, which is a formal position that entails responsibility for operations and budget. Nursing leadership involves ensuring that individual leaders possess the knowledge, skills and capacities required to empower those around them and to harness their strengths towards a collective effort [2]. While there are different leadership styles [3], there is no specific nursing leadership style.
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