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UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review

Caroline A. W. Dickson, Caitlin Davies, Brendan McCormack, Liz Westcott, Joy Merrell, Sonja Mcilfatrick, Jan Dewing

Journal of Nursing Management, Volume: 30, Issue: 8, Pages: 3942 - 3957

Swansea University Author: Joy Merrell

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DOI (Published version): 10.1111/jonm.13790

Abstract

To explore healthful leadership practices in nursing and midwifery evident within the Covid-19 pandemic in the UK, the contextual facilitators, barriers, and outcomes. Globally, the health and care sector are under pressure and despite nurses and other professionals demonstrating resilience and reso...

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Published in: Journal of Nursing Management
ISSN: 0966-0429 1365-2834
Published: Wiley
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URI: https://cronfa.swan.ac.uk/Record/cronfa61351
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Globally, the health and care sector are under pressure and despite nurses and other professionals demonstrating resilience and resourcefulness in the COVID-19 pandemic, this has negatively impacted on their health and wellbeing and on patient care. Two searches were conducted in July 2021 and December 2021. Inclusion/exclusion criteria were identified to refine the search, including papers written since the beginning of the pandemic in 2020. A total of 38 papers were included principally from the USA and UK. 10 were research papers, the others were commentaries, opinion pieces and editorials. MS Teams literature repository was created. A unique critical appraisal tool was devised to capture contexts, mechanisms and outcomes whilst reflecting more standardised tools i.e., the Critical Appraisal Skills Programme and the Authority, Accuracy, Coverage, Objectivity and Date tool (AACOD) tool for reviewing grey literature to refine the search further. Six tentative theories of healthful leadership emerged from the literature around leadership strategies which are relational, being visible and present; being open and engaging; caring for self and others; embodying values; being prepared and preparing others and using available information and support. Contextual factors that enable healthful leadership practices are in the main, created by leaders' values, attributes, and style, as well as the culture within which they lead. The literature suggests leaders who embody values of compassion, empathy, courage, and authenticity create conditions for positive and healthful relations between leaders and others. Nurse and midwives' voices are however absent from the literature in this review. Current available literature would suggest healthful leadership practices are not prioritized by nurse leaders but the perspectives of nurses' and midwives' about the impact of such practices on their well-being is missing. Tentative theories are offered as a means of identifying healthful leadership strategies, the context that enable these and potential outcomes for nurses an midwives. These will be explored in phase two of this study. Nurse leaders must be adequately prepared to create working environments that support nurses' and midwives' wellbeing, so that they may be able to provide high quality care. Ensuring a supportive organisational culture which embodies the values of healthfulness may help to mitigate the impact of the COVID-19 pandemic on nurses' and midwives' wellbeing in the immediate aftermath and going forward. [Abstract copyright: This article is protected by copyright. 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spelling 2023-01-05T13:21:21.1129962 v2 61351 2022-09-26 UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review 0b71f114a868fd6389f5c12e91e8f515 Joy Merrell Joy Merrell true false 2022-09-26 FGMHL To explore healthful leadership practices in nursing and midwifery evident within the Covid-19 pandemic in the UK, the contextual facilitators, barriers, and outcomes. Globally, the health and care sector are under pressure and despite nurses and other professionals demonstrating resilience and resourcefulness in the COVID-19 pandemic, this has negatively impacted on their health and wellbeing and on patient care. Two searches were conducted in July 2021 and December 2021. Inclusion/exclusion criteria were identified to refine the search, including papers written since the beginning of the pandemic in 2020. A total of 38 papers were included principally from the USA and UK. 10 were research papers, the others were commentaries, opinion pieces and editorials. MS Teams literature repository was created. A unique critical appraisal tool was devised to capture contexts, mechanisms and outcomes whilst reflecting more standardised tools i.e., the Critical Appraisal Skills Programme and the Authority, Accuracy, Coverage, Objectivity and Date tool (AACOD) tool for reviewing grey literature to refine the search further. Six tentative theories of healthful leadership emerged from the literature around leadership strategies which are relational, being visible and present; being open and engaging; caring for self and others; embodying values; being prepared and preparing others and using available information and support. Contextual factors that enable healthful leadership practices are in the main, created by leaders' values, attributes, and style, as well as the culture within which they lead. The literature suggests leaders who embody values of compassion, empathy, courage, and authenticity create conditions for positive and healthful relations between leaders and others. Nurse and midwives' voices are however absent from the literature in this review. Current available literature would suggest healthful leadership practices are not prioritized by nurse leaders but the perspectives of nurses' and midwives' about the impact of such practices on their well-being is missing. Tentative theories are offered as a means of identifying healthful leadership strategies, the context that enable these and potential outcomes for nurses an midwives. These will be explored in phase two of this study. Nurse leaders must be adequately prepared to create working environments that support nurses' and midwives' wellbeing, so that they may be able to provide high quality care. Ensuring a supportive organisational culture which embodies the values of healthfulness may help to mitigate the impact of the COVID-19 pandemic on nurses' and midwives' wellbeing in the immediate aftermath and going forward. [Abstract copyright: This article is protected by copyright. All rights reserved.] Journal Article Journal of Nursing Management 30 8 3942 3957 Wiley 0966-0429 1365-2834 0 0 0 0001-01-01 10.1111/jonm.13790 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2023-01-05T13:21:21.1129962 2022-09-26T17:14:51.7040843 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Caroline A. W. Dickson 1 Caitlin Davies 2 Brendan McCormack 3 Liz Westcott 4 Joy Merrell 5 Sonja Mcilfatrick 6 Jan Dewing 7 Under embargo Under embargo 2022-09-27T13:11:53.2332281 Output 2657053 application/pdf Accepted Manuscript true 2023-09-05T00:00:00.0000000 true eng
title UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review
spellingShingle UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review
Joy Merrell
title_short UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review
title_full UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review
title_fullStr UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review
title_full_unstemmed UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review
title_sort UK Nurses’ and Midwives’ experiences of healthful leadership practices during the COVID‐19 pandemic: A Rapid Realist Review
author_id_str_mv 0b71f114a868fd6389f5c12e91e8f515
author_id_fullname_str_mv 0b71f114a868fd6389f5c12e91e8f515_***_Joy Merrell
author Joy Merrell
author2 Caroline A. W. Dickson
Caitlin Davies
Brendan McCormack
Liz Westcott
Joy Merrell
Sonja Mcilfatrick
Jan Dewing
format Journal article
container_title Journal of Nursing Management
container_volume 30
container_issue 8
container_start_page 3942
institution Swansea University
issn 0966-0429
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doi_str_mv 10.1111/jonm.13790
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description To explore healthful leadership practices in nursing and midwifery evident within the Covid-19 pandemic in the UK, the contextual facilitators, barriers, and outcomes. Globally, the health and care sector are under pressure and despite nurses and other professionals demonstrating resilience and resourcefulness in the COVID-19 pandemic, this has negatively impacted on their health and wellbeing and on patient care. Two searches were conducted in July 2021 and December 2021. Inclusion/exclusion criteria were identified to refine the search, including papers written since the beginning of the pandemic in 2020. A total of 38 papers were included principally from the USA and UK. 10 were research papers, the others were commentaries, opinion pieces and editorials. MS Teams literature repository was created. A unique critical appraisal tool was devised to capture contexts, mechanisms and outcomes whilst reflecting more standardised tools i.e., the Critical Appraisal Skills Programme and the Authority, Accuracy, Coverage, Objectivity and Date tool (AACOD) tool for reviewing grey literature to refine the search further. Six tentative theories of healthful leadership emerged from the literature around leadership strategies which are relational, being visible and present; being open and engaging; caring for self and others; embodying values; being prepared and preparing others and using available information and support. Contextual factors that enable healthful leadership practices are in the main, created by leaders' values, attributes, and style, as well as the culture within which they lead. The literature suggests leaders who embody values of compassion, empathy, courage, and authenticity create conditions for positive and healthful relations between leaders and others. Nurse and midwives' voices are however absent from the literature in this review. Current available literature would suggest healthful leadership practices are not prioritized by nurse leaders but the perspectives of nurses' and midwives' about the impact of such practices on their well-being is missing. Tentative theories are offered as a means of identifying healthful leadership strategies, the context that enable these and potential outcomes for nurses an midwives. These will be explored in phase two of this study. Nurse leaders must be adequately prepared to create working environments that support nurses' and midwives' wellbeing, so that they may be able to provide high quality care. Ensuring a supportive organisational culture which embodies the values of healthfulness may help to mitigate the impact of the COVID-19 pandemic on nurses' and midwives' wellbeing in the immediate aftermath and going forward. [Abstract copyright: This article is protected by copyright. All rights reserved.]
published_date 0001-01-01T04:20:08Z
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