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What implies registered nurses' leadership close to older adults in municipal home health care? A systematic review
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Äldre)
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Äldre)
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Äldre)
(English)In: Article in journal (Refereed) Submitted
Abstract [en]

Background Older adults, 65 and over, are increasing globally. High age raises the risk of care needs. Registered nurses in municipal home health care in Sweden are responsible for the care of 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. Objectives To explore how the literature describes the registered nurses’ leadership close to older adults in municipal home health care.  Design A systematic literature review in accordance with qualitative research study. The main search was conducted on April 20, 2018. The review was reported according to the PRISMA guidelines, registered in PROSPERO database (ID# CRD42019109206). Data Sources Nine articles from Pubmed and Cinahl meet the quality criteria.  Review Methods A synthesis of data was performed in four stages according to qualitative research synthesis.  Results The meaning of registered nurses’ leadership close to older adults in municipal home health care was categorized into 11 themes: personal characteristics; to learn; competence through knowledge and ability; nursing responsibility; application of skills; awareness of the individual's needs and wholeness; teaching others; mutual support; mutual relationships; collaborating on organizational and interpersonal levels; and exposure to challenges. Conclusions Registered nurses’ leading close to older adults in municipal home health care implies to be multi-artists. Nursing education including specialist education for registered nurses should prepare them 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.  

Keywords [en]
Home health care, leadership, multi-artist, municipal, older adults, registered nurse, systematic review
National Category
Health Sciences
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-21235OAI: oai:DiVA.org:hb-21235DiVA, id: diva2:1328801
Available from: 2019-06-23 Created: 2019-06-23 Last updated: 2019-06-24

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • nn-NB
  • sv-SE
  • Other locale
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Output format
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