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Type of publication: Straipsnis Clarivate Analytics Web of Science ar/ir Scopus / Article in Clarivate Analytics Web of Science or / and Scopus (S1)
Field of Science: Edukologija / Educology (S007)
Author(s): Žydžiūnaitė, Vilma;Lepaitė, Daiva;Suominen, Tarja
Title: Leadership styles in ethical dilemmas when head nurses make decisions
Is part of: International nursing review. Oxford : John Wiley and Sons, 2013, Vol. 60, iss. 2
Extent: p. 228-235
Date: 2013
Note: Online ISSN: 1466-7657
Keywords: Slaugytoja;Etinė dilema;Lyderystė;Lietuva;Slaugos vadyba;Head nurse;Ethical dilemma;Leadership;Lithuania;Nursing management
Abstract: Background: The overlooked aspect in Lithuania is the dearth of leaders among head nurses, who bear the responsibility for decisions in ethical dilemmas. Understanding the application of leadership styles is fundamental to ensuring head nurses' abilities to influence outcomes for healthcare providers and patients. Aim: To identify the leadership styles applied by head nurses in decision making in ethical dilemmas on hospital wards. Methods: The data were collected by questionnaires completed by head nurses (n = 278) working in five major state-funded hospitals in each of the five regions of Lithuania. The data were analysed using SPSS 16.0, calculating descriptive statistics and analysis of variance. Findings: Head nurses apply democratic, affiliative, transformational and sustainable leadership styles when resolving ethical dilemmas. The application of leadership styles is associated not only with specific situations, but also with certain background factors, such as years of experience in a head nurse's position, ward specialization and the incidence of ethical dilemmas. Nurses having been in a head nurse's position over 10 years use primitive leadership styles, notably bureaucratic leadership, more often than do those head nurses with only a few years of experience in such a position. Conclusions: The results highlight the need for head nurses to reflect on their practices and to find new ways of learning from practice, colleagues and patients. Head nurses' managerial decisions due to their ‘executive power’ can turn into a new state-of-the-art leadership in nursing
Affiliation(s): Edukologijos institutas
Socialinių mokslų fakultetas
Vilniaus universitetas
Vytauto Didžiojo universitetas
Appears in Collections:Universiteto mokslo publikacijos / University Research Publications

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