Helena Leino-Kilpi, RN, MEd, PhD, FEANS is Professor and Chair and Head of the Department of Nursing Sciences at the University of Turku, Faculty of Medicine, and Director of Nursing (part-time) at Turku University Hospital in Finland. She has several international and national academic assignments, is an honorary doctorate at the University of Klaipeda (Lithuania) and is a fellow at the European Academy of Nursing Science.
Introduction on Leadership, Nursing and the Nordic Countries
- Historical Development of Nursing Science
- Nursing Education Reforms
- Organization of Health Services
- Goal of This Book
- Organization of This Book
It is important for a manager to also be a leader – the manager is in a formal position of power, which is of great importance in terms of leadership as the positions of power are often essential to bring about change. The historical development of Finnish nursing textbooks from the late 1880s to 1967 – the training of nurses in the Foucauldian perspective (Sairaanhoitaaksi Kasvattaminen.
Nursing Leadership in Denmark
The State of Nursing Science in Denmark
- Introduction
- Nursing Education
- Academic Positions at Universities
- Nursing Authorisation in Denmark
- Professional Community and Unity
- The Welfare and Healthcare System in Denmark
- Patient and Public Involvement
- The Danish History of Academic Nursing: Looking Back Although the historical roots of Danish nursing go back to the days of Florence
- Discussion on Nursing Values
- Theoretical and Practical Nursing: A Collaboration in Development
- Support from the Novo Nordisk Foundation
- Opportunities and Challenges Calling for Leadership in Nursing
- Conclusion
At the individual level, the concept of patient involvement refers specifically to: “the right and the benefits of patients to have a central position in the healthcare process. Konkurencestaten mellem reform og reaktion (The reaction's time – the competition state between reform and reaction).
Evidence-Based Clinical Practice
- A Translational Research Model
- A Research Programme Integrating Evidence into Clinical Practice: An Example
- Shared Decision-Making and Dialysis Choice
- Dialysis Choice
- The Development Process
- The Intervention Shared Decision-Making and Dialysis Choice
- Pilot Test
- Evaluation and First Results
- The Implementation Process
- Conclusion
The statement “the dialysis coordinator and I chose a dialysis treatment option together” scored the lowest at 3.6. One questionnaire measures whether patients experience the intervention as based on shared decision-making and the other measures the quality of the decision.
Higher Education in Nursing in a Changing Danish Society
- Introduction
- The Danish Master’s Degree in Nursing Takes Form
- The Danish Welfare State
- Critique of the Competition State
- Higher Education and Building: The Heritage from the German Humboldt University
- The Bologna Process and the Bologna Declaration
- Competencies as a Management Tool
- University Education with a Double Aim
- Educating Nurses to Become Reflective Practitioners Despite of changes in use of terminology and the challenges in composing curricu-
- Conclusion
That is why the most intensive development of the welfare state has been since the middle of the twentieth century. With the Danish interpretation of the Bologna Declaration, there was a move away from considering the building as the most important result of university education.
Pioneers in an Old Culture. Developing and Leading a Research and
Development Capacity Building Program
Capacity Building
- Culture
- Knowledge Transfer and Developing Research and Development Capacity
Research and development capacity building is internationally recognized as important for providing a strong evidence base for clinical practice [ 8 , 9 ] and for the development of nursing research culture [ 10 ]. Within the work leading a major research and development capacity building process at Zealand University Hospital, the framework is useful as a constant.
![Fig. 5.1 Research capacity building: a framework for evaluation. Re-printed with permission from the author [8]](https://thumb-ap.123doks.com/thumbv2/azdoknet/10595081.0/67.659.82.580.90.444/research-capacity-building-framework-evaluation-printed-permission-author.webp)
Working with Research and Development Capacity Building Within a University Hospital
- Background, Vision and Strategy
- Concrete Initiatives
- Educating and Recruiting Researchers
- Establishing Professorships and Nursing Research Program
Establishment of a new intra-organizational network of RNs and allied health professionals responsible for education, development and research. The first book Research and Development Culture—In Clinical Practice [24] consisted of 12 chapters written by RNs and allied health professionals at different levels in the organization, who shared their reflections and experiences with the first steps of building research - and share development capacity. The hospital works mainly with the University of Copenhagen, but most academic nurses and allied health professionals are affiliated with the University of.
Now three nursing professors are affiliated with the hospital: a professor of clinical nursing who is also the director of nursing/allied health research and two international visiting professors. Both frameworks are reflected in the vision and strategy for nursing and allied health at the hospital.
Conclusion
Danish translation and adaptation of the Context Assessment Index with implications for evidence-based practice.
Nursing Leadership in Finland
State of Nursing Science in Finland
- Introduction
- Establishment and Development of the New Discipline of Nursing Science
- Characteristics of the Discipline of Nursing Science
- Critical Mass in Nursing Science
- Nursing Research Within the Finnish Health-Care System The Finnish health-care system is organized around primary health care and 21
- Quality of Nursing Research
- Development of Nursing Research
- Finnish Nursing Science: A Strong and Versatile Discipline Nursing science in the five Finnish universities is realized with research programmes
- Research Funding: A Prerequisite for Research
- Conclusions
In the early years, the educational programs led to a degree in healthcare/nursing education and administration. That is why a major reform of the social sector and healthcare is planned in the coming years. Furthermore, nursing research at the University of Turku ranks high in the International QS rankings [24] and the Shanghai rankings [25].
Since the 1990s, most universities have their own research programs and areas of expertise in nursing science. In addition, nursing professors in these nursing departments have cross-employment with healthcare organizations.
Leading Evidence-Based Practice in Finnish Healthcare
- Introduction
- Determinants for Evidence-Based Practice in Finnish Healthcare
- Governmental Steering by Guidelines and Programmes Although the origin of evidence-based practice lies in the medical field [14], the
- Studies About the Situation of Evidence-Based Nursing The precondition for evidence-based practice is the availability of reliable evidence
- Framework for Evidence-Based Practice in Finnish Healthcare
- Special Positions and Roles to Support Evidence-Based Practice
- National-Level Support for Evidence-Based Nursing
- Operational Model for Evidence-Based Consistent Practices (OMCP)
- Developing and Leading Evidence-Based Ulcer Care
- Leading the Organization, Structures and Practice for Ulcer Care
- Leading by Knowledge: Leading Evidence-Based Ulcer Care
- Wound and Ulcer Mapping as a Source of Knowledge
- Patient Safety Notification as a Source of Information
- Patient Documentation as a Source of Information
- Pressure Ulcer as Quality Indicator in Nursing Care
- Conclusion
However, it was not until the early 2000s that practice and evidence-based nursing were guided by a national action plan in Finland. A very recent national study on the implementation of evidence-based nursing practice (N carried out by the Nursing Research Foundation and the Finnish Nurses Association focused on registered nurses (n = 1063), managers and clinical nurse specialists (n = 340 ).About 63% of nurse leaders reported evidence-based practice as one of the organization's strategic goals.
Since the evidence-based practice is adopted by law, the organization must take care of the implementation. Leading evidence-based practice is based on knowledge and information about activities, structures and processes.
Nursing Education and Nurse Education Research in Finland
- Introduction
- Nursing Education in Finland
- State of the Art in Nursing Education Research and Practice
- Outcomes of Nursing Education
- Generic Competence
- Specified Competence
- The Role and Competence of the Nurse Educators
- Collaboration Between Nursing Education and Health- Care Facilities
- Conclusions
In addition to degrees, RNs can also pursue continuing education in administration, management, and leadership—however, opportunities for these vary by UAS in terms of content and scope of study. The focus of the dissertations is classified into four main categories: (1) structural factors in nursing education, (2) nurse teacher education, (3) teaching activities in nursing education and (4) learning and learning outcomes in nursing education. The most recent national evaluation of health educators' competence and work was carried out in 2010 [22].
Terveydenhuollon organisaatioiden edustajat osallistuivat opiskelijoiden seulontaa kehittävän ryhmän työhön. Sairaanhoitajan ammatillinen osaaminen – Hoitokoulutuksen tulevaisuus –hanke.
Professional Practice Competence Framework for the Nurse Leader
- Introduction
- Competence Framework for Professional Nursing Practice
- The Nurse Competence Scale
- Leadership Interventions for Nurses’ Professional Development
- Novice Nurses and Advanced Beginners
- Competent Professional Practice
- Proficient Nurses, Experts in Evidence-Based Nursing
- Advanced Practice Nursing and Academic Partnership Advanced practice nursing roles have recently been implemented in many countries
- Conclusions
Investments in nurse training programs bring benefits to the hospital in terms of the empowerment of nurses and the acquisition of leadership skills. An example of nurse training outcomes for surgical competency to nurse competency level is described in the figure. Nurses' professional inspiration and career opportunities are related to the quality and effectiveness of patient care.
Numminen O, Iso-Aho H, Leino-kilpi H, Meretoja R (2015) Congruence between nurse managers' and nurses' ratings of competence: a correlative study. Numminen O, Leino-Kilpi H, Isoaho H, Meretoja R (2015) Competence of newly graduated nurses and individual and organizational factors: a multivariate analysis.
Nursing Leadership in Iceland
State of Leadership in Nursing Science in Iceland
- Introduction
- Reforms in Nursing Education as the Ground for Nursing Science
- University Education in Nursing
- Autonomy Over Nursing Practice and of Nursing in the Academia
- Autonomy of Nurses Over Their Care
- Autonomy of Nursing in the Academia
- Expansion of Nursing Science
- Collaboration Between the University of Iceland and Landspitali the National University Hospital
- Resources to Promote Nursing Research
- The Rise of Knowledge Generation
- Conclusions
In the initial years of the Department of Nursing, all efforts were devoted to running the school and accepting an ever-increasing number of students. The laws stated that head nurses in hospitals are responsible for the management and implementation of nursing care [21]. Nurses consider this law to be an important contribution to the advancement of the nursing profession in Iceland.
The contribution of the national association of Icelandic nurses – the Icelandic Nurses' Association – to the advancement of nursing over the years has been remarkable. Historically, the small size of Icelandic society has repeatedly benefited the advancement of nursing in Iceland.
Complexity Leadership
Research and development in nursing care in neurology and neuro-rehabilitation, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland e-mail: [email protected]. Nursing care for the chronically ill, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
- Leadership: A Call for a Broader Perspective
- Complexity Leadership of Nursing Faculty in Joint Positions
- Strategic Institutional Support
- Academic Freedom
- Embracing Reciprocal Relationships
- Cases for Reflection
- Bringing the Three Icelandic Cases Together
- Conclusions
Academic chairs participate in the advancement of nursing practice as well as policy formulation within the special section. Therefore, formal cooperation must be embedded in the infrastructure of institutions on both sides, and administrators “at a tactical level [should] feel responsible for this” [8, 10]. Obtaining adequate resources remains a fundamental concern in collaboration between academia and the clinic and affects academic freedom.
The unmet needs of people with advanced lung disease and their families for comprehensive nursing care had become prominent in the national and international literature. She regularly informs and discusses matters with the chair and the nurses in the practice.
Towards the Future: The Education of Nurses in Iceland Reconsidered
- Introduction
- Educational Development
- Threats to Quality of Nursing Practice
- The Tension Between Natural Science and Lived Realities in Nursing Education
- Partnership Between Academia and Practice
- Educational Reforms of the Undergraduate Nursing Education
- Educational Qualifications for Entry Into Practice
- The Revised Programme
- The Clinical Learning Model: A Community of Learning Creating a successful collaboration between academia and practice is fundamen-
- Graduate Education
- Master’s Education
- Doctoral Education
- Conclusions
The chief administrator of the nursing program at that time (1977) admitted that the lack of nurses with sufficient training to qualify for academic positions was his biggest problem [6]. Close relationships between the members of the faculty of nursing at the University of Iceland, nurse leaders and nurse clinicians were of central importance in improving the development of nursing practice and training of future nurses in Iceland [33]. Towards the end of the twentieth century, the emphasis on research and postgraduate education at the University of Iceland increased [45].
Similar to universities in neighboring countries, the aim of the University of Iceland was to improve research through postgraduate education. Statement from the education committee regarding changes to the curriculum of the BS in nursing program at the Faculty of Nursing at the University of Iceland.
A Nurse-Managed Follow-Up Practice for Patients After Discharge
Intensive Care Unit, Landspitali - The National University Hospital of Iceland, Reykjavík, Iceland e-mail: [email protected]. Landspitali - The National University Hospital of Iceland, Reykjavík, Iceland Nursing care for the chronically ill - The National University Hospital of Iceland, Reykjavík, Iceland.
Development, Testing and Implementation
- Introduction
- Nurse-Led Follow-Up of Patients After Discharge from Intensive Care
- Development of the Nurse-Led Follow-Up Intervention
- Effectiveness of the Nurse-Led Follow-Up Intervention
- Recovery of Health Status
- Psychological Recovery
- Exploration of the Findings
- The Nurse-Managed ICU Follow-Up Practice
- Conclusion
Patients' experience of the ICU stay also plays a significant role in relation to anxiety and depression post-ICU. An observation scheme was presented to the ICU nurses for documentation of the ward visits. The health status of the patients within both groups worsened over the 1 year after the ICU discharge compared to before the ICU admission.
The heterogeneity of the ICU patient population requires a more individualized approach to nurse-led follow-up. In the study, the physical health of the patients at discharge from the ward was low compared to before the stay in the ICU.
Nursing Leadership in Norway
Historical Development and the State of Nursing Science in Norway
- Introduction
- The Early Beginnings of the Nursing Profession
- Higher Education for Nurses
- Academic Nursing Institutions at the Traditional Universities
- Nursing Education and Research at the University of Tromsø
Higher education for nurses emerged in 1925, when the NNA founded its own school for secondary education in nursing, initially called 'The Secondary School for Nurses'. Initially, the school provided short courses in nursing leadership, pedagogy for nurse supervisors and teachers, and social care for nurses working in the community [4]. Many of the school's faculty sought higher education in nursing abroad, especially in the United States and Great Britain. Therefore, the educational programs were influenced by the international development of nursing and gradually developed into academic education and leadership in nursing [9]. .
The unique position of the NNA school is reflected by the central position it has had in ensuring university education in nursing in Norway. Actually, the first rudimentary idea about an advanced university education in nursing was launched in the early 1920s and Nordic cooperation was discussed for several years among the leaders of the Northern Nurses Federation.
