Competencias de los enfermeros gerentes en unidades de cuidados integrados: scoping review
DOI:
https://doi.org/10.29352/mill0230.44854Palabras clave:
enfermeras administradoras, atención primaria, liderazgo, administración de personalResumen
Introducción: La gestión eficaz de la atención sanitaria es esencial para garantizar la calidad, la continuidad y la coordinación, especialmente en los modelos integrados. En Portugal, las Unidades Locales de Salud constituyen una reforma para articular la atención primaria y hospitalaria. Los gestores de enfermería asumen un papel central, pero sus competencias específicas siguen estando poco definidas.
Objetivos: 1) Identificar las competencias esenciales exigidas a los gestores de enfermería en contextos de cuidados integrados; 2) Caracterizar esas competencias esenciales en cuanto a su naturaleza, dimensión y ámbito de aplicación en contextos de cuidados integrados.
Métodos: Se realizó una revisión de alcance como fase inicial de un estudio de métodos mixtos, de acuerdo con la metodología del Instituto Joanna Briggs y presentado siguiendo el marco PRISMA-ScR. A partir del modelo PCC, se buscaron las bases de datos PubMed/MEDLINE, CINAHL, Scopus, Web of Science, LILACS y literatura gris. Dos revisores seleccionaron de forma independiente los estudios y extrajeron los datos. Las competencias se sintetizaron mediante análisis temático, utilizando una codificación híbrida deductivo–inductiva basada en la Teoría del Cuidado Burocrático de Ray.
Resultados: Se identificaron seis ámbitos de competencias: técnico, conductual, interprofesional, gerencial, educativo/de desarrollo y clínico. Las diferencias entre la atención primaria y la hospitalaria pusieron de manifiesto la necesidad de perfiles diferenciados y estrategias de adaptación. Las principales barreras para la integración fueron la resistencia cultural, la fragmentación de los sistemas y la escasez de recursos; los facilitadores incluyeron la comunicación eficaz, los valores compartidos y los sistemas de información integrados. Se destacó la importancia del desarrollo continuo, la planificación de la sucesión y el apoyo organizativo.
Conclusión: Las funciones de los enfermeros gestores en la atención integrada son complejas. Su refuerzo requiere inversión en competencias, apoyo institucional y alineación con los valores de la integración. Estos resultados ofrecen una base para programas de formación que promuevan el liderazgo, la coordinación de equipos y la sostenibilidad de los sistemas de salud integrados.
Descargas
Citas
Aiello, M., & Mellor, J. (2019). Integrating health and care in the 21st century workforce. Journal of Integrated Care, 27(2), 100–110. https://doi.org/10.1108/JICA-09-2018-0061
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Augusto, C., & Rodrigues, A. C. (2014). Competências de gestão para a função de enfermeiro gestor. Investigação e Intervenção em Recursos Humanos, 4. https://doi.org/10.26537/iirh.v0i4.2079
Bainbridge, L., Nasmith, L., Orchard, C., & Wood, V. (2010). Competencies for interprofessional collaboration. Journal of Physical Therapy Education, 24(1), 6–11.
Barraclough, F., Smith‐Merry, J., Stein, V., & Pit, S. W. (2024). An international competency framework for high-quality workforce development in integrated care: A modified Delphi study among global participants. International Journal of Integrated Care, 24(2), 11. https://doi.org/10.5334/ijic.8258
Borgermans, L., Marchal, Y., Busetto, L., Kalseth, J., Kasteng, F., Suija, K., et al. (2017). How to improve integrated care for people with chronic conditions: Key findings from EU FP-7 Project INTEGRATE and beyond. International Journal of Integrated Care, 17(4), 7. https://doi.org/10.5334/ijic.3096
Burkman, K., Sellers, D., Rowder, C., & Batcheller, J. (2012). An integrated system’s nursing shared governance model: A system chief nursing officer’s synergistic vehicle for leading a complex health care system. Nursing Administration Quarterly, 36(4), 353–361. https://doi.org/10.1097/NAQ.0b013e31826692ea
Busetto, L., Calciolari, S., Ortiz, L. G. G., Luijkx, K. G., & Vrijhoef, B. (2021). Integrated care and the health workforce. In V. Stein, N. Goodwin, & A. Suter (Eds.), Handbook integrated care. Springer.
Busetto, L., Luijkx, K., Calciolari, S., Ortiz, L. G. G., & Vrijhoef, H. J. M. (2018). Barriers and facilitators to workforce changes in integrated care. International Journal of Integrated Care, 18(2), 17. https://doi.org/10.5334/ijic.3587
Canadian Interprofessional Health Collaborative. (2010). A national interprofessional competency framework. CIHC.
Cantante, A. P. de S. R., Fernandes, H. I. V. M., Teixeira, M. J., Frota, M. A., Rolim, K. M. C., & Albuquerque, F. H. S. (2020). Sistemas de saúde e competências do enfermeiro em Portugal. Ciência & Saúde Coletiva, 25(1), 261–272. https://doi.org/10.1590/1413-81232020251.27682019
Carriere, B. K., Muise, M., Cummings, G., & Newburn-Cook, C. (2009). Healthcare succession planning: An integrative review. The Journal of Nursing Administration, 39(12), 548–555. https://doi.org/10.1097/NNA.0b013e3181c18010
Chen, W. T., He, H.-G., & Chow, Y. L. (2022). The evolving roles of nurses providing care at home: A qualitative case study of a transitional care team. International Journal of Integrated Care, 22(1), 3. https://doi.org/10.5334/ijic.5838
Collins, S., Yen, P. Y., Phillips, A., & Kennedy, M. K. (2017). Nursing informatics competency assessment for the nurse leader: The Delphi study. The Journal of Nursing Administration, 47(4), 212–218. https://doi.org/10.1097/NNA.0000000000000467
Coyle, S. K., & Mills, M. E. C. (2000). Nurse executives champion change in integrated health systems. Nursing Management, 31(2), 32–34. https://doi.org/10.1097/00006247-200002000-00024
Deyo, P., Swartwout, E., & Drenkard, K. (2016). Nurse manager competencies supporting patient engagement. The Journal of Nursing Administration, 46(3 Suppl.), S19–S26. https://doi.org/10.1097/NNA.0000000000000318
Duncan, M. (2019). Integrated care systems and nurse leadership. British Journal of Community Nursing, 24(11), 538–542. https://doi.org/10.12968/bjcn.2019.24.11.538
Everett, L. Q., & Farber, B. J. (2022). Nurse manager and leader competencies. In Nurse manager and leader competencies (pp. 55–70). Springer Publishing Company.
Farah, B. F., Dutra, H. S., Sanhudo, N. F., & Costa, L. M. (2017). Perception of nurse supervisors on leadership in primary care. Revista Cuidarte, 8(2), 1638–1655.
Faria, P. M. (2019). Revisão sistemática da literatura: Contributo para um novo paradigma investigativo [Dissertação de mestrado, instituição não especificada].
Ferreira, V. H. S., Teixeira, V. M., Giacomini, M. A., Alves, L. R., Gleriano, J. S., & Chaves, L. D. P. (2019). Contribuições e desafios do gerenciamento de enfermagem hospitalar: Evidências científicas. Revista Gaúcha de Enfermagem, 40, e20180291. https://doi.org/10.1590/1983-1447.2019.20180291
Filomeno, L., Forte, D., Di Simone, E., Di Muzio, M., Tartaglini, D., Lommi, M., et al. (2024). Systematic review and psychometric properties analysis of first-, middle-, and top-level nurse managers’ core competencies instruments. Journal of Nursing Management, 32(1), e2655382. https://doi.org/10.1155/2024/2655382
Fineout-Overholt, E., Gallagher-Ford, L., Mazurek Melnyk, B., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Evaluating and disseminating the impact of an evidence-based intervention: Show and tell. AJN, American Journal of Nursing, 111(7), 56–59. https://doi.org/10.1097/01.NAJ.0000399317.21279.47
Fonseca, D. F. da. (2019). Estilos de liderança dos enfermeiros de um hospital universitário [Dissertação de mestrado não publicada, Universidade Federal de Santa Maria]. Universidade Federal de Santa Maria.
Fowler, K. R., Robbins, L. K., & Lucero, A. (2021). Nurse manager communication and outcomes for nursing: An integrative review. Journal of Nursing Management, 29(6), 1486–1495. https://doi.org/10.1111/jonm.13324
García, A. G., Pinto-Carral, A., Villorejo, J. S., & Marqués-Sánchez, P. (2020). Nurse manager core competencies: A proposal in the Spanish health system. International Journal of Environmental Research and Public Health, 17(9), 3077. https://doi.org/10.3390/ijerph17093077
González-García, A., Pinto-Carral, A., Pérez-González, S., & Marqués-Sánchez, P. (2021). Nurse managers’ competencies: A scoping review. Journal of Nursing Management, 29(6), 1410–1419. https://doi.org/10.1111/jonm.13380
Grooten, L., Borgermans, L., & Vrijhoef, H. J. (2018). An instrument to measure maturity of integrated care: A first validation study. International Journal of Integrated Care, 18(1), 10. https://doi.org/10.5334/ijic.3060
Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 75(11), 2378–2392. https://doi.org/10.1111/jan.14092
Higgins, J. (2016). What enables charge nurses to undertake the requirements of their role? [Trabalho académico não publicado]. Instituição não especificada.
JBI. (2024). JBI manual for evidence synthesis (2024 ed.). JBI. https://doi.org/10.46658/JBIMES-24-01
Jubinville, M. (2023). The contribution of the charge nurse in integrated healthcare. International Journal of Integrated Care, 23(Suppl. 1), 520. https://doi.org/10.5334/ijic.ICIC23538
Kallas, K. D. (2014). Profile of an excellent nurse manager: Identifying and developing health care team leaders. Nursing Administration Quarterly, 38(3), 261–268. https://doi.org/10.1097/NAQ.0000000000000032
Kämäräinen, P., Mikkola, L., Nurmeksela, A., Wright, M., & Kvist, T. (2024). Nurse leaders’ interpersonal communication competence: A mixed-method systematic review. Journal of Advanced Nursing, 80(11), 4372–4394. https://doi.org/10.1111/jan.16184
Kerfoot, K. (1994). Today’s patient care unit manager. Nursing Economics, 12(1), 54–55.
Langins, M., & Borgermans, L. (2016). Strengthening a competent health workforce for the provision of coordinated/integrated health services: Working document. In Strengthening a competent health workforce for the provision of coordinated/integrated health services (Abstract A231). International Journal of Integrated Care, 16, A231. https://doi.org/10.5334/ijic.2779
Leach, L. S., & McFarland, P. (2014). Assessing the professional development needs of experienced nurse executive leaders. The Journal of Nursing Administration, 44(1), 51–62. https://doi.org/10.1097/NNA.0000000000000021
Lewis, R., Duckworth, J., Willis, D., & Yarker, J. (2024). Developing a competency framework for integrated care working across healthcare, social care and allied professions. British Journal of Healthcare Management, 30(1), 25–36. https://doi.org/10.12968/bjhc.2023.0106
Ling, T., Brereton, L., Conklin, A., Newbould, J., & Roland, M. (2012). Barriers and facilitators to integrating care: Experiences from the English Integrated Care Pilots. International Journal of Integrated Care, 12, e129. https://doi.org/10.5334/ijic.982
Lo, B., Nagle, L. M., White, P., Kleib, M., Kennedy, M. A., & Strudwick, G. (2021). Digital and informatics competencies: Requirements for nursing leaders in Canada. Healthcare Management Forum, 34(6), 320–325. https://doi.org/10.1177/08404704211036620
Longpré, C., & Dubois, C.-A. (2015). Implementation of integrated services networks in Quebec and nursing practice transformation: Convergence or divergence? BMC Health Services Research, 15, 84. https://doi.org/10.1186/s12913-015-0716-0
MacPhee, M., Dahinten, V. S., Hejazi, S., Laschinger, H., Kazanjian, A., McCutcheon, A., et al. (2014). Testing the effects of an empowerment-based leadership development programme: Part 1 – Leader outcomes. Journal of Nursing Management, 22(1), 4–15. https://doi.org/10.1111/jonm.12091
Maeda, A., & Socha, K. (2021). Skills for the future health workforce: Preparing health professionals for people-centred care (No. 68fb5f08-en). OECD Publishing. https://doi.org/10.1787/68fb5f08-en
Magri, E. P., Albert, D., & Joyce, T. (2024). Nurse manager success factors: The foundation for succession planning. Nurse Leader, 22(1), 31–41. https://doi.org/10.1016/j.mnl.2023.10.005
Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5–11. https://doi.org/10.1016/j.profnurs.2018.09.009
Minkman, M. M. N., Zonneveld, N., Hulsebos, K., van der Spoel, M., & Ettema, R. (2025). The renewed Development Model for Integrated Care: A systematic review and model update. BMC Health Services Research, 25(1), 434. https://doi.org/10.1186/s12913-025-12610-2
Oliveira, I. B. de, Peres, A. M., Bastos, R. A., Casey, M., & Timmins, F. (2023). Managerial competencies engaged in innovative actions in primary health care: A qualitative study of Brazilian nurses. Journal of Nursing Management, 31(1), 8746398. https://doi.org/10.1155/2023/8746398
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2023). A declaração PRISMA 2020: Diretriz atualizada para relatar revisões sistemáticas. Revista Panamericana de Salud Pública, 46, e112. https://doi.org/10.26633/RPSP.2022.112
Peres, A., Zago, D., Souza, M., Toniolo, E., Bernardino, E., & Gómez-Torres, D. (2021). Competências requeridas para gestores que atuam na atenção à saúde pública/coletiva: Scoping review. Nursing: Theories and Qualitative Research, 8, 362–373. https://doi.org/10.36367/ntqr.8.2021.362-373
Pestana, S., Martins, M. M., & Rodrigues, C. (2023). The constructive path of the manager nurse: A grounded theory. Revista Rene, 24, e88646. https://doi.org/10.15253/2175-6783.20232488646
Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Chapter 11: Scoping reviews (2020 version). In E. Aromataris & Z. Munn (Eds.), JBI manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-12
Ramos, A., Faria, P. M., & Faria, Á. (2014). Revisão sistemática de literatura: Contributo para a inovação na investigação em ciências da educação. Revista Diálogo Educacional, 14(42), 17–36. https://doi.org/ 10.7213/dialogo.educ.14.041.DS01
Ramseur, P., Fuchs, M. A., Edwards, P., & Humphreys, J. (2018). The implementation of a structured nursing leadership development program for succession planning in a health system. The Journal of Nursing Administration, 48(1), 25–30. https://doi.org/10.1097/NNA.0000000000000566
Ray, M. A. (1989). The theory of bureaucratic caring for nursing practice in the organizational culture. Nursing Administration Quarterly, 13(2), 31–42. https://doi.org/10.1097/00006216-198901320-00007
Ray, M. A. (2018). Theory of bureaucratic caring. In M. E. Smith & M. Parker (Eds.), Nursing theories and nursing practice (pp. 107–117). F. A. Davis.
Ray, M. A. (2021). Evolution of Ray’s theory of bureaucratic caring. International Journal for Human Caring, 25(3), 159–175. https://doi.org/10.20467/HumanCaring-D-20-00043
Ray, M. A. (2024). Ray’s theory of transcultural caring dynamics in nursing and health care: A significant cultural resource. International Journal for Human Caring, 28(1), 61–68. https://doi.org/10.20467/IJHC-2022-0048
Reichenpfader, U., Carlfjord, S., & Nilsen, P. (2015). Leadership in evidence-based practice: A systematic review. Leadership in Health Services, 28(4), 298–316. https://doi.org/10.1108/LHS-08-2014-0061
Remus, S., & Kennedy, M. A. (2012). Innovation in transformative nursing leadership: Nursing informatics competencies and roles. Nursing Leadership, 25(4), 14–26. https://doi.org/10.12927/cjnl.2012.23260
República Portuguesa. (2019, 1 de fevereiro). Decreto-Lei n.º 23/2019, estabelece o regime jurídico das Unidades Locais de Saúde. Diário da República. https://shre.ink/7kzJ
República Portuguesa. (2022, 4 de agosto). Decreto-Lei n.º 52/2022, estabelece o modelo de governação e funcionamento das unidades locais de saúde e procede à alteração do regime jurídico do Serviço Nacional de Saúde. Diário da República. https://dre.pt/dre/detalhe/decreto-lei/52-2022-186477709
República Portuguesa. (2023, 7 de novembro). Decreto-Lei n.º 102/2023, altera o regime jurídico das Unidades Locais de Saúde e outras normas do Serviço Nacional de Saúde. Diário da República. https://shre.ink/7kzZ
Ross, A., Freeman, R., McGrow, K., & Kagan, O. (2024). Implications of artificial intelligence for nurse managers. Nursing Management, 55(7), 14–23. https://doi.org/10.1097/NMG.0000000000000143
Royal College of Nursing. (2016). The nursing role in integrated care models: Reflecting on the United States’ experience. International Journal of Integrated Care, 16(4). https://www.rcn.org.uk/About-us/Our-Influencing-work/Policy-briefings/pol-0214
Rueda, I. (2018). El cambio organizacional y su gestión estratégica. Espacios, 39(1), artigo 10.
Schlotzhauer, A. E., Cramer, E., Grandfield, E. M., & Warshawsky, N. E. (2023). Individual and organizational factors associated with nurse manager success. The Journal of Nursing Administration, 53(7/8), 392–398. https://doi.org/10.1097/NNA.0000000000001305
Scott, I., Malone, M., & Izzat-White, M. (2024). Perspectives and explanations of successful executive nurse leadership on English NHS Trust boards. International Nursing Review, 71(1), 43–52.
Sherring, S. (2012). Nursing leadership within the NHS: An evolutionary perspective. British Journal of Nursing, 21(8), 491–494. https://doi.org/10.12968/bjon.2012.21.8.491
Silva, C., Santos, D., Morais, J., Dias, R., Oliveira, S., & Figueiredo, S. (2024). Impacto das estratégias de comunicação do enfermeiro gestor nos ambientes de trabalho em enfermagem. Millenium - Journal of Education, Technologies, and Health, 2(16e), e37492. https://doi.org/10.29352/mill0216e.37492
Smeets, R. G. M., Kroese, M. E. A. L., Ruwaard, D., Hameleers, N., & Elissen, A. M. J. (2020). Person-centred and efficient care delivery for high-need, high-cost patients: Primary care professionals’ experiences. BMC Family Practice, 21(1), 106. https://doi.org/10.1186/s12875-020-01166-1
Solbakken, R., Bondas, T., & Kasén, A. (2019). Safeguarding the patient in municipal healthcare: A hermeneutic focus group study of Nordic nursing leadership. Journal of Nursing Management, 27(6), 1242–1250. https://doi.org/10.1111/jonm.12809
Solbakken, R., Bondas, T., & Kasén, A. (2022). Relationships influencing caring in first-line nursing leadership: A visual hermeneutic study. Scandinavian Journal of Caring Sciences, 36(4), 957–968. https://doi.org/10.1111/scs.12992
Stefl, M. E. (2008). Common competencies for all healthcare managers: The Healthcare Leadership Alliance model. Journal of Healthcare Management, 53(6), 360–373. https://pubmed.ncbi.nlm.nih.gov/19070332/
Stern, C., Lizarondo, L., Carrier, J., Godfrey, C., Rieger, K., Salmond, S., Apóstolo, J., Kirkpatrick, P., & Loveday, H. (2020). Methodological guidance for the conduct of mixed methods systematic reviews. JBI Evidence Synthesis, 18(10), 2108–2118. https://doi.org/10.11124/JBIES-20-00120
Struckmann, V., Leijten, F. R., van Ginneken, E., Kraus, M., Reiss, M., Spranger, A., Boland, M., Czypionka, T., Busse, R., Molken, M., & Consortium, S. (2018). Relevant models and elements of integrated care for multimorbidity: Results of a scoping review. Health Policy, 122(1), 23–35. https://doi.org/10.1016/j.healthpol.2017.08.008
Sullivan, J., Bretschneider, J., & McCausland, M. P. (2003). Designing a leadership development program for nurse managers: An evidence-driven approach. The Journal of Nursing Administration, 33(10), 544–549. https://shre.ink/7kRG
Terry, D., Hills, D., Bradley, C., & Govan, L. (2024). Nurse-led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact. Journal of Clinical Nursing, 33(5–6), 1724–1738. https://doi.org/10.1111/jocn.17003
Titzer, J. L., & Shirey, M. R. (2013). Nurse manager succession planning: A concept analysis. Nursing Forum, 48(3), 155–164. https://doi.org/10.1111/nuf.12024
Titzer, J. L., Shirey, M. R., & Hauck, S. (2014). A nurse manager succession planning model with associated empirical outcomes. The Journal of Nursing Administration, 44(1), 37–46. https://doi.org/10.1097/NNA.0000000000000018
Titzer, J., Phillips, T., Tooley, S., Hall, N., & Shirey, M. (2013). Nurse manager succession planning: Synthesis of the evidence. Journal of Nursing Management, 21(7), 971–979. https://doi.org/10.1111/jonm.12179
Tomey, A. M. (2009). Nursing leadership and management effects work environments. Journal of Nursing Management, 17(1), 15–25. https://doi.org/10.1111/j.1365-2834.2008.00963.x
Trepanier, S., & Crenshaw, J. T. (2013). Succession planning: A call to action for nurse executives. Journal of Nursing Management, 21(7), 980–985. https://doi.org/10.1111/jonm.12177
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Tyczkowski, B., Vandenhouten, C. L., Reilly, J. E., Bansal, G., Kubsch, S. M., & Jakkola, R. (2015). Emotional intelligence and nursing leadership styles among nurse managers. Nursing Administration Quarterly, 39(2), 172–180. https://doi.org/10.1097/NAQ.0000000000000094
van Duijn, S., Bannink, D., & Ybema, S. (2021). Working toward network governance: Local actors’ strategies for navigating tensions in localized health care governance. Administration & Society, 53(5), 660–689. https://doi.org/10.1177/00953997211033811
Vergara, M., Bisama, L., & Moncada, P. (2012). Competencias esenciales para la gestión en red. Revista Médica de Chile, 140(12), 1593–1605. http://dx.doi.org/10.4067/S0034-98872012001200013
Vieira, A., Silva, P. L., Monteiro, P. R. R., Ituassu, L. T., & Roquete, F. F. (2018). Escala de competências gerenciais da área da saúde.https://www.redalyc.org/journal/1940/194060765001/194060765001.pdf
Wang J, Du B. (2024). 3R nursing combined with dietary and nutritional interventions enhances self-care ability in elderly patients with vascular dementia. Actas Españolas de Psiquiatría. 52(3), 230-237. https://doi.org/10.62641/aep.v52i3.1649.
Wang, J.-J. (2004). The comparative effectiveness among institutionalized and non-institutionalized elderly people in Taiwan of reminiscence therapy as a psychological measure. The Journal of Nursing Research: JNR, 12(3), 237–245. https://doi.org/10.1097/01.jnr.0000387507.06502.d9
Wang, L., Tao, H., Bowers, B. J., Brown, R., & Zhang, Y. (2018). When nurse emotional intelligence matters: How transformational leadership influences intent to stay. Journal of Nursing Management, 26(4), 358–365. https://doi.org/10.1111/jonm.12509
Waring, J., & Crompton, A. (2019). The struggles for (and of) network management: An ethnographic study of non-dominant policy actors in the English healthcare system. Public Management Review, 22(2), 297–315. https://doi.org/10.1080/14719037.2019.1588360
Warshawsky, N. E., & Cramer, E. (2019). Describing nurse manager role preparation and competency: Findings from a national study. The Journal of Nursing Administration, 49(5), 249–255. https://shre.ink/7kEE
Warshawsky, N. E., Caramanica, L., & Cramer, E. (2020). Organizational support for nurse manager role transition and onboarding: Strategies for success. The Journal of Nursing Administration, 50(5), 254–260. https://doi.org/10.1097/NNA.0000000000000880
Warshawsky, N., Cramer, E., Grandfield, E. M., & Schlotzhauer, A. E. (2022). The influence of nurse manager competency on practice environment, missed nursing care, and patient care quality: A cross-sectional study of nurse managers in U.S. hospitals. Journal of Nursing Management, 30(8), 4099–4110. https://doi.org/10.1111/jonm.13649
Zonneveld, N., Glimmerveen, L., Kenis, P., Toro Polanco, N., Johansen, A. S., & Minkman, M. M. N. (2022). Values underpinning integrated, people-centred health services: Similarities and differences among actor groups across Europe. International Journal of Integrated Care, 22(3), Article 6. https://doi.org/10.5334/ijic.6015
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Millenium - Journal of Education, Technologies, and Health
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Los autores que sometan propuestas para esta revista estarán de acuerdo con los siguientes términos:
a) Los artículos serán publicados según la licencia Licença Creative Commons (CC BY 4.0), conforme el régimen open-access, sin cualquier coste para el autor o para el lector.
b) Los autores conservan los derechos de autor y conceden a la revista el derecho de la primera publicación, se permite la divulgación libre del trabajo, desde que sea correctamente atribuida la autoría y la publicación inicial en esta revista.
c) Los autores están autorización para firmar contratos adicionales separadamente, para la distribución no exclusiva de la versión del trabajo publicada en esta revista (ej.: publicar en un repositorio institucional o como capítulo de un libro), con reconocimiento de la autoría y publicación inicial e esta revista.
d) Los autores tienen permiso y son alentados a publicar y distribuir su trabajo on-line (ej.: en repositorios instituciones o en su página personal) ya que eso podrá generar alteraciones productivas, así como aumentar el impacto y la citación del trabajo publicado.
Documentos necesarios para la sumisión
Plantilla del artículo (formato editable)
