The impact of evidence-based nursing leadership in healthcare settings: a mixed methods systematic review

作者：Maritta Välimäki, Shuang Hu, Tella Lantta, Kirsi Hipp, Jaakko Varpula, Jiarui Chen, Gaoming Liu, Yao Tang, Wenjun Chen, Xianhong Li · 发表于：BMC Nursing · 年份：2024 · DOI：10.1186/s12912-024-02096-4 · 被引用次数：63 · 研究领域：Health Sciences Research and Education、Health Policy Implementation Science、Meta-analysis and systematic reviews

BACKGROUND: The central component in impactful healthcare decisions is evidence. Understanding how nurse leaders use evidence in their own managerial decision making is still limited. This mixed methods systematic review aimed to examine how evidence is used to solve leadership problems and to describe the measured and perceived effects of evidence-based leadership on nurse leaders and their performance, organizational, and clinical outcomes. METHODS: We included articles using any type of research design. We referred nurses, nurse managers or other nursing staff working in a healthcare context when they attempt to influence the behavior of individuals or a group in an organization using an evidence-based approach. Seven databases were searched until 11 November 2021. JBI Critical Appraisal Checklist for Quasi-experimental studies, JBI Critical Appraisal Checklist for Case Series, Mixed Methods Appraisal Tool were used to evaluate the Risk of bias in quasi-experimental studies, case series, mixed methods studies, respectively. The JBI approach to mixed methods systematic reviews was followed, and a parallel-results convergent approach to synthesis and integration was adopted. RESULTS: Thirty-one publications were eligible for the analysis: case series (n = 27), mixed methods studies (n = 3) and quasi-experimental studies (n = 1). All studies were included regardless of methodological quality. Leadership problems were related to the implementation of knowledge into practice, t...