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Leadership as a Facilitator of Evidence Implementation by Nurse Managers: A Metasynthesis

2021; SAGE Publishing; Volume: 44; Issue: 6 Linguagem: Inglês

10.1177/01939459211004905

1552-8456

María Zoraida Clavijo-Chamorro, Gema Romero-Zarallo, Adela Gómez-Luque, Fidel López‐Espuela, Sebastián Sanz-Martos, Isabel M. López‐Medina,

Nursing Diagnosis and Documentation

Evidence-based practice is often not implemented in nursing for reasons relating to leadership. This article aims to cast light on the factors that facilitate nursing evidence implementation perceived by nurse managers in their practical experiences of this implementation. It is a qualitative, narrative metasynthesis of primary studies on nurse managers' leadership-related facilitation experiences, following the Joanna Briggs Institute meta-aggregative approach and the Promoting Action on Research Implementation in Health Services (PARiHS) model. Eleven primary studies were included and three general categories were identified as leadership-related factors facilitating evidence implementation: teamwork (communication between managers and staff nurses), organizational structures (strategic governance), and transformational leadership (influence on evidence application and readiness for change among leaders). Nurse managers act as facilitators of evidence-based practices by transforming contexts to motivate their staff and move toward a shared vision of change. Always providing support as managers and colleagues, sharing their experience in the clinic environment.