Loading...
Understanding rebel nurse leadership-as-practice: Challenging and changing the status quo in hospitals
de Kok,E. Schoonhoven,L. Lalleman,P. Weggelaar,A.M.
de Kok,E.
Schoonhoven,L.
Lalleman,P.
Weggelaar,A.M.
Abstract
Some nurses are responding rebelliously to the changing healthcare landscape by challenging the status quo and deviating from suboptimal practices, professional norms, and organizational rules. While some view rebel nurse leadership as challenging traditional structures to improve patient care, others see it as disruptive and harmful. These diverging opinions create dilemmas for nurses and nurse managers in daily practice. To understand the context, dilemmas, and interactions in rebel nurse leadership, we conducted a multiple case study in two Dutch hospitals. We delved into the mundane practices to expand the concept of leadership-as-practice. By shadowing rebel nurse practices, we identified three typical leadership practices which present the most common “lived” experiences and dilemmas of nurses and nurse managers. Overall, we noticed that deviating acts were more often quick fixes rather than sustainable changes. Our research points to what is needed to change the status quo in a sustainable manner. To change unworkable practices, nurses need to share their experienced dilemmas with their managers. In addition, nurse managers must build relationships with other nurses, value different perspectives, and support experimenting to promote collective learning.
Description
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
Organizational Units
Journal Issue
Keywords
Leadership, Nursing practice, Positive deviance, Qualitative research, Rebels
Citation
de Kok, E, Schoonhoven, L, Lalleman, P & Weggelaar, A M 2023, 'Understanding rebel nurse leadership-as-practice : Challenging and changing the status quo in hospitals', Nursing Inquiry, vol. 30, no. 4, e12577. https://doi.org/10.1111/nin.12577