The influence of nursing leadership styles on the outcomes of patients, professionals and institutions: An integrative review.

AIM: This review was conducted to map leadership styles that positively impact patients, professionals and institutions. BACKGROUND: Leadership is a topic widely studied because it is a fundamental skill in establishing favourable work environments, in addition to enabling nurses to influence their team in the search for better results. Therefore, a synthesis of the various studies produced to date is essential for nurses, managers and researchers to understand the different styles of leadership that positively influence organizational results, so they can choose the style they deem most appropriate. EVALUATION: An integrative literature review retrieved articles from five databases, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The level of evidence and its quality were assessed using the criteria of the Joanna Briggs Institute. KEY ISSUES: Thirty-five studies were included, 18 of which reported the influence of leadership styles on patients (safety), nine on professionals (burnout) and eight on institutions (turnover and absenteeism). CONCLUSION: Transformational leadership had positive results for patients, professionals, and institutions alike. IMPLICATIONS FOR NURSING MANAGEMENT: The results showed the need for nurses to improve their leadership skills, especially in the transformational style, to achieve positive results.

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures.

PURPOSE: To prepare and validate the content of a checklist in order to assure the safety for outpatient surgical procedures. METHOD: Methodological research, performed between May and December 2018, as per three stages: 1) preparation of the checklist; 2) validation of content by five judges; and 3) preliminary testing of the instrument. The concord, among the judges, was measured by the Content Validity Index and the values over 0.9 were considered as being satisfactory. RESULTS: Initially the instrument was prepared having 58 items, considering the heading and six topics. In the first round, two topics and 27 items had an index below 0.9. After reformulations, in the second round, only two items had values below 0.9 and, in the third, all items reached an index of 1.0. Along the preliminary testing, modifications were realized. The final version it has 43 items, distributed as per five topics. CONCLUSION: The "Checklist for Safe Surgery regarding Ambulatory Surgical Procedures" was prepared and its contents were validated.

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures / Cirugía segura: elaboración y validación de una checklist para intervención quirúrgica en enfermería / Cirurgia segura: construção e validação de um checklist para procedimento cirúrgico ambulatorial

ABSTRACT Purpose: To prepare and validate the content of a checklist in order to assure the safety for outpatient surgical procedures. Method: Methodological research, performed between May and December 2018, as per three stages: 1) preparation of the checklist; 2) validation of content by five judges; and 3) preliminary testing of the instrument. The concord, among the judges, was measured by the Content Validity Index and the values over 0.9 were considered as being satisfactory. Results: Initially the instrument was prepared having 58 items, considering the heading and six topics. In the first round, two topics and 27 items had an index below 0.9. After reformulations, in the second round, only two items had values below 0.9 and, in the third, all items reached an index of 1.0. Along the preliminary testing, modifications were realized. The final version it has 43 items, distributed as per five topics. Conclusion: The "Checklist for Safe Surgery regarding Ambulatory Surgical Procedures" was prepared and its contents were validated.

RESUMEN Objetivo: Elaborar y validar el contenido de una checklist para garantizar la seguridad en la realización de intervenciones quirúrgicas en enfermería. Método: Pesquisa metodológica, realizada entre mayo y diciembre de 2018, en tres etapas: 1) elaboración de la checklist; 2) validación de contenido por cinco jueces; y 3) comprobación preliminar del instrumento. La concordancia entre los jueces fue medida por el Índice de Validez de Contenido y valores superiores a 0,9 fueron considerados satisfactorios. Resultados: Inicialmente se distribuyeron 58 ítems entre el encabezado y seis temas. En la primera ronda, dos temas y 27 ítems tenían un índice inferior a 0.9. Después de las reformulaciones, en la segunda ronda, solo dos ítems tenían valores inferiores a 0.9 y, en la tercera, todos los ítems alcanzaron un índice de 1.0. En la comprobación preliminar, se hicieron modificaciones. La versión final tiene 43 ítems, distribuidos en cinco temas. Conclusión: La "Checklist de Cirugía Segura para Intervención Quirúrgica en Enfermería" fue elaborada y tuvo su contenido validado.

RESUMO Objetivos: Construir e validar o conteúdo de um checklist de verificação de segurança específico para procedimentos cirúrgicos ambulatoriais. Método: Pesquisa metodológica, realizada entre maio e dezembro de 2018, em três etapas: 1) construção do checklist; 2) validação do conteúdo por cinco juízes e 3) pré-teste do instrumento. A concordância entre os juízes foi mensurada pelo Índice de Validade de Conteúdo e valores acima de 0,9, foram considerados satisfatórios. Resultados: Iinicialmente 58 itens foram distribuídos entre o cabeçalho e seis tópicos. Na primeira rodada, dois tópicos e 27 itens obtiveram índice inferior a 0,9. Após reformulações, na segunda rodada, somente dois itens obtiveram valores inferiores a 0,9 e, na terceira, todos os itens alcançaram índice de 1,0. No pré-teste, outraspequenas alterações foram realizadas. A versão final possui 43 itens, distribuídos em cinco tópicos. Conclusão: O "Checklist de Cirurgia Segura para Procedimento Ambulatorial" foi construído e teve o seu conteúdo validado.