Qualis/CAPES  B1 (2021-2024) Google Scholar   Citations: 915   |   h‑index: 13   |   i10‑index: 23   |   h5‑index: 59   |   h5‑median: 8 Impact: CUIDEN 0.107 RIC est.  SJIF 3.685 (2024)
Nurse managers’ leadership in a military hospital: meanings and challenges
PDF (Portuguese (Brazil))
PDF

Keywords

Leadership
Nursing
Health Services Administration
Military Nursing
Health Management

How to Cite

1.
Nurse managers’ leadership in a military hospital: meanings and challenges . Glob Acad Nurs [Internet]. 2026 May 7 [cited 2026 Oct. 28];7(2):e554. Available from: https://staging.globalacademicnursing.com/index.php/globacadnurs/article/view/681

Abstract

The aim was to understand the meanings attributed by nurses to leadership in the exercise of hospital management in a military hospital. This was an exploratory qualitative study, conducted with nine nurses in management positions at a military hospital in the state of Rio de Janeiro. Data were collected through semi-structured interviews and analyzed using the IRAMUTEQ software, through Word Cloud and Descending Hierarchical Classification, and subsequently subjected to Bardin's thematic content analysis. Three analytical categories were identified: conceptions of leadership, challenges of exercising leadership, and professional leadership training. Leadership was understood as a relational practice based on communication, respect, decision-making, and conflict mediation, influenced by the institutional context, hierarchical relationships, and training gaps. It is concluded that the leadership of the nurse manager is configured as a relational and organizational practice constructed in the daily work routine and influenced by institutional, formative, and interpersonal factors.

https://doi.org/10.5935/2675-5602.20200554
PDF (Portuguese (Brazil))
PDF

References

Aiken LH, et al. Nursing workforce challenges and hospital outcomes: international evidence. Lancet. 2022;1(1):15-24. https://doi.org/10.1016/S0140-6736(21)00768-6

Asif M, et al. Impact of ethical and transformational leadership on team climate and patient care outcomes. J Clin Nurs. 2023;32(9-10):1678-89. https://doi.org/10.1111/jocn.16363

Barkhordari-Sharifabad M, Ashktorab T. Ethical leadership in nursing: an integrative review. Nurs Ethics. 2021;28(2):365-77. https://doi.org/10.1177/0969733020906594

Souza VR, Marziale MHP, Silva GT, Nascimento PL. Tradução e validação para a língua portuguesa e avaliação do guia COREQ. Acta Paul Enferm. 2021;34:eAPE02631. https://doi.org/10.37689/acta-ape/2021AO02631

Boamah SA, Laschinger HKS. The influence of nursing leadership on nurse, patient, and organizational outcomes: a systematic review. J Nurs Manag. 2022;30(2):356-65. https://doi.org/10.1111/jonm.13460

Broome M, Marshall ES. Transformational leadership in nursing practice. In: Marshall ES, Broome M, editors. Leadership in nursing practice. 4th ed. New York: Elsevier; 2021.

Carvalho AG, Peduzzi M. Liderança na enfermagem e relações de trabalho em saúde: uma revisão integrativa. Rev Esc Enferm USP. 2021;55:e03728. https://doi.org/10.1590/S1980-220X2019024303728

Chamberlain SA, Hoben M, Squires M. Mentoring in nursing leadership: a systematic review. J Nurs Manag. 2020;28(8):1976-85. https://doi.org/10.1111/jonm.13083

Cummings GG, et al. Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. Int J Nurs Stud. 2021;109:103622. https://doi.org/10.1016/j.ijnurstu.2020.103622

Dewey CM, et al. Nursing leadership and retention: a mixed-method study in hospital settings. J Nurs Manag. 2022;30(7):2464-72. https://doi.org/10.1111/jonm.13715

Wong CA, Cummings GG. The relationship between nursing leadership and patient outcomes: a systematic review. J Nurs Manag. 2020;28(1):1-12. https://doi.org/10.1111/jonm.12970

Gallagher RM, Pepper GA. Building healthy work environments: relational leadership. Nurs Outlook. 2021;69(6):961-8. https://doi.org/10.1016/j.outlook.2021.08.004

Spano-Szekely L, et al. Clinical leadership and safety culture in hospital nursing. J Patient Saf. 2022;18(4):e929-e937. https://doi.org/10.1097/PTS.0000000000000907

Goope N, Galloway J. Leadership and management in healthcare. 4th ed. London: Sage; 2021.

Stanley D. Clinical leadership in nursing and healthcare. 3rd ed. London: Wiley-Blackwell; 2021.

Lake ET, Germack HD, Viscardi MK. Nurse workload and work environment: implications for patient outcomes. BMJ Qual Saf. 2023;32(1):12-24. https://doi.org/10.1136/bmjqs-2022-014913

Santos JLG, et al. Condições de trabalho e liderança do enfermeiro: implicações para a gerência do cuidado. Rev Bras Enferm. 2021;74(5):e20200318. https://doi.org/10.1590/0034-7167-2020-0318

Squires M, et al. Organizational support and leadership effectiveness: a longitudinal study. Int J Nurs Stud. 2021;115:103876. https://doi.org/10.1016/j.ijnurstu.2020.103876

Lima SBS, Borges F, Santos A. Competências gerenciais do enfermeiro: desafios da formação. Rev Lat Am Enfermagem. 2020;28:e3327. https://doi.org/10.1590/1518-8345.3489.3327

Silva L, Almeida T, Rodrigues L. Gestão e liderança no trabalho do enfermeiro: lacunas entre formação e prática. Texto Contexto Enferm. 2022;31:e20220013. https://doi.org/10.1590/1980-265X-TCE-2022-0013

Fischer SA. Transformational leadership in nursing practice: a concept analysis. J Adv Nurs. 2023;79(2):457-66. https://doi.org/10.1111/jan.15532

Friesen M, Brady K, Milligan S. Leadership development programs in nursing: a scoping review. Nurse Educ Today. 2022;109:105240. https://doi.org/10.1016/j.nedt.2021.105240

Shirey MR. Leadership development: an external focus. Nurs Adm Q. 2020;44(1):E1-E6. https://doi.org/10.1097/NAQ.0000000000000390

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2026 Global Academic Nursing Journal