State of Nursing Leadership for the Management of Care in Health Facilities

Abstract

Introduction: Leadership in nursing is a fundamental competence in those who work in an organizational position, gonging beyond leading small work groups up to managerial levels in decision making within the organization, for the best care of people.

Objective: To synthesize the state of leadership work in nursing for the management of care in health facilities.

Methods: A scoping review was carried out of articles published from 2013 to 2021 in the LILACS, SciELO, PubMed, Dialnet and REDALYC databases. The search strategy used the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) flowchart, together with the DeCS and MeSH descriptors, as well as the Boolean operators AND and OR. An amount of 665 original articles were reviewed, as they were available in English, Spanish, German and Portuguese; while exclusions per se included works without full-text access, gray literature, and publications before 2013. Of that total, 19 were selected.

Conclusions: The importance of leadership in nursing managers is highlighted, as recognized by 

the health team, with great impact on internal and external users. Three nursing leadership trends were evidenced: transformational leadership, democratic leadership and autocratic leadership.