Evidence map›Paper›PMID 39953459›Full record

ArticleBMC nursing2025

Exploring nurses' leadership and resilience in a complex daily work environment: a qualitative study.

Emma Lenssen, Iris Nagtegaal, Catharina van Oostveen, Angelien Sieben, Loes van Rijssen, Anne Marie Weggelaar

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Review
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emma Lenssen *Clinical Research Unit, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID http://orcid.org/0009-0002-2963-8449
Iris Nagtegaal *Medical Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID http://orcid.org/0009-0008-0435-7521
Catharina van OostveenESHPM, Erasmus University, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0002-3483-2206
Angelien SiebenCenter of Integrated Care, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0002-0364-3699
Loes van RijssenMedical Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID http://orcid.org/0009-0008-8946-8676
Anne Marie WeggelaarESHPM, Erasmus University, Rotterdam, the Netherlands. annemarie@weggelaar.com.ORCID http://orcid.org/0000-0002-7786-6326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe contemporary healthcare system is inherently complex, necessitating organizational and ward-level changes to address challenges. Continuous adaptations in daily practices are essential to meet unexpected patient needs. These dynamic changes require resilience from healthcare staff, including nurses. This paper explores how nurses show leadership in response to changes within a complex work environment that demands resilience in their daily practices.

methodsAn empirical qualitative study was employed. Non-participatory observations were conducted in February and March 2022 (n = 60 h), providing thick descriptions of nurses working across various shifts. Subsequently, two semi-structured group interviews were held: the first with nurses only and the second with multidisciplinary healthcare professionals. The interview transcripts and thick descriptions were analyzed using thematic analysis. Descriptive statistics were used to summarize participant characteristics.

resultsResponding to a changing work environment requires resilience from nurses who exhibit leadership showing four distinct behaviors: proactive, patient-centered care; investigative problem-solving; reflective learning; and profession-based approaches.

conclusionCollaboration is a key factor in resilient nurse leadership, both among nurses, and in interaction with patients, other healthcare professionals, and management. This research highlights how nurses' considerations, beliefs, and interactions, make their leadership behavior visible in a context that demands situated, structural, and social resilience.

Indexed as

Complex work environmentLeadershipNursesQualitative studyResilienceSafety-II

Identifiers

PMID39953459
PMCPMC11827332

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.