Sources: The theory was developed using concept analysis, critical review of research, and validation in 10 qualitative studies of various loss situations.Ĭonclusions: Chronic sorrow has been shown to explain the experience of people across the lifespan who encounter ongoing disparity because of significant loss. Scope: Theory is useful for analyzing individual responses of people experiencing ongoing disparity due to chronic illness, caregiving responsibilities, loss of the “perfect” child, or bereavement. Organizing framework: The model of chronic sorrow includes antecedents, trigger events, and internal and external management methods. The theory provides a framework for understanding and working with people following a single or ongoing loss. Chronic sorrow is the periodic recurrence of permanent, pervasive sadness or other grief related feelings associated with a significant loss. Proactive succession planning will also be key to having nurse leaders who can respond effectively to the new challenges and opportunities that will be presented to them in 2020.read more read lessĪbstract: Purpose: To introduce a middle-range nursing theory of chronic sorrow that presents this sorrow as a normal response to ongoing disparity due to loss. This will require the formal education and training that are a part of most management development programmes as well as a development of appropriate attitudes through social learning. (viii) Being able to envision and proactively adapt to a healthcare system characterized by rapid change and chaos.Ĭonclusions: Nursing education programmes and healthcare organizations must be begin now to prepare nurses to be effective leaders in 2020. (vii) The ability to balance authenticity and performance expectations. (vi) Highly developed collaborative and team building skills. (v) Understanding and appropriately intervening in political processes. (iv) The ability to create organization cultures that permeate quality healthcare and patient/worker safety. (iii) Expert decision-making skills rooted in empirical science. (ii) Technology skills which facilitate mobility and portability of relationships, interactions, and operational processes.
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Results: Essential nurse leader competencies for 2020 include: (i) A global perspective or mindset regarding healthcare and professional nursing issues. It is critical then that contemporary nursing and healthcare leaders identify skill sets that will be needed by nurse leaders in 2020 and begin now to create the educational models and management development programs necessary to assure these skills are present. The healthcare system is in chaos, as is much of the business world. Unfortunately, few environments have been more unpredictable in the 21st century than health care. When environments are dynamic, the challenges multiply exponentially. Abstract: Aim: This article highlights eight leadership competencies likely to be an essential part of the nurse leader’s repertoire in 2020.īackground: Planning for the future is difficult, even when environments are relatively static.
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