Faslname-i mudiriyyat-e parastari

fa تبیین جایگاه زیبایی شناسی درگفتار رهبران و مدیران پرستاری در دانشگاه علوم پزشکی تهران Explaining the Role of Aesthetics in the Speech of Nursing Leaders and managers at Tehran University of Medical Sciences in 2023 تخصصي Special پژوهشي Research مقدمه: رهبری شامل «تأثیرگذاری بر پیروان» است و با توانایی رهبر مشخص می شود که به طور موثر پیروان خود را تحت تأثیر  قرار دهد و بر آنها اثر بگذارند. یکی از ابزار های تاثیرگذاری رهبران بر پیروان استفاده از کلام و گفتار است که به برقراری ارتباط موثر رهبران با ذینفعان سازمان کمک می کند. یکی از دلایل محبوبیت رهبران تاثیر گذار بیان و گفتار آن ها ذکر می شود. هدف: این مطالعه با هدف تبیین  جایگاه زیباییشناسی در گفتار رهبران پرستاری در دانشگاه علوم پزشکی تهران در سال 1402 انجام شد. روش:مطالعهی حاضر، مطالعه کیفی توصیفی با روش تحلیل محتوی مرسوم با رویکرد گرانهایم و لاندمن است. جامعه پژوهش شامل تیم رهبری و مدیریت بیمارستانهای دانشگاه علوم پزشکی تهران بود و جمعآوری دادهها، به صورت مصاحبه فردیِ عمیق نیمه ساختارمند و چهره به چهره انجام شد.روش نمونهگیری، هدفمند و گلوله برفی بوده است و تعداد مشارکت کنندگان تا اشباع دادهها انتخاب شدند و در مجموع 28 مصاحبه با مترون، سوپروایزر، سرپرستار انجام شد. یافته‌ها: تعداد171کد از مجموع 28 مصاحبه استخراج شد که پس از تحلیل، سه طبقهی اصلی مشخص شد. محوریت طبقات اصلی حاصل از تحلیل نهایی عبارت از گفتار زیباشناخت اخلاقمدار ،گفتار زیباشناخت معنویتگرا، گفتار زیباشناخت خردمندانه میباشد. نتیجه‌گیری: تبیین  زیبایی‌شناسی گفتار، میتواند بینش‌های ارزشمندی را برای بازتنظمی گفتار رهبران پرستاری ارائه دهد. این پژوهش با پردازش گفتار مدیران و رهبران پرستاری،  الگوهای سیاستی و رفتاری مدیریتی را بهبود میبخشد. مدیران پرستاری باید راهبردهای ارتباطی خود را مطابق عناصر زیباشناسی تدوین نمایند و جامعه و مخاطبان خود را به آن سمت هدایت نمایند. Introduction: The demand for nursing services is rapidly increasing, and consequently, the need for effective leadership in nursing to provide high-quality, evidence-based care in multicultural environments is becoming more essential. Nursing leadership requires research that explores its various roles and characteristics, contributing to improved performance in clinical settings. Leadership is defined as the process through which an individual influences a group of people to achieve common goals. This influence is primarily exerted through the leader's speech and communication, which can establish effective connections with organizational stakeholders. Aesthetic leadership is a modern leadership style that encourages the deep sensory engagement of leaders in organizational communication, fostering an understanding of emotions. This approach is based on intense sensory involvement, enabling the creation of a more humane environment for both patients and colleagues. In this regard, the aesthetic discourse of nursing leaders plays a key role in establishing effective communication and fostering an atmosphere filled with empathy and ethical values. This study examines the role of aesthetics in the discourse of nursing leaders in Iran and analyzes various dimensions of aesthetic leadership in this field. Methods: This study employed a qualitative approach and conventional content analysis to examine the aesthetic dimensions in the speech of nursing managers and leaders. The research population comprised leadership teams and nursing managers at various managerial levels (senior, middle, and operational) in hospitals affiliated with Tehran University of Medical Sciences. Sampling was conducted using purposive and snowball sampling methods. Initially, the first participant was selected based on recommendations from senior faculty members specializing in aesthetic leadership. Subsequent participants were introduced by nursing managers. The inclusion criteria required individuals to hold an official leadership position in nursing and to be recognized for their aesthetic-oriented approach within the organizational context. The study participants consisted of 28 aesthetic-oriented nursing leaders, including five matrons, 12 supervisors, and 11 head nurses from hospitals affiliated with Tehran University of Medical Sciences. Semi-structured, face-to-face interviews were conducted, with an average duration of 75 minutes per interview. The interviews took place in quiet settings at times chosen by the participants. With their written consent, the interviews were audio-recorded and transcribed verbatim. Data analysis was performed using MAXQDA 2020 software, following the coding approach proposed by Griesheim & Lundman. To ensure the credibility, dependability, transferability, and confirmability of the research, rigorous validation criteria were applied. Additionally, maximum diversity in sampling was maintained to enhance the transferability of findings to other contexts. In addition to interviews, written and verbal documents—including guidelines, letters, and reports—were analyzed to further examine the discourse of nursing managers. Results: Ethical-Oriented Aesthetic Speech The interviewees considered ethical conduct as a fundamental aspect of aesthetic speech in managerial communication. They emphasized key elements such as maintaining respect in speech, demonstrating courage, ensuring fairness, upholding human dignity, practicing honesty, and respecting individuals’ privacy in verbal interactions. Spiritually-Oriented Aesthetic Speech From the perspective of aesthetic-oriented nursing leaders, spirituality represents another dimension of aesthetic speech in managerial communication. Participants highlighted aspects such as humor, attentiveness to the emotional and semantic weight of words, expressing empathy through speech, and maintaining a positive tone in verbal communication. Intellectually-Oriented Aesthetic Speech The participants regarded intellectuality as a reflection of beauty in nursing speech. They identified several essential aspects, including speech that fosters trust, attention to non-verbal communication and body language, maintaining an appropriate tone, providing clear explanations to patients, addressing patients correctly by name, using refined vocabulary, employing communication techniques suited to different individuals, ensuring coherence and structure in speech, adopting a professional tone in the workplace, utilizing appropriate language as a disciplinary or motivational tool, demonstrating negotiation skills, and incorporating metaphorical language in speech. Discussion : Manix's (2015) study demonstrated that aesthetic leadership in nursing encompasses support, effective communication, and attentiveness to colleagues' emotions. Aesthetic leaders exhibit characteristics such as ethical orientation, spirituality, and intellectuality in their speech, which contribute to fostering a positive work environment, enhancing job satisfaction, and improving nurse retention(12). Aesthetic leadership shares commonalities with ethical leadership, emphasizing principles such as honesty, respect, empathy, and human dignity. These leaders enhance the workplace environment through effective communication, appropriate body language, suitable tone, and speech techniques tailored to specific situations(20). Previous studies have also highlighted aesthetic values such as goodness, truth, and utility in nursing leadership(21). The theoretical perspective of the Four Season Symphonic in Nursing underscores the harmony between intellectuality, spirituality, ethics, and aesthetics in nursing leadership and management. Aesthetic leaders create a supportive environment by engaging their cognitive and sensory faculties, such as  keen mind, keen tongue, keen ears, keen eyes, keen heart , keen limbs , aesthetic judgment, and empathy. The aesthetic attributes of their speech influence stakeholders’ emotions and contribute to improving professional interactions(16). Ultimately, aesthetic leadership in nursing, by focusing on emotions and a deep understanding of the needs of both patients and colleagues, enhances the quality of care, increases nurses’ motivation to remain within the organization, and fosters cohesion in clinical settings(30). Conclusion: The aesthetic speech of nursing leaders, emphasizing ethics, spirituality, and intellectuality, plays a crucial role in creating positive work environments and improving the quality of care. This form of speech not only enhances patient trust and satisfaction but also fosters positive interactions among colleagues. Overall, aesthetic leadership can contribute to strengthening interpersonal relationships and improving working conditions for nurses in healthcare organizations. Keywords: Leadership, Management, Speech, Aestheticism, Nursing   رهبری, مدیریت,گفتار, زیباشناختگرایی,پرستاری Leadership, management, Speech, Aestheticism, Nursing 1 15 http://ijnv.ir/browse.php?a_code=A-10-1619-3&slc_lang=fa&sid=1 Newsha Poursaadat نیوشا پورسعادت newsha.poursaadat74@gmail.com 100319475328460014052 100319475328460014052 No Master in Nursing Management, Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran کارشناس ارشد، گروه مدیریت پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران Mohammaad ali Cheraghi محمد علی چراغی cheraghiali2000@yahoo.com 100319475328460014053 100319475328460014053 Yes Professor, Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran استاد، گروه پرستاری مدیریت پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران Fatemeh Hajibabaee فاطمه حاجی بابایی hajibabaeefateme@yahoo.com 100319475328460014054 100319475328460014054 No Associate Professor , Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran دانشیار، گروه پرستاری مدیریت پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران Maryam Esmaeili مریم اسماعیلی esmaeiliem@yahoo.com 100319475328460014055 100319475328460014055 No Professor, Department of Critical Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran استاد، گروه پرستاری مراقبت های ویژه‌ی پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران