Mobila intensivvårdsgrupper (MIG) är inrättade på sjukhus världen över, som en resurs att aktivera när patienter på vårdavdelningar försämras i sitt sjukdomstillstånd. MIG, med sin specialistkompetens, minskar antalet allvarliga händelser på sjukhus och minskar mortaliteten vid korrekt användning. Trots detta föreligger indikationer på att MIG under används och idagsläget finns det behov av översikter över befintligt kunskapsläge. Syftet med studien är därför att beskriva vårdares upplevelser av barriärer till MIG-aktivering. Studien är genomförd som en integrativ litteraturöversikt bestående av 16 artiklar, sju kvantitativa, sex kvalitativa och tre med mixad metod. Litteratursökningen genomfördes i januari 2023 i databaserna Cinahl och Medline och genererade totalt 1835 träffar. En systematisk urvalsprocess och kvalitetsgranskning av litteraturen utfördes och i samband med dataanalysen bildades tre övergripande teman. Dessa teman är benämnda organisationens betydelse för MIG-aktivering, kunskapsnivåns betydelse för MIG-aktivering och attityders betydelse för MIGaktivering. Resultatet visar att MIG-situationer triggar ett spektrum av komplexa utmaningar för involverade vårdare, främst bestående av rutinrelaterade, kunskapsmässiga och sociokulturella orsaker. Avdelningssjuksköterskans roll är att bedöma när en MIG-aktivering behöver göras. Detta kan leda till känslor av otillräcklighet, och ifrågasättande av sin egen kompetens, grundat i bland annat negativa attityder och bristande interprofessionellt samarbete. MIG-sjuksköterskan har en multifacetterad uppgift som bland annat innefattar att ha ett helhetsperspektiv och arbeta strukturerat med att stabilisera patienter, kommunicera samt delegera uppgifter utefter iakttagelser. Dessa uppgifter integreras med att utgöra en mentorsroll för avdelningssjuksköterskan, där det är av vikt att inte negligera oro. Ur ett patientperspektiv ses en sårbar patient med ett stort behov av vård. Vård riskerar att utebli relaterat till barriärer till utebliven MIG-aktivering. Följaktligen motiveras en korrekt användning av MIG för att främja hälsa och förebygga lidande. / Mobile intensive care teams (MIG) are set up in hospitals worldwide, as a resource to activate when patients deteriorate. MIG, with its specialist skills, reduces the number of serious events in hospitals and reduces mortality when used correctly. Despite this, there are indications that MIG is underused and currently there is a need for overviews of the current state of knowledge. The purpose of the study is therefore to describe careers’ experiences of barriers to MIG activation. The study is conducted as an integrative literature review consisting of 16 articles, seven quantitative, six qualitative and three with a mixed method. The literature search was conducted in January 2023 in the databases Cinahl and Medline and generated a total of 1835 search hits. A systematics election process and quality review of the literature was carried out and in connection with the data analysis three overarching themes were formed. These themes are named the importance of the organization for MIG activation, the importance of the level of knowledge for MIG activation and the importance of attitudes for MIG activation. The results show that MIG situations trigger a spectrum of complex challenges for the careers’ involved, mainly consisting of routine, knowledge-related and sociocultural reasons. The ward nurse's role is to assess when a MIG activation needs to be done. This can lead to feelings of inadequacy, and questioning of one's own competence, based on, among other things, negative attitudes and a lack of interprofessional cooperation. The MIG nurse has a multifaceted task which includes, among other things, having a holistic perspective and working in a structured way to stabilize patients, communicate and delegate tasks based on observations. These tasks are integrated with forming a mentoring role for the ward nurse, where it is important not to neglect concerns. From a patient perspective, a vulnerable patient with a great need for care is seen. There is a risk for missed care related to to non-existent MIG activation. Accordingly, proper use of MIG is warranted to promote health and prevent suffering.

A Análise do Comportamento Clínica nasceu da transposição do modelo experimental do laboratório para a aplicação com humanos, logo, mostra-se comprometida com a ciência desde sua concepção. No Brasil, a Análise do Comportamento Clínica tem uma história particular, ela foi gradualmente construída pelos primeiros estudantes de Análise do Comportamento do país e atualmente é denominada como Terapia Analítico-Comportamental (TAC). Apesar da TAC ser comprometida com a ciência desde sua concepção, uma recente revisão integrativa da produção científica da área foi realizada com o objetivo de aproximar a TAC de uma Prática Baseada em Evidências em Psicologia. Os dados demonstraram que ela carece de evidências empíricas que comprovem sua eficácia, tanto pela quantidade quanto pela qualidade dos trabalhos. Uma vez que o ponto principal de qualquer esforço para definir uma prática como baseada em evidências é começar com uma definição rigorosa da prática, o presente trabalho buscou examinar as definições da TAC descritas por autores de pesquisas empíricas. Para isso foram realizados os seguintes passos: (1) atualização da revisão integrativa da literatura de pesquisas empíricas em TAC realizada por Jan Leonardi em 2016; (2) leitura e levantamento das definições à TAC dada pelos autores nas introduções da literatura empírica levantada; (3) categorização das definições em termos de pressupostos, processos, procedimentos e resultados; e (4) análise crítica das definições dadas pelos autores. Na busca foram selecionadas 24 introduções de textos empíricos e extraídos 141 trechos referentes à definição de TAC, totalizando 265 categorizações. Os dados encontrados mostraram que as definições de TAC utilizadas nas introduções contemplam descrições em termos de procedimento, processo, resultado e pressupostos, mas apenas uma pequena parte das definições abrangeu todas essas categorias. A maior parte das descrições encontradas estão relacionadas a procedimento e, em sua maioria, respostas inespecíficas do terapeuta. A categoria de respostas inespecíficas do terapeuta consiste em descrições de ações do terapeuta de forma que não permite que um leitor bem treinado as reproduza. Os dados mostraram uma descrição pouco precisa da TAC nas introduções e, a partir deles, são discutidas as implicações para o ensino, pesquisa e prática clínica. Por fim, sugere-se possíveis diretrizes para descrições de TAC em introduções de futuras publicações, a saber: (a) apresentar os pressupostos filosóficos e teóricos que embasam a TAC fazendo uma relação direta entre estes e as implicações na compreensão, análise do caso e a prática do terapeuta; (b) descrever os fenômenos, o máximo quanto possível, em termos de processos comportamentais; (c) ao descrever procedimentos padronizados, utilizar nomenclaturas já descritas na literatura e evitar nomenclaturas novas, a não ser que esteja propondo um procedimento inédito; (d) ao descrever respostas do terapeuta, especificar quais respostas devem ser emitidas pelos terapeutas diante de quais antecedentes, e quais as consequências esperadas. Essas diretrizes visam promover uma descrição mais precisa a fim de favorecer avanços na área e viabilizar pesquisas que avaliem a eficácia da TAC / Clinical Behavior Analysis was born from the transposition of the laboratorys experimental model to the application with humans, therefore, it has been committed with science from the beginning. In Brazil, Clinical Behavior Analysis has a particular history, it was gradually constructed by the countrys first students of Behavior Analysis and is currently denominated as Behavioral-Analytic Therapy (TAC). Although TAC has been committed to science since its inception, a recent integrative review of the areas scientific production was carried out with the aim of bringing TAC closer to Evidence Based Practice in Psychology. The data demonstrated that it lacks empirical evidence to prove its efficacy, both regarding the quantity and the quality of the work. Since the main point of any effort to define an evidence-based practice is to begin with a rigorous definition of practice, the present work sought to examine the definitions of TAC described by empirical research authors. In order to do that, the following steps were taken: (1) update the integrative review of the empirical research literature on TAC performed by Jan Leonardi on 2016; (2) read and retrieve the definitions of TAC given by the authors in the introductions of the empirical literature; (3) categorize the definitions in terms of assumptions, processes, procedures and results; and (4) critically analyze the definitions given by the authors. In the review, 24 introductions of empirical texts were selected and 141 excerpts referring to the definition of TAC were extracted, totaling 265 categorizations. The data showed that the definitions of TAC used in the introductions include descriptions in terms of procedures, processes, outcomes and assumptions, but only a small part of the definitions covered all of these categories. Most of the descriptions found are related to procedure and, for the most part, nonspecific responses of the therapist. The category of nonspecific responses of the therapist consists of descriptions of the therapist\'s actions in a way that it does not allow for a well-trained reader to reproduce them. The data showed a description of TAC in the introductions with low precision and, from them, the implications for teaching, research and clinical practice are discussed. Finally, it is suggested possible guidelines for descriptions of TAC in introductions of future publications, namely: (a) to present the philosophical and theoretical assumptions that underpin TAC, establishing a direct relation between them and the implications for the understanding, case analysis and the practice of the therapist; (b) describe the phenomena as much as possible in terms of behavioral processes; (c) to use nomenclatures already described in the literature and avoid new nomenclatures when describing standardized procedures, unless it is proposing an unpublished procedure; (d) when describing the therapist\'s responses, specify which responses should be emitted in relation to what antecedents, and what are the expected consequences. These guidelines aim to promote a more precise description in order to promote advances in the area and to enable researches that evaluate the effectiveness of TAC

A Análise do Comportamento Clínica nasceu da transposição do modelo experimental do laboratório para a aplicação com humanos, logo, mostra-se comprometida com a ciência desde sua concepção. No Brasil, a Análise do Comportamento Clínica tem uma história particular, ela foi gradualmente construída pelos primeiros estudantes de Análise do Comportamento do país e atualmente é denominada como Terapia Analítico-Comportamental (TAC). Apesar da TAC ser comprometida com a ciência desde sua concepção, uma recente revisão integrativa da produção científica da área foi realizada com o objetivo de aproximar a TAC de uma Prática Baseada em Evidências em Psicologia. Os dados demonstraram que ela carece de evidências empíricas que comprovem sua eficácia, tanto pela quantidade quanto pela qualidade dos trabalhos. Uma vez que o ponto principal de qualquer esforço para definir uma prática como baseada em evidências é começar com uma definição rigorosa da prática, o presente trabalho buscou examinar as definições da TAC descritas por autores de pesquisas empíricas. Para isso foram realizados os seguintes passos: (1) atualização da revisão integrativa da literatura de pesquisas empíricas em TAC realizada por Jan Leonardi em 2016; (2) leitura e levantamento das definições à TAC dada pelos autores nas introduções da literatura empírica levantada; (3) categorização das definições em termos de pressupostos, processos, procedimentos e resultados; e (4) análise crítica das definições dadas pelos autores. Na busca foram selecionadas 24 introduções de textos empíricos e extraídos 141 trechos referentes à definição de TAC, totalizando 265 categorizações. Os dados encontrados mostraram que as definições de TAC utilizadas nas introduções contemplam descrições em termos de procedimento, processo, resultado e pressupostos, mas apenas uma pequena parte das definições abrangeu todas essas categorias. A maior parte das descrições encontradas estão relacionadas a procedimento e, em sua maioria, respostas inespecíficas do terapeuta. A categoria de respostas inespecíficas do terapeuta consiste em descrições de ações do terapeuta de forma que não permite que um leitor bem treinado as reproduza. Os dados mostraram uma descrição pouco precisa da TAC nas introduções e, a partir deles, são discutidas as implicações para o ensino, pesquisa e prática clínica. Por fim, sugere-se possíveis diretrizes para descrições de TAC em introduções de futuras publicações, a saber: (a) apresentar os pressupostos filosóficos e teóricos que embasam a TAC fazendo uma relação direta entre estes e as implicações na compreensão, análise do caso e a prática do terapeuta; (b) descrever os fenômenos, o máximo quanto possível, em termos de processos comportamentais; (c) ao descrever procedimentos padronizados, utilizar nomenclaturas já descritas na literatura e evitar nomenclaturas novas, a não ser que esteja propondo um procedimento inédito; (d) ao descrever respostas do terapeuta, especificar quais respostas devem ser emitidas pelos terapeutas diante de quais antecedentes, e quais as consequências esperadas. Essas diretrizes visam promover uma descrição mais precisa a fim de favorecer avanços na área e viabilizar pesquisas que avaliem a eficácia da TAC / Clinical Behavior Analysis was born from the transposition of the laboratorys experimental model to the application with humans, therefore, it has been committed with science from the beginning. In Brazil, Clinical Behavior Analysis has a particular history, it was gradually constructed by the countrys first students of Behavior Analysis and is currently denominated as Behavioral-Analytic Therapy (TAC). Although TAC has been committed to science since its inception, a recent integrative review of the areas scientific production was carried out with the aim of bringing TAC closer to Evidence Based Practice in Psychology. The data demonstrated that it lacks empirical evidence to prove its efficacy, both regarding the quantity and the quality of the work. Since the main point of any effort to define an evidence-based practice is to begin with a rigorous definition of practice, the present work sought to examine the definitions of TAC described by empirical research authors. In order to do that, the following steps were taken: (1) update the integrative review of the empirical research literature on TAC performed by Jan Leonardi on 2016; (2) read and retrieve the definitions of TAC given by the authors in the introductions of the empirical literature; (3) categorize the definitions in terms of assumptions, processes, procedures and results; and (4) critically analyze the definitions given by the authors. In the review, 24 introductions of empirical texts were selected and 141 excerpts referring to the definition of TAC were extracted, totaling 265 categorizations. The data showed that the definitions of TAC used in the introductions include descriptions in terms of procedures, processes, outcomes and assumptions, but only a small part of the definitions covered all of these categories. Most of the descriptions found are related to procedure and, for the most part, nonspecific responses of the therapist. The category of nonspecific responses of the therapist consists of descriptions of the therapist\'s actions in a way that it does not allow for a well-trained reader to reproduce them. The data showed a description of TAC in the introductions with low precision and, from them, the implications for teaching, research and clinical practice are discussed. Finally, it is suggested possible guidelines for descriptions of TAC in introductions of future publications, namely: (a) to present the philosophical and theoretical assumptions that underpin TAC, establishing a direct relation between them and the implications for the understanding, case analysis and the practice of the therapist; (b) describe the phenomena as much as possible in terms of behavioral processes; (c) to use nomenclatures already described in the literature and avoid new nomenclatures when describing standardized procedures, unless it is proposing an unpublished procedure; (d) when describing the therapist\'s responses, specify which responses should be emitted in relation to what antecedents, and what are the expected consequences. These guidelines aim to promote a more precise description in order to promote advances in the area and to enable researches that evaluate the effectiveness of TAC

Les besoins psychosociaux des parents d’enfants atteints de cancer est un concept qui a été étudié dans les années antérieures. Toutefois, malgré la pertinence des résultats de ces écrits scientifiques, il subsiste un manque de consensus en ce qui a trait aux besoins de ces parents. Notons que les conséquences négatives de la parentalité d'un enfant diagnostiqué avec un cancer sont généralement plus prononcées chez les mères, ce qui fait en sorte que le but de cette revue intégrative vise à établir l’état des connaissances entourant leurs besoins psychosociaux. Le Modèle humaniste des soins infirmiers – UdeM (Cara et al., 2016) a été choisi comme cadre conceptuel, afin de permettre une vision holistique centrée sur la personne. La méthode proposée par Whittemore et Knafl (2005) pour la conduite des revues intégratives a été utilisée en respectant les cinq étape suivantes: 1) l’identification du problème; 2) la recension des écrits; 3) l’évaluation des données; 4) l’analyse des données; et 5) la présentation des résultats. Vingt-et-un articles ont été retenus, la majorité (14/21) étant de bonne/très bonne qualité. Les résultats des écrits scientifiques retenus proposent deux grandes catégories de besoins psychosociaux chez les mères d’enfants diagnostiqués avec un cancer : les besoins liés au soi en tant que mère (qui sont d’ordre émotionnel, social, spirituel, ainsi que des besoins de sécurité) et les besoins liés à l’état de santé de l’enfant (qui englobent le besoin d’être présente au chevet de son enfant et le besoin d’être rassurées quant à son état de santé). Les résultats dressent un portrait pertinent et approfondi du phénomène. Ils mettent en lumière la plus-value de l’infirmière dans l’accompagnement des mères d’enfants atteints de cancer, et ce, durant toute la trajectoire de la maladie. Cet accompagnement implique pour l’infirmière de prendre en compte la culture de la mère (y compris la dimension sociale et spirituelle), quel que soit la phase de la maladie de son enfant. Ainsi, il est suggéré que l’infirmière, selon ses valeurs humanistes, soit vigilante à la liberté de choix des mères et de maintenir une posture holistique, adaptée à la situation. / The psychosocial needs of parents of children with cancer is a concept that has been studied in previous years. However, despite the relevance of the results of this scientific literature, there remains a lack of consensus regarding the needs of these parents. Noting that the negative consequences of parenting a child diagnosed with cancer are generally more pronounced for mothers, this integrative review aims to establish the state of knowledge surrounding their psychosocial needs. The Humanistic Model of Nursing – UdeM (Cara et al., 2016) was chosen as the conceptual framework to allow for a holistic person-centered view. The method proposed by Whittemore et Knafl (2005) for conducting integrative reviews was used, following its five steps: 1) problem identification; 2) literature review; 3) data assessment; 4) data analysis; and 5) presentation of results. Twenty-one articles were selected, the majority (13/21) being of good/very good quality. The results of the selected scientific literature suggest two broad categories of psychosocial needs in mothers of children diagnosed with cancer: the needs related to the maternal self (which correspond emotional, social, spiritual, and safety needs); and the needs related to the child's health status (which include the need to be present at the bedside and the need for reassurance about the child's health status). The results provide a relevant and in-depth portrait of the phenomenon. They highlight the added value of nurses in accompanying mothers of children with cancer, throughout the pathway of the disease. This support implies that the nurse must consider the mother's culture (including the social and spiritual dimension), whatever the phase of her child's illness. Thus, it is suggested that the nurse, according to her humanistic values, be vigilant to the mother's freedom of choice and maintain a holistic posture, adapted to the situation.

La violence horizontale (VH) touche plusieurs infirmières soignantes. Au Québec, de nombreuses infirmières rapportent des incidents de violence soit d’ordre physique, psychologique ou sexuel perpétrés par différents membres de l’équipe de soins. Plusieurs conséquences graves de la violence horizontale ont été répertoriées, face aux patients, aux victimes et à la profession infirmière. En effet, les infirmières du bloc opératoire sont les plus souvent affectées par la VH. Ce phénomène semble encore méconnu par les infirmières, ainsi elles ont normalisé et toléré la VH en la considérant comme étant une composante du bloc opératoire. Malgré les efforts visant à combattre ce phénomène, la VH est un problème croissant et persistant dans le milieu de travail infirmier. Cette revue intégrative des écrits vise à d’établir l’état des connaissances se rapportant au phénomène de la violence entre collègues au bloc opératoire afin de mieux comprendre ce problème et de proposer des pistes de solutions visant à le résoudre. Les résultats des articles recensés ont été analysés et catégorisés selon des thèmes cohérents au modèle conceptuel de Almost (2006). Ces thèmes sont : le concept de la violence entre collègues qui est divisé en trois sous thèmes (la prévalence de cette problématique, les sources de la violence entre collègues et ses manifestations), les caractéristiques du bloc opératoire, les conséquences de la violence entre collègues qui sont aussi divisées en trois sous thèmes (les conséquences sur la qualité et la sécurité des soins, les conséquences sur les victimes et les conséquences sur l’établissement de santé) et, finalement, les solutions qui ont été proposées pour lutter contre la violence entre collègues dans le milieu de travail. Cette revue a permis d’émettre plusieurs recommandations afin de contrer la violence entre collègues. / Horizontal violence (HV) affects many nurses around the world. In Quebec, many nurses report incidents of physical, psychological or sexual violence perpetrated by other members of their health care teams. The consequences of horizontal violence affect patients, victims, and the nursing profession as a whole. Operating room (OR) nurses are the most often affected by HV. Nurses often don’t seem to recognize the problem as a problem; they seem to normalize and tolerate HV by considering it a part of the operating room culture. Despite efforts to combat this phenomenon, VH is a persistent and growing problem in the nursing workplace. This integrative review of the literature aims to establish the state of knowledge related to this problem and to propose solutions to address it. The results of the articles reviewed were analyzed and categorized according to themes consistent with Almost's (2006) conceptual model. These themes are: the concept of violence between colleagues, which is divided into three sub-themes (the prevalence of this problem, the sources of violence between colleagues, and its manifestations), the characteristics of the operating room, the consequences of violence between colleagues, which are also divided into three sub-themes (the consequences on the quality and safety of care, the consequences for the victims, and the consequences for the health care institution), and, finally, the solutions that have been proposed to combat violence between colleagues in the work environment. This review provided several recommendations to address violence between colleagues.

Bakgrund: Patienter som riskerar att drabbas av/har drabbats av accidentell hypotermi förekommer i all akutsjukvård. Accidentell hypotermi innebär oavsiktlig nedkylning till följd av skada eller sjukdom. Akutsjuksköterskor utgör en viktig funktion i att identifiera denna patientgrupp tidigt, såväl pre-, som intrahospitalt men även för att påbörja behandling. Tillståndet innebär obehandlat en hög risk för mortalitet. Det saknas tillräcklig kunskap som beskriver vårdåtgärder och påverkande faktorer vid accidentell hypotermi. Genom en sådan sammanställning kan akutsjuksköterskor få stöd i vårdandet av denna patientgrupp. Syfte: Syftet med litteraturstudien var att sammanställa faktorer och vårdåtgärder i det akuta omhändertagandet vid behandling eller förebyggande av accidentell hypotermi. Metod: En integrativ litteraturstudie genomfördes enligt Whittemore och Knafls femstegsprocess. Artiklar söktes fram i databaserna PubMed och Cinahl på ett systematiskt sätt genomsök block utvecklade enligt PEO-struktur. Tolv artiklar svarade till studiens syfte och kvalitetsgranskades för att sedan användas i resultatet. Dataanalysen genomfördes utifrån Braun och Clarkes tematiska analys. Resultat: Två huvudteman identifierades; De vårdande åtgärderna med subtema Passiv uppvärmning och Aktiv uppvärmning samt De påverkande faktorerna med subtema Behovet av kunskap, Omgivningens temperatur, Akutsjuksköterskans vårdande attityd samt Frysa och bli varm. Slutsats: Ur resultatet framkom att det fanns flertalet sätt att behandla och förebygga accidentell hypotermi samt att kombinationer av olika metoder förekom. Viktiga faktorer var kunskap och attityder hos akutsjuksköterskor för att få en struktur idet akuta omhändertagandet av accidentell hypotermi samt en ökad patientsäkerhet. Känslan av att frysa är en obehaglig upplevelse för patienter där värme upplevs som tryggt och avslappnande. / Background: Patients at risk of/suffering from accidental hypothermia due to injury or illness occur in all emergency settings. Emergency nurses have a key role in identifying these patients early, pre-, or intrahospital, and in initiating treatment. The condition carries a high risk of mortality if left untreated. There is currently a lack of knowledge regarding care measures and influencing factors for this condition. Such a review may assist emergency nurses in the management of these patients. Aim: The aim of this literature review was to compile factors and care measures in the acute management of treatment or prevention of accidental hypothermia. Method: An integrative literature review was conducted according to Whittmore and Knafls five step process. Articles were searched in the PubMed and Cinahl databases in a systematic manner using the PEO-structure. Twelve articles were quality reviewed for use in the results. Data analysis was performed following Braun and Clarke’s thematic analysis. Result: Two main themes were identified; The caring measures with subthemes Passive warming and Active warming as well as The influencing factors with subthemes The need for knowledge, The temperature of the environment, The caring attitude of the emergency nurse and Freezing and getting warm. Conclusion: There were several ways to treat and prevent accidental hypothermia and combinations of different methods were used. Important factors were knowledge and attitude of emergency nurses to manage structure and to provide patient safe care. The feeling of freezing is unpleasant for patients where warmth is perceived as safe and relaxing.

Includes bibliographical references: leaves 255-277 / Self-leadership has emerged as a leadership style that can be utilised to achieve successful performance for the individual and the organisation, prompting the question: What can be done to facilitate self-leadership within nurse educators in nursing education institutions? The purpose of this exploratory, descriptive sequential mixed-methods study was to understand the self-leadership within nurse educators in order to develop guidelines that could facilitate their self-leadership. The integrative literature review, qualitative and quantitative data were integrated and used to develop and validate guidelines that could facilitate self-leadership in nurse educators. Phase 1 (subphase 1) consisted of an integrative literature review that explored and described the concept of self-leadership in nurse educators. In Phase 1 (subphase 2), semi-structured focus group interviews were conducted with purposively selected nurse educators from three sampling units, namely a private nursing school, nursing college and university-based nursing departments in two of the nine provinces in South Africa to explore the nurse educators’ perception of their self-leadership, and how self-leadership could be facilitated in a nursing education institution. Phase 2 of the study entailed developing a structured questionnaire based on the findings of Phase 1. In Phase 2, quantitative data were collected from nurse educators appointed at the remaining nursing education institutions in the two provinces which were not selected for the qualitative phase of the study. This phase was aimed at determining and describing the nurse educators’ (n=265) perceptions on their self-leadership practices in a nursing education institution, using a selfadministered questionnaire. For the integrative literature review, the method of data analysis as outlined by Miles and Huberman was used (Whittemore & Knafl 2005:550– 552). The qualitative data were analysed according to Tesch’s protocol of data analysis. The themes that emerged were perceptions of self-leadership in nurse educators; engagement in self-leadership activities; motivational factors in self-leadership; and facilitation of self-leadership in nurse educators. The quantitative data were analysed using descriptive statistical methods (SPSS version 25). The participants gave their perceptions on 11 composite constructs. Nurse educators agreed the most on natural reward, intrinsic motivation, role modelling and shared leadership but agreed less with management support and positive self-talk. To establish rigour, the researcher utilised diverse empirical and theoretical sources as data sources, and applied strategies to ensure trustworthiness and performed validity and reliability tests. The findings of both Phase 1 and 2 were integrated to develop and validate guidelines to facilitate the self-leadership in nurse educators. Twelve guidelines were developed and were validated by field experts. The guidelines propose recommendations for nurse educators and the management of the nursing education institution, as well as other associated stakeholders such as SANC and government. / Health Studies / D. Litt. et Phil. (Health Studies)