رهبری تحول گرا به عنوان یک چارچوب برای آموزش پرستاران در مورد فشار خون در اوگاندا Transformational leadership as a framework for nurse education about hypertension in Uganda

1. Introduction Proactively preparing nurses and students to meet population needs in a shifting global environment is challenging. Nurses must be agile; able to identify and respond expertly and efficiently to personal, patient, institutional, and system needs (Alleyne, Hancock & Hughes, 2011). The ability to meet the changing demands in complex health care systems mandates that nurses be leaders, in addition to care providers. Nurse educators adopt and adapt a wide variety of modalities to prepare graduates to best meet current and emerging population health needs. As leaders and role models for their students, colleagues, and communities, nurse educators often seek innovative ways to engage learners and prepare nurses. Transformational leadership theory has been successfully employed in many arenas to improve patient outcomes and nurse satisfaction (Fisher, 2016). Nurse education and continuing professional development may also benefit from Drenkard’s adaptation of transformational leadership theory (2012) as a framework for enhancing engaged learning and thereby preparing population health focused nurses with leadership acumen. Globally, cardiovascular disease accounts for nearly 17 million deaths every year, and is increasing rapidly (Schwartz et al., 2015; World Health Organization, 2015). Non-communicable diseases (NCD), and especially cardiovascular diseases, are increasing at an alarming rate. If the current trend continues, the highest mortality rate will be from NCDs in low to middle income (WHO, 2013). Hypertension is a significant component of, and an increasing contribution to, the burden of disease in sub-Saharan East Africa (Ataklte et al., 2015). In 2008, the researchers who conducted this study began working together. The capacity building efforts of Uganda nurse leaders and educators have focused on education, leadership, and research methods. Over the years, studies have been collaboratively planned and implemented on nursing research priorities, work-related quality of life, and task shifting in Uganda. The Ugandan team members identified the growing problem of NCDs and recommended focusing the team’s work in 2016 on hypertension prevention and treatment due to the high prevalence and harmful sequelae.