Liderazgo de enfermería y motivación laboral en atención primaria de salud: revisión integrativa de desafíos estructurales del entorno de práctica
Nursing Leadership and Work Motivation in Primary Health Care: An Integrative Review of Structural Challenges in the Practice Environment
DOI:
https://doi.org/10.56712/latam.v7i2.5873Palabras clave:
liderazgo, motivación, atención primaria de salud, condiciones de trabajo, personal de enfermeríaResumen
La relación entre el liderazgo de enfermería y la motivación laboral en la atención primaria de salud (APS) es esencial para la gestión del cuidado por su vínculo con el desempeño profesional, la satisfacción laboral y la calidad asistencial. Esta relación está condicionada por factores estructurales del entorno de práctica. El objetivo fue analizar la relación entre liderazgo de enfermería y motivación laboral en APS, con énfasis en los desafíos estructurales del entorno de práctica. Se realizó una revisión integrativa. La búsqueda se efectuó entre enero y marzo de 2026 en PubMed, Scopus, SciELO, Web of Science, Google Scholar y repositorios internacionales, mediante descriptores DeCS y MeSH. Se incluyeron publicaciones en español, inglés y portugués entre 2022 y 2026, relacionadas con liderazgo de enfermería, motivación laboral y APS. Se excluyeron documentos duplicados, no pertinentes al objetivo, sin acceso completo o fuera del periodo. Se identificaron 59 documentos; tras excluir duplicados y aplicar los criterios de elección, según el diagrama PRISMA, se analizaron 26 referencias. La información se organizó en matrices y se examinó mediante análisis temático. Los resultados muestran que el liderazgo de enfermería se relaciona con motivación laboral, satisfacción, compromiso y calidad del cuidado, especialmente cuando favorece la comunicación, la valoración y el involucramiento. Además, la falta de personal, el apoyo insuficiente, las limitaciones de financiamiento, la carga y la fragilidad laboral condicionan esta relación en APS. Se concluye que la relación entre liderazgo de enfermería y motivación laboral en APS está determinada por factores relacionales, organizativos y estructurales.
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Derechos de autor 2026 Alba Dolores Regalado López
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
