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Cole, Sandra L. "Differences in managers' and staff nurses' job satisfaction in public health offices in a rural state." Laramie, Wyo. : University of Wyoming, 2007. http://proquest.umi.com/pqdweb?did=1313920481&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.
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Iro, Elizabeth. "The leadership experience of first line nurse managers working in the Cook Islands a qualitative descriptive study : a thesis submitted to Auckland University of Technology in partial fulfillment of the requirements for the degree of Master of Health Science (MHSc), 2007 /." Click here to acces resource online, 2007. http://aut.researchgateway.ac.nz/handle/10292/79.
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Thesis (MHSc--Health Science) -- AUT University, 2007.Includes bibliographical references. Also held in print (xi, 107 leaves : ill. ; 30 cm.) in North Shore Campus Theses Collection (T 610.73099623 IRO)
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Desir, Johanna E. "A Phenomenological Study of Nurse Administrators: Leading the Multigenerational Workforce of Registered Nurses." Thesis, NSUWorks, 2017. https://nsuworks.nova.edu/fse_etd/122.
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Nurse shortages and nurse turnover are major issues in the health care industry. As 4 generations of nurses are working side by side for the first time in history in the health care industry, nurse leaders need to understand the generational differences in order to bridge the gap on retaining the nurses in the workforce. The primary focus of this applied dissertation study was to explore and obtain the lived experiences of leading the nursing intergenerational cohorts, as well as the strategies that nurse leaders or nurse managers can utilize to meritoriously attract, retain, and motivate the generational nursing workforce. The Leadership Questionnaire, designed in 2008 by Dr. Nelson, was utilized to interview 5 nurse administrators of the phenomenon to comprehend how the health care nurse administrators can utilize productive techniques of leading the nursing generational cohorts. The target population was members of a professional long-term care association. Once the nurse administrators agreed to participate on the study and signed the consent form, the researcher scheduled an initial 45-minute interview of three 15- to 30-minute interviews over a 3-month period. The data collected as a result of this study revealed findings: (a) the intergenerational educational gap in the nursing workforce, (b) the needs of the intergenerational nurses, (c) the critical aspect of continuing of professional education training development for the nurses, and (d) the critical leadership values on leading the intergenerational nursing cohorts. This applied research study dissertation intended to assist nurse leaders to reframe perceptions regarding the nurses’ intergenerational group (e.g., Baby Boomers, Generation X, and Generation Y) differences and to view these differences in attitudes and behaviors as potential strengths.
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Clevenger, Pamela L. "Managerial leadership behaviors and nurse retention." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/699.
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Moss, Rita J. "The relationship of staff nurse job satisfaction and head nurse management style." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/935941.
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America's health care industry is in a state of crisis. Nursing administrators are in the position to facilitate change in institutions. One aspect of nursing which has remained constant is high turnover rates. The high turnover rates have been linked to job dissatisfaction. One method of reducing turnover is to provide greater job satisfaction to staff nurses. Job satisfaction has been connected with management style (Lucas, 1991; Price & Mueller, 1981; Volk & Lucas, 1991).This study described the impact of head nurse management style on staff nurse job satisfaction. Likert's (1967) System 4 management theory was utilized as the framework in the study. All staff nurses and head nurses from three Central Indiana hospitals were given the opportunity to participate in the study. Participants completed two questionnaires, one from Price and Mueller's (1981) work on turnover to determine job satisfaction and one from Likert and Likert's (1976) work to determine management style.Data analysis was conducted to describe any variations between staff nurse experience of head nurse management style and staff nurse job satisfaction. Differences between head nurse and staff nurse description of management style were also examined. There were no identified risks as participation was voluntary and did not affect the employment status of any individual.Results of the study demonstrated agreement with previous research findings. When management style is closer to participative (system 4), greater job satisfaction is expressed. Recommendations are to provide management training and training in communication and self-awareness for head nurses, and to form unit based committees designed to achieve greater staff input in decisions affecting the unit functioning.Benefits of the study include identification of the management style which leads to improved staff nurse job satisfaction. Equipping nurse administrators with information regarding desirable management style to employ for staff nurses to experience greater job satisfaction, and training present managers in that management style are also possible benefits from the study.School of Nursing
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McCarty, Judith A. "A study of the relationship between leadership behavior of hospital nurse administrators and selected demographic variables : a North-Central study." Virtual Press, 1985. http://liblink.bsu.edu/uhtbin/catkey/440944.
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The primary purpose of the study was to determine relationships between the variables of institution size, age, experience and education of nursing service administrators and self-perceived leadership behaviors of Initiating Structure and Consideration. A secondary purpose was to collect current demographic data of nurse administrators.The population of the study was 290 nurse administrators from all public and private JCAH hospitals of 300 or more beds located in the north-central division of the United States.A questionnaire requesting demographic information and containing two subscales, Initiating Structure and Consideration, of the LBDQ-Form XII was mailed to the nursediiri-nis trators . One hundred eighty-eight questionnaires were returned for a response rate of 65 percent. Analysis of data utilized both descriptive and inferential statistics.The demographic profile depicts the nurse administrator as a 40 to 49 year old married female vice-president of nursing, reporting to the hospital president, earning over $60,000 a year and having had experience as a staff nurse, head nurse, supervisor, assistant or associate director of nursing.The administrator graduated from a diploma program, received a master's degree, belongs to professional organizations, participates in priority setting and planning of the overall hospital budget, has major responsibility for establishing and managing the nursing service budget, works in a decentralized nursing service with responsibility for all nursing departments, and practices in a hospital with a computerized management information system.Statistical analysis of the hypotheses revealed no significant relationships between institution size, age, education and experience of the nurse administrators and leadership behaviors of Initiating Structure and Consideration.Additional analysis of data revealed significant (.05) relationships between the leadership behavior of Initiating Structure and: (1) title of the nurse administrator, and (2) accountability for all nursing departments decentralized system. Also significant (.05) were the relationships between the leadership behavior of Consideration and: (1) membership in the NLN, (2) participation in overall hospital budget planning and priority setting, and (3) the presence of computerized scheduling and computerized patient care.
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Davis, Ruby T. "Occupational Stress Among Nurse Administrators in General Hospitals in Tennessee." Digital Commons @ East Tennessee State University, 1992. https://dc.etsu.edu/etd/2903.
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The purpose of this study was to determine the level of occupational stress among nurse administrators and to identify the types of strategies used by nurse administrators to deal with or manage occupational stress. The study examined the relationship between selected demographic variables, occupational stress, and strategies. The research design included five research questions along with seven null hypotheses testing the relationship between occupational stress and demographic variables--age, gender, marital status, years of professional nursing experience, years as a nurse administrator, educational attainment, and hospital bed capacity. There were seven additional hypotheses testing the relationship between the same demographic variables and three categories of coping strategies. The instrument used included the researcher-designed Demographic Questionnaire, the Health Professions Stress Inventory (HPSI), and a listing of 17 coping strategies. Nurse administrator's HPSI overall mean stress score was lower than the HPSI mean stress level scores reported for nurses in previous studies. Five subscales of stressors (Stress Factors) were identified by analyzing the HPSI using Principal Components Factor Analysis. A statistical significant difference (p $<$.05) was revealed for nurse administrators for: (1) overall stress level when tested by three of the demographic variables, years as a nurse administrator, educational attainment, and hospital bed capacity; (2) subscale level of stress when testing the HPSI five stress factors by marital status, years as a nurse administrator, and educational attainment. A statistical significant difference (p $<$.05) for strategies used by nurse administrators was revealed with testing: (1) Avoidance strategy by demographic variables--age, number of years of professional experience, number of years as a nurse administrator, and hospital bed capacity and, (2) Active Cognitive strategy by demographic--gender. The Spearman Rho correlation coefficient procedures used to correlate the HPSI five Stress Factors with Active Cognitive, Active Behavioral, and Avoidance strategies revealed: (1) Stress Factor 1, Professional Conflicts was significantly related to Avoidance strategy (r$\sb{\rm s}$ =.24). (2) Stress Factor 2, Lack of Recognition as a Professional, was negatively significantly correlated with Active Cognitive Strategy (r$\sb{\rm s}$ = $-$.22). (3) Stress Factor 3, Work Overload, was significantly related to Active Cognitive strategy (r$\sb{\rm s}$ =.23). (4) Nurse administrators overall stress was significantly related to Avoidance Strategy (r$\sb{\rm s}$ =.28).
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Smith, Bonnie Lee Barbara. "Expectations for the role of head nurse held by head nurses, nurses, directors of nursing, and doctors : a survey in four teaching hospitals." Thesis, McGill University, 1985. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=72038.
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Expectations and perceptions of expectations for the role of Head Nurse were investigated in four teaching hospitals of McGill University, Montreal, Canada. Head Nurses, nurses, Directors of Nursing, and doctors were respondents. The study examined three questions: What are the expectations held for the Head Nurse within groups? Are there differences in expectations held for the Head Nurse across groups? Are there differences between expectations of nurses and doctors for the Head Nurse, and Head Nurse perceptions of expectations of nurses and doctors?Factor analysis was performed on responses of Head Nurses, nurses, and doctors separately. Expectations within groups were determined by frequencies, means, and standard deviations. Differences in expectations between groups were tested by chi-squares.
Conceptualizations of the Head Nurse as manager, clinician, patient care co-ordinator, and teacher were supported. Five factors, identified as doctor's helper, clinical leader, communication link, determiner of quality of care, and manager, accounted for 67 to 82% of variance in all groups. All groups agreed that the Head Nurse should be a determiner of quality of care given. Significant differences in expectations between groups were found in regard to the Head Nurse as doctor's helper, and clinical leader, and in regard to other activities related to patients, staff, and the unit. Head Nurses tended to overestimate nurse expectations for the Head Nurse, and underestimate doctor expectations for the Head Nurse.
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Anglin, Linda Tannert Cohen Ira. "The roles of nurses a history, 1900 to 1988 /." Normal, Ill. Illinois State University, 1990. http://wwwlib.umi.com/cr/ilstu/fullcit?p9101109.
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Thesis (D.A.)--Illinois State University, 1990.Title from title page screen, viewed November 1, 2005. Dissertation Committee: Ira Cohen (chair), Lawrence W. McBride, M. Paul Holsinger, David C. Eaton, Leslie M. Thom. Includes bibliographical references (leaves 198-217) and abstract. Also available in print.
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Treihart, Rose. "Competency ratings of BSN, AD, and diploma nurses by hospital administrators/directors of nursing and nurse supervisors." CSUSB ScholarWorks, 1985. https://scholarworks.lib.csusb.edu/etd-project/413.
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Beymer, Toni M. "The tenure of directors of nursing in rural acute care hospitals." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/935945.
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Rural health care has been affected by health care changes. Twenty-seven percent of the U.S. population live in rural areas (Adams, 1993; Weinert & Long, 1991). The purpose of this study was to examine the tenure of rural Directors of Nursing (DONs) in the DON position, to examine the tenure of rural DONs in the organization, and to profile the personal system of the DON in a rural hospital. The significance of the study was that little is known about rural DONs.The Neuman Systems Model (Neuman, 1989) provided the theoretical. framework for the study using the personal system level. The sample included all rural acute care DONs in one midwestern state. The Assessment of DON Tenure Questionnaire (Rowles, 1992) was the instrument used to collect data. Thirty-three questionnaires were mailed to rural acute careDONs with a return rate of 100%.Rural DONs were found to have a longer tenure in the DON position than the tenure data in the nursing literature. Tenure in the organization was also found to be longer. The typical DON was found to be female, married, with children,45 years old, with a BSN in nursing. The rural DONS were found to be slightly dissatisfied with the job.The return rate of questionnaires demonstrated the rural DONs interest in nursing education, practice and research. The research implication called for further investigation into the tenure measure of rural DONs in other geographic location along with urban DONs tenure measure for comparative analysis. Rural DONs have limited education opportunities based on geographic location. Continuing education programs in nursing administration and practice that are accessible in the rural setting via TVs or computers would be beneficial.School of Nursing
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Boyce, Dorothy. "The relationship between hardiness and coping effectiveness among nurse middle managers." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/917041.
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In balancing the divergent needs of staff, patients, families, support services and upper management, the nurse middle manager (NMM) in the acute care hospital faces daily stresses in dealing with the demands of the management role. The purpose of the study was to identify the relationship between hardiness, a stress resistance buffer, and coping effectiveness among NMMs. The conceptual framework used in the study was Lazarus' theory of stress and coping. The study was based on a descriptive correlational comparative design. The instruments used were: (a) the Health Related Hardiness Scale (HRHS), measuring hardiness; (b) the .Jalowiec Coping Scale (-JCS), measuring coping mechanisms and coping effectiveness; and (c) a demographic data form, describing the sample. A convenience sample of 201 (37.2X) NMMs representing 31 Indiana acute care hospitals participated in the study. Confidentiality of the subjects was maintained throughout the study. A Pearson r correlation, used to analyze the data of the HRHS and .JCS, indicated a weak: positive relationship at a significant level (r=.2S; p=':.OO1) between hardiness and coping effectiveness. Descriptive statistics wereused to determine that the most frequently used coping mechanisms were confrontive, optimistic, and self-reliant. No relationship was identified between hardiness and age (r=-.07; p=.33). No differences were identified between: (a) hardiness and present level of NMM educational preparation, and (b) hardiness and NMMs that reported 'adequate' and 'inadequate' social support (work and family). It was concluded that NMMs in the study had a high level of hardiness. A lower level of coping effectiveness (mean ;: effectiveness score, 3.30) indicated the use of a limited number of coping mechanisms, which may be the result of limitations in the work setting. The low correlation between hardiness with coping effectiveness may be the result of: (a) a low level of coping effectiveness, or (b) the use of a limited number of coping mechanisms resulting from limitations in the work setting. Confrontive, optimistic, and self-reliant coping mechanisms may be the most appropriate styles in the work setting for NMMs. The use of healthy coping mechanisms by the NMMs may be the result of the programs supporting the transition from clinician to manager provided by the participating hospitals. Organizations should plan strategies to help NMMs (both established and those new to the position) develop a sense of commitment to the organization, a feeling of challenge from the job demands, and a plan to provide control of the responsibilities of the position in order to sustain the present high levels of hardiness for the NMMs.School of Nursing
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Cribbin-Creegan, Maureen. "Outcomes of managerial turnover in nursing /." Access Digital Full Text version, 1989. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10858295.
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Thesis (Ed.D.) -- Teachers College, Columbia University, 1989.Typescript; issued also on microfilm. Sponsor: Elaine L. La Monica. Dissertation Committee: Peter C. Cairo. Bibliography: leaves 72-79.
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Chirwa, Maureen L. "Management skills of middle-level nurse managers in Malawi." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/952.
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Much has been written about the problems facing nurse managers in different countries including Malawi, yet the literature is sparse in relation to information about their perception of required management skills. There is enough evidence that nurse managers face many problems. These problems stem from different sources including organizational, economic, social or political changes. All changes within and outside the health care system affect nursing and its management. Nurse managers require relevant management skills to make valuable decisions and promote quality care, and enable them to motivate staff. Further, management skills will enable nurse managers to actively participate in policy making and financial management. In this way autonomy over nursing services can be maintained. This study took place in Malawi and explored tasks that Malawian middle-level nurse managers carry out, problems that they experience in carrying out their work, and their perceptions of management skills required in carrying out their work. Middle-level nurse managers in Malawi are known as matron and senior sisters. A two staged random sampling of 42 hospitals and 20 middle-level nurse managers was used. The hospitals included government and non-government hospitals known as CHAM (Christian Hospitals Association of Malawi). Data was collected using an interview schedule based on a conceptual framework adopted from King's Goal Attainment Theory. Field notes were taken alongside taped interviews, and administrative documents such as job descriptions were collected to provide complementary data. All interviews were transcribed and thematic analysis was used to analyze data. Results of the analysis demonstrated that middle level nurse managers in Malawi experience enormous problems in carrying out their work. Such problems included shortage of staff (especially registered nurses), and lack of adequate managerial knowledge of nurse managers themselves in policy making, financial management, and the setting and monitoring of nursing standards. In addition, results have indicated an increased amount of stress in the nursing profession in Malawi. Consequently, results have shown that middle-level nurse managers require management skills in resource management, setting nursing standards and financial management skills. Information obtained from this study will provide nurse managers with knowledge of the management skills they require to be more effective. The information will also be relevant for professional (management) development, as it would be used by policy makers to design management education curricula for nurses contemplating management careers or reviewing current management programs in nursing schools. In addition, the knowledge gained wi1l form a basis for future research.
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Tsang, Alice Sau Mui. "The effect of organisational culture on leadership styles of nurse managers and job satisfaction of registered nurses." Thesis, Queensland University of Technology, 2002. https://eprints.qut.edu.au/36781/1/36781_Digitised%20Thesis.pdf.
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There is increasing interest to examine the leadership styles of ward managers following the introduction of hospital service reform in Hong Kong in 1991. The leadership effectiveness of ward managers reflects organisational characteristics and affects work satisfaction.
This study explored the relationships among the organisational cultures of two Hospital Authority hospitals, the leadership behaviours of ward managers and the work satisfaction of qualified nurses. The data collection methods included a survey of ward managers (n=24) and qualified nurses (n=221), and in-depth interviews with the ward managers (n=26), their supervisors (n=8) (general managers of nursing (n=2) and department operations managers (n=6)) and their subordinates (qualified nurses (n=16)).
The findings of the survey show that the two hospitals have weak constructive and predominantly defensive cultures. In the survey data, the ward managers perceive themselves to be less transformational and transactional in their behaviours than they are regarded by the qualified nurses. At interview, the ward managers reported using participative man_agement which accords with the expectations of the qualified nurses. The survey and interview data confirm that the qualified nurses' perceptions of the leadership behaviours of the ward managers are related to the training programmes they had followed and the educational preparation of the ward managers. The survey findings reveal differences in ward managers' and qualified nurses' levels of work satisfaction.
The findings reported will serve as a baseline for the development of the organisational cultures of the hospitals, for improving the leadership of the ward managers, and for enhancing the work satisfaction of the qualified nurses. Change management strategies are proposed and directions for future research are suggested.
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Downton, Patricia. "Nursing leadership, can it meet the marketplace needs?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq23127.pdf.
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Dungca, Consuelo Urtula. "The relationship between perceived middle manager leadership behavior style and first line manager job satisfaction /." Access Digital Full Text version, 1988. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10810316.
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Frankson, Carol Marlene. "The charge nurse manager role a dissertation submitted to AUT University New Zealand in partial fulfilment of the requirements for Master of Health Science, 2009 /." Click here to access this resource online, 2008. http://hdl.handle.net/10292/729.
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Williams, Jimmie R. "Beliefs Concerning Role of the Nursing Service Administrator in Hospitals as Expressed by Chief Executive Officers, Nursing Service Administrators, and Nurse Educators." Digital Commons @ East Tennessee State University, 1987. https://dc.etsu.edu/etd/2829.
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This study was undertaken to determine the degree of relationship in perceptions held by three health care administrative groups between the desirable and actual role functions of the hospital nursing service administrator. This descriptive study surveyed hospital Chief Executive Officers (CEOs), and Nursing Service Administrators (NSAs) in 100 randomly selected general hospitals, and chairpersons of graduate programs in nursing service administration. The instrument for this study was the Beliefs Concerning Role of Hospital Nursing Service Administrator, a 12-item instrument designed to determine some of the desirable (optimal) and actual (currently performed) role functions of the hospital Nursing Service Administrator (NSA), as perceived by the three health care adminstrative groups in the study. Descriptive statistics were used to analyze the data gathered from the 12 position statements, warranting the following conclusions: (1) The Cramer's V measure of association revealed little or no association among Chief Executive Officers, Nursing Service Administrators, and Chairpersons on the 12 role functions perceived as desirable (or necessary for optimal effectiveness) for the individual currently in the position of Nursing Service Administrator. (2) The Somers' d measure of association revealed that little or no association existed between the Chief Executive Officers' and the Nursing Service Administrators' perceptions on the 12 role functions currently performed by the Nursing Service Administrator. (3) The Somers' d measure of association revealed that little or no association existed between the size of the hospital and the total responses of the hospital personnel to each of the 12 role functions perceived as desirable (or necessary), and those currently performed by the Nursing Service Administrator (NSA). (4) The Cramer's V measure of association revealed that little or no association existed between the type of control of the hospital (ownership) and the total responses of the hospital personnel to each of the 12 role functions perceived as desirable (or necessary), and those currently performed by the Nursing Service Administrator. (5) Demographic data from the Nursing Service Administrators in the study who held the master's degree in nursing revealed greater than half indicated that the master's in business administration would have been the best type of preparation for their current position. (Abstract shortened with permission of author.)
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King, Tracey L. "The impact of a nurse-driven evidence-based discharge planning protocol on organizational efficiency and patient satisfaction in patients with cardiac implants." Orlando, Fla. : University of Central Florida, 2008. http://purl.fcla.edu/fcla/etd/CFE0002188.
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Shirey, Maria R. "Stress and Coping in Nurse Managers: A Qualitative Description." Thesis, Connect to resource online, 2009. http://hdl.handle.net/1805/1866.
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Thesis (Ph.D.)--Indiana University, 2009.Title from screen (viewed on August 28, 2009). School of Nursing, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Anna M. McDaniel (Chair), Mary L. Fisher, Patricia R. Ebright, Bradley N. Doebbeling. Includes vita. Includes bibliographical references (leaves 140-154).
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Cockram, Darnell H. "Profiles, functions, and career experiences of selected hospital nurse executives in the United States (1988)." Diss., Virginia Tech, 1992. http://hdl.handle.net/10919/39789.
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Peregrina, Michael. "Lost in transition : a study of the leadership practices of nursing unit managers." Thesis, View thesis, 2009. http://handle.uws.edu.au:8081/1959.7/45489.
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Leadership has become an important aspect of management practice in the changing health care environment. As health care organisations restructure to meet the demands for accessible, efficient, safe and affordable health care, nurses in management roles are under constant pressure to develop new skills and strategies to meet the challenges that accompany system change. The role of Nursing Unit Manager (NUM), being a frontline management position, is well placed to effect the changes now being asked of health care organisations. Nursing Unit Managers are expected to have management and leadership skills in order to function effectively in their roles and in responding to the challenges that emerge as a consequence of health care systems reform. This study explores the self-reported leadership practices of Nursing Unit Managers (NUMs), examines their leadership strengths from the perspectives of their staff and the impact of their leadership practices on workplace outcomes such as sense of empowerment and job satisfaction of staff. In addition, the study examines the leadership development needs of Nursing Unit Managers. Leadership and employee’s job satisfaction and empowerment are important elements in organisational performance. The relationship of these constructs is still not well understood. Moreover little is known about the influence of NUMs leadership practices on employee outcomes in Australia. Thus, this descriptive, exploratory study was used to explore the self-reported leadership practices of NUMs and describe the relationship of leadership practices to workplace outcomes in a tertiary referral hospital. The study sought to build knowledge and understanding of the leadership practices of NUMs including their impact on the work environment and staff. The study also investigated the barriers and facilitators for NUM leadership role enactment. Role theory was utilised as the theoretical framework for this study. Data generated from the Leadership Practices Inventory, Job in General Scale, and Conditions of Workplace Effectiveness- II Instrument were utilised in this study. Data analyses included the use of Statistical Package for Social Sciences (SPSS). The findings showed that the use of leadership behaviours and employee outcomes were positively correlated. The findings from this study support the importance of NUM leadership and its potential influence in staff job satisfaction and empowerment. The findings reaffirm the need for organisation to provide a mechanism to help nursing unit managers become effective nursing leaders. Commitment should be made to design and implement management training and leadership development programs that focus on effective and facilitative leadership styles such as a transformational style of leadership. Nursing Unit Managers continue to struggle with their role because to date the role of the NUM is not clearly defined. Recommendations from the findings can contribute to clarifying the role of NUM and the development of a professional leadership development model, which could foster development of leadership practices within the Australian context.
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Barton, Amy J. Gocsik. "Elements of a decision support system for chief nurse executives /." Licensed for access by UF Students, faculty, and staff (and others in a UF library), 1993. http://wwwlib.umi.com/cr/ufl/fullcit?p9607431.
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Peregrina, Michael. "Lost in transition a study of the leadership practices of nursing unit managers /." View thesis, 2009. http://handle.uws.edu.au:8081/1959.7/45489.
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Thesis (M.Sc. (Hons.))--University of Western Sydney, 2009.A thesis presented to the University of Western Sydney, College of Health and Science, School of Nursing and Midwifery, in fulfilment of the requirements for the degree of Master of Science (Hons.). Includes bibliographies.
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Talley, Carla E. "A case example of nursing leadership : I don't look good until they look good." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020141.
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Rapid and chaotic changes in health care have created a need for a new type of nursing leadership. Many leadership theories have been studied and adopted by nursing. However, historical approaches to leadership will not help nurses thrive in the current health care arena.The purpose of this study was to describe a case example of nursing leadership using a topical life history of one exceptional nurse leader. The topical life history describes two representative periods in an exemplary nurse leader's life to fully describe an insider's perspective of leadership. This definition, which includes the participant's interactions with her self, others, and her environment during two significant periods during her life, will be used as the initial case for the future collection of multiple case examples in an effort to develop a definition of nursing leadership.Nursing leadership was defined, based on the interpretation of interview transcripts, as: Hard work, vision, communication, coaching/facilitating, strong values, proactivity, and charisma. Findings support various leadership theories and identified two core categories previously poorly defined in nursing leadership literature: Hard work and street smarts. Implications for nursing research, education, and practice have been identified. Recommendations for use of this study as a case example to stimulate classroom discussion have been made. Additional recommendations for further research in the areas of hard work and street smarts have also been made.School of Nursing
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Judkins, Sharon Kay. "Hardiness, stress, and coping strategies among mid-level nurse managers: Implications for continuing higher education." Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc2799/.
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This study investigated relationships among hardiness, stress, and coping strategies among mid-level nurse managers in hospitals. Coping strategies were hypothesized to be positively related to stress. In addition, hardiness and its components were hypothesized to be positively related to stress and coping strategies. Demographics were hypothesized to be unrelated to stress, hardiness, and coping strategies. Both hardiness and coping strategies were hypothesized to be predictors of stress. Pearson correlation coefficients, multiple regression, and linear regression were used in data analysis. Stress was associated with specific coping strategies viz., confrontation, selfcontrolling, accepting responsibility, and escape-avoidance. High hardiness, particularly commitment and challenge, was associated with low levels of stress and with problemfocused coping strategies. By contrast, low hardiness was associated with high stress and use of emotion-focused strategies. Significant demographics, when compared to study variables, included age, experience, time with supervisors, number of direct reports, highest degrees obtained, and formal or informal higher education in management. Young nurse managers who were less experienced in nursing and management, and who had fewer direct reports, reported the highest stress levels among nurse managers. High hardiness, particularly commitment, was a strong predictor of low levels of stress; use of escape-avoidance was a significant predictor of occupational stress. This study supported the theoretical suppositions of lower stress if hardiness and specific coping strategies are high among mid-level nurse managers. Potential exists for work-related stress to be reduced by increasing hardiness and adaptive coping strategies. Implications for higher education research and practice are discussed.
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Miles, Mary Alice, and n/a. "A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001." University of Otago. Faculty of Education, 2006. http://adt.otago.ac.nz./public/adt-NZDU20061024.145605.
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This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory.
The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture.
The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions.
The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries.
Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators.
The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing�s perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine.
The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions.
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Fransson, Sellgren Stina. "Nursing management at a Swedish University hospital : leadership and staff turnover /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-330-6/.
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Scialdo, Antonia. "Predictors of student success in the Army Medical Department (AMEDD) Licensed Practical Nurse training program (91WM6) as identified by expert nurse educators, instructors, and administrators at Fort Sam Houston Post, San Antonio, Texas." Texas A&M University, 2004. http://hdl.handle.net/1969.1/3056.
Full textAbstract:
The U.S. Army Licensed Practical Nurse (LPN) dates back to the fall of 1947
and evolved from severe professional nursing shortages of World War II. Today, as in
the past, to sustain U.S. Army readiness the highly medically trained combat soldier
must possess skills and competency of an LPN, which is a result of successful
completion of a 52-week 91WM6 training program.
The purpose of this two-part descriptive study includes evaluation of
quantitative and qualitative data. The Delphi technique and a retrospective student
record review were utilized to gather data. Dependent variables included student
demographics such as age, rank, gender, years of military experience, marital status,
prior education and medical related experience, Armed Services Vocational Aptitude
Battery (ASVAB) scores, specifically Skilled Technical (ST) and General Technical
(GT), students interpretation of stressors of military life, occupational goals, number
of college units attained, number of examinations failed and physical fitness tests failed, Article 15Âs administered, and counseling. The independent variable was
successful completion of the National Council Licensure Examination for Practical
Nursing (NCLEX) examination on the first attempt.
Major research findings of this study included:
1. The research revealed higher pass rates for a private first class and
specialist, as compared to lower pass rates of corporals and sergeants.
Additionally, soldier students in the study who had completed at least one
college unit (had attended college), had a 92% pass rate as compared to
those who had not completed any additional education or college after high
school (75.0%). It is suggested that prior experience may improve entry
cognitive skills that enhance academic performance along with the studentÂs
achievement.
2. The research revealed that those soldier students who tended to have higher
GT and ST scores failed program tests significantly fewer times.
3. Based on the results of the expert opinions of the panelists (Delphi) who
participated in the study, the highest-rated predictors in completing the
course were positive study habits, demonstrating diligence, and motivation.
For predictors related to passing the NCLEX-PN, the highest rate was the
ability to think critically and specifically preparing for the NCLEX
examination.
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Hillier, Fleur Jane School of Public Health & community medicine Centre for Clinical Governance Research in Health UNSW. "Managing creative and health production processes : issues, similarities and differences." Awarded by:University of New South Wales. School of Public Health and community medicine. Centre for Clinical Governance Research in Health, 2005. http://handle.unsw.edu.au/1959.4/22281.
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In this thesis I am concerned to examine the management behaviours and predilections of managers across the two settings of health and theatre considered to be divergent. To do this I explore and map methods, similarities and differences managers employ to ???manage??? workers across the industries. I also deconstruct creativity and its manifestations in both managerial behaviours and environmental contexts and map the complexity issues that managers face in different settings. Further, I explore the extent to which management activity is contextual to the identity of participant organisational aims and processes and examine the level of calculated chaos experienced by managers across the settings. Central to this approach is the utilisation of multi-method design incorporating interview, micro-ethnography, auto-ethnography and a RAND expert panel to assist with interpretation of the results. Core findings include high degrees of similarity in the roles and functions and support systems utilised by managers across the settings despite substantial differences in environmental contexts and organisational aims and processes. Differences were identified in the areas of: levels of chaos, interactions, purposes, and environmental characteristics. To account for these differences I apprehended seven metafactors grounded in the data sets. These seven metafactors can be found in each setting but emerge in different ways. The metafactors that I apprehend are order versus disorder; creativity; experimentation and change; risk; reflection; trust and respect; and time and pressure. While I discuss these seven metafactors as separate factors in reality they are fundamentally inter-related. Suggestions for future research are included.
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Drummond-Huth, Barbara. "The Effect of Leadership Skill-Building on Nurse Leader Behaviors." UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/311.
Full textAbstract:
Patient outcome data are an important factor in healthcare. Reports by the Institute of Medicine between 1999 and 2001, as well as recent research by Linda Aiken and her colleagues have added more emphasis to measures that can be taken to improve patient outcomes. Because of the role they play in healthcare facilities, nurse leaders are in a position to take the lead in improving patient outcomes. There is evidence to suggest that nurse leaders' transformational leadership behaviors are associated with positive patient outcomes.
The purpose of this project was to identify the effect of transformational leadership skill-building training on nurse leaders' behavior in the acute care setting. The project included assessments of nine nurse leaders by those nurses which are supervised by the nurse leaders. The results indicated the nurse leaders' behavior score of 3.1 was in the transformational range (3.0-3.75.)
Transformational leadership skill-building training followed the assessment process. A post training evaluation by the previous assessors followed the training. The distribution of the transformational leadership behavior scores did not change following the training.
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Dondashe-Mtise, Tobeka. "Exploratory study on attitudes of nurse managers towards quality improvement programmes in the East London hospital complex." Thesis, University of Fort Hare, 2011. http://hdl.handle.net/10353/316.
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This study was aimed at investigating the attitudes of nurse managers towards quality improvement programmes in the East London Hospital Complex. The research design comprised a qualitative, exploratory and descriptive approach. A purposive sample of 10 nurse managers participated in the study. The data were collected through interviews, using a semi-structured interview guide. Interviews were recorded using audiotape. Data were analysed manually and by using the computer software Atlas ti. Positive and negative themes were identified and ethical consideration was ensured by means of privacy, confidentiality and anonymity. The findings revealed that nurse managers in the East London Hospital Complex had overall positive attitudes towards quality improvement programmes. A few negative attitudes and their contributory factors were also identified. The limitations of the study and recommendations based on the findings of the study are presented
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Hess, Edward Alan. "The impact of diabetes nurse care managers in outlying medical offices on quality of care: An empirical investigation." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1744.
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The objective of this study is to evaluate the impact of the Diabetes Nurse Care Manager on an at-risk diabetic population using a Primary Group Visit Model in Outlying Medical Offices within the Kaiser-Permanente Health Care System upon the process and outcome of care in this population.
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Törnvall, Eva. "Carrying out electronic nursing documentation : use and development in primary health care /." Linköping : Department of Social and Welfare Studies, Linköping University, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-11268.
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Van, Dyk Anneline Lynette. "Die bepaling van standaarde vir die eenheidsbestuurder in geselekteerde hospitale." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51692.
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Thesis (MCur)--Stellenbosch University, 2000.ENGLISH ABSTRACT: The traditional management practice of the unit manager has changed dramatically in the past decade. She is responsible to supply nursing services in an environment which is characterized by smaller operational budgets, rapid developments and changes in every sphere. The researcher has identified deficiencies in the management process of the unit manager. This led to the evaluation of the management activities of the unit manager in a selected group of hospitals. A quantitative, non-experimental, descriptive approach was followed with a questionnaire survey as research design. Standards were set and the management activities were evaluated against these standards. The main findings were: • The unit manager was not 100% involved in her comprehensive management task • The unit manager did not have the necessary training to empower her to manage effectively. The researcher recommends that the unit manager should be empowered by inservice education programmes but should also follow the formal management programmes at a recognized tertiary education institution. Keywords: Unit management / Standard formulation
AFRIKAANSE OPSOMMING: Die tradisionele bestuurspraktyk van die eenheidsbestuurder het oor die afgelope dekade dramaties verander. Sy is verantwoordelik vir die verskaffing van verpleegdienste in 'n omgewing wat gekenmerk word deur kleiner operasionele begrotings, vinnige vooruitgang en veranderinge op alle gebiede, Die navorser het leemtes in die bestuursproses van die eenheidsbestuurder geïdentifiseer. Dit het gelei tot die evaluering van die bestuursaktiwiteite van die eenheidsbestuurder in 'n geselekteerde groep hospitale. 'n Kwantitatiewe, nie-eksperimentele beskrywende navorsingsbenadering is gebruik met 'n vraelysopname as navorsingsontwerp. Standaarde is gestel waarteen die bestuursaktiwiteite geëvalueer is. Die belangrikste bevindinge was dat: • Die eenheidsbestuurder nie 100% betrokke was by haar omvangryke bestuurstaak nie • Die eenheidsbestuurder nie oor die nodige opleiding beskik wat haar bemagtig om hierdie bestuurstaak effektief te verrig nie. Die navorser beveel aan dat die eenheidsbestuurder bemagtig moet word deur middel van indiensopleidingsprogramme maar ook deur formele bestuursopleiding aan 'n erkende tersiêre opvoedkundige intansie moet te volg. Sleutelwoorde: Eenheidsbestuur/standaard formulering
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Lindquist, Kimberly S. "Faculty Incivility and Academic Nurse Administrator Job Satisfaction." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6915.
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Academic nurse leaders hold an essential role in preparing future nurses who have the skills and abilities to meet complex healthcare system. However, vacancies in academic leadership positions are on the rise and may be connected to faculty incivility which affects job satisfaction of academic nurse leaders. The purpose of this descriptive correlational study, guided by Herzberg's two-factor theory, was to explore the relationships between perceptions of and experiences with faculty incivility and job satisfaction in a population of academic nurse leaders. Leader perceptions of and experiences with faculty incivility were measured using the Workplace Civility/Incivility Survey and leader job satisfaction was measured using the Job Satisfaction Survey. Data were collected through an online survey from 142 academic nurse leaders and analyzed using nonparametric correlation testing. The results revealed that academic nurse administrators serving at the associate degree level are victims of faculty incivility and that their experiences with uncivil faculty behavior is significantly correlated to their job satisfaction (p <0.01). Study results suggest that academic nurse leaders will likely encounter uncivil faculty behavior during their tenure as administrators. It is imperative that academic leaders engage in professional development opportunities to address complex and difficult relationships that may occur in the work setting which will foster and advance the skills needed to effect positive social change. Further research that explores the causality of faculty incivility on job satisfaction and other outcomes of the work experience in this and other populations of nursing leaders is warranted.
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Morlock, Nicole Sarah. "Healthcare Administrator Strategies for Nurse Engagement to Increase Patient Care." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5907.
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Healthcare administrators can improve patient care and safety by stimulating nurse engagement as a means of improving internal relationships. The purpose of this case study was to explore engagement strategies that healthcare administrators use to stimulate nurse engagement. Data were collected using semistructured interviews with 4 healthcare administrators in a Missouri hospital setting. The engagement theory informed the conceptual framework of the study. Data were analyzed using Yin's 5-step process that included compiling, disassembling, reassembling, interpreting, and concluding. Analysis revealed 4 major themes: teamwork, nurse and administrator communication, nurse recognition, and nurse empowerment. Strategies were identified through the exploration and analysis of the 4 themes, and the major findings included healthcare administrators increase trust with nurses by forming teams, and administrators who increase communication are more likely to stimulate nurse engagement. The social change implication for this study was that findings of nurse engagement may lead to improved patient care and contribute to a positive patient experience, which benefit patients and their families. Improved patient care may lead to greater faith and credence in medical care benefiting citizens, practitioners, and healthcare administrators.
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Tidstedt, Maria. "Första linjechefers förutsättningar för att utöva ett hållbart och hälsofrämjande ledarskap." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-234456.
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Background: First Line Managers are expected to create a health promoting work environment. Research has shown that the prerequisites for accomplishing a health promoting leadership are not always the best. Aim: The aim was to elucidate the prerequisites for a health promoting leadership as First Line Manager at a University hospital in Sweden based on competence, role, support structures and own durability. Results: First Line Managers at the chosen hospital seems to have rather good conditions for conducting a health promoting leadership. All respondents did have a university degree and most thought that their competence corresponded well with the role. Only two percent of the working time was spent on updating of skills, but all respondents (n=95) felt they developed in the role. The majority felt the role definition was good. Three out of four participants in the study spent less than two hours per week with their manager and half of them under one hour per week. Yet, most participants were satisfied with the managerial support and also with other support structures. The respondents health is good even though many regularly experiences some stress, fatigue or sleeping problem. Method: The study design was descriptive quantitative crossectional. The selection/sample was active first line managers at a University hospital in Sweden. The study was made with a web-based questionnaire. Some questions was taken from the Quality-Work-Competence-method and one from the Karolinska Sleep Questionnaire. Statistical evaluation was made with the Statistical Package for the Social Sciences. Data was analyzed with descriptive statistics, Chi-square test and Spearmans rank correlation test. Conclusion: First Line Managers are quite content with their working situation and have good conditions for conducting a health promoting leadership at the investigated University hospital. There are however developing potential for the First Line Managers durability and possibilities for performing a health promoting leadership, through developing competencies, managerial support and support structures.Bakgrund: Första linjecheferna förväntas skapa en god och hälsofrämjande miljö på arbetsplatsen. Forskning visar att det finns stora brister i vilka förutsättningar som ges för att utöva ett hälsofrämjande ledarskap. Syfte: Syftet med föreliggande studie var att undersöka vilka förutsättningar som finns för att utöva ett hållbart och hälsofrämjande ledarskap som första linjens chef vid ett universitetssjukhus i Sverige utifrån kompetens, rolltydlighet, stödfunktioner och egen hållbarhet. Resultat: Huvudresultatet visar att första linjecheferna vid det aktuella sjukhuset generellt sett har ganska goda förutsättningar att bedriva ett hälsofrämjande ledarskap. Alla respondenterna hade någon form av högskoleutbildning och de flesta ansåg att kompetensen överensstämde med arbetsuppgifterna. Endast två procent av den sammanlagda arbetstiden läggs på egen kompetensutveckling. Trots detta upplevde alla respondenterna (n=95) att de utvecklades i sin yrkesroll. En majoritet tyckte att rolltydligheten var god. Tre av fyra i studien träffade sin chef mindre än två timmar per vecka och ungefär hälften mindre än en timma per vecka. Huvudelen av de svarande tyckte ändå att de kände sig nöjda med ledarstödet. Respondenterna ansåg även att stödstrukturerna var på en tillfredställande nivå. Respondenternas hälsa är genomgående god, trots att många regelbundet upplever någon form av stress, utmattning eller sömnproblem. Metod: Design deskriptiv kvantitativ tvärsnittsstudie. Urvalet bestod av verksamma första linjechefer vid ett universitetssjukhus i Sverige. Studien är utförd med hjälp av webbenkät. Ett antal frågor (index) har hämtats från Quality-Work-Competence-metoden och en fråga (index) är hämtad från Karolinska Institutets sömnfrågeformulär, Karolinska Sleep Questionnaire. Övriga frågor är konstruerade för att besvara studiens frågeställningar. Statistisk bearbetning av data är utförd med hjälp av programmet Statistical Package for the Social Sciences. Data är analyserade med deskriptiv statistik, Chi2-test (C2) och Spearmans rangkorrelationsanalys. Slutsats: Första linjenscheferna är ganska nöjda med sin arbetssituation och det finns goda förutsättningar för dessa att bedriva ett hälsofrämjande ledarskap vid det undersökta universitetssjukhuset. Det finns dock utvecklingspotential för första linjechefernas hållbarhet och möjlighet till ett hälsofrämjande ledarskap, genom skapandet av förutsättningar rörande utveckling av kompetens, ledarstöd och stödstrukturer.
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Chenkina-Baranovska, Marija. "Vyresniųjų slaugytojų-slaugos administratorių kompetencijų tyrimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2015. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20150108_193715-06427.
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Kompetencija yra svarbus žmogiškųjų išteklių valdymo elementas, padedantys samdyti, vertinti, tobulinti darbuotojų veiklą bei didinti jų lojalumą organizacijai. Sparčiai senstant visuomenei, didėjant žmonių, sergančių lėtinėmis ligomis skaičiui, slaugytojų vaidmuo tampa akivaizdus. Slaugytojai sudaro didžiausią sveikatos priežiūros sistemos dalį. Jų vadovai – vyresnieji slaugytojai-slaugos administratoriai yra atsakingi už slaugos proceso kokybę ir tęstinumą bei sveikatos priežiūros organizacijos tikslų įgyvendinimą skyriaus lygmenyje. Tai gali padaryti tik kompetetingi savo srities profesionalai.
Magistro baigiamojo darbo objektas yra vyresniųjų slaugytojų-slaugos administratorių kompetencijos. Iškelta hipotezė, kad panaudojus Chase slaugos vadybininko anketą, galima nustatyti vyresniųjų slaugytojų-slaugos administratorių nuomone labiausiai reikalingas jų darbui kompetencijas. Darbo tikslas buvo nustatyti svarbiausias vyresniojo slaugytojo-slaugos administratoriaus kompetencijas. Siekiant atskleisti darbo temą, buvo iškelti šie uždaviniai: remiantis moksline literatūra išanalizuoti kompetencijos teorinius aspektus; aptarti slaugos darbo teisinį reglamentavimą Lietuvoje ir išskirti svarbiausias mokslinėje literatūroje nurodomas vyresniųjų slaugytojų-slaugos administratorių kompetencijas; apklausos metu sužinoti vyresniųjų slaugytojų-slaugos administratorių nuomonę apie būtinas jų darbui kompetencijas bei kompetencijų vertinimo sąsajas su demografiniais rodikliais; nustatyti... [toliau žr. visą tekstą]Competence is a major human resource management element, important in personnel recruitment, evaluation, improvement and decrease of the retention in the organization. Society is getting old rapidly and number of people with chronic diseases is increasing, so the role of nurses becomes obvious. Nurses belong to the largest part of medical personnel. First level nurse managers are responsible for nursing process quality and continuity, and for the implementation of goals of health care organization in unit level. Only competent professionals can handle such task. The research object of Master Thesis is first level nurse manager competencies. The hypothesis is defined based on Chase nurse manager competency instrument. This instrument could help to identify the most important first line nurse manager competencies, using the answers received from the nurse managers survey. The objective of the current work was to identify the most important nurse manager competencies. In order to fulfill the topic of this Thesis, particular tasks were raised: to analyze competency theoretical aspects; to identify the most important competencies of first level nurse managers according to the scientific literature; during the survey to select essential first line nurse manager competencies according to the answers given by the managers and to find out the link of competencies evaluation to demographical factors; to identify the most important first line manager competencies and to compare the... [to full text]
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Bonanno, Laura S. "Nurse Anesthesia Program Administrator's Decision-Making in Determining Interventions for a Student Exhibiting Unsatisfactory Clinical Performance." ScholarWorks@UNO, 2019. https://scholarworks.uno.edu/td/2587.
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The purpose of this grounded theory study is to define the process that nurse anesthesia program administrators use to determine if a student nurse anesthetist’s unsatisfactory clinical performance warrants intervention by the program. There is little room for error in anesthesia practice as mishaps typically result in significant injury and death. Students who exhibit unsatisfactory clinical performance may pose an immediate risk to patient safety as well as a future risk if allowed to progress in the program. The lack of guidance in the form of clearly articulated expectations and processes contribute to the emotional strain nurse anesthesia faculty and administrators experience when observing unsatisfactory clinical performance. From the data collected in the interviews with ten nurse anesthesia program administrators, a five-phase decision-making model entitled the Nurse Anesthesia Program Administrator Decision Making Model was developed. The five phases of the model include: receiving the feedback, validating the concern, assessing accountability and planning for remediation, removing the student from clinical training and moving to dismissal, and notifying the student of the decision. The guiding principle of this model is the importance of following institutional and program policies throughout the process. This study is intended to provide guidance to nurse anesthesia program administrators who are faced with a student demonstrating unsatisfactory clinical performance regarding what behaviors may require an intervention by the program.
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Cowen, Elaine W. "Perceptions of part-time nursing faculty and administrators related to job satisfaction." Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/774743.
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The two purposes of the study were to investigate and compare job perceptions (satisfaction-dissatisfaction) of two groups of part-time nursing faculty teaching in Indiana associate and baccalaureate nursing programs and to recommend guidelines for increasing job satisfaction of part-time employees. Referent groups in the study included:1. part-time faculty surveyed in 1983 and 19872. administrators of nursing programs surveyed in 1983 and 1988A 12-item questionnaire containing 12 job satisfiers relating to current and restructured positions was used to gather perceptions from referent groups.Findings1. Achievement, autonomy, and responsibility motivators were ranked in that order as the three most important job satisfiers by the combined 1983 and 1987 part-time faculty respondents in current and restructured positions.2. Part-time faculty, 1983, ranked salaries as eighth most important job satisfier in current positions and sixth most important in restructured positions. Part-time faculty, 1987, ranked salaries as eighth most important job satisfier in current positions and third most important in restructured positions. Administrators in 1983 and 1988 ranked salaries as ninth most important job satisfier for part-time faculty in current positions and most important job satisfier in restructured positions.3. Administrators cited budget, most frequently, as the reason they employed part-time faculty. Part-time faculty frequently mentioned inadequate salary as the most dissatisfying facet of part-time teaching.4. Part-time faculty most often listed interaction with students as the most satisfying facet of their teaching.Conclusions1. The job satisfier, salaries, has become more important to job satisfaction for part-time nursing faculty.2. With the exception of salaries, part-time faculty respondents ranked job satisfiers classified as motivators as more important in the restructured positions than job satisfiers classified as maintenance factors.3. Part-time teaching offers qualified nurses an opportunity for job satisfaction due to the many motivators which are inherent in the position.Department of Educational Leadership
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Rys, Gregory Paul. "Nurse Practitioner Residency Programs: An Educational Journey." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2056.
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Primary care is in a state of crisis due to the lack of clinicians and increasing numbers of insured patients. Encouraging more students to go directly through school for their doctor of nursing practice degree and nurse practitioner (NP) certifications is one proposal to alleviate this crisis. However, this approach would deliver graduates with minimal leadership and clinical experiences directly into practice. One resolution to mitigate this concern would be an NP residency program. Evaluating the knowledge and attitudes of stakeholders prior to the implementation of a NP residency program is an important first step to this implementation plan. The purpose of this project was to assess the knowledge and attitudes about NP residency programs of 2 stake holders: administrators and NPs at a rural upstate New York health care system, Bassett Healthcare, and to compare responses of those fiscally with those clinically oriented. Using literature less than 6 years old about NP residencies, a 28-question survey tool was created to assess knowledge and attitudes of NP residency programs. Content validity was established by 6 hand-selected NPs and administrators who had expert knowledge of residency programs. Once validity was established, the tool was distributed to a convenience sample of NPs and administrators at Bassett Healthcare Network via e-mail. The sample included 20 administrators and 44 NPs. A Mann-Whitney U test revealed no statistical differences between the 2 groups on any item. However, a majority of both groups felt the programs should be mandatory for all NPs. This project may be the first step in formation of a NP residency program that could alleviate transitional stress, decrease turnover, and produce better clinically-prepared NPs, thus benefitting the profession and society.
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Überbacher, Ewa. "VÄGAR TILL REFLEKTION : Avdelningschefers uppfattningar inom somatisk omvårdnad." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-3677.
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De senaste årens strukturella förändringar i svensk hälso- och sjukvård har påverkat vårdpersonalen i det sjukvårdande arbetet såväl fysiskt och psykiskt. Kontinuerlig återkoppling genom reflektion kan vara ett verktyg för avdelningschefen att leda utveckling, lärande och förnyelse i omvårdnadsarbetet. Studiens syfte var att genom fenomenografisk ansats beskriva avdelningschefers uppfattningar av reflektion i omvårdnadsarbete.Analysen av 15 intervjuer resulterade i fem beskrivningskategorier av reflektion: kunskapsintegrerande, bearbetande, utvecklande, arbetsledande och patientinriktad. Den kunskapsintegrerande reflektionen fångar studenternas utbildning som kan användas i omvårdnadsarbetet. Genom bearbetande reflektion skapas en fortlöpande tankeprocess av omvårdnadsarbetet. I utvecklande reflektion stärktes medarbetare genom att samtala med varandra. Arbetsledande reflektion beskrevs som ett eget forum för att bearbeta chefsrollen. Patientinriktad reflektion lyfte fram patientens delaktighet. Slutsatsen var att avdelningscheferna använde reflektion på olika nivåer och i olika sammanhang. Reflektionen visade sig betydelsefull för omvårdnadsarbetet. Studiens resultat kan bidra till ökad kunskap för att utveckla ledarskapet i riktning mot bättre arbetsmiljö och patientsäkerhet. Fortsatt forskning borde inriktas på interventionsstudier med reflektion i fokus.Continuous feedback through reflection can be used as a tool by the department head for leading the development, learning and innovation in nursing work. The aim of the study was to describe the department heads´perceptions of reflection in nursing care by a phenomenographical approach. The analysis of 15 interviews resulted in five description categories of reflection. Knowledge integral reflection captures students´training that can be used in nursing work. Processing creates a continuous thought process in nursing work. Reflection development was reinforced among employees when talking to each orther. Managerial reflection was described as a separate forum in the process manager role. Patient-oriented reflection highlighted the patient´s participation. The conclusion was that department heads used reflection on different levels and in different contexts. Reflection proved important in nursing care. Study findings may help to increase knowledge in order to develop leadership whick leads to beter quality of care and patient safety. Continued research should focus on intervention studies with an emphasis on reflection.
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Dorsey, Maggie Thurmond. "Nursing education administrators' perceptions of the recruitment and retention of African American male nursing students." Click here to access dissertation, 2005. http://www.georgiasouthern.edu/etd/archive/fall2005/maggie_t_dorsey/dorsey_maggie_t_200508_edd.pdf.
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Thesis (Ed.D.)--Georgia Southern University, 2005."A dissertation submitted to the Graduate Faculty of Georgia Southern University in partial fulfillment of the requirements for the degree Doctor of Education." In Education Administration, under the direction of Michael D. Richardson. ETD. Electronic version approved: December 2005. Includes bibliographical references (p. 124-144) and appendices.
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Almobarak, Fhaied Khalaf. "Exploring the perspectives of nurses, physicians, and healthcare administrators in Saudi Arabian hospitals on palliative care and palliative care nursing." Thesis, Manchester Metropolitan University, 2016. http://e-space.mmu.ac.uk/621247/.
Full textAbstract:
This thesis presents a qualitative research study, which identifies issues regarding the development of palliative care in the Kingdom of Saudi Arabia (KSA) hospital setting, from the perceptions of healthcare professionals working in Saudi Arabian hospitals. The literature suggests that challenges to palliative care in KSA exist on various levels. At the professional level, they exist where healthcare practitioners may neither be sufficiently equipped nor sufficiently oriented to deal with palliative care concerns. Saudi practitioners may have misconceptions that lead them to recommend or carry out activities that may be detrimental to the palliative care of their patient. Issues also exist at institutional levels, where palliative care systems in place in Saudi hospitals are insufficient for addressing the needs of its patients. There are also issues found at the cultural and legal levels, where pain and individual choice are not considered sufficiently important in Islamic law especially when weighed against matters about prolonging and preserving life and preparing the individual for the afterlife. The aims of this study were to determine the perceptions of KSA hospital healthcare professionals regarding palliative care, identify issues regarding the development of palliative care in the KSA hospital setting and to develop recommendations for strengthening the value of palliative care among healthcare professionals in KSA. To this end, semi-structured qualitative interviews were carried out with members of staff working in hospitals in KSA, with terminally ill patients. The findings suggest that while some participants define palliative care in a way which is in keeping with internationally recognised definitions, others had not heard of the term, or defined it in a way which was incomplete. Insights are provided in to doctors and nurses experiences of palliative care, an example of which is that the personality of the healthcare provided was a significant factor in the quality of palliative care. The findings suggested that as a specialism, palliative care is seen as unique and growing, and participants understood the need and importance of this area. Issues and problems with palliative care were identified, including issues with communication and lack of material and human resources. Various opinions were offered as to the role of the media in promoting palliative care in KSA, issues with medication, including access and procedures, were discussed, and finally the participants spoke about their vision of the future of palliative care in KSA, and what would be needed to achieve this vision. The contribution of the present study to the understanding of the perceptions of healthcare workers in KSA towards palliative care is significant considering the scarcity of research in this area, particularly qualitative research. It supports the findings of previous research into palliative care in KSA and the wider research on palliative care. It also provides a unique insight into the views of healthcare workers in an Islamic culture, expanding upon current literature.
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Krogue, Paul Anthony, and Paul Anthony Krogue. "Barriers to Practice: Understanding Phsyician and Hospital Administrator Knowledge, Beliefs, and Attitudes of the Role and Scope of Practice of Acute Care Nurse Practitioners in the Acute Care Setting in Rural Montana." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626676.
Full textAbstract:
Purpose: to describe the knowledge, beliefs, and attitudes of physicians and hospital administrators regarding the role and scope of practice of acute care nurse practitioners in rural Montana.
Background: Nurse practitioners have been increasingly called upon to provide high quality and cost-effective healthcare in variety of settings and have consistently shown to provide a high-level of patient care in both the primary and acute care settings. The acute care nurse practitioner specialty is relatively new, and with very few licensed acute care nurse practitioners in the state of Montana, the role and scope of practice is not well understood by physicians and hospital administrators who are often tasked with hiring and recruiting providers in the hospital setting. The Consensus Model, which served as the conceptual framework for this project, advocates that nurses provide care for the population that is specific to their licensure, accreditation, certification, and education.
Method: Some 28 physicians and hospital administrators completed a survey that included 21 Likert scale statements that were divided into the subscales of Knowledge, Belief, and Attitude.
Results included: 1) An existing gap in knowledge regarding the role and scope of practice of acute care nurse practitioners, 2) acute care nurse practitioners should always have some form of physician oversite, and 3) there is disparity in patient outcomes when patient care is provided by nurse practitioners.
Conclusion: Attitudes of survey respondents were overwhelmingly positive for the future of acute care nurse practitioners filling various provider roles in the hospital setting. These results can provide a foundation for future inquiry and can assist in the development of education and collaborative efforts to further advance the utilization of acute care nurse practitioners in Montana.
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Södling, Malin. "”Ger det dig som person någonting så ger det ju hela arbetsgruppen någonting och klinikens utveckling, faktiskt” : Hur vårdenhetschefer uppfattar innebörden av professionell utveckling för sjuksköterskorEn intervjustudie med fenomenografisk ansats." Thesis, Linköpings universitet, Medicinska fakulteten, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-160554.
Full textAbstract:
SAMMANFATTNING Bakgrund: Sjuksköterskors professionella utveckling kan förstås som en del i ett livslångt lärande inom ramen för yrkeslivet och visar positiva effekter för sjuksköterskors arbetstillfredsställelse, önskan att bidra till den verksamhet de arbetar i och för att minska arbetsrelaterad stress. Professionell utveckling är också förenat med positiva effekter för patienternas vård. Inom slutenvårdens vårdavdelningar är vårdenhetschefen sjuksköterskans närmaste chef. Vårdenhetschefen har avgörande betydelse för sjuksköterskans professionella utveckling genom att vara en förebild och skapa en gynnsam miljö för lärande på enheten. Hur vårdenhetschefen uppfattar fenomenet professionell utveckling kan påverka vårdenhetschefens agerande och interagerande med sjuksköterskorna på vårdavdelningen. Syfte: Att beskriva hur vårdenhetschefer inom slutenvården uppfattar innebörden av professionell utveckling för sjuksköterskor på vårdavdelning. Metod: En intervjustudie med fenomenografisk ansats där 12 vårdenhetschefer intervjuades. Resultat: Tre kvalitativt skilda uppfattningar av professionell utveckling, med olika grad av komplexitet urskiljdes; A) Professionell utveckling är att arbetsgruppen når grundläggande kompetens för sin uppgift, B),Professionell utveckling är en medvetenhet, acceptans och insikt hos den enskilda sjuksköterskan och C)Professionell utveckling är att ta tillvara den enskilda sjuksköterskans förutsättningar och kompetens i verksamheten. Konklusion: De olika uppfattningarna hänger samman med hur vårdenhetschefen ser på sin egen roll i relation till professionell utveckling och vilka aktiviteter för professionell utveckling de prioriterar. Vårdenhetschefens uppfattning påverkar också dennes ambition och ansvarstagande för sjuksköterskors professionella utveckling. Trots vårdenhetschefens befogenheter var det få som framhöll betydelsen av sin egen roll för sjuksköterskors professionella utveckling. Detta gör att sjuksköterskan står ensam i att hitta utvecklingsvägar för sig själv vilket medför risk att sjuksköterskans kompetens inte utvecklas i enlighet med verksamhetens behov och att kompetens inte tas tillvara i verksamheten.ABSTRACT Introduction:Nurses’ continuing professional development (CPD) can be understood as part of life-long learning in working life. CPD shows positive effects on nurses’ work satisfaction, on their wish to contribute to their workplace and in reducing work-related stress. In addition, CPD has positive effects on patient care. The nurse manager is the closest manager of the nurse on inpatient wards and has a crucial impact on nurses’ CPD by acting as a role model and creating a learning environment on the ward. How nurse managers understand the meaning of nurses’ CPD affects how they act and interact with nurses on the ward. Purpose: To describe how nurse managers in inpatient care understand the meaning of CPD for nurses on hospital wards. Method: A phenomenographic interview study was conducted and 12 nurse managers were interviewed. Results: Three qualitatively different perceptions, of varying complexity, were found. A) CPD is when the working group reaches the basic level of knowledge necessary to do their work, B) CPD is the nurses’ awareness, acceptance and insightand C) CPD means to use the nurses’ prerequisites and competence within the organization. Conclusion:These perceptions are connected with how the nurse managers view their role in CPD and which learning activities for CPD are their main priority. Their different perceptions can affect and be affected by the situation on the ward where the nurse manager works. Their perception also affects their ambition and responsibility when it comes to nurses’ professional development. Despite their job description, few nurse managers highlighted their own impact on nurse CPD. This may lead to the nurse standing alone when seeking ways to achieve development. There is a risk that individual nurses’ competences may not be used within their organization.
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Farias, Deborah Elaine Caristo Santiago de. "Conflitos éticos no gerenciamento em enfermagem: da percepção à tomada de decisão." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7140/tde-06112015-155757/.
Full textAbstract:
Introdução: Os conflitos éticos na saúde, geralmente, ocorrem entre os atores envolvidos na ação assistencial. Essa ação, no entanto, é realizada em estruturas organizacionais, sofrendo implicações desse ambiente. Dependendo da organização do trabalho e das metas institucionais pode haver maior ou menor intensidade dessas interferências. Assim, não raro os enfermeiros atuantes no gerenciamento se deparam com situações que apresentam problemas éticos nessa área. Objetivos: Identificar conflitos éticos na percepção de enfermeiros com vivência no gerenciamento de Serviços de Enfermagem hospitalar e analisar como os enfermeiros com vivência no gerenciamento em enfermagem tomam decisões frente a conflitos éticos. Método: Trata-se de um estudo exploratório, descritivo de abordagem qualitativa. Para a coleta de dados do primeiro objetivo, após a aprovação do Comitê de Ética em Pesquisa, foram entrevistados 20 enfermeiros, com vivência profissional na área gerencial hospitalar, constituindo uma amostra intencional, através da técnica bola de neve\" (snow ball). As entrevistas gravadas foram realizadas através de uma pergunta norteadora: Conte-me a respeito de conflitos éticos que tenha vivido na sua atuação gerencial. A coleta de dados do segundo objetivo foi realizada através da técnica de grupo focal, sendo utilizado um caso fictício (caso-conflito), contendo uma situação gerencial hipotética para o debate sobre a decisão. No caso-conflito os dois valores éticos situaram-se nos cursos de ação extremos: prestar assistência de enfermagem segura e atender ordem institucional de redução de quadro de pessoal para viabilizar a sobrevivência financeira do hospital. Os discursos foram analisados segundo a análise de conteúdo proposta por Bardin, balizados pelo referencial metodológico-conceitual do procedimento da Teoria de Deliberação Moral de Diego Gracia. Resultados: Emergiram inicialmente três categorias: igualdade na distribuição da carga de trabalho; autonomia profissional nas decisões gerenciais e justiça e prudência nas decisões gerenciais. Evidenciou-se que os conflitos éticos no gerenciamento em enfermagem decorreram da percepção dos valores confrontados, presentes no problema ético. Os conflitos éticos materializam-se na gestão de recursos em saúde, nas relações de poder no ambiente de trabalho, nas relações interpessoais, na organização do trabalho e nas determinações da política institucional, como partes da conjuntura que constitui a assistência ao paciente, visando à proteção e manutenção de sua dignidade. Na decisão realizada coletivamente, em geral, os cursos de ação tendenciaram para o curso médio, considerados prudentes, indicando conciliar os valores em conflito do caso, ordem e cuidado. Entretanto, mesmo com tendência para o espaço da prudência, a maioria das argumentações dos cursos de ação, se situou privilegiando a preservação do cuidado de enfermagem. Conclusão: Os enfermeiros-gerentes, diante de fatos impositivos das determinações organizacionais, elegem a assistência de enfermagem como prioridade, mas tentam uma conciliação das partes. A prudência, como resultado do debate colegiado dos enfermeiros, revela a necessidade de investimentos em espaços grupais de discussão (bio)ética e na capacitação dos profissionais, expandido os diálogos éticos, inclusive interinstitucionalmente. Vislumbra-se um terreno fértil a ser explorado, que possibilite debates e deliberação sobre os problemas éticos que afligem os enfermeiros, contribuindo para amenizar momentos de angustia e, até, de sofrimento moral presentes nos conflitos de valores desses profissionaisIntroduction: The ethical conflicts in health, generally, occur between the actors involved in care action. This action, however, is performed in organizational structures, suffering implications of this environment. Depending on work organization and institutional goals there may be greater or lesser intensity of these interference. So often the nurses working in management are faced with situations that present ethical problems in this area. Objectives: Identifying ethical conflicts in the perception of nurses with experience in hospital Nursing Services management and analyzing how nurses with experience in nursing management take decisions before the ethical conflicts. Method: This is an exploratory, descriptive study of qualitative approach. For collecting the data of the first objective, after the Research Ethics Committee approval, 20 nurses, with professional experience in hospital management area were interviewed, constituting an intentional sample, through \"snowball\" technique. Recorded interviews were conducted by a guiding question: \"Tell me about ethical conflicts that you have lived in your managerial acting.\" The data collection of the second objective was performed through the focus group technique, and used a fictitious case (case-conflict), containing a hypothetical managerial situation to the debate on the decision. In the case-conflict both ethical values stood in extreme \"courses of action\": provide safe nursing care and meet institutional order for staff reduction to enable the financial survival of the hospital. The speeches were analyzed according to content analysis proposed by Bardin, marked by methodological and conceptual framework of the Moral Deliberation Theory procedure of Diego Gracia. Results: First emerged three categories: equal in the distribution of the workload; professional autonomy in management decisions and justice and prudence in management decisions. It was evident that the ethical conflicts in nursing management resulted from the perception of values confronted, present in ethical problem. Ethical conflicts materialize in health resource management, in power relations in the workplace, in interpersonal relationships, work organization and in the determinations of institutional policy, as part of the environment that is patient care, aimed at protecting and maintaining its dignity. In the collectively held decision, in general, courses of action lean toward the middle course, considered prudent, indicating reconcile the conflicting values of the case, order and care. However, even with a tendency for the space of prudence, most of the arguments of \"courses of action\", stood favoring the preservation of nursing care. Conclusion: Nurses-managers, before impositions facts of organizational determinations, elect nursing care as a priority, but try a reconciliation of the parties. Prudence, as a result of collegiate debate of nurses, reveals the need for investment in group spaces for (bio)ethics discussion and professional training, expanded the ethical dialogue, including inter-institutionally. It glimpses a \"breeding ground\" to be exploited, which allow debates and deliberation on the ethical problems that afflict nurses, contributing to soften moments of anguish and even of moral suffering present in value conflicts of these professionals
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Huber, Kerri L. "Perceptions of Nurse Engagement among Bedside Nurses and Nurse Leaders: A Qualitative Descriptive Study." Thesis, 2019. https://doi.org/10.7916/d8-g92f-ct69.
Full textAbstract:
Employee engagement is a topic that has been widely studied over the course of the past 30 years. Its potential value to healthcare organizations has only begun to be recognized within the most recent decade. Numerous studies have been conducted which demonstrate that increased employee engagement contributes to improved patient outcomes, including decreased mortality and hospital acquired conditions as well as increased patient experience scores. Despite the plethora of literature available documenting the drivers of, barriers to, and outcomes associated with employee engagement hospitals have struggled to gain traction in increasing their scores. Many experts in employee engagement posit that this could be due to a lack of consistent conceptualization of the phenomenon.
This qualitative descriptive study was conducted to understand the perceived attitudes and behaviors of the nurses who are engaged in their work from the perspective of both their peers and leaders. Sixteen total participants were interviewed utilizing a semi-structured interview guide with questions that were derived from Arnold Bakker’s evidence-based model of work engagement. Content analysis was utilized to identify themes and sub-themes from each of the participant group’s responses to each of the questions. There were minimal differences in the responses of the direct-care RNs as compared to the nurse leaders regarding their perceptions of the engaged nurse. Resulting themes were then synthesized and four overarching themes identified. Overarching themes were personal style, extra-role behavior, commitment to the patient, and leadership.
Participant responses supported Bakker’s model, but highlighted the engaged nurse’s personality as a significant and widely overlooked contributor to engagement. By recognizing the personal attributes inherent to the engaged nurse hospitals may better understand the traits important to the recruitment of nurses who are more likely to be engaged in their work. Effective recruitment and retention of a highly engaged workforce will allow organizations to benefit from the extra-role work often demonstrated by the engaged nurse and realize improved patient outcomes as a result.