Dissertations / Theses on the topic 'Nursing workforce'
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Nehring, Wendy M. "Bring It Home: What Do We Know About Tennessee Nursing Workforce?" Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6720.
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Clifford, Mary. "Implications of an all BSN Workforce Policy." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4844.
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Discussion continues about requiring a Bachelor of Science in Nursing (BSN) as the minimum requirement for entry into registered nursing practice. A Magnet-® recognized hospital located in the Northeast United States is requiring all registered nurses without a BSN (n=284 or 28%) to obtain their BSN by 2022 as a condition for employment. The purpose of this project was to quantify the potential number and rationale of nurses who are not planning to return to school. The 2 practice focused questions are (a) What is the rationale for nurses who do not plan to pursue their BSN degree and (b) What is the potential cost to the organization due to projected gaps in the workforce by 2022. The theory of reasoned action was utilized as a model of decision making. A total of 29% of non-BSN nurses responded to a questionnaire, with 54.55% replying that they plan to obtain their BSN by 2022. The primary barriers for not planning to return for a BSN were a perceived lack of the degree's value and financial issues. More than 1/3 of those respondents not planning to obtain the BSN are planning to retire, which is consistent with national trends. An extrapolation of data showed the nursing turnover rate rising to 10.62% as 2022 approaches, significantly higher than the normal rate of 5.3%. The turnover rate may increase recruiting and orientation costs for the hospital facility over both the short and long term in a state where nearly 38% of graduates have either a diploma or an associate degree in nursing. The social change implication is a need for a re-examination of roles for various levels of registered nursing or a consensus on the BSN for nursing licensure.
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Zhu, Junhong. "Towards an understanding of nurses leaving nursing practice in China : a qualitative exploration of nurses leaving nursing practice from recruitment to final exit." Thesis, University of Edinburgh, 2012. http://hdl.handle.net/1842/7800.
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The nursing shortage in China is more serious than in most developed countries, but the loss of nurses through their voluntarily leaving nursing practice has not attracted much attention in Chinese society. The aim of this study is to add to the understanding of nurses leaving nursing practice in China by exploring the process from recruitment to final exit. The qualitative research method draws on a grounded theory approach, especially the constant comparative method of analysis. The indepth interviews were conducted with 19 nurses who have left clinical care. The selection of the study participants was guided by the principle of theoretical sampling. Two core conceptual categories emerged from leavers’ account of their leaving: “Mismatching Expectations: Individual vs. Organizational” and “Individual Perception of Power”. By illuminating the interrelationship between these two core categories, four nursing behaviour patterns are identified: (1) Voluntary leaving (2) Active staying (3) Adaptive staying (4) Passive staying. These behaviour patterns provide an explanation about why and how nursing wastage occurs. The analysis suggests: (1) the higher the degree of mismatch that the nurses recognised between individual and organizational expectations of nursing and the greater the extent of imbalance of power the individual nurses perceived, the more likely it is that the nurses intend to leave the powerless status of being a clinical nurse within the organization; (2) the more difficult it becomes for the nurses to achieve their individual expectations by exercising nursing autonomy in their nursing career, the more likely it is that they actually empower themselves to leave nursing practice. The study suggests that nursing wastage could be avoided if the individual and organizational expectations of nursing were more aligned, and the individual nurses were able to exercise nursing autonomy in their professional practice and career. Although the findings are limited in studying the current nursing workforce situation in China, the theoretical perspective may contribute to the international debate on nursing employment towards effective nursing workforce management and retention strategies.
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Miracle, Jacob M. "De-Anonymization Attack Anatomy and Analysis of Ohio Nursing Workforce Data Anonymization." Wright State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=wright1482825210051101.
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McLaughlin, Michael P. "Community college nursing and allied health education programs, and Iowa's healthcare workforce." [Ames, Iowa : Iowa State University], 2009.
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Farag, Amany Ahmed. "Multigenerational nursing workforce value differences and work environment impact on RNs' turnover intentions /." Cleveland, Ohio : Case Western Reserve University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1196441618.
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Farag, Amany Ahmed. "Multigenerational Nursing Workforce Value Differences and Work Environment: Impact on RNs' Turnover Intentions." Case Western Reserve University School of Graduate Studies / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1196441618.
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Blair, Dezma Maxine. "Exploring the lived experience of male registered nurses in the workforce| A phenomenolgical inquiry." Thesis, Barry University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10257920.
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Background: The nursing profession has seen significant increase in men choosing nursing as a career, yet male nurses are still grossly disproportionately in comparison to female nurses. As our society grows more diverse, the nursing profession and workforce needs to reflect the population they are providing care to. It is still not clearly understood with the opportunities, stable jobs, fairly good salaries, and even though the barriers toward male nurses are minimal, it appears that men are still not attracted to the nursing profession.
Purpose: The purpose of the study was to explore and elucidate the everyday lived experience of male registered nurses in the workforce.
Methods: A qualitative phenomenological design and van Manen (1990) hermeneutic approach were used to describe and explicate the lived experience of the male nurses. The central question that guided the research study was: “What is the lived experience of male nurses in the workforce? The participants were (N =17) male nurses, 21 years and older, with more than one year nursing experience living in the tri-counties of South Florida, speak English, and willing to speak about their experience.
Results: The central themes and sub-themes highlighted were motivating factors (job opportunities, job flexibility, financial stability) breaking gender barriers (moving beyond gender barriers, making a difference, caring for female patients), and gendering (preferential privileges, maintaining masculinity).
Conclusion: Men in nursing with their minority status continue to have advantages. Further investigation is needed to understand why more men, especially the younger male adults are not attracted to the nursing profession. The Social Cognitive Career Theory (SCCT) maybe a good tool for guidance counselors to introduce in high schools and colleges to assist students to identify career path.
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Hickey, Gary. "A grounded theory of district nursing : the invisible workforce and new public management." Thesis, King's College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.412641.
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Hatchett, Richard Paul. "The history of ministerial workforce policy and planning in British nursing, 1939-1960." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2005. http://researchonline.lshtm.ac.uk/682335/.
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This thesis examines the government's tripartite approach to workforce policy and planning in British nursing from 1939 until 1960. Emerging histories have placed emphasis on the ministries and their effect upon the development of nursing. However, there remains no examination of their distinctive and interrelated roles in managing nursing workforce policy and planning, This thesis examines the contribution of three of these ministries from initial workforce involvement in the early 1940s, through to the 1950s and the advent of the Committee on Senior Nursing Staff Structure (the Salmon Report). It concludes that three distinct roles emerged from each of the ministries. The Ministry of Labour and National Service (MLNS) dealt with nurse recruitment, the Ministry of Health addressed retention through conditions of service, while the Colonial Office represented replenishment. Such division of ministerial roles and any limited collaboration, however, did not appear to be a part of any conscious workforce policy. The thesis argues that although the Ministry of Health and the MLNS viewed nursing as less prestigious than a traditional profession, strategies appealing to nurses' aspirations were used to promote a sense of professional value in an occupation of many countervailing tensions. Nursing appeared to occupy its own unique space between professions and industrial labour. i The post-war management of the nursing workforce emerges as a highly reactive policy, focusing upon diverse groups for recruitment. It covered the use of part-time nurses to fit into the social expectations of post-war women, the recruitment of male nurses and a manipulation of colonial legislation to the clear benefit of British nursing. Nurse shortages are explored against government unease in the immediate post-war period with the effects of increasing colonial immigration of black workers, which was uncontrolled due to their status as British subjects. The ultimate inadequacy of workforce policies in nursing to deal with the recruitment of black nurses remains a current and controversial workforce issue.
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Bosco, Carol. "The Relationship Between Environmental Turbulence, Workforce Agility and Patient Outcomes." Diss., The University of Arizona, 2007. http://hdl.handle.net/10150/195013.
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For years heath care workers have been dealing with environmental changes which have created turbulent, complex work environments. Turbulence has been considered a negative phenomenon. However Workforce Agility may be a positive response to Environmental Turbulence. Other disciplines are familiar with the term Turbulence and Workforce Agility but there is little research available on this concept despite the impact that they may have on patient outcomes.The purpose of this research was to identify the relationship between Environmental Turbulence, Workforce Agility and Patient Outcomes through the examination of four alternative theoretical models.This research was conducted using secondary analysis of the IMPACT data set (Verran, Effken & Lamb, 2001-2004). The data were reanalyzed in order to answer different questions than the primary study. Causal modeling with path analysis and regression analysis was conducted to answer the research questions. Three questions included the use of either a moderator variable or mediator variable.The setting for the IMPACT Study was acute care hospitals in the Southwestern region of the United States. For the IMPACT study, the sample consisted of patient care units from teaching and non-teaching hospitals. Subjects consisted of staff members who were employed on the patient care units.Data collected from the Registered Nurses were used for the secondary analysis because this research was interested in looking primarily at the nursing unit. The total RN staff assigned to patient care units who responded to the questionnaires was N=454. The total number of patients who responded to the survey was N=1179.In summary, the unit characteristics that were found to be Antecedents to ET were the sub-composites of Team and Complexity. Proxy variables, Collaborative Culture Agility and Experiential Agility, were successfully formed as a composite for WFA and were tested with the primary data. No mediators or moderators were shown; however, main effects of WFA and ET did have an impact on patient outcomes.
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Alroqi, Hammad Meshher. "Perceptions of the community toward the nursing profession and its impact on the local nursing workforce shortage in Riyadh." Thesis, Anglia Ruskin University, 2017. http://arro.anglia.ac.uk/702200/.
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Riyadh City in the Kingdom of Saudi Arabia (KSA) has a chronic and severe shortage of Saudi-trained nurses and a high nurse turnover rate. Expatriate nurses comprise most of the nursing workforce in Riyadh. This presents a challenge to safe healthcare delivery. To formulate strategies to promote and encourage secondary school Saudi students to choose nursing as their career path, it is imperative to understand community attitudes and perceptions toward the nursing profession. The aim of this study is to explore the perception of the Riyadh community toward nursing as a future career choice. In this study, the Riyadh community refers to final year high school students, parents of high school students and Saudi nationals working as nurses in Riyadh. A sequential exploratory mixed-method study was utilised to accomplish the aim and objectives of the study. The first phase uses qualitative focus groups and was conducted with the general community and nursing groups; it explored the issues and their perceptions of nursing in general. A questionnaire was adopted from Elham Al Naqshbandi. The validity and reliability of the questionnaire was tested, and the items of the questionnaire were assessed for their appropriateness. Finally, the questionnaire was distributed to the target sample in groups in Riyadh City. The qualitative findings were presented using explanatory themes in two sections. The three themes in section one are as follows: What is nursing? The contradictions; Social challenges; and Influence on the students’ decision to choose nursing as a career choice. The two themes in section two are the following: Experiences in career choice and a view of nursing in the Riyadh community. In the quantitative stage, 554 (86.6%) high school students completed the questionnaire in October 2014. The findings indicate that although school students respect the nursing profession, they demonstrated a lack of awareness in the community about nursing. Students’ concerns about nursing were around perceived future marital status and the lower financial remuneration compared to other professions. Riyadh community high school students are potential recruits for local nursing programmes and are a source of understanding about nursing as a career choice. The findings of this study support previous studies that reveal that choosing nursing as a career in Riyadh, KSA is strongly influenced by the societal image of the nursing profession and family attitude toward nursing. One’s perception of nursing as a career in Riyadh is influenced by institutional factors in the Saudi context (cultural-cognitive and normative factors). The reasons for not being interested in nursing as a future career include, but are not restricted to, normative factors; social status, financial status and sociocultural factors, such as influence of parents and religion; the issue of mixing with other genders; and long working hours and doing night shifts. Encouraging Saudi high school students to consider nursing as a future career option in Riyadh city requires fundamental reform and improvement to the societal image and understanding of the nursing profession. Strategies to do require plans to engage family members, particularly parents, as well as the leaders from high schools, nursing, the community, media and religious leaders to help reshape the image of nursing.
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Bridges, Jaqueline. "Workforce matters : exploring a new flexible role in health care." Thesis, City University London, 2004. http://eprints.soton.ac.uk/360701/.
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This thesis describes an action research study that took place in the context of increasing intervention by UK central government in the shaping and delivery of health services, and broadening expectations about who could deliver services. The study was aimed at exploring the issues arising from the development of the interprofessional care co-ordinator (IPCC) role in an acute in-patient setting. The role was new, introduced with an inherent flexibility that enabled IPCCs to speed patients through their in-patient stays as fast as clinically possible. None of the four IPCCs appointed held a registrable qualification in health or social care. A review of the literature identified that very little is known about care co-ordinator roles in practice, particularly those held by non-registered workers. The study reported in this thesis began two years after the IPCCs took up post. The study’s objectives were to describe the characteristics, impact, issues and influences on the role. A wide range of qualitative and quantitative data were gathered and analysed between October 1998 and July 2000 within the framework of an action research approach. The findings identified that the IPCC role had informally shifted over time to take up the complex discharge planning work previously carried out by nurses. This shift was not reflected in Trust policy and had not been accompanied by a review of training, regulation or supervision. This had led to situations of risk for some patients. The findings threw light on contextual factors that enabled the role shift and disrupted the reflective leadership and long-term overview needed to monitor and respond to the shift. These factors included nursing staff shortages and a turbulent environment for managers characterised by multiple pressures, top-down targets particularly for acute efficiency, and high managerial turnover. In addition, nurses did not perceive that they had an influence on the ongoing development of the IPCC role. The findings support Abbott’s (1988) theory that an occupational group can take up the discarded work of a higher status occupational group, but challenge the theory that the work discarded is always more routine than the work retained. They support theories of a growing challenge to the primacy of professional knowledge and the existence of an organisational culture in the NHS in which there are broader expectations of who can deliver which health services. They also indicate that role substitution can lead to the routinisation and marginalisation of aspects of patient care. The findings also illustrate how an innovation can continue to be re-invented following its establishment into routine practice, and how the journey of an innovation can be influenced by its context. The findings throw light on a role in practice that is a cameo of current policy on new roles and have a number of implications for practice, policy, education and research.
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Lavieri, Mariel Sofia. "Nursing workforce planning and radiation therapy treatment decision making : two healthcare operations research applications." Thesis, University of British Columbia, 2009. http://hdl.handle.net/2429/29655.
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This thesis discusses two applications of operations research to healthcare: nursing workforce
planning and radiation therapy treatment decision-making. The first application describes a linear
programming-based hierarchical planning tool that determines the optimal number of nurses to
train, promote to managerial levels and recruit over a 20 year planning horizon to achieve nursing
and managerial targets. The model is based on the age dynamics and attrition rates of the nursing
workforce. The tool has been developed to assist policy makers in planning the British Columbia
registered nurses workforce. Its simplicity of use makes it ideal for scenario and “What-If” analyses.
The second application presents a novel approach to model individual disease progression of
prostate cancer patients who receive neoadjuvant hormone therapy before radiation therapy. The
model is used to help clinicians determine when to initiate radiation therapy based on a patient’s
prostate specific antigen (PSA) dynamics. Each patient’s PSA dynamics is modeled by a log
quadratic curve. Prior distributions for the curve parameters are obtained from population
characteristics. The distribution of the time of the PSA nadir is derived from an approximation of the ratio of two correlated normal random variables. Using a dynamic Kalman filter model, parameter estimates are updated as new patient-specific information becomes available. Clustering is incorporated to improve prior estimates of curve parameters. The model trades off the risk of beginning radiation therapy too
soon, before hormone therapy has achieved its maximum effect, against waiting too long to start
therapy after there has been a potential increase in the number of tumor cells resistant to the
treatment. We illustrate and validate our modeling approach by comparing clinically
implementable policies on a cohort of prostate cancer patients, and show that our approach outperforms the current protocol by identifying earlier when radiation therapy should start for each patient.
While both applications involve very different approaches, they incorporate dynamic decision-making in the field of healthcare. A deeper knowledge of the potential of the field is achieved by
understanding the challenges faced and methodology used to guide decisions on a policy level as
well as on a patient-specific level.
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Al-Rashdy, Rabie'e Kayid S. "Role of human resources management practices in the localisation of nursing workforce in Oman." Thesis, Edinburgh Napier University, 2007. http://researchrepository.napier.ac.uk/Output/3857.
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Owens, Susan J. "Understanding RN workforce education in the rural north-central region of Michigan." Thesis, Indiana University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3609666.
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National calls for a better-educated nursing workforce are proliferating. The Institute of Medicine (IOM) challenged the nursing profession by setting the goal of having 80% of the nation's nurses prepared at the baccalaureate level (BSN) or higher by 2020. This is an ambitious goal given that, nationally, only 50% of nurses have a BSN. In fact, only 40% of nurses in Michigan have a BSN, and in the rural North-Central Region of this state, only 29% (the lowest in the state) of the nurses have a BSN. The purpose of this hermeneutic phenomenological study was to understand and interpret the meaning of being an associate degree (AD) nurse, the meaning attaining a BSN has for rural registered nurses who currently have an AD, and the barriers they experience that inform their decisions to return to school (or not). The investigator interviewed 11 AD nurses from rural North-Central Michigan and analyzed interview transcripts to identify common experiences and shared meanings using methods identified by Diekelmann, Allen, and Tanner (1989). Two themes were explicated in this study: "Getting in and Getting out" and "What Difference Does it Make?" The findings in this study challenge many of the common assumptions about academic progression in nursing and provide educators, administrators, and legislators with insight about the strategies that may be most helpful for achieving the IOM goal in rural Michigan.
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Bonner, Alice F. "Certified Nursing Assistants’ Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation." eScholarship@UMMS, 2008. https://escholarship.umassmed.edu/gsn_diss/10.
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Patient safety culture (PSC) is a critical factor in creating high reliability healthcare organizations. However, few studies to date have correlated PSC measures with actual safety outcomes. In particular, nursing home studies have only recently appeared in the literature. Nursing homes differ from hospitals in that the vast majority of direct care is provided by certified nursing assistants (CNAs), not licensed nurses. Thus nursing home PSC could differ in important ways from PSC in acute care institutions.
This dissertation was a secondary data analysis that examined whether CNAs’ perceptions of patient safety culture were correlated with clinical outcomes in a random sample of 74 nursing homes in five randomly selected states. This study matched CNA PSC survey data using the Hospital Survey of Patient Safety Culture (HSOPSC) with Minimum Data Set (MDS), Area Resource File (ARF) and Online Survey Certification and Reporting (OSCAR) data from those same homes during the first two quarters of 2005. In the original study, 1579 nurse aides out of 2872 completed the survey, for a 55% response rate.
In addition to clinical outcomes, this study examined the relationship between CNA PSC scores and staff turnover. The relationship between certain demographic variables, such as level of education, tenure as a CNA, and PSC scores was evaluated. The relationship between certain facility characteristics, such as profit status and bed occupancy was also assessed. An exploratory factor analysis of the original HSOPSC instrument was re-run for this nursing home CNA sample.
Data were analyzed using Poisson regression and multilevel techniques; descriptive statistics were compiled for demographic data. Major findings from the regression analyses and combined GEE models suggest that certain factors, such as CNA turnover and LPN staffing may predict CNA PSC scores. CNA PSC scores were associated with rates of falls and restraint use, but were not associated with differences in pressure ulcer rates in this sample. Few associations for CNA PSC with individual subscales were identified. The exploratory factor analysis revealed some potential differences in how items and subscales factored in this nursing home CNA population.
This dissertation represents an important step in the evaluation of CNA PSC in nursing homes and the relationship of PSC to safety outcomes. Future work on nursing home PSC and clinical and workforce outcomes is described.
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Gillespie, Rencia S. "A descriptive survey of the nursing workforce in critical care unit in hospitals of the Western Cape Province." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/2949.
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Includes bibliographical references (leaves 113-121).A global shortage of Registered Nurses (RNs) has been reported internationally, and confirmed in South Africa by the National Audit of Critical Care services. Critical Care Nurses (CCNs) especially are in great demand and short supply. This has affected the quality of patient care. The purpose of this study was to perform a workforce analysis and needs assessment of critical care nursing services in the Western Cape Province as at 1 January 2005. The study design is a descriptive survey conducted on site in the critical care units of the private and public sector hospitals of the Western Cape, using a structured questionnaire, with a 96.5% return rate. Findings showed that the 35 hospitals surveyed in the public and private healthcare sectors had 80 functional critical care units including Intensive Care Units and High Care Units for adults, children and neonates, and High Dependency Units for adults. Factors that contribute to the demand for critical care nurses include the number of critical care beds, patient admissions, severity of illness, available facilities, medical, nursing and support staff. Compared to internationally accepted norms, the Western Cape units have a deficit of 74% of Registered Nurses (RNs) in the public sector hospitals, and a deficit of 82% in the private sector. This equates to an actual shortage of 3010 RNs for both sectors. If all categories of nursing staff are included in the calculation, the public sector meets 49% of its requirements and the private sector 24%. Half of the private sector and 28.9% of the public sector Registered Nurses are Critical Care Nurses. Few measures appear to be taken to recruit and retain nursing staff. The number of students being trained at both the undergraduate (300 during 2004) and the postgraduate (80 CCNs during 2004) level at the educational institutions, in conjunction with the hospitals, is inadequate. Clinical training institutions are available, but the numbers of educators and clinical mentors are inadequate to train the number of nurses required to meet the demand.
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Milne, Pauline. "Devolution and nursing workforce policy and planning in the four countries of the United Kingdom, 1997-2009." Thesis, Queen Margaret University, 2013. https://eresearch.qmu.ac.uk/handle/20.500.12289/7384.
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This thesis examines how political devolution in the UK impacted upon nursing workforce policy and planning by investigating the following research questions: What has been the impact of devolution on nursing workforce policy and planning across the four countries of the UK (1997-2009)? How and why have the approaches to nursing workforce policy and planning changed across the four countries of the UK (1997-2009)? The research methodology used was a mixed methods approach which included semi-structured interviews with 30 stakeholders from the fields of nursing, healthcare policy or workforce planning across the UK. A purposive sampling strategy was adopted and the distribution of interviewees was England (11), Scotland (7), Wales (6) and Northern Ireland (6). A realist review approach to inquiry was taken which involved establishing what works for who, in what circumstances and why? The qualitative data from the interviews was supplemented by analysis of quantitative data on nursing workforce trends and information from the analysis of health policies from the four countries. The key findings include: changing patterns of power and influence in the devolved administrations; continued cycles of ‘boom and bust’ in nursing workforce supply; variable growth in the nursing workforce across the UK; the unwillingness of England to ‘let go’ and the perception by interviewees that some national nursing policies were unimportant. The conclusions were that although devolution enabled greater freedoms in terms of policy and workforce flexibility, just under half of the interviewees reported that devolution had a positive impact upon nursing. There was reluctance from senior nursing leaders to share and learn from good practice across countries and despite the rhetoric from numerous reports around the need to improve nursing workforce planning, there was little evidence of lessons being learned which would have improved the effectiveness of planning the future nursing workforce.
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Schoen, Jodi Lynn. "CONGRUENCY OF LEARNING STYLES AND TEACHING STYLES ON PERFORMANCE OUTCOMES OF CERTIFIED NURSE AIDE STUDENTS." OpenSIUC, 2018. https://opensiuc.lib.siu.edu/dissertations/1563.
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JODI L. SCHOEN Doctor of Philosophy degree in WORKFORCE EDUCATION & DEVELOPMENT, presented on March 22, 2018, at Southern Illinois University Carbondale. TITLE: CONGRUENCY OF LEARNING STYLES AND TEACHING STYLES ON PERFORMANCE OUTCOMES OF CERTIFIED NURSE AIDE STUDENTS COMMITTEE CHAIR: Dr. Barbara Hagler The study of learning styles and teaching styles is a topic of growing interest and debate over the benefit of matching learning styles to teaching styles for improved student performance. There is a diversity of learning style and teaching style instruments that attempt to identify patterns or preferences. The learning theory suggests that knowing this information can improve learning through adjusting curriculum or teaching styles armed with this knowledge. A need for further research in the learning context of nurse aide student population was identified and the focus of this research. Hence, the purpose of this study was to examine the learning styles of students and teachers, teaching styles and the influence of congruency on performance. The sample for the study consisted of 187 nursing assistant students and 23 instructors. The Kolb Learning Style Inventory (LSI) version 3.1, and Grasha-Reichmann Teaching Style Inventory (TSI) were used to measure learning styles and teaching styles, and a questionnaire was used to gather demographic data. These data were compared to test scores gathered via The Illinois Nurse Aide Competency Test. The findings showed that there was no significant influence of the four learning styles identified through the Kolb LSI of accommodating, diverging, assimilating and converging. However, there was a significant relationship between the concrete experience (CE) learning style construct and decreased test performance. There were no significant findings to support the congruency of learning styles of students and teacher on outcomes. Although the mean scores of those matching learning styles achieved a higher mean of 84.75, as compared to 80.28 to those not-matching learning styles. Teachers had an increased preference for Expert, Formal Authority and Personal Model teaching styles, and teaching style had no significant effect on test performance. The most common learning styles were Diverging (39%), Assimilating (28%), Accommodating (26%) and Converging (7%) for students, and Assimilating (40%), Diverging (35%), Converging (15%) and Accommodating (10%) for teachers.
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Tanishima, Noriko. "A comparative study of nursing workforce planning policies related to recently qualified nurses in Scotland and Japan." Thesis, University of Glasgow, 2012. http://theses.gla.ac.uk/3639/.
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This study investigated two cases in Scotland and Japan regarding government nursing workforce policies related to recently qualified nurses (RQNs) and the responses of clinical practice to these policies. Comparisons of findings and results between Scotland and Japan were made. Mixed methods were used including questionnaires (adapted POWCS and PES-NWI) and semi-structured interviews. In Scotland, five NHS managers, seven ward managers, and nine RQNs participated for the semi-structured interviews. A total of 119 Scottish RNs participated for the questionnaires. In Japan, seven nurse managers, six ward managers, and six RQNs participated for the semi-structured interviews. A total of 83 Japanese RNs responded to the questionnaires. In Scotland, three government initiatives related to RQNs for the last 5 years were identified; ‘One Year Job Guarantee’, ‘Flying Start’(FS), and ‘Early Clinical Career Fellowships’(ECCFs). Several responses in clinical practice to these initiatives were identified from the interviews and questionnaires. Firstly, FS and ECCFs were understood as ‘good support’ by managers and RQNs. However, RQNs did not find FS helpful for supporting their transition process. Lack of engagement and poor understanding among RNs was found to be an issue as well as a lack of evaluation and tracking system for FS and ECCFs on completion of the programmes In Japan, two major legislative changes related to RQNs for the last 5 years were identified; change in the Medical Care Fee Schedule for Remuneration and change in ‘Public Health Nurses, Midwives, and Nurses Act’ and ‘Nurse Provision Act’. An Increased number of RNs in the study hospitals was reported as an outcome for the Medical Care Fee Schedule for Remuneration. The increased annual inflow of RQNs caused issues such as increased workload for experienced nurses as well as a lack of the ability of experienced nurses as clinical educators for RQNs. Lack of funding and resources were found to be key issues for maintaining nurse staffing levels as well as the lack of a monitoring system for Japanese nursing workforce such as registration system. Findings from this study suggested several factors for better policy development and implementation related to RQNs in Scotland and Japan; 1) there is a need to establish an evaluation or monitoring system for government initiatives in both countries, 2) the importance of developing and implementing nursing workforce policies without large fluctuations in nursing workforce was highlighted, 3) the Japanese government needs to develop more integrated nursing workforce policies, 4) the importance of having engagement from RNs with policies related to clinical practice was reported, 5) finally, this study suggests that Scottish and Japanese governments need to keep the attempts to sustain the changes by previous policies. The findings added to the current knowledge by providing the insight of each country related to recently qualified nursing workforce policy from two single case studies.
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Almadani, N. "The implications of nursing degree education for future workforce planning in Saudi Arabia : a case study." Thesis, University of Salford, 2017. http://usir.salford.ac.uk/42222/.
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Health system reconfiguration in Saudi Arabia as a response to changing demographics and related health needs is an important and timely driver for the development of nurse education, specifically, the introduction of degree education as a basic requirement for nursing practice. The Saudi government is trying to meet international standards by implementing a change to nurse education by making it an all degree profession. However, as a result, there are many challenges that still need addressing. Utilising a qualitative case study approach, documentary analysis was undertaken and semi-structured interviews were conducted with twenty-five key stakeholders in order to critically assess the actual implications of a nursing degree as the baseline criteria for and to enter nursing practice. The formal and informal documentary analysis indicated that there was a clear lack of involvement from nurses in the consultation process prior to implementing the degree education policy. However, the interviews conducted with nursing staff (at a macro, meso and micro level) indicated general agreement that a Bachelor degree in nursing would further support the knowledge and communication requirements for improving the quality of nursing practice. Factors affecting degree attainment included a personal commitment/passion for self-improvement, private versus government institutions, the quality of programmes of education and financial issues. Data indicated the increased knowledge base gained through degree education, supported a growth in confidence, decreased absenteeism, enhanced nursing skills and responsibilities, and gave opportunity for advancement. More importantly, such benefits increased the quality of nursing practice and patient safety outcomes. Recommendations based on the findings of this study, highlight the importance of a process of consultation between governmental bodies and relevant nursing staff, who are affected by future policy changes. The need for a national curriculum, and a differentiation of nursing job descriptions, based on the education level attained, together with improved clinical supervision for nurses in practice.
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Darawad, Muhammad Waleed. "An Examination of the Role Discrepancy, Depressive symptoms, and Turnover Intention among the Jordanian Nursing Workforce." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1243957418.
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Gale, Albert. "Qualitative multi-case study of nurse leaders' beliefs about multinational workforce impact on hospital operations." Thesis, University of Phoenix, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3736720.
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The specific problem under study results from the growth of multinational workforces in U.S. hospitals and the gap in the literature explaining how the presence of these workforces impacts hospital leadership, decision-making, and financial performance. The purpose of this qualitative embedded multi-case study was to discover and describe hospital nursing leader’s beliefs from their experiences about how having employees from multiple national cultures affects nursing leadership, decision-making, and departmental financial performance in the hospital. The challenge faced by many hospitals is that the U.S. workforce is becoming culturally diverse as the global workforce increases its geographical mobility. The current research was important because results revealed nurse leaders’ beliefs about a link between the cultural dimensions of a multinational workforce and the decision-making, financial performance, and patient care within a hospital nursing department. The sample included eight nursing leaders from seven hospitals where the workforces are multinational and culturally diverse. The cultural dimensions by Hofstede were used to study the impact of a multinational workforce on the organizational practices of a nursing department in a hospital setting. Results revealed nine core themes, expected from the literature, and two emerging themes provided answers to the research questions. The nine core themes were Hofstede’s cultural dimensions, workforce values, nursing organization impact, immigration/migration, nursing leadership, nursing workforce, organization culture, change, and develop multicultural organization attributes. The two emerging themes were familismo (family loyalty influences multinational workforce decision making) and hospital refusal to hire multicultural nurses whose national culture conflict with the organization’s culture.
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Miller, Telva. "A qualitative phenomenological study| Hiring nurses re-entering the workforce after chemical dependence." Thesis, University of Phoenix, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3583325.
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Although many studies may have been conducted to gain greater insight into the experiences of chemically impaired nurses, few, if any, studies focused on understanding and explaining the experiences of administrators who have hired, fired, or supervised chemically rehabilitated professionals. Imogene King’s conceptual system and theory of goal attainment forms the framework for this study because the model is focused on three interacting systems identified as personal, interpersonal, and social systems. King views people as dynamic human beings whose discernment of persons, events, and objects guide their behaviors, social interactions, and physical well-being. In this qualitative phenomenological study, the lived experiences of administrators, supervisors, and managers who have hired, fired, or supervised recovered chemical dependent nurses as well as managers’ perceptions and attitudes about professionals rehabilitated from chemical dependency re-entering practice are explored. Each member of the purposefully selected sample participated in audiotaped open-ended interviews. The information was analyzed according to Colaizzi’s procedural steps. The major themes that emerged included demonstration of compassion, concern for the assignment of duties, the influence of personal values (forgiveness, acceptance, and respect for others), and eligibility for employment and the successful completion of the Impaired Nurse Program (IPN). Results from the study add to existing nursing literature and may assist leaders to construct a work setting conducive to meeting the goals set forth by health administrators as well as provide insight into and acceptance of the rehabilitated professional in the work setting.
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Kinsella, Cheyenne. "Strategies that Influence Retention Rate in Ohio Nursing Home State Tested Nurse Aides." Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1590929444739033.
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Wolff, Angela Christine. "Do relational differences in demographics and work values result in conflict and burnout in the nursing workforce?" Thesis, University of British Columbia, 2009. http://hdl.handle.net/2429/13240.
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The consequences of diversity have not been formally considered as contributing to undesirable work environments in healthcare. I sought to address this gap by examining a conceptual model that explains how diversity within the nursing workforce gives rise to interpersonal conflict (relationship and task) within workgroups, which in turn, is linked to burnout (emotional exhaustion, depersonalization, and diminished personal accomplishment). Diversity was defined as the degree of relative difference or dissimilarity between an individual and other workgroup members on select attributes, which in this study were age, education, ethnicity/race, and work values.
Using a cross-sectional survey design, data were taken from a population-based sample of 603 nurses (registered nurses and licensed practical nurses) (80% response rate) in two acute care hospitals in British Columbia, Canada. At the individual level of analysis, a two-step approach to latent variable modelling was used: (a) factor analysis techniques to test and establish the validity of the measurement model and (b) structural equation modelling to test the hypothesized model.
Partial support for the proposed model was found for both the direct relationships between diversity and burnout as well as the mediating effects of interpersonal conflict. Overall, the results indicated that perceived diversity explained a greater percentage of the variance in burnout compared with the explanatory power of actual diversity. Specifically, perceived work values and educational diversity were the most important explanatory variables of depersonalization (Pratt index = 58% and 21%, respectively) and were similarly predictive of diminished personal accomplishment (Pratt index = 69% and 35%, respectively). Emotional exhaustion was solely (Pratt index = 100%) explained by perceived work values diversity; however, the total variance explained was very minimal. Both individuals’ involvement in relationship and task conflict were the predominant mediating variables of the relationships between perceived work values diversity and emotional exhaustion (59% and 76% total mediation, respectively), depersonalization (57% and 68% total mediation, respectively), and diminished personal accomplishment (28% and 32% total mediation, respectively). The implications of the study relate to nurses and decision-makers at the micro, meso, and macro level of practice to create a climate of support for, and acceptance of, diversity in healthcare workplaces.
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Burr, Joyce. "The Self-described Experience of Coping and Adaptation Associated with Workplace Stress of Registered Nurses in the Acute Care Setting in Florida: An Ethnographic Study." Doctoral diss., University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5147.
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Little is known about how nurses learn and use coping and adaptation skills in the workplace. Quantitative studies have identified the factors, nature, and outcomes of nursing stress. However, qualitative studies describing the human experience associated with workplace stress are lacking. The phenomenon of interest for this study using focused ethnographic method is the self-described experience of coping and adaptation associated with workplace stress of registered nurses working 12-hour shifts employed in acute care hospital facilities in east central and central Florida. Three aspects of the phenomena were examined: the self-described experiences of stress, the manner in which coping skills are acquired, and the manner in which adaptation strategies are developed by experienced bedside nursing working 12-hour shifts in acute care hospital facilities. The purposive sample included nine female bedside nurses with five or more years' experience, working 12 hour shifts in acute care hospital facilities on bedside units, with patient ratios of 4:1 or greater. Data were collected using semi-structured, digitally recorded interviews at mutually convenient locations. The qualitative data were analyzed using inductive, constant, comparative process of coding, sorting, generalizing, and memoing to guide exploration and identify emergent themes and patterns. The predominant theme of stress emerged as the overwhelming sense of duty to the patient. Additional themes of coping and adaptation were noted. Recommendations for research, education, practice and policy are offered to support a healthy and sustainable nursing workforce.Ph.D.
Doctorate
Nursing
Nursing
Nursing
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Crevacore, Carol. "Delegation practices between the registered nurse and the assistant in nursing in the acute care setting in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2021. https://ro.ecu.edu.au/theses/2477.
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Background:
Delegation is an essential skill that allows the Registered Nurse (RN) to allocate aspects of patient care to other team members including the unregulated Assistant in Nursing (AIN). Concerns have been raised about the activities delegated to AINs in the acute care environment.
Aim:
The aim of this research was to explore the practice of delegation between the RN and the AIN in the acute care environment. This delegation practice was examined through the lens of both the RN and the AIN.
Methodology:
This study used a mixed method explanatory sequential design. The participants were RNs and AINs working in an acute public hospital in Western Australia. The surveys completed by the RNs (n = 100) included their attitude to delegation, the risk management process undertaken prior to delegation and the tasks that they delegated to the AIN. The surveys completed by the AINs (n = 79) included their experience with RNs during delegation and the activities they complete while working in the clinical environment. The survey data were analysed using descriptive statistics. The findings from these data informed the questions for the semi structured interviews which formed the second phase of this research. Interviews with RNs (n = 12) and AINs (n = 11) were conducted, transcribed verbatim and analysed using Braun and Clarke’s thematic analysis. Results from both phases were triangulated to provide a richer understanding of the phenomena.
Results:
Five factors were identified that influence the RN’s decision-making surrounding delegation: 1) personality characteristics of the RN; 2) the multifaceted act of delegation, 3) understanding of the AIN scope of practice; 4) clinical decision-making, and 5) undergraduate nursing students working as AINs.Two factors were identified that influence an AIN’s decision to accept a delegation; wanting to be thought of as a valuable team member and, the quality of the handover.
Conclusion:
Shortages in skilled nursing staff, financial constraints, and increasing patient acuity within healthcare have resulted in the increased use of the AIN. Nursing staff need to work effectively with these staff to ensure safe, efficient care delivery. Therefore, it is essential that RNs have the skills, knowledge and experience to delegate effectively to the unregulated workforce.
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Cancino-Rey, Marlenne. "Nurses and health and safety : interpretation and application of health and safety legislation among the nursing workforce within hospitals /." Title page, table of contents and abstract only, 1992. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmc215.pdf.
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Gillespie, Brigid Mary, and N/A. "The Predictors of Resilience in Operating Room Nurses." Griffith University. School of Nursing and Midwifery, 2007. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20070824.123750.
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The nursing workforce has experienced considerable change during the previous decade, resulting in a chronic shortage of nurses. Issues such as economic rationalism, increased workloads, changes in nursing education and the advancing age of the current nursing workforce are the chief contributors to this shortage (Australian Institute of Health & Welfare, 2005b; Buerhaus, Staiger, & Auerbach, 2000b). Operating room (OR) nursing is a primary specialty area that has been especially affected by rising nurse attrition and a reduction in nurse recruitment (Australian College of Operating Room Nurses, 2003; Australian Health Workforce Advisory Committee, 2002). Accordingly, the loss of skilled nurses from the OR specialty compounds the negative effects on morale for those who remain in the environment, as they struggle to provide safe patient care while concomitantly being responsible for the clinical development of neophyte and inexperienced nurses (Australian Health Workforce Advisory Committee, 2002; Arndt, 1998). In the midst of working in the OR environs where the nature of the associated stressors is unique, resilient qualities may assist nurses to meet and overcome these challenges. If there is to be a continued nursing presence in the OR, it is essential that nurses be given the opportunity to develop resilience. At this time when nurse retention rates are continuing to decline steadily, there is a compelling need to identify and describe the relationship between resilience and its predictors in the context of the OR. To date, little is known about predictors of resilience and their potential to ameliorate the effects of workplace stress in the OR. The overall purpose of this study was to identify and describe the predictors of resilience in OR nurses. A literature review and concept analysis of resilience was initially conducted. Hope, self-efficacy, coping and personal characteristics were identified as defining characteristics of resilience. Next, the research was conducted as a mixed method phased study that was underpinned by the pragmatist paradigm, and employed a sequenced combination of qualitative followed by quantitative inquiry (Morgan, 1998). The first phase used a mini-ethnography to identify and describe the components of workplace culture in an OR in relation to their potential impact on nurses ability to adapt in this culture. A triangulated approach was used involving participant observation, a reflective journal, field notes and interviews. This phase revealed that competence, knowledge, collaboration, peer support and the ability to manage challenges were central components of OR workplace culture. From these categories, three themes were abstracted and subsequently developed into constructs that were measured and validated in the larger second phase. The second phase used a predictive correlation survey to describe empirically the relationship between resilience and its hypothesised predictors in a systematic random national sample of nurses who were members of the Australian College of Operating Room Nurses (ACORN), and a combined sample of hospital nurses purposively drawn from two similar hospital sites. The survey included scales measuring perceived competence, collaboration, managing stress, self-efficacy, hope, coping, and resilience, as well as gathering information about the demographic characteristics of nurse respondents. Out of a total potential sample of 1,730 OR nurses, the overall response rate was 51.7% (n = 896). Differences between the ACORN and hospital samples were found in age, years of experience, education and years of employment; therefore, the national and hospital samples findings were analysed separately. Five independent variables hope, self-efficacy, coping, managing stress and competence predicted resilience in the larger sample of ACORN respondents (n = 772). For the substantially smaller sample of hospital respondents (n = 124), hope, self-efficacy and managing stress predicted resilience. Given that the smaller hospital sample resulted in a similar model, this consistency lends strength and weight to the revised resilience model. Over 60% of the variance in resilience was explained by the independent variables in each model. Given the dearth of literature describing the efficacy of resilience in ameliorating stress in OR contexts, the results of this study have extended the theoretical application of the resilience concept to include a nursing context. There is a need to implement resilience-building strategies that address the culture of the OR, both at the departmental and organisational levels. Strategies that provide a supportive workplace environment in relation to goal-orientation, the provision of stress management and education programs, and strategies that facilitate cultural assimilation may improve resilience, and hence retention and recruitment rates in the OR. The findings of this study support the need for further research not only to test the stability of the proposed model among other groups of nurses but also to explore further predictors of resilience in the OR setting.
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Gillespie, Brigid Mary. "The Predictors of Resilience in Operating Room Nurses." Thesis, Griffith University, 2007. http://hdl.handle.net/10072/365391.
Full textAbstract:
The nursing workforce has experienced considerable change during the previous decade, resulting in a chronic shortage of nurses. Issues such as economic rationalism, increased workloads, changes in nursing education and the advancing age of the current nursing workforce are the chief contributors to this shortage (Australian Institute of Health & Welfare, 2005b; Buerhaus, Staiger, & Auerbach, 2000b). Operating room (OR) nursing is a primary specialty area that has been especially affected by rising nurse attrition and a reduction in nurse recruitment (Australian College of Operating Room Nurses, 2003; Australian Health Workforce Advisory Committee, 2002). Accordingly, the loss of skilled nurses from the OR specialty compounds the negative effects on morale for those who remain in the environment, as they struggle to provide safe patient care while concomitantly being responsible for the clinical development of neophyte and inexperienced nurses (Australian Health Workforce Advisory Committee, 2002; Arndt, 1998). In the midst of working in the OR environs where the nature of the associated stressors is unique, resilient qualities may assist nurses to meet and overcome these challenges. If there is to be a continued nursing presence in the OR, it is essential that nurses be given the opportunity to develop resilience. At this time when nurse retention rates are continuing to decline steadily, there is a compelling need to identify and describe the relationship between resilience and its predictors in the context of the OR. To date, little is known about predictors of resilience and their potential to ameliorate the effects of workplace stress in the OR. The overall purpose of this study was to identify and describe the predictors of resilience in OR nurses. A literature review and concept analysis of resilience was initially conducted. Hope, self-efficacy, coping and personal characteristics were identified as defining characteristics of resilience. Next, the research was conducted as a mixed method phased study that was underpinned by the pragmatist paradigm, and employed a sequenced combination of qualitative followed by quantitative inquiry (Morgan, 1998). The first phase used a mini-ethnography to identify and describe the components of workplace culture in an OR in relation to their potential impact on nurses’ ability to adapt in this culture. A triangulated approach was used involving participant observation, a reflective journal, field notes and interviews. This phase revealed that competence, knowledge, collaboration, peer support and the ability to manage challenges were central components of OR workplace culture. From these categories, three themes were abstracted and subsequently developed into constructs that were measured and validated in the larger second phase. The second phase used a predictive correlation survey to describe empirically the relationship between resilience and its hypothesised predictors in a systematic random national sample of nurses who were members of the Australian College of Operating Room Nurses (ACORN), and a combined sample of hospital nurses purposively drawn from two similar hospital sites. The survey included scales measuring perceived competence, collaboration, managing stress, self-efficacy, hope, coping, and resilience, as well as gathering information about the demographic characteristics of nurse respondents. Out of a total potential sample of 1,730 OR nurses, the overall response rate was 51.7% (n = 896). Differences between the ACORN and hospital samples were found in age, years of experience, education and years of employment; therefore, the national and hospital samples’ findings were analysed separately. Five independent variables – hope, self-efficacy, coping, managing stress and competence – predicted resilience in the larger sample of ACORN respondents (n = 772). For the substantially smaller sample of hospital respondents (n = 124), hope, self-efficacy and managing stress predicted resilience. Given that the smaller hospital sample resulted in a similar model, this consistency lends strength and weight to the revised resilience model. Over 60% of the variance in resilience was explained by the independent variables in each model. Given the dearth of literature describing the efficacy of resilience in ameliorating stress in OR contexts, the results of this study have extended the theoretical application of the resilience concept to include a nursing context. There is a need to implement resilience-building strategies that address the culture of the OR, both at the departmental and organisational levels. Strategies that provide a supportive workplace environment in relation to goal-orientation, the provision of stress management and education programs, and strategies that facilitate cultural assimilation may improve resilience, and hence retention and recruitment rates in the OR. The findings of this study support the need for further research not only to test the stability of the proposed model among other groups of nurses but also to explore further predictors of resilience in the OR setting.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
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Al-Thowini, Kasem. "Toward the indigenization of the nursing workforce in Saudi Arabia : comparative study of three Gulf States - Saudi Arabia, Bahrain and Oman." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2009. http://researchonline.lshtm.ac.uk/682428/.
Full textAbstract:
For the last three decades, the Gulf Cooperation Council (GCC) states, comprising Bahrain, Kuwait, Sultanate of Oman, Qatar, Saudi Arabia and the United Arab Emirates (UAE) have relied heavily on doctors, nurses and allied health professionals recruited from other countries. Globally, there is a persistent shortage of doctors and nurses and the GCC countries are no longer able to meet their human resource requirements through international recruitment. They have thus pursued policies that aim to increase the supply of qualified indigenous health-care professionals - indigenization. This study aims to understand and examine why and how an indigenization policy has been formulated and implemented in a purposively selected sample of three Gulf States. Saudi Arabia, Bahrain and Oman have many commonalities and the structures of their health-care services, labour force and indigenization policies confront similar broad issues and challenges. However, they were selected to represent different social, cultural and policy environments in the region and different levels of success in creating an indigenous nursing workforce. This study employs a qualitative research approach to generate an in-depth understanding of the factors that facilitate or inhibit the implementation of indigenization policies in nursing. This includes semi-structured interviews with 78 stakeholders comprising current and former policy-makers, human resource managers, religious leaders and nursing officials living and working in one of the three Gulf States. Document analysis provided the historical and technical background for understanding the mechanism of the indigenization policy process and practices. Findings reveal that cultural, economic and political issues play important roles, as do society's views on education, the role of women and the image of nursing. The recommendations to address these issues, particularly in respect of increasing women's participation in the workforce, may contribute to the development of nursing in the Gulf.
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Yami, A. "Using the theory of planned behaviour to explore the intentions of a multicultural nursing workforce to comply with policies and procedures in the Prince Sultan Military Medical City (PSMMC)." Thesis, University of Southampton, 2015. https://eprints.soton.ac.uk/381574/.
Full textAbstract:
The nursing shortage in the Kingdom of Saudi Arabia (KSA) causes administrative difficulties and increases worries about the quality of healthcare being provided, as well as contributing to the employment of a multicultural nursing workforce. Evidence indicates that, although nurses are increasingly compliant with nursing policies and procedures to ensure a higher quality of nursing care, there is still a wide variance in that compliance. The Theory of Planned Behaviour (TPB) is a social cognitive model of behaviour used to investigate attitudes and behavioural relationships and to understand individuals’ behavioural intentions in relation to their performance. However, the TPB has not been previously used to attempt to explain this variance in a multicultural nursing workforce. The aim of this study was to examine the usefulness of the TPB in explaining variations in nurses’ intentions to comply with the pre-operative skin preparation policy. This study consisted of two phases, both conducted within a large military hospital in the KSA. The first phase, an elicitation study, was carried out to identify salient beliefs about compliance behaviour held by nurses working in general surgical areas. The findings from the elicitation study were used to develop the final theory-based questionnaire developed to understand the beliefs underpinning nurses’ intention to comply with the pre-operative skin preparation policy. The second phase of the study involved an anonymous and self-administered questionnaire designed to assess the variables in the TPB. The instrument included measures of behavioural intention to comply with pre-operative skin preparation policy, attitudes, subjective norms and Perceived Behavioural Control (PBC). Due to data that were not normally distributed, behavioural intention was dichotomised into high behavioural intention and low behavioural intention. A logistic regression analysis was used to test the relationships between the behavioural intention and the TPB variables. The results revealed that the TPB model explained up to 40% of variance in behavioural intention to comply with the pre-operative skin preparation policy, X2 (5, N=229)= 21.5, P<0.05. Results showed that attitudes (Odds Ratio= 3.86, 95% Confidence Interval= 2.07-7.20, P<0.05) and subjective norms were the significant predictors of nurses' high behavioural intentions. However, PBC (Odds ratio 1.30, 95% CI= 0.81-2.09, P>0.05) was not. In conclusion, the findings of this study support the usefulness of the TPB model in predicting nurses’ intentions to comply with a pre-operative skin preparation policy. The results could be used to develop effective intervention strategies based on the nurses' beliefs that underpin their behavioural intention to comply with hospital guidelines and policies. However, future research can confirm the result of this study and expanding the list of contextual variables.
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Proctor, Susan. "A study of the effects on the provision of nursing services of dependence on a learner nurse workforce to staff hospital wards." Thesis, Northumbria University, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.236052.
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Hawkins, DeAnna Hawkins. "Educating the Current and Future Nursing Workforce on Principles of Health Equity: A Standardized Social Determinants of Health Screening Tool and Education Module." Xavier University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1525611349608889.
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Anselm, Robin Lee. "Consensus in Anesthesia Handoff Reporting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3929.
Full textAbstract:
Despite some improvement, no consensus exists to perfect quality in anesthesia handoff practice and policy. This quality improvement project was designed to assist a local anesthesia and perioperative workforce questioning the quality of its current handoff. Theories and models used to inform the project included the Inter-Professional Team Collaborative, Lewin's change theory, the continuous quality improvement theory, and the knowledge to action model. The communication assessment tool (CAT) functioned as a needs assessment yielding a gap in handoff practice of 25 participants. The CAT also served as the post project evaluation survey. The situation, background, assessment, and recommendation (SBAR) tool was preferred. Participants received SBAR education, and clinical evaluation experience (CEX) survey training. The CEX described the quality indicators of participant handovers during four consecutive weeks. Descriptive and inferential statistics used to analyze data collections included means and standard deviations, examining trends in the continuous level variables. Reliability of the CAT variables was evaluated through Cronbach's alpha test of internal consistency. Inferential analyses included independent sample t tests, Pearson correlations, and analyses of variance (ANOVAs). Statistical significance was evaluated at the conventional level, α = .05. The use of the SBAR handoff tool showed parity in communication competency. Quality indicators of overall handoff remained highly satisfactory. Recommendations include the consensual use of SBAR handoff and competency evaluation across the anesthesia community. Modification of handoff practices and policies will enable social change by promoting quality indicators in anesthesia collaborative communication.
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Bloxsome, Dianne Kim. ""I love being a midwife; it's who I am": A Glaserian grounded theory study of why midwives stay in midwifery [thesis]." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2020. https://ro.ecu.edu.au/theses/2282.
Full textAbstract:
Midwifery shortages and the trend towards an inability to retain midwives in the profession is a global problem. The World Health Organisation (WHO) expressed concern about this issue in 2006, and despite efforts to implement remedial change, the retention of midwives continues to pose a large problem for healthcare internationally. The WHO (2006) asserted that midwives are the cornerstone to the reduction of maternal mortality and predicted that if the workforce retention issue was not addressed, then increases in maternal and neonatal mortality would ensue. In 2014, the United Nations Population Fund identified that, despite extensive worldwide efforts to address the midwifery shortage issue, the problem still existed and was worsening; an ageing workforce compounded by rising birth numbers means the issue is likely to persist. Consequently, the need for implementation of effective midwifery staff retention strategies is urgent, as is the need for evidence to inform these strategies.
No research about why midwives stay has been undertaken in Australia since that conducted by Sullivan, Lock and Homer in 2011. There is more current research around reasons underlying midwifery workforce attrition; however, it cannot be assumed that simply addressing these issues will correct the problem.
The aim of the study reported in this thesis was to understand why midwives across Western Australia (WA) choose to remain in the profession. The purpose of the research was to expose the factors leading to midwives staying in their jobs. Knowledge of why and how midwives stay in midwifery is imperative for recruitment into the profession and its sustainability and longevity.
This WA study was undertaken using the Glaserian version of grounded theory methodology. Fourteen midwives currently working in clinical practice were interviewed about why they remain in the midwifery profession. Data were collected from December 2017 to November 2018 and were generated through open ended semi-structured interviews, together with memos and field notes. The interviews were digitally recorded, transcribed verbatim and analysed and interpreted with the guidance of Glaser and Strauss’s coding stages.
The core category derived from the data was: “I love being a midwife; it's who I am.” Two interrelated major categories emerged from the data that represent why midwives stay in midwifery; the factors that enable them to stay are comprised of eight sub-categories. The data revealed that, broadly, midwives’ ability to be “with woman,” the difference they feel they make to these women, the people they work with, and the opportunity to “grow” the next generation of midwives are crucial influences on whether they remain in the profession.
The theory of “I love being a midwife; it's who I am” provides new information about why midwives working in various models of maternity care across WA stay in the profession, and the factors that enable them to do so.
A number of recommendations arose from this study for practice, policy, organisational processes, further research and pre-registration midwifery education.
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Oliver, Kim. "An assessment of nurses’ experiences of work related stress through self-reporting and hair cortisol analysis, in a metropolitan hospital in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2017. https://ro.ecu.edu.au/theses/2002.
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The aim of this study was to assess how years of experience and practice area influence work related stress amongst 1,200 nurses employed in a metropolitan hospital environment in Western Australia. A combination of self-administered questionnaires and hair cortisol, an objective stress biomarker, was utilised to measure stress levels and to relate these to practice area, age and experience. Questionnaire results indicated that there was a higher level of perceived stress for 40% of this cohort of nurses; the study methodology was able to unearth noteworthy factors within a local WA nursing population that impacted on their perceived stress. These being; inexperienced nurses suffer more work-related stress than the more experienced nurse. Leadership demands are a source of stress for nurse managers; and age and generational differences’ were also noted. Contrary to hypothesis two, this study could not determine a statistically significant effect relating to the practice area in which the nurses’ worked. Despite a weak correlation found between the hair cortisol level and results of the written questionnaires it is considered when used in conjunction with a stress questionnaire, that hair cortisol testing provides an effective diagnostic tool with adequate sensitivity to detect stress. The ‘curvilinear effect’ as reported by Wells’ (2014) postulated to be due to the physiology of the individuals coping mechanisms was replicated in this study, and therefore determined to be real. It is therefore considered that hair cortisol is a valid screening tool for stress in the occupational environment
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Björn, Catrine. "Attractive Work : Nurses´ work in operating departments, and factors that make it attractive." Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-266338.
Full textAbstract:
Background: Previous studies show that nurse retention is one of the most effective strategies to counteract nursing shortages. Few studies have focused on the crucial resource of registered specialist nurses in operating departments. Aim: The overall aim of this thesis was to gain knowledge on registered specialist nurses’ and assistant nurses’ work in operating departments and on what factors they consider to be important for attractive work. Methods: In Study I, operating room nurses were interviewed regarding their perspective on their work. In Studies II and III, specialist registered nurses and assistant nurses at operating departments in a Swedish county council responded to the Attractive Work Questionnaire. Study IV is a case study with interviews, a review of organisational goal documents and data concerning the number of planned, acute and cancelled operations. Findings: The adaption of the Attractive Work Questionnaire for nurses in operating departments was satisfying. The most important factors for attractive work were: Relationship, Leadership and Status. The factors with the largest discrepancies between their important to work attractiveness and their rating at the nurses’ current work were: Salary, Organisation and Physical Work Environment. It was important for nurses to be able to prepare for and be in control of the different work tasks. However, the daily operating schedule guided the nurses’ work, and changes in the schedule, nurse shortages and the design of the premises constituted obstacles to their work. Conclusion: The Attractive Work Questionnaire provided specific information to management on what to focus on to make work attractive. The majority of the identified attractive factors are already known to be of importance in nurse retention; however, factors requiring more investigation are Equipment, Physical Work Environment and Location (of the workplace). Their work prerequisites did not enable the specialist and assistant nurses to reach what they saw as their daily goals. Regularly occurring activities, such as acute and cancelled operations, were interpreted as obstacles to reaching daily goals.
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North, Natasha. "What is the capacity of the children's nursing workforce in seven selected Sub-Saharan African countries? Gathering insights from Botswana, Kenya, Namibia, Malawi, South Africa, Uganda and Zambia." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29838.
Full textAbstract:
Background
This study attempted to identify as far as possible the extent of the children’s nursing workforce in five selected countries in the sub-Saharan African region. Strengthening children’s nursing training has been recommended as a primary strategy to reduce the underfive mortality rate in African nations, including South Africa and Malawi. The current level of data monitoring capacity worldwide means that it is not possible to disaggregate the children’s nursing workforce in countries in the World Health Organisation African Region from the data provided by the WHO Global Atlas of the Health Workforce database. Yet developing an accurate depiction of the specialist children’s nursing workforce is a necessary step towards optimizing children’s health service delivery.
Methods
In attempting to respond to this need, this study adheres to a collaborative research philosophy, using a convergent parallel mixed methods design, incorporating a scoping documentary review, together with quantitative (surveys and case study compilation) and qualitative (interview) components collected independently and then integrated during analysis and interpretation, to generate data addressing three related questions: how many children’s nurses are believed to be in practice nationally; how many such nurses are recorded on the nursing register nationally; and how many children’s nurses are being produced through training.
Results
Findings suggest there are approximately 3 728 children’s nurses across the five countries in this study. A combined total of 260 children’s nurses are produced through training each year across the five countries on average. Survey responses, interview data and content analysis of items identified through the scoping review suggest that adequate information regarding the children’s nursing workforce is not currently available to inform decision-making.
Conclusion
In conclusion, it is hoped that the data generated might contribute towards identifying the size of the children’s nursing workforce, as a first step towards identifying what would represent a viable and sustainable regional children’s nursing workforce for the future.
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Almutairi, Adel Faza. "A case study examination of the influence of cultural diversity in the multicultural nursing workforce on the quality of care and patient safety in a Saudi Arabian hospital." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/51580/1/Adel_Almutairi_Thesis.pdf.
Full textAbstract:
The purpose of the study:
The purpose of this study is to investigate the influence of cultural diversity, in a multicultural nursing workforce, on the quality and safety of patient care and the work environment at King Abdul-Aziz Medical City, Riyadh region.
Study background:
Due to global migration and workforce mobility, to varying degrees, cultural diversity exists in most health services around the world, particularly occurring where the health care workforce is multicultural or where the domestic population comprises minority groups from different cultures speaking different languages. Further complexities occur when countries have a multicultural workforce which is different from the population for whom they care, in addition to the workers being from culturally diverse countries and with different languages. In Saudi Arabia the health system is mainly staffed by expatriate nurses who comprise 67.7% of the total number of nurses.
Study design:
This research utilised a case study design which incorporated multiple methods including survey, qualitative interviews and document review.
Methods:
The participant nurses were selected for the survey via a population sampling strategy; 319 nurses returned their completed Safety Climate Survey questionnaires. Descriptive and inferential statistics (Kruskal–Wallis test) were used to analyse survey data. For the qualitative component of the study, a purposive sampling strategy was used; 24 nurses were interviewed using a semi-structured interview technique. The documentary review included KAMC-R policy documents that met the inclusion criteria using a predetermined data abstraction instrument. Content analysis was used to analyse the policy documents data.
Results:
The data revealed the nurses‘ perceptions of the clinical climate in this multicultural environment is that it was unsafe, with a mean score of 3.9 out of 5. No significant difference was detected between the age groups or years of experience of the nurses and the perception of safety climate in this context; the study did reveal a statistically significant difference between the cultural background categories and the perception of safety climate. The qualitative phase indicated that the nurses within this environment were struggling to achieve cultural competence; consequently, they were having difficulties in meeting the patients‘ cultural and spiritual needs as well as maintaining a high standard of care. The results also indicated that nurses were disempowered in this context. Importantly, there was inadequate support by the organisation to manage the cultural diversity issue and to protect patients from any associated risks, as demonstrated by the policy documents and supported by the nurses‘ experiences. The study also illustrated the limitations of the conceptual framework of cultural competence when tested in this multicultural workforce context. Therefore, this study generated amendments to the model that is suitable to be used in the context of a multicultural nursing workforce.
Conclusion:
The multicultural nature of this nursing work environment is inherently risky due to the conflicts that arise from the different cultural norms, beliefs, behaviours and languages. Further, there was uncertainty within the multicultural nursing workforce about the clinical and cultural safety of the patient care environment and about the cultural safety of the nursing workforce. The findings of the study contribute important new knowledge to the area of patient and nurse safety in a multicultural environment and contribute theoretical development to the field of cultural competence. Specifically, the findings will inform policy and practice related to patient care in the context of cultural diversity.
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Silva, Adriana Marques da. "Caracterização do trabalho da enfermagem em laboratório de análises clínicas." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/7/7131/tde-02062004-210029/.
Full textAbstract:
Este estudo de caráter qualitativo e quantitativo, tipo exploratório-descritivo, trata da caracterização do trabalho de enfermagem em laboratórios de análises clínicas. O objetivo geral visa identificar os aspectos da atuação da enfermagem nos laboratórios de análises clínicas, que permitam caracterizar o processo de trabalho da enfermagem. Os objetivos específicos buscaram identificar os trabalhadores da saúde que atuam na coleta de exames; reconhecer as atividades desempenhadas pelos diferentes agentes da enfermagem e conhecer sua inserção na estrutura organizacional. O referencial teórico adotado pautou-se nos estudos do processo de trabalho e de recursos humanos em saúde e em enfermagem. Para a coleta de dados utilizou-se um questionário e a amostra foi composta por 45 instituições. A análise dos resultados revelou que, quanto à caracterização dos laboratórios, 15,6% não realizam treinamento em serviço e 60% fazem-no de modo isolado, não continuado; o enfermeiro é o profissional que assume majoritariamente a responsabilidade por essa ação. Quanto aos recursos humanos, 77,8% são auxiliares de enfermagem, 13% enfermeiros e 9,1% técnicos de enfermagem. Evidencia-se a divisão social e técnica do trabalho, no qual os auxiliares executam o cuidado direto, o enfermeiro gerencia o processo e os técnicos desempenham ambas ações, sem diferenças relevantes entre as atividades dos auxiliares e técnicos de enfermagem. Além disso, há outros profissionais que compartilham das mesmas atividades realizadas pela enfermagem e esta se encontra, em grande parte, subordinada a outras áreas de atuação, com escassa autonomia na estrutura organizacional.This qualitative and quantitative study, an exploratory-descriptive study, examines the characteristics regarding the work performed by nursing professionals in clinical laboratories. The general goal aims to identify roles played by nursing professionals in clinical laboratories that allow us to characterize the nursing work process. The specific goals seek to identify health workers that are responsible for collecting samples, to distinguish the activities played by different nursing professionals and to learn how they are inserted in the organizational structure. The theoretical reference adopted is based on studies regarding work procedures and human resources in health and nursing. A questionnaire was used to collect data and the sample comprised 45 institutions. Regarding the clinical laboratories, result analysis revealed that 15.6% of them do not offer in-service training and 60% do not do it on a continuous manner; nurses basically take on the responsibility for training other nursing professionals. Regarding human resources, 77.8% are nursing assistants, 13% are nurses, and 9.1% are practical nurses. There is evidence of a social and technical division of the workload: nursing assistants provide direct care, nurses manage the processes, and practical nurses perform both activities. No relevant differences were observed between the activities played by nursing assistants from those played by practical nurses. Furthermore, there are other professionals that share the same activities played by those nursing professionals. In most cases, nursing professionals are subordinated to other areas and have little autonomy in the organizational structure.
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Almalki, Mohammed Jubran. "Quality of work life and turnover intention in primary healthcare organisations : a cross-sectional study of registered nurses in Saudi Arabia." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/50766/1/Mohammed_Almalki_Thesis.pdf.
Full textAbstract:
Purpose: The purpose of this study was to improve the retention of primary healthcare (PHC) nurses through exploring and assessing their quality of work life (QWL) and turnover intention.
Design and methods: A cross-sectional survey design was used in this study. Data were collected using a questionnaire comprising four sections (Brooks’ survey of Quality of Nursing Work Life [QNWL], Anticipated Turnover Intention, open-ended questions and demographic characteristics). A convenience sample was recruited from 143 PHC centres in Jazan, Saudi Arabia. A response rate of 87% (n = 508/585) was achieved. The SPSS v17 for Windows and NVivo 8 were used for analysis purposes. Procedures and tests used in this study to analyse the quantitative data were descriptive statistics, t-test, ANOVA, General Linear Model (GLM) univariate analysis, standard multiple regression, and hierarchical multiple regression. Qualitative data obtained from responses to the open-ended questions were analysed using the NVivo 8.
Findings: Quantitative findings suggested that PHC nurses were dissatisfied with their work life. Respondents’ scores ranged between 45 and 218 (mean = 139.45), which is lower than the average total score on Brooks’ Survey (147). Major influencing factors were classified under four dimensions. First, work life/home life factors: unsuitable working hours, lack of facilities for nurses, inability to balance work with family needs and inadequacy of vacations’ policy. Second, work design factors: high workload, insufficient workforce numbers, lack of autonomy and undertaking many non-nursing tasks. Third, work context factors: management practices, lack of development opportunities, and inappropriate working environment in terms of the level of security, patient care supplies and unavailability of recreation room. Finally, work world factors: negative public image of nursing, and inadequate payment. More positively, nurses were notably satisfied with their co-workers. Conversely, 40.4% (n = 205) of the respondents indicated that they intended to leave their current employment.
The relationships between QWL and demographic variables of gender, age, marital status, dependent children, dependent adults, nationality, ethnicity, nursing tenure, organisational tenure, positional tenure, and payment per month were significant (p < .05). The eta squared test for these demographics indicates a small to medium effect size of the variation in QWL scores. Using the GLM univariate analysis, education level was also significantly related to the QWL (p < .05). The relationships between turnover intention and demographic variables including gender, age, marital status, dependent children, education level, nursing tenure, organisational tenure, positional tenure, and payment per month were significant (p < .05). The eta squared test for these demographics indicates a small to moderate effect size of the variation in the turnover intention scores. Using the GLM univariate analysis, the dependent adults’ variable was also significantly related to turnover intention (p < .05).
Turnover intention was significantly related to QWL. Using standard multiple regression, 26% of the variance in turnover intention was explained by the QWL F (4,491), 43.71, p < .001, with R² = .263. Further analysis using hierarchical multiple regression found that the total variance explained by the model as a whole (demographics and QWL) was 32.1%, F (17.433) = 12.04, p < .001. QWL explained an additional 19% of the variance in turnover intention, after controlling for demographic variables, R squared change =.19, F change (4, 433) = 30.190, p < .001. The work context variable makes the strongest unique contribution (-.387) to explain the turnover intention, followed by the work design dimension (-.112). The qualitative findings reaffirmed the quantitative findings in terms of QWL and turnover intention. However, the home life/work life and work world dimensions were of great important to both QWL and turnover intention. The qualitative findings revealed a number of new factors that were not included in the survey questionnaire. These included being away from family, lack of family support, social and cultural aspects, accommodation facilities, transportation, building and infrastructure of PHC, nature of work, job instability, privacy at work, patients and community, and distance between home and workplace. Conclusion: Creating and maintaining a healthy work life for PHC nurses is very important to improve their work satisfaction, reduce turnover, enhance productivity and improve nursing care outcomes. Improving these factors could lead to a higher QWL and increase retention rates and therefore reinforcing the stabilisation of the nursing workforce. Significance of the research: Many countries are examining strategies to attract and retain the health care workforce, particularly nurses. This study identified factors that influence the QWL of PHC nurses as well as their turnover intention. It also determined the significant relationship between QWL and turnover intention. In addition, the present study tested Brooks’ survey of QNWL on PHC nurses for the first time. The qualitative findings of this study revealed a number of new variables regarding QWL and turnover intention of PHC nurses. These variables could be used to improve current survey instruments or to develop new research surveys. The study findings could be also used to develop and appropriately implement plans to improve QWL. This may help to enhance the home and work environments of PHC nurses, improve individual and organisational performance, and increase nurses’ commitment. This study contributes to the existing body of research knowledge by presenting new data and findings from a different country and healthcare system. It is the first of its kind in Saudi Arabia, especially in the field of PHC. It has examined the relationship between QWL and turnover intention of PHC nurses for the first time using nursing instruments. The study also offers a fresh explanation (new framework) of the relationship between QWL and turnover intention among PHC nurses, which could be used or tested by researchers in other settings. Implications for further research: Review of the extant literature reveals little in-depth research on the PHC workforce, especially in terms of QWL and organisational turnover in developing countries. Further research is required to develop a QWL tool for PHC nurses, taking into consideration the findings of the current study along with the local culture. Moreover, the revised theoretical framework of the current study could be tested in further research in other regions, countries or healthcare systems in order to identify its ability to predict the level of PHC nurses’ QWL and their intention to leave. There is a need to conduct longitudinal research on PHC organisations to gain an in-depth understanding of the determents of and changes in QWL and turnover intention of PHC nurses at various points of time. An intervention study is required to improve QWL and retention among PHC nurses using the findings of the current study. This would help to assess the impact of such strategies on reducing turnover of PHC nurses. Focusing on the location of the current study, it would be valuable to conduct another study in five years’ time to examine the percentage of actual turnover among PHC nurses compared with the reported turnover intention in the current study. Further in-depth research would also be useful to assess the impact of the local culture on the perception of expatriate nurses towards their QWL and their turnover intention. A comparative study is required between PHC centres and hospitals as well as the public and private health sector agencies in terms of QWL and turnover intention of nursing personnel. Findings may differ from sector to sector according to variations in health systems, working environments and the case mix of patients.
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Hayes-Burrell, Ingrid Monique. "Financing School-Based Health Centers: Sustaining Business Operational Services." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1684.
Full textAbstract:
Walden University
College of Management and Technology
This is to certify that the doctoral study by
Ingrid Hayes-Burrell
has been found to be complete and satisfactory in all respects,
and that any and all revisions required by
the review committee have been made.
Review Committee
Dr. Ify Diala, Committee Chairperson, Doctor of Business Administration Faculty
Dr. Anne Davis, Committee Member, Doctor of Business Administration Faculty
Dr. Yvette Ghormley, University Reviewer, Doctor of Business Administration Faculty
Chief Academic Officer
Eric Riedel, Ph.D.
Walden University
2015
â??
School-based health centers (SBHCs) have faced challenges in securing adequate funding for operations and developing sound business systems for billing and reimbursement. Specifically, administrators often lack strategies to develop and sustain funding levels to support appropriate resources for business operations. The focus of this descriptive study was to explore best practice strategies to develop and sustain funding through the experiences of SBHC administrators. The conceptual framework included Elkington's sustainability theory, which posits that corporate social responsibility, stakeholder involvement, and citizenship improve manager's effect on the business system. Twenty full-time SBHC administrators working in separate locations throughout the state of Maryland participated in semistructured telephone interviews. The van Kaam process was used to cluster descriptive experiences in data analysis that resulted in the development of thematic strategies for implementing best practices relevant to developing and sustaining funding for SBHC business operations. Major themes provided by the participants were interagency communications, creating marketing plans, and disparities in the allocation of funding for programs and professional staff. Findings indicated SBHC administrators continue to face challenges in developing and sustaining adequate funding for operations in the state of Maryland. Suggestions for future research include how administrators can develop marketing plans and explore long-range funding for SBHC services. The findings in this study may contribute to positive social change by demonstrating to officials in the Maryland State Department of Education the significance of SBHCs, and the need to increase mental health services.
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Souza, Helton Saragor de. "A interpretação do trabalho em enfermagem no capitalismo financeirizado: um estudo na perspectiva teórica do fluxo tensionado." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-20012015-100501/.
Full textAbstract:
O objeto deste estudo é o trabalho das categorias da enfermagem sob a organização pós-fordista no capitalismo financeirizado. Associamos a mundialização do capital e a predominância financeira à expansão dos serviços de saúde no Brasil. Nesse sentido, discutimos as características do trabalho coletivo em saúde e das categorias de enfermagem. Abordamos a relação geral e particular do trabalho em saúde e problematizamos a leitura do trabalho em enfermagem nos moldes tayloristas. Os estudos de caso concentram-se em três hospitais localizados Região Metropolitana de São Paulo com gestões distintas: administração pública; administração terceirizada para Organização Social de Saúde (OSS); e administração privada. Nessas unidades, através de etnografia e da realização de entrevistas com os profissionais, caracterizamos o tipo de regime de trabalho pela abordagem do tipo de vínculo empregatício; da remuneração; sobre transferências, promoções e demissões; das características do absenteísmo; da relação com a chefia e da ação coletiva. Estritamente, sobre o processo de trabalho, abordamos o predomínio relacional do ato do cuidado, a influência da tecnologia, os erros procedimentais e a saúde dos trabalhadores. Em nossa visão, a conversão dos serviços de saúde em áreas de valorização do capital e o subfinanciamento do Estado configuram a relação desproporcional entre a demanda de usuários e a quantidade incipiente de trabalhadores que seria o modus operandis do trabalho em enfermagem. Desse modo, o processo de trabalho fundamenta-se no fluxo tensionado, gerando sobrecarga e intensificação, consequentemente, a incidência de erros, o desgaste físico-psicológico e a frustração para os trabalhadores.The object of this study is the work of the nursing practice\'s categories under the post-fordism organization into the financial-funding capitalism. We associated the globalization of capital and the financial dominance to the expansion of the field of health services in Brazil. Under this view, we discuss the characteristics of team work and the categories in nursing practice, the general and private relationship into the field and problematize the reading of the nursing practice under the light of the taylorism. The case studies concentrate in three hospitals of different administrative methods: public; through Social Health Organization (OSS); and private administration in the metropolitan region of Sao Paulo. In these units, through ethnography and interviews with professionals, we characterize the type of work regimen by analyzing the employment network; the remuneration; the transfers, promotions and dismissals; the characteristics of the absentees; the relation with the superiors and the team action. Strictly, about our process of work, we address the predominance of the act of caring, the influence of the technology, the procedure errors and the healthcare of the workers. In our point of view, the conversion of the health services into fields of capital appreciation and the sub-financing of the State configure an imbalanced relationship between the demand of users and the incipient amount of workers that would be the modus operandis of the nursing practice. Thus, the process of work lays the foundations of the tensioned flux flux tendu of the reactivity to the context, generating overcharge and intensification, therefore the incidence of mistakes, physical-psychological distress and frustration to the workers.
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Koper, Marcel, and thekopers@gmail com. "Clinical supervision in the Alcohol and Other Drugs sector as conducted by external supervisors under a social work framework: Is it effective?" RMIT University. Global Studies, Social Science and Planning, 2009. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20091106.113121.
Full textAbstract:
In this thesis, I explore the impact and effectiveness of clinical supervision provided by external clinical supervisors, on workers from a variety of practice backgrounds in a residential rehabilitation centre, in the AOD sector. This thesis uses the framework of social work supervision, as defined by Kadushin (1985; 2002), with the administrative, educative and supportive elements. The research focuses closely on the latter two elements. For this purpose, I employ qualitative research methods, via a triangulation of methods, being guided by Participatory Action Research (PAR) and then conducting semi-structured interviews and focus groups as well as acting as a participant observer, to gather the data. The data was analysed using grounded theory. This research was based upon a clinical supervision project that was fully funded and provided free clinical supervision by external supervisors, providing both individual and group supervision, for a period of 10 months. There were a total of 16 respondents with varied roles and training backgrounds as well as an additional six supervisors, interviewed throughout different stages of the project. The various roles undertaken by me throughout the research process provided essential viewpoints on supervision, as well as the place of boundaries and need for support. The power of such a large scale intervention is discussed and ultimately highlights and identifies the particular benefits of supervision in this research arena. This thesis places clinical supervision in the context of workforce development in the Alcohol and Other Drug (AOD) sector. Thus, while this research elucidates a number of benefits and the factors involved with this experience, the clear separation of other modalities such as training, mentoring and Critical Incident debriefing are seen as integral additional avenues of support and professional development. This research concludes also with what the difficulties and hindrances were for people to continue with regular ongoing clinical supervision, and warrants the argument for interminable supervision in this setting. This research points to an overall paucity of literature on efficacy studies, especially in the AOD context in Australia. This research significantly adds to this dearth and examines the factors unique to the AOD sector in Australia, as well as what factors make for effective supervision. The particular impact of external supervisors and group supervision are explored, which underwrites the forwarded concept of a customised supervision for this setting. By making explicit in this research what the efficacy is on those new to supervision, it provides greater clarity for future studies. A number of recommendations are proposed as result of this research. New definitions of the supportive function of supervision and of clinical supervision are forwarded, as is a new look at the evolving history of social work supervision. This thesis highlights the impact of external supervisors and the unique contribution they offer.
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Alroqi, Hammad M. "Perceptions of the community toward the nursing profession and its impact on the local nursing workforce shortage in Riyadh." Thesis, 2017. https://arro.anglia.ac.uk/id/eprint/702200/1/Alroqi_2017.pdf.
Full textAbstract:
Riyadh City in the Kingdom of Saudi Arabia (KSA) has a chronic and severe shortage of Saudi-trained nurses and a high nurse turnover rate. Expatriate nurses comprise most of the nursing workforce in Riyadh. This presents a challenge to safe healthcare delivery. To formulate strategies to promote and encourage secondary school Saudi students to choose nursing as their career path, it is imperative to understand community attitudes and perceptions toward the nursing profession.
The aim of this study is to explore the perception of the Riyadh community toward nursing as a future career choice. In this study, the Riyadh community refers to final year high school students, parents of high school students and Saudi nationals working as nurses in Riyadh.
A sequential exploratory mixed-method study was utilised to accomplish the aim and objectives of the study. The first phase uses qualitative focus groups and was conducted with the general community and nursing groups; it explored the issues and their perceptions of nursing in general. A questionnaire was adopted from Elham Al Naqshbandi. The validity and reliability of the questionnaire was tested, and the items of the questionnaire were assessed for their appropriateness. Finally, the questionnaire was distributed to the target sample in groups in Riyadh City.
The qualitative findings were presented using explanatory themes in two sections. The three themes in section one are as follows: What is nursing? The contradictions; Social challenges; and Influence on the students’ decision to choose nursing as a career choice. The two themes in section two are the following: Experiences in career choice and a view of nursing in the Riyadh community.
In the quantitative stage, 554 (86.6%) high school students completed the questionnaire in October 2014. The findings indicate that although school students respect the nursing
profession, they demonstrated a lack of awareness in the community about nursing. Students’
concerns about nursing were around perceived future marital status and the lower financial
remuneration compared to other professions.
Riyadh community high school students are potential recruits for local nursing programmes and are a source of understanding about nursing as a career choice. The findings of this study support previous studies that reveal that choosing nursing as a career in Riyadh, KSA is strongly influenced by the societal image of the nursing profession and family attitude toward nursing. One’s perception of nursing as a career in Riyadh is influenced by institutional factors in the Saudi context (cultural-cognitive and normative factors). The reasons for not being interested in nursing as a future career include, but are not restricted to, normative factors; social status, financial status and sociocultural factors, such as influence of parents and religion; the issue of mixing with other genders; and long working hours and doing night shifts.
Encouraging Saudi high school students to consider nursing as a future career option in Riyadh city requires fundamental reform and improvement to the societal image and understanding of the nursing profession. Strategies to do require plans to engage family members, particularly parents, as well as the leaders from high schools, nursing, the community, media and religious leaders to help reshape the image of nursing.
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Huang, Hui Yu, and 黃惠鈺. "A study on nursing job stress and burnout : the role of part time workforce." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/4c649y.
Full text
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Owens, Susan J. "Understanding RN workforce education in the rural North-Central Region of Michigan." Thesis, 2013. http://hdl.handle.net/1805/3790.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)National calls for a better-educated nursing workforce are proliferating. The Institute of Medicine (IOM) challenged the nursing profession by setting the goal of having 80% of the nation's nurses prepared at the baccalaureate level (BSN) or higher by 2020. This is an ambitious goal given that, nationally, only 50% of nurses have a BSN. In fact, only 40% of nurses in Michigan have a BSN, and in the rural North-Central Region of this state, only 29% (the lowest in the state) of the nurses have a BSN. The purpose of this hermeneutic phenomenological study was to understand and interpret the meaning of being an associate degree (AD) nurse, the meaning attaining a BSN has for rural registered nurses who currently have an AD, and the barriers they experience that inform their decisions to return to school (or not). The investigator interviewed 11 AD nurses from rural North-Central Michigan and analyzed interview transcripts to identify common experiences and shared meanings using methods identified by Diekelmann, Allen, and Tanner (1989). Two themes were explicated in this study: "Getting in and Getting out" and "What Difference Does it Make?" The findings in this study challenge many of the common assumptions about academic progression in nursing and provide educators, administrators, and legislators with insight about the strategies that may be most helpful for achieving the IOM goal in rural Michigan.