RESUMO
Aim: To explore perspectives of nurse managers about their preparation for transitioning into positions of leadership. Background: There have been serious concerns about the level of preparation as well as availability of support systems for transitioning of nurses into positions of authority. Methods: This was a quantitative study conducted in four Caribbean countries targeting nurses promoted to leadership positions within the last 5 years. Data were collected using a 30-item questionnaire. Ethical approvals were received from the University of the West Indies and the participating countries. Results: Most participants were female, had 15 or more years' experience and an associate degree/diploma in nursing. They felt prepared through training and acting opportunities although many were not preceptored/mentored into the position. Preparation by training was positively correlated to acting opportunities, preceptorship programme and having a preceptor. Conclusion: Transitioning into positions of leadership requires readiness from a personal as well as an organisational perspective. There must be investment in the development opportunities to support nurses' transition into leadership positions. Implications for Nursing Management: Organisational continuity and effectiveness will be dependent on a balance between investing in experienced nursing personnel while encouraging personal development of less-experienced nurses. Peer mentorship must be utilized to facilitate nurse transition.
Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Trinidad e Tobago , Enfermagem , Região do Caribe , Tutoria , Liderança , Enfermeiras AdministradorasRESUMO
Beset with feeble economies and debt servicing obligations, many countries have no recourse but to impose stringent structural adjustment policies, particular in the nonproductive social sectors such as health and education. Below, a look at the effects of these restraints on the health services and on nursing and some recommendations on how nurses respond, particularly in planning human resources. (AU)
Assuntos
Humanos , Atenção à Saúde/organização & administração , Planejamento em Saúde , Enfermagem , Competência Clínica , Liderança , Enfermagem/normas , Equipe de Assistência ao Paciente , Gestão de Recursos Humanos , Formulação de PolíticasRESUMO
Below is a noneconomist's view on economic issues impacting on nurse manpower development in the Commonwealth Caribbean. The issues however are of an international nature and are therefore pertinent to all those interested in nurse manpower development. The main objective is to present a model for economic analysis and planning. (AU)
