RESUMO
Supervision of student nurses during internships is evolving towards learning-centered support, readjusting the roles of the players involved. An action-research project in Saint-Brieuc, France, highlights the complexity of this practice. A guideline encourages a flexible approach, fostering a relationship of trust. Confidentiality, respect and adaptability are essential for an environment conducive to learning. This work underlines the importance of internship supervision and offers recommendations for an individualized approach, while maintaining a balance between academic rigor and human qualities.
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Internato e Residência , Humanos , França , Comportamento Cooperativo , Supervisão de Enfermagem , Estudantes de Enfermagem/psicologiaRESUMO
BACKGROUND: Clinical supervision is pivotal in supporting nurses in rendering quality, safe patient care. Therefore, it is essential to understand clinical supervision from operational nursing managers' context to define existing challenges and propose suitable recommendations. OBJECTIVES: This study aimed to explore and describe operational nursing managers' experiences of clinical supervision within the context of an academic hospital in Gauteng province and propose evidence-based practice recommendations to improve patient safety and the quality of clinical supervision. METHOD: An exploratory, sequential, mixed-method design was used and implemented over two phases to take advantage of the strengths of both the qualitative and quantitative research designs. Unstructured individual interviews were conducted to collect data in phase one, and an adapted Manchester Clinical Supervision Scale (MCSS) questionnaire was used to collect data in phase two. RESULTS: Operational nursing managers work in stressful conditions and environments with a gross shortage of staff and tools of the trade while being expected to deliver high-quality and safe nursing care. Of the sampled respondents, 36% (n = 17) were dissatisfied with the supervision they received, while 64% (n = 30) were indifferent in the sense that they did not think it was adequate or inadequate. CONCLUSION: Clinical supervisors should be trained and supported in clinical supervision, with regular workshops on interpersonal relations.Contribution: A clearer understanding of clinical supervision within the hospital context and evidence-based practice recommendations to improve patient safety and the quality of clinical supervision.
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Enfermeiros Administradores , Pesquisa Qualitativa , Humanos , África do Sul , Enfermeiros Administradores/psicologia , Enfermeiros Administradores/estatística & dados numéricos , Enfermeiros Administradores/normas , Inquéritos e Questionários , Adulto , Feminino , Masculino , Supervisão de Enfermagem/normas , Supervisão de Enfermagem/estatística & dados numéricos , Pessoa de Meia-Idade , Atitude do Pessoal de SaúdeRESUMO
OBJECTIVES: This qualitative study describes the views of supervisor nurses related to antecedents of oral care in Finnish nursing facilities. METHODS: In the six largest cities in Finland, 19 supervisor nurses were interviewed and asked five semi-structured questions related to the antecedents of oral care in the units. The interviews were analyzed using inductive content analysis. RESULTS: Qualitative content analysis revealed five main categories: awareness of nurses (3 categories, 9 subcategories), attitude and motivation (3 categories, 10 subcategories), supporting quality of life and health (4 categories, 11 subcategories), the meaning of oral health in the unit (3 categories, 10 subcategories), and the role of the supervisor nurse in oral health care (4 categories, 14 subcategories). The awareness of nurses regarding oral health was in most cases good. Nurses' attitudes towards oral health and their motivation to oral care vary but were mostly good. Nurses were aware that oral care enhances the quality of life. The role of the supervisor nurse in organizing oral care was crucial. CONCLUSIONS: The performed analysis identified five main categories to describe antecedents for oral care in Finnish nursing facilities. The categories that needed to be improved were knowledge and attitude, and motivation related to oral care.
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Pesquisa Qualitativa , Humanos , Finlândia , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Entrevistas como Assunto , Casas de Saúde , Saúde Bucal , Qualidade de Vida , Atitude do Pessoal de Saúde , Supervisão de EnfermagemRESUMO
OBJECTIVE: To outline and examine what evidence exists related to nurses' and midwives' experiences of participating in clinical supervision. INTRODUCTION: The practice of clinical supervision is increasingly prevalent in nursing and midwifery, yet disparity remains in relation to professionals' understanding and experience of this clinical support and how it is implemented in practice. This scoping review will identify the available evidence and gaps in knowledge that exist in relation to nurses' and midwives' experience of this practice and examine how the various forms are defined in the literature. METHODS AND ANALYSIS: Comprehensive searches of CINAHL Complete, MEDLINE (EBSCO), PsycINFO (EBSCO), Embase, Scopus and the Cochrane Library will be carried out. Grey literature will also be searched and all results will be screened independently by two reviewers using identified inclusion and exclusion criteria. All empirical data that identify and report nurses' and midwives' experiences of clinical supervision will be included in the review. Studies that include other health and social care professionals will be excluded where the nursing and midwifery cohort is not reported independently. Data from all relevant studies will be extracted using a validated adapted data extraction form. Our review will be guided by the Joanne Briggs Institute Methodology and findings will be guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols Extension for Scoping Reviews statement. ETHICS AND DISSEMINATION: This review does not require ethical approval. Our dissemination strategy includes peer-reviewed publication, presentation and conferences and sharing through stakeholder networks.
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Tocologia , Humanos , Projetos de Pesquisa , Enfermeiras e Enfermeiros , Competência Clínica , Supervisão de Enfermagem , Atitude do Pessoal de SaúdeRESUMO
INTRODUCTION: Charge nurses are shift leaders whose role includes managing nursing resources and facilitating appropriate patient care; in emergency departments, the charge nurse role requires both clinical and leadership skills to facilitate the flow of patients, while ensuring patient and staff safety. Literature on orientation and specific training is notably sparse. This study aimed to evaluate the content and process of core competency training and identify evaluation and implementation strategies necessary to improve charge nurse performance in United States emergency departments. METHODS: A modified Delphi technique was used in phase 1 and a qualitative content analysis method was used in phase 2 to address specific aims of the study. RESULTS: In total, 427 emergency nurse managers, directors, educators, and charge nurses responded to the initial survey to identify elements, teaching modalities, and evaluative processes; 22 participated in 1 of 2 focus groups to provide further information about the pedagogical approaches to teaching emergency charge nurse competencies. The top 5 competencies were identified as patient flow management, communication, situational awareness, clinical decision making, and nurse-patient assignment, with understanding that each competency overlapped significantly with the others. Low-fidelity simulation and gamification were identified as a preferred method of both training and evaluation. DISCUSSION: These findings have the potential to support a standardized approach to emergency charge nurse training and evaluation focusing on communication skills, clinical decision making, and situational awareness to facilitate safe and effective nurse-patient assignment and emergency department throughput.
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Competência Clínica , Técnica Delphi , Enfermagem em Emergência , Serviço Hospitalar de Emergência , Humanos , Enfermagem em Emergência/educação , Estados Unidos , Inquéritos e Questionários , Supervisão de Enfermagem , Grupos FocaisRESUMO
AIMS: To systematically explore the clinical supervision (CS) experience for nurses transitioning to advanced practice. DESIGN: A qualitative systematic review using Joanna Briggs Institute meta-aggregation following an a priori protocol published on PROSPERO (CRD42023426658). DATA SOURCES: Qualitative studies obtained from Medline, CINAHL, PsycINFO, Scopus, Emcare and ERIC databases and ProQuest dissertations and theses for peer-reviewed, published and unpublished studies from inception to July 2023. REVIEW METHODS: Two authors conducted data screening and abstraction. Quality was appraised using the Critical Appraisal Skills Programme tool and reporting followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research checklist for systematic reviews. RESULTS: Sixteen studies contributed to five synthesized findings: CS that is beneficial requires structure and commitment, trusting relationships are foundational for learning, lifting burdens and preventing burnout, learning through reflection, critical thinking and feedback and barriers to CS. CONCLUSIONS: This review provides a meaningful exploration of CS to support nurses transitioning to advanced practice. Well-structured supervision offers a safe space to share work-related concerns and develop an advanced practitioner identity. Sharing experiences helps alleviate work-related burdens and reduce professional isolation and burnout. IMPLICATIONS FOR THE PROFESSION: Peer-support networks are vital for successful transition to advanced practice. IMPACT: This review highlighted the impact of effective supervisory relationships in forming professional identity and possible links with nursing retention. PUBLIC CONTRIBUTION: No direct patient contributions are included as it forms part of a research degree.
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Prática Avançada de Enfermagem , Humanos , Competência Clínica , Supervisão de Enfermagem , Pesquisa QualitativaRESUMO
BACKGROUND: Nurse ward managers have a crucial role in the effective functioning of hospital wards and in organising the work of the nursing team. The Balanced Scorecard model is a management framework that enables strategy to be translated into action by setting goals that lead to measurable outcomes. Few studies have used the Balanced Scorecard model to map the competencies of healthcare professionals. AIM: To use the Balanced Scorecard model to map the core competencies of nurse ward managers and determine relevant key performance areas (KPAs) and key performance indicators (KPIs). METHOD: This mixed-methods study was conducted in the surgical department of an Italian hospital using a qualitative and quantitative exploratory sequential approach. For the quantitative part, the authors asked a convenience sample of various clinical staff to rate a list of nine competencies in terms of their importance for the work of nurse ward managers. For the qualitative part, two focus group discussions were held with nurse ward managers. FINDINGS: Responses to the questionnaires showed that all nine competencies were important to respondents, with no statistically significant differences between roles. Findings from the focus group discussions broadly confirmed the relevance and importance of the nine competencies. Based on these findings, the authors formulated a strategic map of the nurse ward manager role, with core competencies and associated objectives mapped against the four dimensions of the Balanced Scorecard model. CONCLUSION: A strategic map of the nurse ward manager role informed by the Balanced Scorecard model can help measure nurse ward managers' performance and provide a benchmark for them to improve their competencies.
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Enfermeiros Administradores , Humanos , Grupos Focais , Competência Clínica/normas , Inquéritos e Questionários , Itália , Feminino , Masculino , Adulto , Modelos de Enfermagem , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem Hospitalar , Supervisão de Enfermagem/normasRESUMO
AIM: The aim of the study was to evaluate a person-centred model of clinical supervision to enhance person-centredness. DESIGN: Experimental, quantitative. METHODS: One hundred and three New Graduates were supported to reflect through a person-centred lens (July-December 2020). Evaluation was undertaken at 6 months using: the Manchester Clinical Supervision Scale-26 (effectiveness of supervision) and the Person-centred Practice Inventory (measures attributes of the nurse/midwife, the care environment and person-centred processes). Due to participation difficulties, scores were calculated by attendance rates using descriptive and inferential statistics. RESULTS: Regular attendees scored higher on the supervision's effectiveness; however, this did not reach efficacy. 'Finding time' to attend contributed to low scores. Supervision scored well on its supportive function when attended. Many New Graduates perceived a decline in their care environment. Attendance aside, New Graduates averaged an increased in their person-centred attributes and processes. Greater participation was found in those who scored higher at baseline on their person-centred attributes and processes, and this higher scoring continued at 6 months than those who attended less. CONCLUSION: New Graduates who perceive themselves as person-centred and reflective at baseline are more likely to attend a person-centred clinical supervision and score higher at 6 months than those who attended less often. New Graduates found support within supervision during challenging times. IMPLICATIONS FOR PRACTICE FOR PROFESSIONAL AND/OR PATIENT CARE: For successful implementation of Person-centred Clinical Supervision, New Graduates need support to attend, as attendance supports them to begin seeing value in the process. IMPACT: This intervention kept person-centred practice at the forefront of New Graduates reflection, in a time of extreme change. The research has implications for nursing and midwifery management with the imperative to deliver person-centred care and create the person-centred cultures for staff to feel supported and empowered. REPORTING METHOD: Transparent Evaluation of Non-randomized Designs (TREND). PATIENT OF PUBLIC CONTRIBUTION: No patient or public contribution. CONTRIBUTION TO WIDER COMMUNITY: New Graduates grow their person-centredness over their transitioning year; however, this can be enhanced with regular clinical supervision underpinned by person-centred theory. Clinical supervisors can provide support to New Graduates when the environment is challenged.
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COVID-19 , Assistência Centrada no Paciente , Humanos , Feminino , Adulto , Masculino , SARS-CoV-2 , Tocologia/educação , Competência Clínica , Enfermeiros Obstétricos/psicologia , Enfermeiros Obstétricos/educação , Supervisão de Enfermagem , GravidezRESUMO
Objetivo: analisar a relação entre o contexto de trabalho das lideranças de enfermagem na pandemia da COVID-19 e o Burnout. Método: estudo de método misto, com uma amostra quantitativa de 64 líderes de enfermagem, de todos os setores de quatro hospitais gaúchos. A coleta de dados ocorreu de agosto a outubro de 2020, após aprovação do Comitê Nacional de Ética em Pesquisa. Foi realizada a análise inferencial dos dados quantitativos (n=64), aplicados os testes de Mann-Whitney e correlações bivariadas de Spearman, considerando diferenças estatisticamente significativas "p" bicaudal menor que 0,05. Realizaram-se entrevistas qualitativas (n=12) acerca dos impactos da pandemia. Resultados: identificou-se 6,3% de prevalência de Síndrome de Burnout. Houve associação entre os domínios Desgaste Emocional e Despersonalização e as variáveis medo, aumento do consumo de álcool e impacto na saúde (p<0,05). Evidenciaram-se mudanças no contexto laboral, aumento do nível de exigência e da carga de trabalho e impactos na saúde. Conclusão: conclui-se que há associação entre o contexto de trabalho na pandemia e o Burnout. O aumento da sobrecarga de trabalho repercutiu em prejuízos na saúde mental(AU)
Objective: to analyze the relationship between the work context of nursing leaders in the COVID-19 pandemic and Burnout. Method: mixed method study, with a quantitative sample of 64 nursing leaders, from all sectors of four hospitals in Rio Grande do Sul. Data collection carried out from August to October 2020, after approval by the National Research Ethics Committee. Inferential analysis of quantitative data (n=64) was performed, applying Mann-Whitney tests and bivariate Spearman correlations, considering statistically significant two-tailed "p" differences less than 0.05. Qualitative interviews (n=12) were carried out about the impacts of the pandemic. Results: a 6.3% prevalence of Burnout Syndrome was identified. There was an association between the Emotional Exhaustion and Depersonalization domains and the variables fear, increased alcohol consumption and impact on health (p<0.05). There were changes in the work context, an increase in the level of demand and workload, and impacts on health. Conclusion: it is concluded that there is an association between the work context in the pandemic and Burnout. The increase in work overload had negative effects on mental health(AU)
Objetivo: analizar la relación entre el contexto de trabajo de los líderes de enfermería en la pandemia de COVID-19 y el Burnout. Método: estudio de método mixto, con muestra cuantitativa de 64 líderes de enfermería, de todos los sectores de cuatro hospitales de Rio Grande do Sul. La recolección de datos tuvo lugar de agosto a octubre de 2020, previa aprobación del Comité Nacional de Ética en Investigación. Se realizó el análisis inferencial de datos cuantitativos (n=64), se aplicaron pruebas de Mann-Whitney y correlaciones bivariadas de Spearman, considerando diferencias estadísticamente significativas "p" de dos colas menor a 0,05. Se realizaron entrevistas cualitativas (n=12) sobre los impactos de la pandemia. Resultados: se identificó una prevalencia del Síndrome de Burnout del 6,3%. Hubo asociación entre los dominios Cansancio Emocional y Despersonalización y las variables miedo, aumento del consumo de alcohol e impacto en la salud (p<0,05). Se han producido cambios en el contexto laboral, aumento en el nivel de exigencia y en la carga de trabajo e impactos en la salud. Conclusión: se concluye que existe asociación entre el contexto laboral en la pandemia y el Burnout. El aumento de la sobrecarga de trabajo tuvo efectos negativos sobre la salud mental(AU)
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Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Esgotamento Profissional , Saúde Ocupacional , Supervisão de Enfermagem , Brasil , Pandemias , COVID-19/epidemiologia , Hospitais PúblicosRESUMO
AIM: To assess the servant leadership behaviour of head nurse and its linkage with nurse work engagement in China. DESIGN: A cross-sectional study. METHODS: A anonymous investigation with the stratified cluster randomized sampling of nurse was conducted in Hunan Province of China in December 2020. We administered the Perceived Head Nurse Service Leadership Behaviour Scale and the Chinese version of Utrecht work engagement scale to survey, and analyse its relationships by multiple linear regression. RESULTS: A number of 890 nurses participated in this study. The average score of the perceived servant leadership of head nurse reported by nurses was 78.90 ± 14.04, which was at a medium level. Among its six dimensions, the dimension of promote nurse development scored highest (16.04 ± 2.84), while the dimension of dedication scored lowest (11.39 ± 2.46). Official nurses reported higher perceived servant leadership scores of head nurses than those who were employed and temporary nurses (b = 1.727, 95% CI: 0.054-3.400); nurses in tertiary hospitals reported higher perceived servant leadership scores of head nurses than nurses in primary and secondary hospitals (b = 2.703, 95% CI: 0.305-5.100); and lower perceived servant leadership scores were associated with nurses' job overtime (b = -4.935, 95% CI: -6.891 to -2.978). Nurses' perceived servant leadership of head nurses were positively associated with nurses' work engagement (r = 0.336, p < .05). Multiple linear regression analysis indicated that the perceived servant leadership of head nurse affected nurses' work engagement strongly (b = 0.585, 95% CI: 0.479-0.691). CONCLUSION: The servant leadership behaviour of head nurse in China was at the medium level, which was positively associated with nurses' work engagement. Further research should improve the power of the servant leadership behaviour of head nurse by integrating additional training, policies and support. IMPACT: It is time to consider the servant leadership behaviour of head nurses and its linkage with nurses' work engagement in China seriously, and address the policies, guidelines, curriculum, and practice culture. PATIENT OR PUBLIC CONTRIBUTION: The study was conducted to explore the situation of servant leadership behaviour of head nurses and its linkage with nurses' work engagement in China, which did not include input from the public or the intended participants.
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Enfermeiras e Enfermeiros , Supervisão de Enfermagem , Humanos , Liderança , Engajamento no Trabalho , Estudos Transversais , China , Inquéritos e Questionários , Satisfação no EmpregoRESUMO
AIM: To develop a standardized training for charge nurses. DESIGN: A developmental research design divided into three parts will be undertaken. METHODS: (1) A scoping review will be used to develop standardized training focusing on charge nurse skills and sub-skills; (2) a Delphi review with nurses, managers and researchers will validate the content of the training; content validity will be assessed over sufficient rounds of review to obtain a content validity index of over 0.7 and (3) a cross-sectional study will pilot test the training with 30 charge nurses. RESULTS: This study will describe the development of updated and empirically validated training to be systematically implemented in healthcare institutions and offered to charge nurses when they begin.
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Instalações de Saúde , Supervisão de Enfermagem , Humanos , Estudos Transversais , Literatura de Revisão como AssuntoRESUMO
Introducción:La supervisión de enfermería juega un papel fundamental en la implementación de estrategias de aprendizaje dirigido que mejoren el desempeño laboral de los profesionales, garantizando así una atención de calidad. Objetivo:Evaluarla relación que existe entre la supervisión a través del aprendizaje dirigido y el desempeño laboral de enfermería. Metodología: estudio cuantitativo con diseño descriptivo, correlacional de corte transversal desarrollado en el área de urgencias deun Instituto Nacional de Salud de la Ciudad de México, en2022. El universo estuvo conformado por profesionales de enfermería del Instituto Nacional deNutrición, la muestra fue de 90profesionales seleccionados por muestreo aleatorio simple, Se utilizó un instrumento que mide el desempeño laboral y la supervisión a través de una escala tipo Likert que va de nunca a siempre, clasificando las variables en tres categorías: nivel bajo, nivel medio y nivel alto. Resultados:existe una correlación directamente proporcional entre la supervisión a través del aprendizaje dirigido y el desempeño laboral, es decir un nivel medio de la categoría del instrumento, a mayor supervisión mayor desempeño laboral; así como, cuando existe mayor capacitación, comunicación, supervisión programada, hay un mayor desempeño laboral. Conclusiones: Los resultados evidencian que al impulsar la implementación del proceso de supervisión mediante el modelo de aprendizaje dirigido es posible potencializar el desempeño laboral de los profesionales de enfermería. Asimismo, el desempeño laboral del profesional se beneficia mediante las estrategias de supervisión como son: la capacitación continua, la comunicación efectiva, la retroalimentación y la supervisión programada
Introduction:Nursing supervision plays a fundamental role in the implementation of directed learning strategies that improve the job performance of professionals, thus ensuring quality care. Objective: To evaluatethe relationship between supervision through directedlearning and nursing job performance. Methodology: quantitative study with a descriptive, correlational, cross-sectional, cross-sectional design in the emergency department of a National Health Institute in Mexico City, from March to May 2022. The universe was made up of nursing professionals from the National Instituteof Nutrition, the sample was 90professionals selected by simple random sampling. An instrument was used to measure job performance and supervision through a Likert-type scale ranging fromnever to always, classifying the variables into three categories: low level, medium level and high level. Results: there is a directly proportional correlation between supervision through directed learning and job performance, i.e. a medium level of the instrument category, the higher the supervision the higher the job performance; as well as, when there is more training, communication, programmed supervision, there is higher job performance. Conclusions: The results show that by promoting the implementation of the supervision process through the directed learning model, it is possible to enhance the work performance of nursing professionals. Likewise, the professional's work performance benefits from supervision strategies such as: continuous training, effective communication, feedback and programmed supervision
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Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Supervisão de Enfermagem/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Desempenho Profissional/estatística & dados numéricos , Aprendizagem , Estudos Transversais , Inquéritos e Questionários , Correlação de Dados , Enfermeiras e Enfermeiros/psicologiaRESUMO
INTRODUCTION: The charge nurse (CN) holds a position in clinical-administrative management and is essential for improving the quality and safety of care in healthcare institutions. The position requires five essential skills: leadership; interpersonal communication; clinical-administrative caring; problem solving; and knowledge and understanding of the work environment. The scientific literature has not widely examined the importance of providing these skills as part of initial training, nor when CNs begin their duties. This study aims to fill this gap through an exhaustive review of the literature with the aim of developing standardised training for the CN when they start in their position. METHODS AND ANALYSIS: A scoping review using the Joanna Briggs Institute framework will be conducted. The CINAHL, MEDLINE, Science Direct and Cairn, databases as well as grey literature from ProQuest dissertations and thesis global database, Google Scholar and the website of the Order of Nurses of Quebec will be queried using keywords. Relevant literature in French and English, published between 2000 and 2022 will be retained. The CN is the target population. Outcomes address at least one of the five CN skills, describe how they are operationalised and what their impact is on the organisation of work and quality of care. This analysis will identify essential and relevant elements for the development of standardised, up-to-date and appropriate training for the position of CN. ETHICS AND DISSEMINATION: Ethical approval is not required, as data does not include individual patient data. The results will be published in peer-reviewed journals, presented at conferences and presented to nursing managers and directors. SCOPING REVIEW REGISTRATION: Research Registry ID: researchregistry7030.
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Currículo , Supervisão de Enfermagem , Humanos , Atenção à Saúde , Competência Clínica , Revisão por Pares , Projetos de Pesquisa , Literatura de Revisão como AssuntoRESUMO
BACKGROUND: Head nurses are vital in understanding and encouraging knowledge sharing among their followers. However, few empirical studies have highlighted their contribution to knowledge-sharing behaviour in Online Health Communities (OHCs). In addition, scant literature has examined the moderating role of knowledge self-efficacy in this regard. PURPOSES: This study examines the moderating role of self-efficacy between the association of four selected individual factors of head nurses (i.e., Trust, Reciprocity, Reputation, and Ability to Share) and their knowledge-sharing behaviour in OHCs in Jordan. METHOD: The data were obtained by using a self-reported survey from 283 head nurses in 22 private hospitals in Jordan. A moderation regression analysis using a structural equation modelling approach (i.e. Smart PLS-SEM, Version 3) was utilised to evaluate the study's measurement and structural model. RESULTS: Knowledge self-efficacy moderates the relationship between the three individual factors (i.e., Trust, Reciprocity, and Reputation) and knowledge-sharing behaviours. However, self-efficacy did not moderate the relationship between the ability to share and knowledge-sharing behaviours. IMPLICATIONS: This study contributes to understanding the moderating role of knowledge self-efficacy among head nurses in online healthcare communities. Moreover, this study provides guidelines for head nurses to become active members in knowledge sharing in OHCs. The findings of this study offer a basis for further research on knowledge sharing in the healthcare sector.
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Supervisão de Enfermagem , Autoeficácia , Humanos , Atenção à Saúde , Inquéritos e Questionários , AutorrelatoRESUMO
AIM: To develop a Head Nurse Research Leadership Scale and evaluate its reliability and validity. DESIGN: A psychometric instrument validation study was conducted in two phases. METHODS: The item tool was generated based on a literature review, semi-structured interview and brainstorming. Twenty experts validated the content of the initial version for two rounds. Thirty-nine clinical nurses conducted the HNRLS-v3 to test the readability of the items in pilot study I. Items were screened based on the critical ratio, correlation coefficient analysis, Cronbach's α coefficient and factor analysis using the data collected from 265 nurses in pilot study II. A cross-sectional survey was conducted in six hospitals to evaluate the reliability and validity between 4 January 2022 and 15 January 2022. Three hundred and sixteen nurses participated in this survey, and 60 completed the questionnaire to validate the test-retest reliability between 1 February and 6 February. RESULTS: A 15-item Head Nurse Research Leadership Scale based on 5 dimensions was developed, and the content validity was satisfied. The 15 items accounted for 77.9% of the variance. Confirmatory factor analysis showed acceptable convergent validity and discriminant validity. The Cronbach's α coefficient, split-half reliability and test-retest reliability of the scale were 0.966, 0.9633 and 0.927, respectively.
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Liderança , Enfermeiras e Enfermeiros , Humanos , Psicometria/métodos , Reprodutibilidade dos Testes , Estudos Transversais , Projetos Piloto , Supervisão de EnfermagemRESUMO
BACKGROUND: The increasing complexity of the healthcare environment in recent years highlights the importance of cultivating in head nurses the leadership and management competencies necessary to effectively handle complicated administrative tasks and lead nurses in facing various challenges. Identifying the core administrative management competencies required of head nurses and evaluating competency level using behavioral indicators are fundamental to evaluating related training outcomes. PURPOSE: This study was designed to identify the core administrative management competencies required of head nurses as well as the associated job responsibilities, tasks, behavioral evaluation indicators, work outputs, and requisite knowledge and skills. METHODS: This study was conducted in two phases using a qualitative method. The first phase identified the core administrative management competencies and their behavioral definitions. The second phase established competency-related job responsibilities, tasks, behavioral evaluation indicators, work outputs, and requisite knowledge and skills. Each phase consisted of (1) a qualitative interview (first stage) or focus group discussion (second stage) to establish the prototype content; (2) a head nurse workshop to obtain multiple perspectives to modify the prototype content; and (3) a focus group discussion to achieve consensus regarding the content. RESULTS: Nine core competencies related to head nurse administration were identified, including: strategic planning, care supervision, quality improvement, communication, crisis management, responsible leadership, evidence-based practice, digital technology application, and presentation persuasion. Corresponding to these competencies, four responsibilities and associated work tasks were identified. Finally, the related behavioral evaluation indicators, work outputs, and requisite knowledge and skills were confirmed. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The results of this study may be used as the basis for head nurse administrative management training programs, while the identified behavioral evaluation indicators may be used to evaluate head nurse work performance and training outcomes. We recommend other institutions apply the results of this study and develop their own administrative core competencies and evaluation indicators for head nurses.
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Enfermeiras e Enfermeiros , Supervisão de Enfermagem , Humanos , Competência Clínica , Consenso , Liderança , ComunicaçãoRESUMO
Introducción: El fenómeno "techo de cristal", es un término denominado de esta forma por un movimiento feminista de los años ochenta en los Estados Unidos, el cual hace referencia a la barrera "invisible" que impide el progreso de las mujeres en su carrera laboral. Objetivo: Analizar en el estado del arte disponible, la presencia del fenómeno techo de cristal en enfermería. Materiales y métodos: Se realizó una revisión integrativa basada en las cinco etapas de Crossetti, utilizando descriptores (enfermería, consejo directivo, supervisión de enfermería, liderazgo, inequidad de género y sexismo) validados en el tesauro DeCS y unidas con el booleano AND, en las bases de datos WOS, PUBMED, SCOPUS, SCIELO y BVS. Resultados: Tras la aplicación de los descriptores y estrategias de búsqueda se localizaron 133 artículos, posterior a la aplicación de filtros se seleccionan 43 artículos, tras aplicar criterios de inclusión y exclusión se obtuvieron 6 artículos, luego se complementó con una búsqueda manual localizando 2 artículos, conformándose una muestra de 8 documentos, se aplicó una propuesta de escala que asegura la calidad de la muestra, quedando 7 artículos. Discusión: Todos los artículos seleccionados expresaban una escasa representatividad femenina de enfermería en puestos directivos, se destaca que los hombres son mejor recompensados en términos de remuneración, avance profesional, ocupación de puestos mejores y más prestigiosos. Conclusiones: Los artículos analizados muestran la presencia del fenómeno techo de cristal, donde las mujeres enfermeras presentan más dificultades que los hombres para acceder a cargos directivos, con una aparente etiología marcada meramente por el género.
Introduction: The glass ceiling effect is a term named after a feminist movement in the 1980s in the United States referring to an "invisible" barrier that impedes women's progress in their working careers. Objective: To analyze the presence of the glass ceiling effect in nursing in the available state of the art. Materials and Methods: An integrative review was conducted following Crossetti's five steps and using descriptors such as nursing, board of directors, nursing supervision, leadership, gender inequality and sexism, which have been validated in DeCS thesaurus and linked with the Boolean And operation on WoS, PubMed, Scopus, SciELO and BVS databases. Results: After applying descriptors and search strategies, 133 articles were initially retrieved of which, after applying filters, 43 articles were selected to finally obtain 6 articles after applying inclusion and exclusion criteria. After a manual search, 2 articles were found to make a sample of 8 articles on which a scaling proposal was applied to ensure sample quality, resulting in 7 articles. Discussion: Selected articles indicated limited female representation of nurses in managerial positions, emphasizing that men are better compensated in terms of remuneration, professional advancement, and better and more prestigious positions. Conclusions: Analyzed articles reflect the presence of the glass ceiling effect in which female nurses have more difficulties than men in accessing managerial positions by an apparent etiology merely marked by gender.
Introdução: O fenômeno do "teto de vidro", é um termo que leva o nome de um movimento feminista dos anos 80 nos Estados Unidos, que se refere à barreira "invisível" que impede o progresso das mulheres em suas carreiras profissionais. Objetivo: Analisar o estado da arte disponível sobre a presença do fenômeno do teto de vidro na enfermagem. Materiais e métodos: Uma revisão integrativa foi realizada com base nos cinco estágios de Crossetti, utilizando descritores (enfermagem, diretoria, supervisão de enfermagem, liderança, desigualdade de gênero e sexismo) validados no thesaurus DeCS e ligados ao booleano AND, nas bases de dados WOS, PUBMED, SCOPUS, SCIELO e BVS. Resultados: Após a aplicação dos descritores e estratégias de pesquisa, foram localizados 133 artigos, após a aplicação dos filtros foram selecionados 43 artigos, após a aplicação dos critérios de inclusão e exclusão foram obtidos 6 artigos, depois uma pesquisa manual foi realizada e foram encontrados 2 artigos, formando uma amostra de 8 documentos, uma escala proposta foi aplicada para garantir a qualidade da amostra, deixando 7 artigos. Discussão: Todos os artigos selecionados expressaram uma escassa representação feminina de enfermagem em cargos de direção, destacando-se que os homens são mais bem recompensados em termos de remuneração, ascensão profissional, ocupação de cargos melhores e mais prestigiados. Conclusões: Os artigos analisados mostram a presença do fenômeno do teto de vidro, onde as enfermeiras apresentam mais dificuldades do que os homens no acesso a cargos de gerência, com uma aparente etiologia marcada puramente pelo gênero.
Assuntos
Humanos , Masculino , Feminino , Enfermagem , Supervisão de Enfermagem , Sexismo , LiderançaRESUMO
Nowadays, organizations understand that they need the best talent to succeed in the complex world economy and survive in a competitive business environment. Therefore, talent management can ensure that each employee with a unique talent or ability will be placed in the correct position. This article aimed to study the relationship between talent management, senior and middle managers, and head nurses from educational health and research centers in Tabriz, in 2016. The target population included senior and middle managers and head nurses from Tabriz University of Medical Sciences, approximately 197 people. The sample for this study was selected based on Morgan's table, which rounds up to 123 people. The Kolmogorov-Smirnov test was used to analyze data, and if data were normal, correlation and regression analysis were performed. There was a significant relationship between talent management and the efficiency of senior and middle management and head nurses from the educational and medical centers in Tabriz. Therefore, when talent management increases, the efficiency level also rises to a noticeable degree. Also, the linear regression showed a linear relationship between talent management as an independent variable and efficiency as a dependent variable. Applying talent management strategies in the management selection process in organizations with demanding environments such as hospitals seems inevitable so that managers with the highest efficiency are hired.