Nursing Administration Research Priorities: Findings From a Delphi Study.

OBJECTIVE: The aim of this study is to determine the priorities for nursing administration research (NAR) in the United States. BACKGROUND: Previously known as the Council of Graduate Educators in Administrative Nursing, CGEAN provides an avenue for researchers and educators focused on NAR to partner, dialogue, obtain funding resources, and present their findings at a biennial International Nursing Administration Research Conference (INARC). In late 2013, with a goal of building consensus, CGEAN convened an INARC postconference to initiate the process of establishing critical NAR priorities for the future. METHODS: Data from a 3-staged Delphi study were used to identify relevant research topics and determine administrative research priorities. RESULTS: Eight final categories of NAR were determined. CONCLUSIONS: This study found economic valuing of nursing and designing effective future healthcare delivery systems to be high priorities for NAR.

Research priorities for nursing professional development: a modified e-Delphi study.

In 2010, the National Nursing Staff Development Organization Research Committee identified the need to delineate research priorities for nursing professional development (NPD). A Delphi study with 13 experts in NPD resulted in the identification of 24 priorities for the next 5 years. These priorities provide the future direction for NPD research and funding.

Research to practice in occupational health nursing.

Occupational health nursing research has gained a significant place in national and international nursing programs and has advanced occupational health nurses' understanding of the most effective ways to prevent occupational illness and injury, provide access to quality care for workers, and manage occupational injuries and return to work. This article describes the history of nursing research in general and highlights the current national shortages that must be addressed to ensure that nurses continue to impact the field. Occupational health nursing priorities are described and examples are given of nurse scientists who have established the foundation of occupational health nursing research and who illustrate varied expertise and the interdisciplinary context in which the work is conducted.

Historical trends in human resource issues of hospital nursing in the past generation.

Strategic management of human resource in health care is indeed important to delivering high-quality care. Despite the fact that the nursing profession is growing and becoming more and more sophisticated, human resource issues have not changed in a dramatically significant way in the past generation. The aim of this study was to identify the historical trends in human resource issues related to hospital nursing in the past generation from 1977 to 2006. A total of 10,691 records were reviewed, resulting in 1,799 valid records that addressed human resource issues related to hospital nursing. Content analyses were conducted and a typology of human resource issues was developed. Productivity, work content and flow, and occupational hazards were the three most often reported themes.

The contribution of organization theory to nursing health services research.

We review nursing and health services research on health care organizations over the period 1950 through 2004 to reveal the contribution of nursing to this field. Notwithstanding this rich tradition and the unique perspective of nursing researchers grounded in patient care production processes, the following gaps in nursing research remain: (1) the lack of theoretical frameworks about organizational factors relating to internal work processes; (2) the need for sophisticated methodologies to guide empirical investigations; (3) the difficulty in understanding how organizations adapt models for patient care delivery in response to market forces; (4) the paucity of attention to the impact of new technologies on the organization of patient care work processes. Given nurses' deep understanding of the inner workings of health care facilities, we hope to see an increasing number of research programs that tackle these deficiencies.

La investigación en necesidades de formación de los gestores de enfermería / Search in nursing managers training necessities

En este artículo se hace un análisis sobre la producción científica relacionada con las necesidades de formación de los profesionales de enfermería que se dedican a la gestión, en las publicaciones enfermeras de nuestro país. El estudio que se ha llevado a cabo ha sido de carácter descriptivo/observacional. Las unidades de análisis han sido los materiales publicados tanto en revistas como en libros, así como algunos estudios relacionados el tema objeto de estudio. Para conocer la naturaleza de dichas publicaciones y situarnos ante el panorama de la producción científica sobre necesidades de formación en gestión enfermera, realizamos un barrido de artículos en revistas de enfermería de publicación periódica en el ámbito nacional, desde la década de los setenta hasta diciembre de 2001.Los resultados obtenidos nos dan una visión de los temas más tratados en las revistas de enfermería y de la naturaleza de éstos, que por lo general son los relacionados con la actividad enfermera, como atención y cuidados; sobre gestión y formación sanitaria en enfermería y más concretamente en necesidades de formación de gestores enfermeros, se detecta una gran carencia (AU)

[Premature departure from nursing in Germany as a growing problem for the health care system -- a review]. / Vorzeitiger Berufsausstieg aus der Pflege in Deutschland als zunehmendes Problem für den Gesundheitsdienst -- eine Ubersichtsarbeit.

There is a shortage of nursing staff in almost all of the countries in the European Union. This problem is expected to increase within the next decades as a result of demographic changes. Efforts to improve training or recruiting nurses from other countries such as future EU member states are unlikely to solve the problem. Premature departure from the nursing profession occurs more frequently than in other professional fields in Germany. There is little known about the underlying reasons of this. The authors present data regarding the early departure of nursing staff from the profession. They propose that a lengthened stay in nursing could help solve the above problem. In order for specific measures to take place (to solve this), more knowledge is needed regarding the causes and circumstances surrounding the early departure of nursing staff. This is the object of the European NEXT-Study ( http://www.next-study.net ), in which research groups from 10 European countries are taking part. Starting in Autumn 2002, between 5000 and 8000 nurses will be questioned in each of the 9 countries, in this longitudinal study. The first findings will be submitted in Summer 2003.

El producto enfermero y la reforma de los procesos asistenciales (I) / The nursing output and health care processes improvement (I)

Iniciamos una serie de artículos, cuya autora es Montserrat Teixidor, que expondrán el tema genérico del producto enfermero y la reforma de los procesos asistenciales. En este primer artículo se parte de la idea de que en un contexto marcado por unos recursos económicos limitados, ha vuelto a plantearse la necesidad de objetivar el trabajo de enfermería. Así, la autora nos introduce en temas como dotación de recursos humanos, implantación de nuevos sistemas de gestión y las consecuencias (positivas y negativas) que la literatura refiere para la enfermería, y el fundamental de "lo invisible" del cuidar. Todo ello nos va a exigir la gestión de la imaginación. La bibliografía general se transcribe en el último capítulo (AU)

Unidades de Gestión de Cuidados ¿Qué opinan los profesionales de su implantación? / Management Units for Treatment of Patients: what do professionals think about its installation?

La gestión clínica en enfermería requiere cambios estructurales. Para tener éxito en la creación de las Unidades de Gestión de Cuidados, es necesaria una predisposición y asunción del rol de partícipe de la innovación de los profesionales. Es obligado realizar un proceso de indagación previo a la puesta en marcha del cambio. En nuestro caso, la investigación se realizó en dos fases, en la primera se utilizó técnica de tormenta de ideas, con posterior procedimiento de técnica de agrupación de ideas por áreas de afinidad, en la segunda la técnica de grupo nominal. Se realizan cuatro grupos con diferentes perfiles para los cuatro segmentos a estudiar. El total de participantes es de 39. La selección de la muestra es sistemática no probabilística, a través de informantes clave. Los resultados indicaron que existe un alto interés por el tema, y controversia. Hay variabilidad en las expectativas, y la información es abundante, priorizada y clasificada (AU)