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3.
BMJ Lead ; 6(1): 6-9, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35537021
4.
Home Healthc Now ; 40(3): 146-153, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35510969

RESUMO

The purpose of this article is to introduce a descriptive middle-range theoretical framework unique to professional nursing practice provided in the patient's home. The variety of care models provided in the home, ranging from nonskilled home maintenance service to hospital-at-home programs, reinforces the need to clearly define and describe home-based professional nursing practice. This framework includes six concepts (primacy of home, patient authority, patient self-management, caregivers as collaborators, interprofessional clinical team collaboration, nurse autonomy), and four relational statements of the concepts that describe the experience of patients in their homes and home-based providers. The four theoretical statements are: (1) The patient's beliefs, habits, and self-management actions in the home are shaped by the meaning of home and the physical home environment. (2) The patient has ultimate decision-making control and authority over his/her own health-related behaviors in the home. (3) Home-based care includes interprofessional teams to provide holistic care and maximize self-management ability. (4) The home-based nurse is autonomous when working in the home with the patient/caregiver and has primary responsibility for holistic assessment and intervention. Knowledge of this theoretical framework can help nurses maintain the integrity and purpose of the professional nurse's role in home-based care as well as provide guidance for nursing education and organizational structures. Recommendations for research to test and validate the framework are provided.


Assuntos
Educação em Enfermagem , Enfermeiras Administradoras , Feminino , Humanos , Masculino , Papel do Profissional de Enfermagem
5.
6.
Nurs Manage ; 53(4): 34-37, 2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-35383674

RESUMO

The following manuscript is one of the runner-up entries submitted to Nursing Management for the Visionary Leader Award in recognition of Brandon "Kit" Bredimus, DNP, RN, the CNO and vice president for nursing at Midland Memorial Hospital in Midland, Tex.


Assuntos
Distinções e Prêmios , Enfermeiras Administradoras , Cuidados de Enfermagem , Hospitais , Humanos , Liderança
7.
Nurs Manage ; 53(4): 38-40, 2022 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-35383675

RESUMO

The following manuscript is one of the runner-up entries submitted to Nursing Management for the Visionary Leader Award in recognition of Carol Grove, MSN, RN, NEA-BC, the associate CNO at Meritus Medical Center in Hagerstown, Md.


Assuntos
Distinções e Prêmios , Enfermeiras Administradoras , Cuidados de Enfermagem , Humanos , Liderança , Pesquisadores
8.
Artigo em Inglês | MEDLINE | ID: mdl-35457757

RESUMO

Primary healthcare (PHC) clinics are the point of access for many COVID-19 patients; however, the focus of crisis response work has been in securing hospital capacities. The purpose of this study was to describe the early nurse management experiences from PHC clinics within Greater Helsinki dedicated to caring for all ambulatory patients with possible COVID-19 symptoms. The study objectives were to make PHC crisis response contributions known and to provide an in-action review (IAR) of crisis response efforts. Nurse managers from the four COVID-19 hubs in Greater Helsinki were interviewed using thematic pair interviews. The data were analyzed inductively using thematic analysis, by which four main themes emerged: (1) capacity development led to a state of flux, (2) infection prevention control (IPC) was critical, (3) management of staff was essential in facilitating crisis response, and (4) respondents' personal experiences. The state of flux stressed the provision of PHC services, but quick developments in telemedicine eased that burden. Conversation surrounding IPC was extensive, though discrepancies suggest that global efforts to standardize IPC practices must begin locally. Leadership was adjusted to accommodate for the crisis, especially regarding the motivation of staff. A vision to aspire toward in crisis recovery is needed.


Assuntos
COVID-19 , Enfermeiras Administradoras , Telemedicina , Finlândia , Humanos , Controle de Infecções , Pesquisa Qualitativa
10.
J Nurs Adm ; 52(5): 309-313, 2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35420561

RESUMO

OBJECTIVE: The purpose of this study was to describe the experience of chief nursing officers (CNOs), including leadership strategies that they developed as they encountered the administrative challenges posed by COVID-19. BACKGROUND: The COVID-19 pandemic required CNOs to make difficult decisions and to support nursing staff as they cared for critically ill and dying patients, and therefore, they experienced intense stress during a pandemic of a highly infectious disease. Understanding the challenges that CNOs faced in this crisis will help hospitals and CNOs to better prepare for the future. METHODS: Using a descriptive qualitative approach, we conducted interviews with 9 CNOs from hospitals across the United States. The goal of the interviews was to develop an understanding of the difficulties that these CNOs encountered during the COVID-19 pandemic and their emotional response to the challenging situations. RESULTS: Themes of frustration, heartbreak, and feeling overwhelmed, exhausted, and helpless were revealed. In addition, pride in being a nurse was expressed. CONCLUSION: Themes revealed in this study suggested intentional leadership strategies that would be useful in future healthcare crises.


Assuntos
COVID-19 , Enfermeiras Administradoras , Humanos , Liderança , Pandemias , Estados Unidos
11.
J Nurs Adm ; 52(5): 256-257, 2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35467592

RESUMO

ABSTRACT: This month's column highlights the value contribution of advanced practice registered nurses (APRNs) to research and the importance of chief nursing officer development of health system infrastructure to engage APRNs in research.


Assuntos
Prática Avançada de Enfermagem , Enfermeiras Administradoras , Humanos
12.
J Nurs Adm ; 52(5): 286-292, 2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35467594

RESUMO

OBJECTIVE: The aim of this study was to assess the influence of 3 variables on unit-based nurse managers' self-perception of business and financial competence in patient care: 1) educational degree; 2) participation in leadership development continuing education; and 3) prior nursing management experience. BACKGROUND: Nurse managers must develop business acumen to support patient care and the nurses who provide care. Successful managers must become fluent in the language of finance and must understand how to use it. Their ability to promote continuous quality improvement (QI) in a cost-effective, resource-conscious manner is the foundation of economic viability. METHODS: A feasibility study was conducted using Facebook to recruit nurse managers nationally and to distribute an electronic survey designed to assess the unit-based managers' self-perceptions of business and financial competence in patient care. RESULTS: The strongest predictors of self-perceived business and financial competence were continuing education and MSN degree. Years of experience in a leadership role did not predict self-reported levels of business or financial competence in patient care. CONCLUSION: Findings suggest that nursing leadership competency in the area of finance is developed through continuing education. Healthcare organizations should implement comprehensive nursing leadership mentoring and orientation programs for nurse managers to improve their self-perceptions of business and financial competencies.


Assuntos
Tutoria , Enfermeiras Administradoras , Humanos , Liderança , Autoimagem , Inquéritos e Questionários
13.
15.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2022 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-35365982

RESUMO

PURPOSE: Nurse managers' planning practices are essential to the practice of management in the unit, and the overall efficiency of the healthcare service delivery. This study aims to explore the planning practices of nurse managers in the Greater Accra Region, Ghana. DESIGN/METHODOLOGY/APPROACH: A descriptive phenomenological design was employed to explore nurse managers' planning practices. In total, 15 nurse managers and 47 nurses from 19 primary and secondary hospitals of the Ghana Health Service and two specialized hospitals in the Greater Accra Region, Ghana, were involved in the study. Data were collected using semi-structured interview guides and probes. FINDINGS: The findings suggested that plans were widely common to all the units of the hospitals and were considered satisfactory by nurse managers. However, most of these plans were not effectively utilized. Nurse managers had only fair knowledge about the planning process and were moderately involved and communicated ideas to colleagues in the process. Furthermore, nurse managers do not frequently share the vision neither do they even communicate expectations to achieve unit goals and objectives with subordinates. ORIGINALITY/VALUE: The research emphasizes the relevance of planning in healthcare management. It highlights the management practice of planning in the context of nurse managers and accentuates the values the healthcare system derives with effective planning practices.


Assuntos
Enfermeiras Administradoras , Gana , Humanos
16.
Coimbra; s.n; mar. 2022.
Tese em Português | BDENF - Enfermagem, BDENF - Enfermagem | ID: biblio-1366964

RESUMO

Problemática: A motivação permite ao enfermeiro gestor desenvolver competências num ambiente tão complexo como os sistemas de saúde, marcado pela escassez de recursos materiais e humanos. A relação positiva entre a motivação e o comprometimento organizacional favorece a maximização do desempenho, da produtividade, e da qualidade dos cuidados, assim como a minimização das taxas de absentísmo, do turnover e dos custos em saúde. Objetivos: Analisar os níveis de motivação dos enfermeiros gestores e relacionar o seu impacto sobre as variáveis sociodemográficas, académicas, profissionais, e do comprometimento organizacional. Assim como os fatores facilitadores e dificultadores da motivação para o trabalho. Material e Método: Pesquisa qualitativa, descritiva, transversal, com 16 enfermeiros gestores do serviço público de saúde da região centro de Portugal, utilizou-se um questionário on-line contendo a Multidemiensional Work Motivation Scale e a Escala do Comprometimento Organizacional. Conclusões: observaram-se altos níveis de regulação introjetada no gênero masculino, e grande parte de profissionais com competências organizacionais. A concentração de pós-graduação/especialização demonstrou a busca por capacitação, a habilitação profissional revelou o predomínio de peritos na gestão em enfermagem. O tempo na gestão em enfermagem e gestão do serviço reduz a motivação intrínseca com o passar dos anos. A medida que os participantes apresentam aumento da motivação extrínseca material, menor será a percepção de culpa ou dívida que os obriga a permanecer no serviço. A dimensão identificada foi a mais pontuada colaborando para o comprometimento afetivo ter maior expressão nesta pesquisa.


Assuntos
Organização e Administração , Enfermagem , Engajamento no Trabalho , Motivação , Enfermeiras Administradoras
17.
J Nurs Manag ; 30(4): 954-961, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35246900

RESUMO

AIMS: The aims of this study are to analyse the prevalence and levels of burnout syndrome in nurse managers and to evaluate the relationship between burnout and related sociodemographic, occupational and psychological factors. BACKGROUND: Burnout syndrome, defined as an emotional response to chronic stress, is a major problem among nurse managers. METHODS: The study was conducted using a cross-sectional survey design and data collected by the Maslach Burnout Inventory, the revised NEO Five Factor Inventory and the Educational-Clinical Questionnaire for Anxiety and Depression. The sample population consisted of 86 nurse managers from different hospitals from the Public Health Service of Andalusia, Spain. RESULTS: A total of 22.4% of the participants presented high levels of emotional exhaustion, 21% experienced depersonalisation and 57.6% had little sense of personal accomplishment. Working long shifts was related to burnout. Emotional exhaustion and depersonalization were predicted by depression, while personal accomplishment was predicted by conscientiousness, agreeableness and openness. CONCLUSIONS: A total of 34.1% of the participants presented high levels of burnout, manifested by feelings of low personal accomplishment. Psychological and occupational factors play an important role in the development of this syndrome. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should seek to detect burnout among staff and colleagues matching the risk profile for this condition and promote interventions to prevent it.


Assuntos
Esgotamento Profissional , Enfermeiras Administradoras , Esgotamento Profissional/complicações , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico , Estudos Transversais , Emoções , Humanos , Prevalência , Inquéritos e Questionários
18.
J Nurs Manag ; 30(4): 1011-1017, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35258137

RESUMO

AIMS: This study investigated, 'What is the perceived value of a PhD to doctoral and postdoctoral nurses in the UK?' BACKGROUND: Little is known about what happens to the careers of nurses who undertake a doctorate and whether they use these skills in the next career steps. METHODS: Nurses (n = 47) with doctorates were recruited via professional networks and twitter (@NMAHP_DoctorateStudy). Qualitative responses from the nurses were analysed using thematic analysis. RESULTS: Three themes emerged from qualitative analysis: impact on career, utilization and value, and impact on self. CONCLUSIONS: This study provides one of the few insights into how doctoral trained nurses understand and experience the value and utility of their studies to themselves and others. IMPLICATIONS FOR NURSE MANAGEMENT: Nurse managers can play a crucial role in generating a research-led culture within their clinical setting. This would include promoting an understanding of research as something directly related to patient benefit rather than an abstract, intellectual activity.


Assuntos
Educação de Pós-Graduação em Enfermagem , Enfermeiras Administradoras , Médicos , Humanos , Inquéritos e Questionários , Reino Unido
19.
J Nurs Manag ; 30(4): 962-972, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35258146

RESUMO

AIM: To develop a leadership and management competency framework applicable to Chinese nurse champions guided by the competency matrix for clinical nurse leader (CNL). BACKGROUND: As the clinical leaders and future nurse manager candidates in the Chinese clinical setting, nurse champions are in great need of leadership and management competency training, but it is unclear what content should be included in the training curriculum, a guiding framework applicable to Chinese nurse champions was needed to be constructed. METHODS: This study used a qualitative descriptive design to explore nurse champions' competency requirements from clinical nurse managers' perspective. Semi-structure interviews guided by the CNL competency matrix were conducted with 27 clinical nurse managers from six large-scale tertiary grade A hospitals in Shanghai, China. Interview transcripts were analysed using deductive and inductive content analysis. RESULTS: The data analysis yielded three main categories: nursing leadership, clinical outcome management and care environment management, containing 14 subordinate themes, which represent the leadership and management competencies needed for nurse champions. CONCLUSIONS: A leadership and management competency framework for Chinese nurse champion was built in this study, which covering the competencies needed by Chinese nurse champions to lead care teams, improve quality of care for patient outcomes and enhance systems and equipment for the better care environment. This framework will be the direct basis for guiding the development of the nurse leadership curriculum for driving nurse champion to achieve role success. IMPLICATIONS FOR NURSING MANAGEMENT: This framework provides a theoretical foundation for clarifying the role of nurse champion in clinical management. Training curriculum guided by this framework will help nurses in their clinical management role and share the burden of clinical nursing managers, as well as promote the development of a clinical nursing management reserve talents and support the future development of nursing staff in health care organisations.


Assuntos
Liderança , Enfermeiras Administradoras , China , Competência Clínica , Humanos , Pesquisa Qualitativa
20.
NASN Sch Nurse ; 37(3): 155-164, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35357233

RESUMO

The ongoing COVID-19 pandemic has been taxing to healthcare workers, no less for those serving on the front lines in schools. From initial school closures and online learning to gradual reopening with hybrid learning models, to full in-person learning, school nurse administrators provided guidance in collaboration with public health officials, based on evolving information. Infection control was at the forefront, while government and scientists partnered to quickly develop effective vaccines. Technology provided new virtual platforms for learning, conducting meetings, and socialization, while also being widely used to deliver information, misinformation, and disinformation. Challenges have been numerous, but school nurse administrators and school nurses in general, with a commitment to the health and safety of their populations, continue to adapt to the ever-changing demands. The journal's Editorial Advisory Board interviewed five school nurse administrators, representative of diverse geographic locations, school population size, and employer models, to capture their reflections on school health leadership during the COVID-19 pandemic. History is deserving of their stories.


Assuntos
COVID-19 , Enfermeiras Administradoras , Serviços de Enfermagem Escolar , COVID-19/epidemiologia , COVID-19/prevenção & controle , Humanos , Pandemias/prevenção & controle , Instituições Acadêmicas
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