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2.
J Environ Public Health ; 2021: 1315734, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33777150

RESUMO

Background: Nursing managers have a critical role at the hospitals. The current study aims to investigate different experiences of nursing managers. Method: This is a qualitative study that investigates the experiences of 11 nursing managers in Shiraz, Iran. Semistructured interviews and thematic analysis were, respectively, applied for data collection and analysis. Results: It could be found from the current investigation that nursing managers have a critical role at the hospitals, and their creativities have more impacts on procedures compared to organizational orders. There are four major challenges faced by nursing managers including nursing shortage, structural deficiencies, lack of authorities, and burnout. Although shortage is considered as the most important challenge, there are more emphasizes on the improvement of their controlling power in order to prevent their fatigue and burnout. Conclusion: This study showed that creativity of nursing managers is the most important factor of system management; also, shortage and deficiencies are recognized as the most significant challenges faced by them. According to the current study, the shortage of nursing staff is the central issue that has to be considered.


Assuntos
Enfermeiras Administradoras/normas , Enfermagem/organização & administração , Hospitais/estatística & dados numéricos , Humanos , Irã (Geográfico) , Enfermeiras Administradoras/estatística & dados numéricos , Enfermagem/normas , Cuidados de Enfermagem/organização & administração , Cuidados de Enfermagem/normas , Pesquisa Qualitativa
4.
J Nurs Manag ; 29(3): 412-420, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33107099

RESUMO

AIM: This study aims to report on the actions and incident management of the advanced practice nurses of a disaster operation team who were deployed in response to the COVID-19 outbreak, and to explore how it illustrated the Core Competencies in Disaster Nursing Version 2.0 delineated by the International Council of Nurses in 2019. METHODS: This is a descriptive study. The participants (responders) communicated and reported their actions in the operation with headquarter on a popular social media platform in China (WeChat), established specifically for the three-rescue teams. RESULTS: The response approach of advanced nurses to COVID-19 encompassed six of the eight domains of the competencies outlined in ICN CCDN V2.0, namely on preparation and planning, communication, incident management systems, safety and security, assessment and intervention. CONCLUSIONS: The response teams of advanced practice nurses in this study clearly demonstrated their competencies in disaster rescue, which fulfilled most of the core competencies set forth by the ICN. IMPLICATIONS FOR NURSING MANAGEMENT: The findings of this study contributed to understand the roles played by advanced practice nurses and nurse managers in disaster management and how these relate to the competencies set forth by the ICN.


Assuntos
Prática Avançada de Enfermagem/organização & administração , COVID-19/epidemiologia , COVID-19/enfermagem , Competência Clínica/normas , Desastres , Enfermeiras Administradoras/organização & administração , Prática Avançada de Enfermagem/normas , Fortalecimento Institucional/organização & administração , China/epidemiologia , Protocolos Clínicos/normas , Feminino , Alocação de Recursos para a Atenção à Saúde/organização & administração , Humanos , Masculino , Saúde Mental , Enfermeiras Administradoras/normas , SARS-CoV-2 , Triagem/organização & administração , Fluxo de Trabalho
5.
Curationis ; 43(1): e1-e9, 2020 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-33179945

RESUMO

BACKGROUND: The report of Saving Mothers indicated a decline of maternal mortality from 12.8% to 12.5% last triennium of 2017. This shows that regardless of availability of national maternal health guidelines, midwives and managers, 25% of maternal deaths were caused by preventable and avoidable factors. As such, support provided by managers is vital in promoting the utilisation of maternal guidelines. OBJECTIVES: The objective was to determine the support offered by managers to midwives during the implementation of maternal health guidelines. METHOD: The study design was cross-sectional descriptive in a quantitative domain. Simple random sampling was used to select 58 operational managers and two maternal managers. Data were collected using self-administered questionnaires and analysed using Statistical Package for Social Sciences version 23. Descriptive statistics provided by Microsoft Excel in the form of charts was used to describe data. Pearson's correlation test was used to describe relationships amongst variables. RESULTS: The results revealed that 83.3% respondents indicated a shortage of staff to attend pregnant women. Fifty-six per cent of managers indicated that shortage of material resources contributed to substandard implementation of maternal guidelines. Supervision and monitoring of implementation of maternal guidelines was difficult as indicated by 53.3%, and 63.3% indicated lack of supervision. CONCLUSION: Limited support in terms of monitoring and supervision by managers was strongly indicated as having a negative effect on implementation of maternal guidelines. Capacity building was offered; however, shortage of resources led to poor implementation of maternal guidelines by midwives.


Assuntos
Mortalidade Materna/tendências , Enfermeiras Administradoras/normas , Enfermeiras Obstétricas/psicologia , Apoio Social , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/estatística & dados numéricos , Enfermeiras Obstétricas/estatística & dados numéricos , Autorrelato/normas , Autorrelato/estatística & dados numéricos , África do Sul
6.
Pan Afr Med J ; 36: 328, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33193982

RESUMO

Introduction: the nurses´ perception of their supervisors´ leadership styles has a substantial impact on their well-being. Effective leadership in health care is crucial in improving and enhancing the effectiveness of health care systems. This study aims to assess the leadership styles of nurse leaders as perceived by employees, and to explore the relationship between perceived leadership styles and the quality of life of nurses in Lebanese hospital settings. Methods: it was a cross-sectional study conducted in 2017 and involved a sample of 250 nurses chosen randomly in eight hospitals. The survey included questions on socio-demographic and health-related characteristics, Multifactor Leadership Questionnaire 5X Short Form, and the Short Form Health Survey-12 V2 (SF-12v2). Results: the managers used enough transformational leadership style, whereas they used fairly often transactional leadership. The Laissez-faire style was adopted from time to time by the managers. Male nurses perceive their managers as transformational significantly more than female nurses (2.94 vs. 2.73; p = 0.05). Transformational leadership style was statistically related to all scales scores of the SF-12v2 (p < 0.001) except the Social Functioning domain (p = 0.42). The transactional leadership style was associated with the Vitality scale scores (p < 0.001). The physical (p < 0.05) and Emotional Role (p < 0.001) and the mental health summary measure (p < 0.05) were lower in persons who perceived the leadership style of their manager as Laissez-faire. Conclusion: this study highlights the existence of a positive effect of leadership styles in the wellbeing of nurses, and confirms that nursing management has been identified as a challenge in the Lebanese hospitals.


Assuntos
Satisfação no Emprego , Liderança , Enfermeiras e Enfermeiros/psicologia , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Atenção à Saúde/normas , Atenção à Saúde/estatística & dados numéricos , Feminino , Humanos , Líbano/epidemiologia , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/normas , Enfermeiras Administradoras/estatística & dados numéricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Inovação Organizacional , Percepção/fisiologia , Admissão e Escalonamento de Pessoal/normas , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Inquéritos e Questionários , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos , Adulto Jovem
7.
Rev Bras Enferm ; 73(6): e20190479, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32813805

RESUMO

OBJECTIVE: To examine the scientific evidence about the nursing practice environment in Primary Health Care. METHODS: Three-step scoping review. 1) An initial research on CINAHL and MEDLINE. 2) A broader search using the same keywords and search terms in the remaining EBSCOHost platform databases. 3) Search the bibliographical references of the selected articles. The studies selected were from 2007 to 2018. RESULTS: 19 articles were included, most reported findings of the nursing practice environment and results for clients, nurses, nurse managers and the efficiency of organizations, in Primary Health Care. CONCLUSION: Improving the environment of nursing practice has consequences on the quality of nursing care, with increased results for clients, nursing and Primary Health Care.


Assuntos
Ambiente de Instituições de Saúde/organização & administração , Enfermeiras Administradoras , Recursos Humanos de Enfermagem no Hospital , Atenção Primária à Saúde/organização & administração , Carga de Trabalho/psicologia , Humanos , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/normas , Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Supervisão de Enfermagem , Admissão e Escalonamento de Pessoal
8.
J Nurs Manag ; 28(5): 1104-1113, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32453901

RESUMO

AIM: This study examined the influence of toxic and transformational leadership practices on nurses' job satisfaction, psychological distress, absenteeism and intent to leave the organisation or the nursing profession. BACKGROUND: Transformational leadership is attributed to favourable nurse consequences; however, the nursing literature is silent regarding the causal association between toxic leadership and nurses' job outcomes. METHODS: This is a cross-sectional study involving 770 registered nurses from 15 hospitals in Central Philippines. Data were collected using seven self-report scales during the months of December 2019 to February 2020. RESULTS: The composite scores for the transformational leadership scale and toxic leadership scale were 4.22 and 1.59, respectively. Toxic leadership predicted job satisfaction, absenteeism, psychological distress and intention to leave the profession. Transformational leadership predicted job satisfaction and intent to leave the profession. CONCLUSION: Results suggest that nurses working with a transformational leader report higher job contentment and lower intent to leave the nursing profession. Nurses who work for a manager exhibiting toxic leadership behaviours demonstrated lower job contentment, higher stress levels, frequent absenteeism and higher intent to leave the nursing profession. IMPLICATION FOR NURSING MANAGEMENT: Nurse retention strategies should include measures to foster transformational leadership and derail toxic leadership practices in nurse managers through evidence-based education, training and professional development.


Assuntos
Liderança , Enfermeiras Administradoras/normas , Enfermeiras e Enfermeiros/psicologia , Absenteísmo , Adulto , Estudos Transversais , Feminino , Humanos , Intenção , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/estatística & dados numéricos , Enfermeiras e Enfermeiros/normas , Estresse Ocupacional/complicações , Estresse Ocupacional/etiologia , Estresse Ocupacional/psicologia , Reorganização de Recursos Humanos , Filipinas , Inquéritos e Questionários , Recursos Humanos
9.
J Nurs Adm ; 50(6): 305-306, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32433109

RESUMO

We are midway through a milestone year for nursing, and we have just finished a month-long celebration of Florence Nightingale's 200th birthday. The party may be over, but the work continues. How do we keep the momentum going, not just for 2020, but well beyond? In this month's Magnet Perspectives column, we explore ways to continue to promote the Year of the Nurse through its 3 anchors: nursing excellence, leadership, and innovation. We also take a look at how Magnet organizations stay relevant in these areas, by infusing lifelong learning, evidence-based practice, and clinical inquiry into the culture and making every day an opportunity to celebrate and elevate nursing.


Assuntos
Difusão de Inovações , Liderança , Enfermeiras Administradoras/normas , Humanos
10.
J Nurs Care Qual ; 35(3): 252-257, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32433149

RESUMO

BACKGROUND: Despite decades of intensive resource allocation to eliminate preventable harm and increase high reliability in the hospital, the prevalence of serious harm remains consistent. LOCAL PROBLEM: A hospital reduced targeted preventable harms using audit and feedback (A&F) but failed to globally reduce harm or increase proactive awareness. Nurse leaders lacked a defined process for identifying errors, mitigating risk, and teaching systems thinking to influence resiliency among teams. METHODS: Nurse leaders underwent A&F of daily safety rounds. Adherence data on frequency, high-quality, and high-reliability organizational (HRO) leader practice standards and precursor incident reporting rates were trended. RESULTS: Rounding practice adherence increased for the following defined standards: frequency (63%-79%); high quality (50%-90%); and HRO leadership (0%-67%). Precursor incident reporting rates increased 25%. CONCLUSIONS: A&F reinforced quality and accountability for daily safety rounds. HRO theory-guided feedback offered an innovative way to translate HRO influence into nurse leader practice.


Assuntos
Enfermeiras Administradoras/normas , Assistência Centrada no Paciente/normas , Gestão de Riscos/normas , Visitas com Preceptor , Retroalimentação , Feminino , Hospitais Pediátricos , Humanos , Pessoa de Meia-Idade , Medição de Risco
11.
Nurs Leadersh (Tor Ont) ; 33(1): 112-121, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32437326

RESUMO

In healthcare, teamwork is promoted as a means of delivering high-quality care. Although the literature emphasizes the personal responsibility of healthcare workers to work effectively within teams, it is equally vital to understand the role of leaders in supporting teamwork. In a focused ethnography that examined teamwork and its impact on care delivery and job satisfaction for healthcare workers, our participants shared how their leaders impacted team functioning. In this study, we examined these data related to leadership and found a strong daily relational component to team management, in contrast to high-level, strategic recommendations in the literature; this has significant implications for leaders.


Assuntos
Relações Interprofissionais , Enfermeiras Administradoras/normas , Equipe de Assistência ao Paciente/normas , Atitude do Pessoal de Saúde , Comportamento Cooperativo , Humanos , Enfermeiras Administradoras/psicologia
12.
Policy Polit Nurs Pract ; 21(3): 151-163, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32423305

RESUMO

Knowing the perceptions of first-line nurse managers (FLNMs) regarding their managerial competence is an important step to resolve disparities between their perceived competence and the competencies required for them to effectively function in their roles. Yet, evidence examining managerial competence of FLNMs among public hospitals in Indonesia is sparse. To fill this gap, we conducted a cross-sectional study aimed to identify managerial competence of FLNMs according to hospital type and ownership. This study was conducted from January to May 2018 and included a convenience sample of 233 FLNMs selected from 13 public hospitals. We used the Indonesian-First-Line Nurse Managers Managerial Competence Scale (I-FLNMMCS) to measure managerial competence. Descriptive statistics, Kruskal-Wallis, and Dunn's Pairwise were used for data analysis. Findings showed a significant difference in managerial competence according to the hospital type (p < .05). The FLNMs with a Diploma III, those relatively older, in their position for 7 or more years, and with managerial training in Type A hospitals (larger hospitals) had the highest managerial competence. The FLNMs with a bachelor's degree, those relatively younger, with less training, and those in their position for 3 to 4 years in Type B and C hospitals (smaller hospitals) had less managerial competence. A significant difference was also found in managerial competence according to hospital ownership (p <.05). Public hospitals owned by the Ministry of Health of Indonesia had the highest competence among the others. This study is useful for guiding future policy work for human resource development in public hospitals.


Assuntos
Hospitais Públicos/estatística & dados numéricos , Liderança , Enfermeiras Administradoras/estatística & dados numéricos , Enfermeiras Administradoras/normas , Competência Profissional/estatística & dados numéricos , Competência Profissional/normas , Adulto , Estudos Transversais , Feminino , Humanos , Indonésia , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
14.
Nurs Outlook ; 68(4): 504-516, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32295702

RESUMO

BACKGROUND: Little is known about how nurses are prepared to participate or lead teams in conducting safe and effective care transitions, despite being a complex process in which the nurse has an integral role. PURPOSE: To conduct mapping review to identify and synthesize key recommendations regarding curriculum content needed to increase Clinical Nurse Leader and Nurse Educator student knowledge and skills regarding transitional care. METHOD: Guidelines for developing the transitional care nurse role published by national accrediting bodies and certification organizations were reviewed to identify the required competencies. FINDINGS: Components identified included: communication; teamwork and collaboration; education and engagement of patient and family; promoting and support for self-management; and assessing/ managing risks/symptoms. CONCLUSION: Research evidence is needed to support academic preparation of nurses as leaders in care transition. The core transitional components identified can be used to develop competencies to assist training efforts of nurses in practice and educational settings.


Assuntos
Competência Clínica/estatística & dados numéricos , Competência Clínica/normas , Docentes de Enfermagem/estatística & dados numéricos , Docentes de Enfermagem/normas , Enfermeiras Administradoras/estatística & dados numéricos , Enfermeiras Administradoras/normas , Cuidado Transicional/estatística & dados numéricos , Cuidado Transicional/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
15.
Hosp Top ; 98(2): 45-50, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32293228

RESUMO

The shortage of experienced nurses is a concern in health organizations. This study investigated the leadership styles of nurse managers' impact on turnover intention among nurses in hospitals. A descriptive correlational research design was used. Samples of 250 nurses working in five hospitals were selected to complete self-administered questionnaire. Findings show that participatory and transformational leadership styles are predominantly practiced. Correlation analysis revealed that participative and transformational leadership styles decreases turnover intention while autocratic and laissez-faire leadership styles increases turnover intention. Therefore, leadership styles of nurse managers are determinants of nurses' turnover intentions.


Assuntos
Intenção , Liderança , Enfermeiras Administradoras/normas , Enfermeiras e Enfermeiros/psicologia , Reorganização de Recursos Humanos/tendências , Adulto , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/estatística & dados numéricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Inquéritos e Questionários
16.
Nurs Manag (Harrow) ; 27(2): 33-41, 2020 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-32191016

RESUMO

This article explores the concept of leadership in health and social care. All nurses have an important leadership role, which is reflected in the principles of the NHS Leadership Academy and in the new curriculum for nursing students. By critically applying the 'novice to expert' model of clinical competence to leadership, nurses are encouraged to consider the skills involved in moving from novice to expert alongside identifying the strengths and skills they wish to develop. Nurses are encouraged to reflect on leadership approaches operating in health and social care and to consider the type of leader they want to be. This article examines what expert or exemplary leadership might involve and some of the characteristics that are required. An expert leader can recognise their own values and beliefs, and the values and beliefs of those they lead and serve.


Assuntos
Competência Clínica/normas , Currículo , Educação Continuada em Enfermagem/organização & administração , Liderança , Enfermeiras Administradoras/normas , Guias de Prática Clínica como Assunto , Papel Profissional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
17.
J Nurs Adm ; 50(4): 216-224, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32195914

RESUMO

Given the implications of value-based reimbursement, nurse leaders must thoughtfully assimilate an extraordinary amount of quality, safety, and patient experience data to effectively drive behavioral change. This article proposes Swanson Caring Theory (SCT) as context for Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) improvement strategies. The diagnostic model described herein is not intended to encompass the full scope of nursing care, but rather to help nurse leaders interpret HCAHPS results in terms of the SCT attributes of compassion, competence, and patient well-being.


Assuntos
Pesquisas sobre Serviços de Saúde/normas , Enfermeiras Administradoras/normas , Teoria de Enfermagem , Assistência ao Paciente , Satisfação do Paciente , Melhoria de Qualidade , Pessoal de Saúde/normas , Pessoal de Saúde/estatística & dados numéricos , Humanos
19.
J Nurs Manag ; 28(4): 872-880, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32219900

RESUMO

AIM: To provide insights for health care managers by exploring paediatric intensive care unit nurses' lived experience of professional identity in the context of organisational change. BACKGROUND: While professional identity improves retention of nurses and provision of quality care, outcomes of importance for managers, organisational change perturbs this identity. METHOD: The study used a hermeneutic-phenomenological design. Data were collected via individual interviews, photographs, participant observation and document review. A purposive sampling strategy was used to recruit paediatric intensive care unit nurses (n = 15) in a large Canadian paediatric hospital. RESULTS: Nurses' critical care identity eroded in this organisation due to the interplay between hospital redesign and new eligibility criteria for patient admissions. CONCLUSION: Interactions between multiple projects and the unit context, as well as nursing professional identity, need to be considered early on during project planning. This study fills an important gap in research concerning the management challenges brought about by the intersection of multiple changes. IMPLICATIONS FOR NURSING MANAGEMENT: The results from this study bring to light three important lessons for nurse managers: 1) the specific unit context should be evaluated before a project is initiated; 2) the physical environment needs to be considered when determining staffing requirements; and 3) identity transitions need to be managed.


Assuntos
Arquitetura Hospitalar/normas , Enfermeiras e Enfermeiros/psicologia , Identificação Social , Adulto , Feminino , Hermenêutica , Arquitetura Hospitalar/estatística & dados numéricos , Humanos , Unidades de Terapia Intensiva Pediátrica/organização & administração , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/educação , Enfermeiras Administradoras/normas , Quebeque
20.
J Nurs Manag ; 28(4): 840-850, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32173912

RESUMO

AIM: This paper describes the development and testing of the psychometric property of the Toxic Leadership Behaviors of Nurse Managers (ToxBH-NM) Scale. BACKGROUND: Toxic leadership is growing increasingly pervasive in the field of nursing. However, the current literature lacks comprehensive attempts to explain how toxic leadership disrupts work processes in the field of nursing, a reality confounded in part by the absence of a reliable and a valid scale on which to examine toxic leadership behaviours in nurse managers. METHODS: An exploratory sequential research design was used to formulate and evaluate the psychometric property of ToxBH-NM Scale. The content validity was examined by experts in nursing administration. A sample of 313 nurses from selected hospitals was recruited to assess the scale's reliability and validity. The factor structure of the newly developed scale was determined by exploratory factor analysis (EFA). RESULTS: Exploratory factor analysis for ToxBH-NM Scale revealed 30 items loading on four factors. The overall Cronbach's α coefficient of the scale was 0.975, and Cronbach's α coefficient ranged from 0.895 to 0.965 for the four factors. Corrected item-to-total (0.310-0.69) and item-to-item correlations (0.47-0.66) were acceptable. The Scale-content Validity Index was 0.957, and the Item-content Validity Index ranged from 0.833 to 1.000. The test-retest reliability coefficient of ToxBH-NM Scale was 0.801, with a reliability coefficient that ranged from 0.745 to 0.911 for the four factors. The four factors explained 71.84% of the observed variance. CONCLUSIONS: ToxBH-NM Scale shows good psychometric properties and can be used to evaluate toxic leadership behaviours among nurse managers. IMPLICATIONS FOR NURSING MANAGEMENT: The use of ToxBH-NM Scale can aid nurse managers in better understanding and managing their own leadership behaviours within their organisations and in fostering desirable work outcomes among employees, a positive work climate and overall organisational success.


Assuntos
Liderança , Enfermeiras Administradoras/normas , Psicometria/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/estatística & dados numéricos , Cultura Organizacional , Filipinas , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários
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