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J Nurs Adm ; 50(2): 95-103, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977947


OBJECTIVE: The study objective was to investigate a charge nurse pilot training program as an effective, evidence-based training modality to improve leadership style and resiliency. BACKGROUND: Leadership is inherent and necessary in the charge nurse role. Little published research about charge nurse leadership training programs exists. METHODS: A pre-post design, with intervention and comparison groups, was conducted at an integrated healthcare system. A random sample of charge nurses was selected to pilot a standardized charge nurse leadership training program including in-person learning to foster leadership skills and nurture resiliency. RESULTS: The sample included 19 control participants and 22 intervention participants. Significant improvement was noted in transformational, transactional, leadership outcomes, and resiliency from preintervention to postintervention for the all subjects. Of the 22 intervention participants, the training elicited higher satisfaction with leadership behavior, followed by effectiveness and their ability to motivate. Charge nurses who attended training had higher resiliency scores pre-post intervention. CONCLUSION: The charge nurse pilot training was an effective program that led to improved leadership style and resiliency.

Liderança , Enfermeiras Administradoras/educação , Enfermeiras Administradoras/psicologia , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Supervisão de Enfermagem/organização & administração , Resiliência Psicológica , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Sudeste dos Estados Unidos , Inquéritos e Questionários
Metas enferm ; 22(10): 5-13, dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-185326


Objetivo: identificar las competencias necesarias para desempeñar el rol de gestora enfermera en España en cada uno de los niveles funcionales. Metodología: partiendo de la realización de una revisión bibliográfica de la literatura especializada se diseñó un estudio Delphi estructurado en cuatro rondas para consensuar las competencias necesarias para la gestora enfermera. Resultados: se obtuvo el consenso de 51 competencias, distribuidas en seis dominios. El nivel de experto se alcanza mediante estudios de máster y doctorado. La gestora enfermera tiene que desarrollar sus competencias al nivel de competente, muy competente y experto. El 96% de los integrantes del panel manifestó que para alcanzar el nivel de experto es necesario desarrollar estudios de máster o doctorado. El 60,78% de las competencias de la gestora enfermera de alta dirección debe ser desarrollada al nivel de experto mediante el desarrollo de estudios de máster, experto universitario y especialización universitaria, frente al 9,8% de la dirección logística y al 21,57% de las competencias requeridas para la dirección operativa. Para el nivel de competente serán necesarios estudios de experto, especialista universitario y formación continuada. Conclusiones: el modelo de competencias para la gestora enfermera en España se compone de 51 competencias, de las cuales ocho son básicas. De los resultados se evidencia el grado de desarrollo para cada competencia, y la formación requerida para alcanzar este grado

Objective: to identify the skills needed to play the role of Nurse Manager in Spain at each function level. Methodology: based on a bibliographic review conducted in specialized literature, a Delphi study was designed, structured into four rounds, in order to reach a consensus about the skills needed by the Nurse Manager. Results: a consensus was reached about 51 skills, classified into six domains. The level expert is achieved through master and doctorate courses. Nurse Managers must develop their skills at the following levels: Competent, Very Competent and Expert. Out of the panel members, 96% declared that in order to reach the expert level it is necessary to acquire master or doctorate degrees; 60.78% of the skills of the High Management Nurse Manager must be developed at Expert level, through Master, University Expert and University Specialty degrees, vs. 9.8% of logistical management and 21.57% of skills required for operational management. The Competent level requires Expert, University Specialist and Continuous Education degrees. Conclusions: the competency model for the Nurse Manager in Spain consists of 51 skills, including eight basic skills. The level of development for each skill is shown in results, as well as the training required to achieve said degree

Humanos , Papel do Profissional de Enfermagem , Enfermeiras Administradoras , Educação Continuada em Enfermagem/tendências , Supervisão de Enfermagem , Técnica Delfos , Consenso , Administração Sanitária
Br J Nurs ; 28(21): 1400-1408, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778341


AIM: to investigate emotional intelligence (EI) and its relationship to nursing leadership. BACKGROUND: strong, effective leadership is core to organisational competency and significantly influences care quality. EI is the ability to understand one's own feelings and to assess and respond to the feelings of others. It is linked to self-awareness, self-management, social awareness and social skills, all of which are vital in leadership roles. However, insufficient research explores EI in nursing leadership from the perspective of nurse leaders. DESIGN: a qualitative study employed interpretive phenomenological analysis methods, using a purposive sample of band 7 sisters/charge nurses/team managers (n=5) from one Welsh health board. Semistructured interviews were recorded and analysed in four stages. FINDINGS: four clusters of themes were identified, each with two to three subthemes. These were: sensing others-the empathetic leader; experiencing the affected sense of self; strategies employed to build the team; and reading the flux of the organisation. CONCLUSION: although the nurse leaders were unfamiliar with the concept of EI, their narratives reflected some core values of EI. However, significant barriers around time, pressure and staffing levels impeded their potential to use EI to become more effective leaders. Nurse leaders should harness the power of emotions to influence others to achieve excellent care.

Inteligência Emocional , Relações Interprofissionais , Supervisão de Enfermagem/organização & administração , Humanos , Pesquisa Qualitativa
J Nurs Adm ; 49(7-8): 359-365, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31306298


OBJECTIVE: The purpose of this study was to describe a sample of nursing supervisors and their work. BACKGROUND: The role of the nursing supervisor is not well understood. The supervisor population is poorly defined, as are their ideal academic preparation and work activities. METHODS: This study followed the American Nurses Credentialing Center® framework for role delineation studies. A convenience sample of 50 nursing supervisors from New Jersey was recruited to complete an online survey including demographic data and prioritization of work activities. RESULTS: Participants represented a homogeneous and aging workforce with diverse professional preparation. Exploratory factor analysis revealed 6 categories of nurse supervisor work including administrative presence, leadership liaison, patient safety and experience, patient care advocacy, throughput, and external response. Work activities were prioritized. CONCLUSIONS: Nurse supervisors prioritized responding to emergencies above all other responsibilities. This study should be replicated in a nationwide sample of nurse supervisors.

Liderança , Papel do Profissional de Enfermagem , Supervisão de Enfermagem/normas , Segurança do Paciente , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New Jersey , Supervisão de Enfermagem/organização & administração , Projetos Piloto , Pesquisa Qualitativa , Inquéritos e Questionários , Local de Trabalho/organização & administração
Rev. enferm. UFSM ; 9: [18], jul. 15, 2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1024450


Objetivo: analisar o gerenciamento de enfermagem em sala de vacina, com ênfase na supervisão, em um município de médio porte de Minas Gerais, Brasil. Método: estudo descritivo, de abordagem qualitativa, tipo estudo de caso único. Os dados foram organizados e analisados por meio da Análise de Conteúdo modalidade temático-categorial. Resultados: os achados foram organizados em duas categorias analíticas: "Fatores intervenientes no gerenciamento em sala de vacina", abordando desafios para supervisão, necessidade de um instrumento que padronize essa atividade, falta de organização do processo de trabalho e sobrecarga de funções. A segunda categoria: "Potencialidades para o gerenciamento na sala de vacina" aponta como fatores potencializadores a organização do tempo e agenda do enfermeiro e a necessidade de um instrumento que sistematize as atividades de supervisão. Considerações finais: a maioria dos enfermeiros compreendem a importância da supervisão, como ferramenta do gerenciamento, mas não a realizam de forma sistemática.

Objective: to analyze nursing management in the vaccine room, with emphasis on supervision, in a medium-sized city of Minas Gerais, Brazil. Method: a descriptive, qualitative, unique case study. The data were organized and analyzed through theme/category-based content analysis. Results: the findings were organized into two analytical categories: "Intervening factors in the management of the vaccine room", addressing the challenges for supervision, the need for an instrument to standardize this activity, lack of work process organization and overloading of functions. The second category: "Potentialities for the management in the vaccine room" points out as potentiating factors the organization of the nurse's time and agenda and the need for an instrument that systematizes the supervision activities. Final Remarks: Most nurses understand the importance of supervision as a management tool, but do not perform it systematically.

Objetivo: analizar la gerencia de enfermería en sala de vacuna, con énfasis en supervisión, en un municipio de tamaño mediano en Minas Gerais, Brasil. Método: estudio descriptivo, cualitativo, tipo estudio de caso único. Los datos fueron organizados y analizados a través de modalidad temática y categoría de Análisis de Contenido. Resultados: los hallazgos se organizaron en dos categorías analíticas: "Factores que intervienen en la gerencia en sala de vacuna", que abordan desafíos de la supervisión, necesidad de instrumento para estandarizar esta actividad, falta de organización del trabajo y sobrecarga de funciones. La segunda categoría: "Potencialidades para gerencia en sala de vacuna" señala factores potenciadores en organización del tiempo y agenda de la enfermera y la necesidad de un instrumento que sistematice las actividades de supervisión. Consideraciones finales: la mayoría de las enfermeras entienden la importancia de la supervisión como una herramienta de gestión, pero no realizan de manera sistemática.

Humanos , Organização e Administração , Vacinas , Enfermagem , Supervisão de Enfermagem , Gestão em Saúde
Br J Nurs ; 28(11): 702-707, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31188662


Recommendation 195 of the Francis report suggested that the introduction of supervisory ward managers into clinical practice could improve the quality of patient care in England. The Department of Health and NHS Commissioning Board's vision and strategy Compassion in Practice in 2012 restated the recommendation in action area four, with trusts required to publish progress. With the aim of identifying whether the lessons of the Francis report had been learned, a review of the published literature since 2012 retrieved only five articles on the subject, with many anecdotal accounts of its implementation in local trusts. The three subsequent update reports of Compassion in Practice stopped backing recommendation 195 and promoted black and ethnic minority leadership, a laudable initiative, but not a recommendation of the Francis report. The authors suggest recommendation 195 and Compassion in Practice's original action area four should be promoted again to ensure public safety and address the notion that lessons learned are less likely to be repeated.

Supervisão de Enfermagem , Medicina Estatal/organização & administração , Inglaterra , Humanos
Int Nurs Rev ; 66(2): 147-150, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31124127


We all know great leadership when we see it. Outstanding nurse leaders, guided by a moral compass, simultaneously see the big picture and the consequences at micro level. While policy and politics determine health and nursing practice, most nurses just want to get on with their day job. They carry out decisions made by others but have little say in them, and weak influence or status, although they are increasingly knowledgeable and skilled. In settings where policy decisions are made - parliaments, governments, and boardrooms - nurse leaders are often neither heard nor heeded. This is starting to change. The global Nursing Now campaign is working with the International Council of Nurses, and the World Health Organization, to create and strengthen strategic nursing leadership, as modelled by the International Council of Nurses' Global Nursing Leadership Institute. A new window of opportunity is opening, with the bicentennial of Florence Nightingale's birth in 2020. Now is the moment!

Política de Saúde , Liderança , Enfermeiras Administradoras/organização & administração , Papel do Profissional de Enfermagem , Supervisão de Enfermagem/organização & administração , Competência Clínica/normas , Humanos , Recursos Humanos de Enfermagem/organização & administração , Enfermagem em Saúde Pública/organização & administração , Garantia da Qualidade dos Cuidados de Saúde/organização & administração
Rev. enferm. UFPE on line ; 13(5): 1437-1443, maio 2019.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1024541


Objetivo: analisar os reflexos do processo do planejamento na assistência prestada em duas unidades da atenção básica de saúde. Método: trata-se de um estudo qualitativo, descritivo, tipo pesquisa de campo, tendo, como cenários, uma Unidade Básica de Saúde e uma Policlínica. Coletaram-se os dados em 2017, utilizando-se, como instrumento, um roteiro de entrevista semiestruturado, com quatro enfermeiros. Apresentaram-se os resultados por meio da Análise de Conteúdo. Resultados: evidenciou-se a categoria "Os reflexos do processo do planejamento na assistência prestada na atenção básica em saúde". Conclusão: demonstrou-se o conhecimento, por parte dos enfermeiros, sobre o planejamento ao analisar os discursos, refletindo a preocupação do envolvimento de todos para alcançar as metas institucionais. Possibilitou-se, ao ser empregado pelos enfermeiros, refletir sobre a importância da sua utilização para otimizar os serviços de Enfermagem e das instituições onde estes profissionais estão inseridos, porém, a existência de fragilidades, tais como a falta de recursos humanos, materiais, além da falta de reconhecimento de seu trabalho, dificultam, algumas vezes, o alcance dos objetivos.(AU)

Objective: to analyze the effects of the planning process in the assistance provided in two basic health care units. Method: this is a qualitative study, descriptive, field-research type, whose scenarios were a Basic Health Unit and a Polyclinic. Data were collected in 2017, using as instrument a semistructured interviews with four nurses. The results were presented by means of content analysis. Results: the category "Consequences of the planning process in the assistance provided in primary health care" emerged. Conclusion: the nurses demonstrated knowledge about planning when analyzing their speeches, reflecting the concern about the involvement of everyone to achieve the institutional goals. When used by nurses, it allowed reflecting on the importance of its use to optimize the nursing services and institutions where these professionals are inserted, however, the existence of weaknesses, such as the lack of human, material resources, in addition to the lack of recognition of their work, sometimes hinder achieving the objectives.(AU)

Objetivo: analizar los efectos del proceso de planificación en la asistencia que se presta en dos unidades de atención básica de la salud. Método: se trata de un estudio cualitativo, descriptivo, del tipo investigación de campo, teniendo como escenarios una unidad básica de salud y un policlínico. Los datos fueron recolectados en el 2017, usando como instrumento una entrevista semiestructurada con cuatro enfermeras. Los resultados fueron presentados por medio de análisis de contenido. Resultados: se evidenció la categoría "Reflexiones del proceso de planificación en la asistencia prestada en la atención primaria de la salud". Conclusión: Se demostró el conocimiento, por parte de enfermeras, acerca de la planificación cuando se analizaron los discursos, reflejando la preocupación de la participación de todos para lograr los objetivos institucionales. Se utilizado por las enfermeras, reflexiona sobre la importancia de su uso para optimizar los servicios de enfermería e instituciones donde estos profesionales se insertan, sin embargo, la existencia de deficiencias, como la falta de recursos humanos, materiales, además de la falta de reconocimiento de su trabajo, hacen difícil, a veces, lograr los objetivos.(AU)

Humanos , Masculino , Feminino , Atenção Primária à Saúde , Supervisão de Enfermagem , Planejamento , Planejamento em Saúde , Serviços de Saúde , Enfermeiras e Enfermeiros
J Nurs Adm ; 49(5): 249-255, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30973429


OBJECTIVE: The aim of this study was to describe the role preparation and competency development of nurse managers. BACKGROUND: Approximately 70 000 nurses are retiring annually. This represents a significant loss of nursing leadership wisdom. Few systematic studies of nurse manager role preparation and competency development have been conducted. METHODS: An electronic survey was completed by a national sample of 647 nurse managers managing 964 patient care units in 54 hospitals. RESULTS: Findings suggest that nurse managers rate themselves as competent for the 1st 6 years as a nurse manager. They begin to reach proficiency by year 7. Experience had the strongest association with nurse manager competence, followed by graduate leadership education. CONCLUSIONS: Nurse executives need to evaluate the bench strength of their nursing leadership talent pool. They need to develop policies and strategies that promote nurse manager competence.

Guias como Assunto , Liderança , Enfermeiras Administradoras/normas , Papel do Profissional de Enfermagem , Supervisão de Enfermagem/normas , Competência Profissional/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos
Rev. enferm. UFPE on line ; 13(4): 989-996, abr. 2019. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1017313


Objetivo: identificar potencialidades e limitações da passagem de plantão de Enfermagem na atenção hospitalar. Método: trata-se de um estudo qualitativo, descritivo, utilizando a Técnica do Incidente Crítico, com enfermeiros de unidades de internação de hospital público de ensino. Coletaram-se os dados por meio de entrevista semiestruturada, guiada por um roteiro, identificando-se as entrevistas com o número sequencial de realização. Empregou-se a estatística descritiva, que contribuiu para a descrição e a síntese dos dados em tabelas. Utilizou-se, em seguida, a técnica de Análise de Conteúdo para análise dos relatos. Resultados: obtiveram-se 76 situações, com 73,7% de referências negativas, nas categorias comunicação, interrupções na passagem de plantão, aspectos ambientais e aspectos organizacionais; 103 comportamentos, com 63,1% referências negativas, nas categorias comunicar, interromper a passagem de plantão, questionar a estrutura de trabalho e utilizar recursos tecnológicos; 126 consequências, com 65,8% de referências negativas, relativas à comunicação, tempo, organização do trabalho e relações interpessoais. Conclusão: evidencia-se, diante do predomínio de referências negativas, entendidas como limitadoras da passagem de plantão, a necessidade de intervenção da gestão dos serviços para superar as limitações e fortalecer os aspectos positivos.(AU)

Objective: to identify the potentialities and limitations of Nursing shift switching in hospital care. Method: this is a qualitative, descriptive study, using the Critical Incident Technique, with nurses from hospitalization units of a public teaching hospital. The data were collected through a semi-structured interview, guided by a script, identifying the interviews with the sequential number of realization. Descriptive statistics were used, which contributed to the description and synthesis of the data in tables. The Content Analysis technique was then used to analyze the reports. Results: There were 76 situations, with 73.7% of negative references, in the categories communication, interruptions in shift, environmental aspects and organizational aspects; 103 behaviors, with 63.1% negative references, in the communication categories, interrupting the shift, questioning the work structure and using technological resources; 126 consequences, with 65.8% of negative references, concerning communication, time, work organization and interpersonal relations. Conclusion: in the face of the predominance of negative references, understood as limiting the shift, the need to intervene in the management of services to overcome the limitations and strengthen the positive aspects.(AU)

Objetivo: identificar potencialidades y limitaciones del cambio de turno de enfermería en la atención hospitalaria. Método: se trata de un estudio cualitativo, descriptivo, utilizando la Técnica del Incidente Crítico, con enfermeros de unidades de internación de hospital público de enseñanza. Se recogen los datos por medio de una entrevista semiestructurada, dirigida por un guion, identificándose las entrevistas con el número secuencial de realización. Se empleó la estadística descriptiva, que contribuyó para la descripción y la síntesis de los datos en tablas. Se utilizó a continuación la técnica de Análisis de Contenido para el análisis de los relatos. Resultados: se obtuvieron 76 situaciones, con 73,7% de referencias negativas, en las categorías comunicación, interrupciones en el cambio de turno, aspectos ambientales y aspectos organizacionales; 103 comportamientos, con 63,1% referencias negativas, en las categorías comunicar, interrumpir el cambio de turno, cuestionar la estructura de trabajo y utilizar recursos tecnológicos; 126 consecuencias, con un 65,8% de referencias negativas, relativas a la comunicación, tiempo, organización del trabajo y relaciones interpersonales. Conclusión: se evidencia, ante el predominio de referencias negativas, entendidas como limitadoras del cambio de turno, la necesidad de intervención de la gestión de los servicios para superar las limitaciones y fortalecer los aspectos positivos.(AU)

Humanos , Masculino , Feminino , Comunicação , Continuidade da Assistência ao Paciente , Jornada de Trabalho em Turnos , Cuidados de Enfermagem , Serviço Hospitalar de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Recursos Humanos de Enfermagem no Hospital/organização & administração , Equipe de Enfermagem , Epidemiologia Descritiva , Supervisão de Enfermagem , Pesquisa Qualitativa
Rev. enferm. UFPE on line ; 13(4): 1124-1132, abr. 2019.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1021255


Objetivo: compreender a gerência do cuidado de enfermagem aos pacientes em morte encefálica na perspectiva de enfermeiros atuantes no processo de doação e transplantes de órgãos. Método: trata-se de estudo qualitativo, fundamentado na Teoria Fundamentada nos Dados, com 25 enfermeiras. Obtiveram-se os dados por meio de entrevistas semiestruturadas individuais e se empregou a codificação aberta, axial e seletiva para análise dos dados. Resultados: emergiram-se duas categorias a partir da análise dos dados: << Observando as dificuldades relacionadas a gerência do cuidado de enfermagem ao paciente em morte encefálica >> e << Compreendendo as ações realizadas pela equipe de enfermagem na gerência do cuidado ao paciente em morte encefálica >>. Destacaram-se como dificuldades a limitação da estrutura física, recursos humanos e materiais. Enfatizaram-se pelos enfermeiros a monitorização e o suporte hemodinâmico, controle glicêmico e de diurese como ações necessárias para a gerência do cuidado ao paciente em morte encefálica. Conclusão: compreende-se que a gerência do cuidado ao paciente em morte encefálica requer entendimento para além das esferas técnicas sendo necessária a desmistificação do significado da doação de órgãos para manutenção de uma nova vida em outro alguém.(AU)

Objective: to understand the management of Nursing care to patients in brain death from the perspective of nurses working in the process of organ donation and transplants. Method: this is a qualitative study, based on the Data Based Theory, with 25 nurses. The data were obtained through individual semi-structured interviews and the open, axial and selective coding was used for data analysis. Results: two categories emerged from the analysis of the data: "Observing the difficulties related to the management of nursing care to the brain dead patient" and "Understanding the actions performed by the nursing team in the management of the brain dead patient's care. The limitations of physical structure and human and material resources were highlighted as difficulties. Monitoring and hemodynamic support, glycemic control and diuresis as necessary actions for the management of patient care in brain death were emphasized by the nurses. Conclusion: it is understood that the management of patient care in brain death requires understanding beyond the technical spheres, and it is necessary to demystify the meaning of organ donation for the maintenance of a new life in another person.(AU)

Objetivo: comprender la gestión del cuidado de enfermería a los pacientes en muerte encefálica en la perspectiva de enfermeros actuantes en el proceso de donación y trasplantes de órganos. Método: se trata de un estudio cualitativo, fundamentado en la Teoría Fundamentada en los Datos, con 25 enfermeras. Se obtuvieron los datos por medio de entrevistas semiestructuradas individuales y se empleó la codificación abierta, axial y selectiva para análisis de los datos. Resultados: surgieron dos categorías a partir del análisis de los datos: << Observando las dificultades relacionadas a la gestión del cuidado de enfermería al paciente en muerte encefálica >> y << Comprendiendo las acciones realizadas por el equipo de enfermería en la gestión del cuidado al paciente en muerte encefálica >>. Se destacaron como dificultades la limitación de la estructura física, recursos humanos y materiales. Se enfatizaron por los enfermeros el monitoreo y el soporte hemodinámico, control glucémico y de diuresis como acciones necesarias para la gestión del cuidado al paciente en muerte encefálica. Conclusión: se comprende que la gestión del cuidado al paciente en muerte encefálica requiere entendimiento más allá de las esferas técnicas siendo necesaria la desmitificación del significado de la donación de órganos para el mantenimiento de una nueva vida en otro.(AU)

Humanos , Masculino , Feminino , Obtenção de Tecidos e Órgãos , Morte Encefálica , Transplante de Órgãos , Supervisão de Enfermagem , Cuidados Críticos , Papel do Profissional de Enfermagem , Enfermeiras e Enfermeiros , Cuidados de Enfermagem , Pesquisa Qualitativa
J Nurs Adm ; 49(3): 118-120, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30789554


The 2018 International Nursing Administration Research Conference, Grassroots to Global, was held in Atlanta, Georgia, with attendees from 38 US states, Canada, and China. Presenters discussed the need for nurse leaders to be prepared to partner with those inside and outside of healthcare to create innovative, interprofessional care delivery models; advocate for advancements in technology to address healthcare access shortages; and lead new areas of research that can drive policy change to support nurse leaders in long-term care and the essential role of the nurse manager in creating optimal practice environments for quality outcomes. This article will report on these important insights.

Competência Clínica/normas , Liderança , Enfermeiras Administradoras/tendências , Papel do Profissional de Enfermagem , Supervisão de Enfermagem/tendências , Qualidade da Assistência à Saúde/tendências , Congressos como Assunto , Humanos , Internacionalidade , Relações Interprofissionais , Enfermeiras Administradoras/organização & administração , Pesquisa em Administração de Enfermagem , Supervisão de Enfermagem/organização & administração , Qualidade da Assistência à Saúde/normas
J Nurs Adm ; 49(3): 156-162, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30789558


OBJECTIVE: The aim of this study was to identify clinical nursing research priorities among nurse managers (NMs). BACKGROUND: Determining research priorities is the 1st step toward building a solid evidence base for clinical practice. NMs are well poised to identify research priorities, and yet, a literature review revealed a dearth of research priorities as determined by clinical NMs. METHODS: Using a Delphi survey, 38 NMs were queried at a large, urban hospital regarding critical priorities for nursing research. RESULTS: Critical priorities for clinical nursing research included nursing workforce/nursing workflow and communication (categorized as critical by 68% and 53% of NMs, respectively). Other important priorities focused on falls/patient safety/hospital-acquired infections, patient/family satisfaction, emergency preparedness, patient outcomes, and collaboration/interdisciplinary research. CONCLUSIONS: Because NMs are positioned to direct clinical research agendas, the results provide a critical guide for policy development surrounding nursing research. Directing research toward these identified topics will help build a solid evidence base for nurses and ultimately improve patient outcomes.

Pesquisa em Enfermagem Clínica/organização & administração , Técnica Delfos , Liderança , Supervisão de Enfermagem/organização & administração , Humanos , Papel do Profissional de Enfermagem , Inovação Organizacional , Avaliação de Programas e Projetos de Saúde
J Nurs Adm ; 49(3): 150-155, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30741776


OBJECTIVE: The purposes of the study were to describe levels of innovativeness in nurse executives, clinical directors, and nurse managers in acute care settings in the United States and to compare innovativeness between the groups. BACKGROUND: Nurse leaders must navigate the complex ever-changing landscape of healthcare. New strategies are necessary for managing resources and improving patient outcomes. METHODS: A survey was posted in the American Organization of Nurse Executives newsletter using the Scales for Measurement of Innovativeness to measure innovativeness. The sample included 137 nurse leaders in executive and management positions in acute care settings. RESULTS: The largest percentage of nurse leaders across all leadership roles fell into the innovativeness category of early majority. Of the total sample, only 2 individuals were categorized as innovators, and only 15 as early adopters. Fifty-one individuals were early majority; 49 were in the late majority; and 20 individuals were at the lowest category of innovativeness, that of laggards. Both nurse executives and clinical directors had significantly higher levels of innovativeness compared with nurse managers. Graduate-level education and certification were not associated with higher levels of innovativeness. CONCLUSIONS: Understanding the levels and components of innovativeness may assist nurse leaders to affect change in themselves and their organizations.

Competência Clínica , Eficiência Organizacional , Liderança , Enfermeiras Administradoras/normas , Supervisão de Enfermagem/normas , Centros Médicos Acadêmicos , Humanos , Enfermeiras Administradoras/estatística & dados numéricos , Supervisão de Enfermagem/estatística & dados numéricos , Estados Unidos
J Nurses Prof Dev ; 35(2): E1-E5, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30762845


Nursing professional development practitioners led the evaluation of the graphic representation of a health system's professional practice model (PPM) based on evolving expectations and key constructs of a PPM. The aim was to capture direct care nurse perceptions to guide adoption of a revised graphical depiction of the PPM. The specific benefit for nursing professional development practitioners is the ongoing relatability of the PPM to nursing for sustainability of clinical excellence.

Prática Clínica Baseada em Evidências , Modelos Organizacionais , Enfermagem/organização & administração , Prática Profissional/organização & administração , Humanos , Liderança , Teoria de Enfermagem , Supervisão de Enfermagem/organização & administração , Inquéritos e Questionários
J Nurs Adm ; 49(2): 99-104, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30664581


OBJECTIVE: This study aimed to examine the relationship between experiential learning and nursing management competency among nurse managers (NMs) in the early years of a supervisory role. BACKGROUND: The relevance of experiential learning to the development of NMs has been explored in an effort to harvest the knowledge embedded in shared NM practice narratives. However, the relationship between experiential learning and nursing management competency has not been empirically measured. METHODS: The author developed an experiential learning-based program for NMs in the initial 3 years of a supervisory role. Sixty-three NMs were enrolled. The relationship between experiential learning and nursing management competency was evaluated using multiple regression analysis after completing this program. RESULTS: The results of multiple regression analysis revealed a significant relationship between experiential learning and nursing management competency (P < .001). CONCLUSIONS: A significant relationship was identified between experiential learning and nursing management competence.

Educação Continuada em Enfermagem/métodos , Enfermeiras Administradoras/educação , Enfermeiras Administradoras/normas , Supervisão de Enfermagem/organização & administração , Aprendizagem Baseada em Problemas/métodos , Competência Clínica/normas , Currículo , Humanos , Papel do Profissional de Enfermagem , Pesquisa Metodológica em Enfermagem , Avaliação de Programas e Projetos de Saúde
J Nurs Adm ; 49(2): 105-109, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30664582


OBJECTIVE: The purpose of this study was to explore professional coaches' perceptions of nurse managers (NMs) and the NM role. BACKGROUND: Nurse Managers are often inadequately prepared, developed, and supported in their roles. Professional coaching is a strategy that may prove beneficial to help prepare NMs for their roles. METHODS: A qualitative design using researcher-participant interviews of 11 professional coaches provided data regarding coaches' perceptions of NMs and the role development needs. RESULTS: Coaches reported why they made the decision to coach NMs, why NMs sought coaching services, how the NM experience differed from that of higher level leaders, and what the coaches believed was their most valuable contribution when working with NMs. CONCLUSION: Findings suggest that coaches can provide needed support to NMs to maximize their role effectiveness and preparedness.

Liderança , Tutoria/organização & administração , Enfermeiras Administradoras/organização & administração , Papel do Profissional de Enfermagem , Supervisão de Enfermagem/organização & administração , Papel Profissional , Adulto , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
Scand J Trauma Resusc Emerg Med ; 27(1): 2, 2019 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-30621752


BACKGROUND: The provision of safe, high quality healthcare in the Emergency Department (ED) requires frontline healthcare personnel with sufficient competence in clinical leadership. However, healthcare education curriculum infrequently features learning about clinical leadership, and there is an absence of experienced doctors and nurses as role models in EDs for younger and less experienced doctors and nurses. The purpose of this study was to explore the activities performed by clinical leaders and to identify similarities and differences between the activities performed by charge nurses and those performed by doctors on-call in the Emergency Department after completion of a Clinical Leadership course. METHODS: A qualitative exploratory design was chosen. Nine clinical leaders in the ED were shadowed. The data were analyzed using a thematic analysis. RESULTS: The analysis revealed seven themes: receiving an overview of the team and patients and planning the shift; ensuring resources; monitoring and ensuring appropriate patient flow; monitoring and securing information flow; securing patient care and treatment; securing and assuring the quality of diagnosis and treatment of patient; and securing the prioritization of patients. The last two themes were exclusive to doctors on-call, while the theme "securing patient care and treatment" was exclusive to charge nurses. CONCLUSIONS: Charge nurses and doctors on-call perform multitasking and complement each other as clinical leaders in the ED. The findings in this study provide new insights into how clinical leadership is performed by charge nurses and doctors on-call in the ED, but also the similarities and differences that exist in clinical leadership performance between the two professions. Clinical leadership is necessary to the provision of safe, high quality care and treatment for patients with acute health needs, as well as the coordination of healthcare services in the ED. More evaluation studies of this Clinical Leadership course would be valuable.

Serviço Hospitalar de Emergência/organização & administração , Liderança , Corpo Clínico Hospitalar , Recursos Humanos de Enfermagem no Hospital , Supervisão de Enfermagem , Equipe de Assistência ao Paciente/organização & administração , Feminino , Humanos , Masculino , Noruega
Br J Nurs ; 28(1): 30-37, 2019 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-30620662


Head nurses' performance plays an important role in the successful operation of hospitals. Identification and prioritisation of managerial competencies required for these supervisors and evaluation of their performance on this basis are necessary. This study aimed to provide a valid tool for assessing managerial competencies of hospital department head nurses. First, through literature review, Delphi technique and expert panel, a competency model was developed. Then using the analytic hierarchy process, competencies were weighted and prioritised. Finally, based on the model, an instrument was designed to measure the competencies of head nurses. Validity and reliability of the instrument was also checked. The proposed framework included 27 competencies categorised by four main managerial tasks: planning, organising, leadership and control. Findings revealed that the highest priority was given to strategic thinking (0.1221) and the lowest priority was given to evidence-based decision making (0.007). Based on impact score and content validity ratio results, the content validity of all questions has been proved. Furthermore through the use of a content validity index, 11 questions were omitted or modified. The study presents a valid and comprehensive model for assessing managerial competencies of hospital department head nurses in order to take an important step towards improving their performance.

Administração Hospitalar , Supervisão de Enfermagem/normas , Competência Profissional/normas , Humanos , Modelos de Enfermagem , Pesquisa em Avaliação de Enfermagem , Reprodutibilidade dos Testes