Role Of Nurses In Management Research Articles

Study and implementation of a performance set of indicators for the nurse manager in a frailty hospital.

SummaryIntroductionHospitals are known to be the most complex entities to manage. In fact, the main problem in healthcare are the expensive needs with limited resources. During the last years the complexity of the nurse manager role has gradually changed from assistance to management. However, nowadays the methods for quantifying the nurse managers’ skills and performance are not available. The aim of this study is to implement a method to assess and measure the skills of the nurse managers. An innovative indicator to globally evaluate the features, the professional skills and their performance is described.MethodsThe authors started with an interview with the directors of all the nurses as the top experts of the nurse managers’ technical skills. The purpose of this step was to understand what were the features of a valuable nurse manager. The methods identified three different aspects (qualitative, quantitative and relational) that were transformed in a single indicator. These parameters also enable to identify the strengths and weaknesses of each professional. An important implication of this score is the possible improvement of loss-making skills.ResultsA total of 18 centres, with their nurse managers, were evaluated in this study. All the results confirmed the judgment of the Healthcare Professions Structure Manager.ConclusionsThis assessment method, validated with these tests, evaluated the nurse manager’s ability to deal with personnel, resources and patients and to quantify his/her organizational and welfare performances. It is useful for planning actions that allow nurse managers to improve their skills.

Exploring the Lived Experiences of Staff Nurses Transitioning to the Nurse Manager Role.

The objective of this study was to discover the experience of nurse managers (NMs) who had transitioned from a staff nurse position BACKGROUND: Nurses who become NMs may receive little or no training or support during the transition process. This study sought to gain the perspective of NMs who transitioned into the role. A phenomenology method was used to interview 10 NMs regarding their experience of transitioning into the NM role. Meleis Role Transition theory provided the theoretical framework. Five themes were identified that related to the research questions: expectations, essential knowledge and skills, graduate education prepared, sought support and mentoring from colleagues, and role mastery not possible. Participants experienced role insufficiency due to lack of support and resources. Further research is needed to understand nurses' experience after completing an NM developmental program, contributing to role mastery.

Manager, clinician or both? Nurse managers' engagement in clinical care activities.

To explore the extent of Australian nurse managers' engagement in clinical care activities. Hybrid nurse manager roles lack clarity in the optimal balance between the clinical and other activities, resulting in stress and challenges in recruiting and retaining nurse managers. In a national survey using the Advanced Practice Role Delineation tool, Australian nurses self-assessed their level of engagement in activities across five domains of nursing practice. The subset sample analysed comprised 2,758 registered nurses, 390 clinical (front-line) nurse managers and 43 organisational (middle) nurse managers. Median domain scores were compared with non-parametric tests of difference. Clinical nurse managers were in a hybrid role, reporting high levels of engagement across the domains. Lower scores observed for organisational nurse managers highlight the shift to strategy-focussed activities that occurs as nurses up the management hierarchy. By indicating their engagement in the clinical care domain, respondents demonstrated that clinically focused activities were not entirely lost from either front-line or middle-management roles. Nurse managers equipped with clinical and management skills, and allowed time to remain engage in clinical care activities are critical for patient-centred and cost-effective care in today's complex health care environments.

Millennial Nurse Manager: Leading Staff Nurses More Experienced Than You

This retirement of baby boomer nurses will not only deplete the number of staff nurses at the bedside but, will also affect the nurse manager pool. In the next few years, millennial nurses will make more than half of the nursing workforce and with this growing void of nurse managers, it is becoming a reality that millennial nurses will be and are beginning to take on nurse manager roles. This retirement of baby boomer nurses will not only deplete the number of staff nurses at the bedside but, will also affect the nurse manager pool. In the next few years, millennial nurses will make more than half of the nursing workforce and with this growing void of nurse managers, it is becoming a reality that millennial nurses will be and are beginning to take on nurse manager roles.

Nurse Manager Role in Managing Pacemaker

Heart block is an abnormal heart rhythm (manifested by fatigue, tiredness, vertigo and syncope) where the heart beats too slowly (bradycardia). A pacemaker is a small electrical device which can be placed in the chest or abdomen to help or control abnormal heart rhythms. This device uses low-energy electrical pulses to prompt the heart to beat at a normal rate. It can be permanent or temporary. Educating cardiac patients or family members in how to lead an active life after a permanent pacemaker implants is a challenging activity for nurses. Nurse should provide comprehensive educational teaching to both the inpatient and the out-patient as a nurse manager’s role to foster positive attitude and independence in maintaining quality follow up care.

Nurse Manager Succession Planning: Evaluating a Pilot Program's Effect on Self-perception of Readiness.

Perceived readiness to transition to nurse manager roles and demonstrated leadership behaviors were evaluated among participants in a nurse manager succession planning pilot cohort. Equipping nurses within an organization with the leadership competencies to transition to the next role is essential as we face an impending nurse and nurse leader shortage. Quasi-experimental and correlational design methods were used to measure changes in readiness of nurses to enter nurse manager roles over a 90-day pilot. Participants' perceived readiness to transition to nurse manager roles and demonstrated leadership behaviors increased between days 1 and 90 of the program. Statistically significant increases were attributed to their participation in the nurse manager succession planning pilot cohort. This study contributes to the literature regarding nurse manager succession planning. Further research should be conducted so that succession planning for nurse managers becomes not only achievable but also expected.

The role of the co-participatory nursing management based on the magnetic management concept on improving the stability of the nursing team

Objective To explore the effect of the co-participatory nursing management based on the magnetic management concept on improving the stability of the nursing team. Methods From June 2015 to April 2016, a total of 34 nurses before the department implemented the co-participatory nursing management based on the magnetic management concept were selected as the control group.From September 2016 to July 2017, a total of 34 nurses after the department implemented the nursing management model were selected as the observation group.The nursing quality, nurses' comprehensive quality, turnover rate and their satisfaction with nursing management mode were compared between the two groups. Results The scores of nurses' comprehensive quality in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The turnover rate of the observation group was 2.94% lower than that of the control group's 17.65%, and the difference was statistically significant(P<0.05). The satisfaction scores of nurses in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The scores of nursing quality in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusions The implementation of the concept of magnetic management under the co-participatorty of nursing management can significantly improve the overall quality of nurses, significantly improve their satisfaction with nursing management.At the same time, it can improve the stability of the nurse team and the management quality of the department. Key words: Magnetic management concept; Co-participatory nursing management; Nurse team stability; Comprehensive quality; Nursing quality

Describing Nurse Manager Role Preparation and Competency: Findings From a National Study.

The aim of this study was to describe the role preparation and competency development of nurse managers. 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. An electronic survey was completed by a national sample of 647 nurse managers managing 964 patient care units in 54 hospitals. 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. 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.

Evaluation of Nurse Role in Management of Patients with Heart Attack

The study aims to evaluate the effectiveness of a nursing education program on the nurses practice toward cardiac rehabilitation in patients with heart attack. A quasi-study design study was carried out at Azidi Teaching Hospital. A total of (50) samples were allocated into either the study (experimental) group (taking the program, n = 25) or the control group (not taking the program, n= 25). The extent of samples knowledge about the assessment of the heart, assessment chest pain, evaluated Cardiogenic shock, evaluated activity daily living and health education for both study and control group were measured before applying the education program was measured. The structured teaching program for imparting knowledge about cardiac rehabilitation after diagnosis of the disease was developed based on a literature review and expert opinion. Post-test assessment performed for both the study and control group after applying for an education program. The data were analysed through the application of descriptive and inferential statistical analysis. The results of the study were elicited based on two statistical approaches, first, descriptive statistics and the second is an inferential statistical analysis.

Development of a financial management competency framework for Nurse Managers in public health care organisations in the province of KwaZulu-Natal, South Africa

The increased cuts in health care funding and severe financial constraints has necessitated that the Nurse Manager become financially conscious and provide efficient quality care while at the same time cutting costs and reducing expenditure. This, in turn requires an understanding of financial management. Nurse Manager’s knowledge is very limited. The aim of the study was to explore the financial management roles of Nurse Managers in their current work environments, identify financial management development needs necessary for Nurse Manager’s practice and to develop a financial management framework to improve the skills of Nurse Managers. A qualitative, naturalistic paradigm was used. Interviews were conducted with 18 participants. The results revealed that Nurse Managers participate in financial management activities within the hospitals and identified eight main themes namely financial planning, financial monitoring, financial decision making, financial control, inadequate financial management competencies, educational preparation for financial management in nursing programmes, guidance and training for financial management role and need for financial management competency development. Nurse Managers have a financial management function in the public health care organisations. They do not have the necessary skills, knowledge and competencies to function in this role and require additional knowledge, skills and training. A competency framework was subsequently developed to improve the financial management competencies of Nurse Managers.

Stress and ways of coping among nurse managers: An integrative review.

To appraise and synthesise empirical studies examining sources of occupational stress and ways of coping utilised by nurse managers when dealing with stress. The Nurse Manager's role is challenging yet draining and stressful and has adverse consequences on an individual's overall health and well-being, patients' outcomes and organisational productivity. Considerable research has been carried out; however, an updated and broader perspective on this critical organisational issue has not been performed. An integrative review. Five databases (Cumulative Index to Nursing and Allied Health Literature, SCOPUS, PubMed, PsychINFO and MEDLINE) were searched to identify relevant articles. Search terms and MeSH terms included: "charge nurse," "coping," "coping strategy," "coping style," "psychological adaptation," "psychological stress," "stressors," "nurse manager" and "unit manager." Twenty-two articles were included in this review. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines. Four themes were identified: moderate stress levels, common sources of stress, ways of coping and the impact of nurses' characteristics on stress. Nurse managers experienced moderate levels of stress mainly from heavy workloads, lack of resources and financial responsibilities. Enhancing social support and promoting job control were seen as important in reducing work stress and its related consequences. Additional studies using a more rigorous method and a larger sample size preferably in multicultural settings would shed more light on this topic. Hospital and nurse administrators play an important role in promoting supportive structures for daily professional practice for nurse managers through staffing, organisational resources, support services, leadership and stress management training.

The Role of Special Epilepsy Nurse in Epilepsy Monitoring Unit

Background: Epilepsy is an abnormality in the central nervous system which characterized in recurrent or unprovoked seizures. Nurse care is one of the important specialists for management of the patients. The aims of this study was evaluating role of nurse care on management of patients with epilepsy. Method: This study is a brief review to evaluate role of nurses in management of patients with epilepsy. Conclusion: Nurses should improve the quality of patient care: 1- We need to have a plan for increasing the knowledge of ESNS, 2- Government should make a new course in Faculty of Nursing and Midwifery, 3- Develop guide lines for ESNS and prepare appropriate programs.

Cost of Nursing Care and The Role of Nurse Manager

Cost of Nursing Care and The Role of Nurse Manager

Start a community of practice through Action Learning: nurse manager to support the changing care practices

This paper is part of the current of study defined as workplace studies which have the intent to focus the relationship between learning processes, communities of practice and organisational change processes. The field of intervention is the health field, in relation to nurse manager roles, focusing attention on problem solving and communication skills among Operating Unit (OU) manager and the repercussions on working practices. The study/intervention is triggered by some key questions emerging from the organisational requirements in care contexts, such as: how to reshape coordination roles that are traditionally centred on executive management towards a proactive function that is motivating for the nursing team? How is it possible to promote a community of practice between managers, consolidating the sense of company belonging? How to design a managerial role such as nurse manager according to organisation by processes and not just by tasks?The answers to these questions involve two plans of action; one of a training and advisory nature, the second centred on the logic of research.&amp;nbsp;

Improve manager competency with experiential learning.

Improve manager competency with experiential learning.

Assessment of Nurse Manager Performance of Staffing in Middle Euphrates Governorates Hospitals.

Objective(s): The objective of the study to assess the nurse manager performance of planning in hospitals. Methodology: A descriptive study was carried out to determine the quality of nurse manager role performance of staffing in middle Euphrates governorates hospitals. Non-probability sampling was performed. Convenient sampling of (62) nurse manager was selected of the middle Euphrates governorates hospitals. The study was conducted for the period of 2nd June, 2013 through 30th June, 2013. Through extensive review of relevant literature, a questionnaire was constructed for the purpose of the study. A pilot study is conducted in order to determine the reliability of the study instrument which was used for measuring the determination of quality of nurse manager administrative role performance in middle Euphrates governorates hospitals. Data were analyzed through the application of the descriptive statistical data analysis approach (frequency, percentage, mean) and inferential statistical data analysis approach (t-test, person correlation coefficient, stepwise logistic multiple regression, Spearman-Brown, chi-square). Results: The findings of the study indicated that through the course of data analysis more than one half of the study sample are in Babylon governorate, the most hospitals are distributed in the city center rather than in the city side or in rural areas, the males nurses are more attend to working as an administrative nurse than the female nurses, the study sample responses to overall evaluation for the majority of the administrative nurse managers' role and duties is highly significant, study subject's responses to the basic components to determine the quality of management performance staffing are at all items a non-significant correlation between the basic components to determine quality of management performance staffing and the different demographic data at p-value more than 0.05. Conclusion: The study concludes that the nurse managers have a good opportunity to continue their education, because they are to the top working side by management, The nurse managers have a good level of performance relative to their managerial roles and duties, and Working as managers in teaching hospital increases their knowledge about the staffing function determine the quality of nurse manager performance. Recommendations: The study recommended that the Further studies should be conducted to involve a larger geographical area in Iraq, apply a continuing education courses for the nurse managers to increase their knowledge and performance about the managerial roles and duties especially in the non-teaching hospitals, and Management courses should be developed and improved to increase students' managerial knowledge and performance.

Nurse Manager Competencies Supporting Patient Engagement.

Patient engagement is an important element in transitioning care delivery to achieve population health management goals. Providers are challenged to develop care delivery processes that better engage patients in their life journey across the healthcare continuum. Nurse leaders are central to this process. Building upon the American Organization of Nurse Executives competencies for nurse executives, the nurse manager role requires specific skills to translate the vision of patient engagement into practice.

Nurse managers’ insights regarding their role highlight the need for practice changes

AimThe purpose of this study was to understand the insights of nurse managers regarding the nurse manager role. BackgroundNurse managers are vital to the success of healthcare organizations. Vacancy rates of nurse manager positions are on the rise. Recruiting and retaining qualified individuals for these positions requires an understanding of the perceptions of nurse managers regarding the role and the issues embedded in the role. MethodsA descriptive, qualitative investigation was conducted. Data were analyzed using content analysis. FindingsAlthough desired, role orientation, mentorship, and a strong foundational knowledge, were often lacking. Personal attributes viewed as important for success in the role included seeking opportunities and intentional self-growth. Lessons learned while in the role included the art of managing role demands and that comfort comes with time. ConclusionConcerns regarding the preparation for, introduction to, and support in the nurse manager role highlight the need for practice changes.

Learning in the workplace: the role of Nurse Managers.

Objective This research explores Nurse Managers' (NMs') influence on workplace learning. The facilitation of staff learning has implications for the role of NMs, who are responsible for the quality and safety of patient care. However, this aspect of their work is implicit and there is limited research in the area. Methods This paper discusses the findings from one hospital as part of a broader philosophical hermeneutic study conducted in two public hospitals over a 20-month timeframe. NMs participated in interviews, a period of observation, follow-up interviews and a focus group. Transcribed data was thematically analysed. Eraut's 'Two triangle theory of workplace learning' was used to interpret participants' accounts of how they facilitated workplace learning. Findings The analysis found that NMs worked to positively influence staff performance through learning in three domains: orientating new staff, assessing staff performance and managing underperformance. Conclusions This study purports that NMs influence workplace learning in ways that are seldom recognised. A more conscious understanding of the impact of their role can enable NMs to more purposefully influence workplace learning. Such understanding also has implications for the professional preparation of NMs for their role in the context of workplace learning, facilitating learning for change and enabling the advancement of quality and safety in healthcare. What is known about the topic? Studies exploring the influence of Nurse Managers in workplace learning have been limited to their role in the facilitation of formal learning. There is a paucity of research that examines their role in influencing informal learning. What does this paper add? The findings of this study draw on Eraut's 'Two triangle theory of workplace learning' to further define the interdependent relationship between management and educational practices. What are the implications for practitioners? NMs' awareness and deliberate use of their management role to enhance workplace learning will not only strengthen their role, but will also foster good learning environments and quality nursing services.

Evaluation of Nurse Manager Performance of Planning in Middle Euphrates Governorates Hospitals

Objective(s): The objective of the study to evaluate the nurse manager performance of planning in hospitals. Methodology: A descriptive "Evolutional" design was carried out to determine the quality of nurse manager role performance of planning in middle Euphrates governorates hospitals. Non-probability sampling was performed. Convenient sampling of (62) nurse manager was selected of the middle Euphrates governorates hospitals. Through extensive review of relevant literature, a questionnaire was constructed for the purpose of the study. A pilot study is conducted in order to determine the reliability of the study instrument which was used for measuring the determination of quality of nurse manager administrative role performance in middle Euphrates governorates hospitals. The study was conducted for the period of June 2nd, 2013 through June 30th, 2013. Data were analyzed through the application of the descriptive statistical data analysis approach (frequency, percentage, mean) and inferential statistical data analysis approach (t-test, person correlation coefficient, stepwise logistic multiple regression, Spearman Brown, chi-square). Results: The findings of the study indicated that through the course of data analysis more than one half of the study sample are in Babylon governorate, the most hospitals are distributed in the city center rather than in the city side or in rural areas, the males nurses are more attend to working as an administrative nurse than the female nurses, the study sample responses to overall evaluation for the majority of the administrative nurse managers' role and duties is highly significant, study subjects overall responses to the planning function performance are highly significant. Conclusion: The study concludes that the nurse managers have a good opportunity to continue their education, because they are to the top working side by management, The nurse managers have a good level of performance relative to their managerial roles and duties, and Working as managers in teaching hospital increases their knowledge about the planning function determine the quality of nurse manager performance. Recommendations: The study recommended that the Further studies should be conducted to involve a larger geographical area in Iraq, The Ministry of Health should apply a continuing education courses for the nurse managers to increase their knowledge and performance about the managerial roles and duties especially in the non-teaching hospitals, and Management courses should be developed and improved to increase students' managerial knowledge and performance