Nursing Service Administration Research Articles

Commonly missed nursing cares in the obstetrics and gynecologic wards of Tigray general hospitals; Northern Ethiopia.

BackgroundMissed nursing care is considered an error of omission and is defined as any aspect of required patient care that is omitted (either in part or whole) or significantly delayed. Nursing care missed in the perinatal setting can cause negative outcomes and repercussions for the quality and safety of care. This has been reported in multiple settings and countries and is tied to negative maternal outcomes. Preventing missed nursing care requires in-depth research considering the clinical setting.ObjectiveThe main aim of the study was to assess commonly missed nursing care elements, reasons, and factors for the omission in the obstetric and gynecologic units of general hospitals in Tigray 2017/18.Methods and materialsA cross-sectional study was conducted in eight randomly selected general hospitals in Tigray, Ethiopia. A total of 422 nurses and midwives were selected through simple random sampling using the staff list as a sampling frame. To identify the commonly missed nursing care and related factors, the MISSCARE survey tool was used. Descriptive, bivariate, and multivariate logistic regression analysis was performed to assess potential risk factors of nursing cares omission.ResultThe study results showed that 299 (74.6%) participants commonly missed at least one nursing care in the perinatal setting. Labor resources 386(96.3%), teamwork 365(91%), material resources 361 (90%) and communication 342 (85.3%) were the reasons identified for commonly missing care. In the multivariate analyses, sex (p-value <0.001), educational level (p-value 0.034), working shift (p-value <0.001) and having an intention to leave the institution (p-value <0.001) showed a significant association with commonly missing care.ConclusionThe proportion of commonly missed nursing care was high. After adjusting for demographic variables, labor resources, material resources, and communication were reasons for commonly missed nursing care. Increasing male professional proportion, investing in nurses/midwives training, and harmonizing nursing service administration through appropriate working shift arrangement and timely assessment of professionals’ stability and satisfaction could minimize frequent omission of nursing care.

Assessing the Nurse Manager's Span of Control: A Partnership Between Executive Leadership, Nurse Scientists and Clinicians

Nurse managers play a vital role within nursing services administration. In order for the nurse manager to provide the level of service defined by their job description, a practical span of control is necessary. The University of Texas medical Branch (UTMB) utilized a comprehensive approach to accurately assess acute care nurse manager's span of control within the organization. Findings indicated that approximately 56% of UTMB nurse managers have an acceptable span of control, whereas 44% had an excessive span of control. Recommendations include the need to evaluate clerical support staff, provide leadership education that includes elements of social/emotional intelligence, and implement best practice initiatives.

A Humanistic Caring Quality of Work Life Model in Nursing Administration Based on Watson's Philosophy

Abstract The successive reorganizations of most Western health care networks have led to constant pressure on practice conditions in nursing services administration. In addition, some studies argue that structural and managerial shortcomings due to reorganizations have severe impact on quality of work life (QWL) for frontline nurse managers (FLNMs). The primary purpose of this article is to discuss the potential relevance of Watson's human caring philosophy to FLNMs' understanding of the QWL experience. Integrating all these elements led to the development of a humanistic caring QWL model that can be offered to propose possible solutions for management and research.

Roxane Spitzer, PhD, RN, MBA, MA, FAAN

It is my privilege to interview a great nurse leader, mentor and colleague; Dr. Roxane Spitzer. Dr. Spitzer has had a long and stellar career leaving her "footprint" on the profession of nursing and healthcare administration. She has mentored many nurses as they progressed on their career track. I know you will enjoy hearing about her and hearing from her leadership journey as she answers my interview questions.

POLITICS IN NURSING: AN ESSENTIAL LEARNING FOR POSTGRADUATE STUDENTS

No Canadá, como em outros lugares, enfermeiros devem enfrentar muitos desafios caso queiram participar como umgrupo que influencia em organizações de cuidados em saúde. Contudo, existem alguns facilitadores, entre eles estão a habilidade deanalisar o contexto, assuntos e percurso correto de ações sob a perspectiva política. Este artigo compartilha o resultado de aprendizado de estudantes de pós-graduação durante um seminário em politicas relacionadas aos serviços de administração de enfermagem na Universidade Laval, Quebec, Canadá. O objetivo deste artigo é apresentar o aprendizado alcançado sobre temas e assuntos discutidos e introduzir ferramentas para análise política, úteis para descrever a atual posição de enfermagem no sistema de saúde. No final do seminário, o aprendizado permitiu aos estudantes compreender diferentes elementos que devem ser considerados para avaliar a atual situação no que diz respeito a assuntos importantes para a profissão, e considerar percursos de ação para influenciar seu desenvolvimento.

Opiniones de los estudiantes de enfermería sobre el aprendizaje basado en problemas

Introduction: Since the academic year 2005/2006 the Department of Nursing at the University of Seville, Spain has promoted the implementation of the strategy of problem-based learning (PBL) in nursing degrees. The experience of PBL in the nursing services administration course at the Teaching Unit Valme, during 2007/2008 is presented in this study. Objective: To know nursing students’ opinions about PBL. Method: We conducted two questionnaires specifically designed to find out the views of students about the tutor's work and teamwork. Questionnaires have been conducted at the end of the course in an anonymous and voluntary way. Results: The sample consists of 53 students enrolled in the subject in the Valme Teaching Unit. They answered in the questionnaire: 51 students (96.22 %). Average score of the tutor (responses 100 % of the sample): Timeliness: 8.78; attention and listening: 8.64; adequacy of targets: 8.52; adequacy of teaching method: 8.13 and adequacy of resources: 7.92. Cronbach alpha: 0.914. Average of team work (100 % replies of the students): Timeliness: 7.76; constructive involvement: 7.72; Completing tasks: 7.90; respect for others: 8.25 and ability to work in teams: 7.66. Cronbach alpha: 0.793. Conclusions: We believe it is appropriate to establish improvement strategies throughout the process and evaluation of the PBL. This method of learning is important to bear in mind, so as to improve the quality of education. The launch of the European credit system facilitates the implementation of this method of learning.

Research on the care environment: Celebrating signs of success, posing questions to advance future investigations

Research on the care environment: Celebrating signs of success, posing questions to advance future investigations

Walk the Talk: Promoting Control of Nursing Practice and a Patient-Centered Culture

Walk the Talk: Promoting Control of Nursing Practice and a Patient-Centered Culture

The mediating effect of job satisfaction between emotional intelligence and organisational commitment of nurses: A questionnaire survey

Background The effect of emotional intelligence and its dimensions on job satisfaction and organisational commitment of nurses has been investigated in this study. Objectives This paper examines the relations among emotional intelligence, job satisfaction and organisational commitment of nurses and the mediating effect of job satisfaction between emotional intelligence and organisational commitment. Design A questionnaire survey was carried out to explore the relations between emotional intelligence, job satisfaction and organisational commitment. Setting Teaching hospital in Ankara, Turkey. Participants Questionnaires were distributed by Nursing Services Administration to 550 nurses working at different departments of the hospital and 267 questionnaires were analyzed. Methods A 45-item questionnaire which consists of emotional intelligence, job satisfaction and organisational commitment parts was carried out to investigate the relations among these variables. Some basic socio-demographic questions were included. Results Emotional intelligence was significantly and positively related to job satisfaction ( r = 0.236 , p ≤ 0.01 ) and organisational commitment ( r = 0.229 , p ≤ 0.01 ) . The positive relation between job satisfaction and organisational commitment was also significant ( r = 0.667 , p ≤ 0.01 ) . Job satisfaction was found to be related with “regulation of emotion (ROE)” ( r = 0.228 , p ≤ 0.01 ) and “use of emotion (UOE)” ( r = 0.155 , p ≤ 0.01 ) but not with other dimensions of emotional intelligence. “Others’s emotional appraisal” did not have any relations with job satisfaction or organisational commitment and “self-emotional appraisal (SEA)” was found to be a suppressor. Conclusion It was found that job satisfaction is a mediator between emotional intelligence and organisational commitment. The other finding of the study was that “SEA” and “UOE” have direct effects on organisational commitment whereas job satisfaction is a mediator between “regulation of emotion” and organisational commitment.

Online Brazilian Journal of Nursing

This editorial is devoted to celebrate the anniversary of the Aurora de Afonso Costa School of Nursing (AACSN), at Fluminense Federal University (FFU). Rich in history, the AACSN celebrates its sixtieth year in 2004 meeting the health challenges of our developing country. An undergraduate program was first offered by the School of Nursing in 1944. The AACSN alumni impact the State of Rio de Janeiro, the nation and the world in health care delivery because they are prepared to be highly educated nurse leaders in research, teaching, training and care. So, practicing nurses play an essential role in linking the findings of research with the communities in which they work.The AACSN completed 60 years and will continue with the primary goals of excellence in nursing education, research and practice, as well as a commitment to service. In 1979, the AACSN initiated its first graduate experience: a nursing service administration certificate course, lato sensu graduate program, leading to a specialist degree. The School added programs in succeeding years that were created and coordinated by Dr. Isabel Cruz: Health Promotion (1994), Intensive Care, Renal Substitutive Therapies (2000), and Professional Master of Science (2003).We invite you to learn more about our School's three major departments, the Master Degree Program, and our Antonio Pedro University Hospital. Please, visit the Jane da Fonseca Proença Nursing Library.Read the NEPAE-NESEN the newsletter published by 2 School of Nursing´s research groups and check out the Online Brazilian Journal of Nursing, a scholarly peer-reviewed journal with free-access, for an inside look at the School of Nursing Professional Master´s Degree Program and our research production.The AACSN nursing faculty provide education and research training in the social, behavioral, and biological sciences focused on health, illness, and health care, and offer innovative teaching-learning strategies:a. on-city “labs” that prepare students from culturally diverse backgrounds for real life hospital or community clinical situations;b. evidenced-based practice integrated into campus classroom discussions;c. and student cultural emersion in Oriximiná - FFU campus, at Amazonian region.As you can see, the AACSN undergraduate (bachelor degree) and graduate (master´s degree) programs prepare students from the beginning generalist to the advanced practice nurse and the nurse scientist. The AACSN nursing research is recognized nationally for answering questions related to African-Brazilian health and institutional racism, women and children topics (Rosalda Paim, RN, PhD, Full Professor [former]), mental health, and other themes. The AACSN nursing faculty and students benefit the public, the profession, and the University through active individual and group involvement in service activities, promoting and demonstrating excellence in professional nursing practice. Taking advantage of its long history as a part of the Fluminense Federal University, the AACSN will continue to work cooperatively with other health professionals on campus, nationally, and internationally in its search for excellence in teaching, research, practice, and public service.Happy anniversary to the AACSN and a happy new year for all!

Aurora de Afonso Costa School of Nursing - from 1944 to 2004: 60 years preparing nurses to care people´s responses to health and illness and to leader the health system

This editorial is devoted to celebrate the anniversary of the Aurora de Afonso Costa School of Nursing (AACSN), at Fluminense Federal University (FFU). Rich in history, the AACSN celebrates its sixtieth year in 2004 meeting the health challenges of our developing country. An undergraduate program was fi rst off ered by the School of Nursing in 1944. The AACSN alumni impact the State of Rio de Janeiro, the nation and the world in health care delivery because they are prepared to be highly educated nurse leaders in research, teaching, training and care. So, practicing nurses play an essential role in linking the fi ndings of research with the communities in which they work. The AACSN completed 60 years and will continue with the primary goals of excellence in nursing education, research and practice, as well as a commitment to service. In 1979, the AACSN initiated its fi rst graduate experience: a nursing service administration certificate course, lato sensu graduate program, leading to a specialist degree. The School added programs in succeeding years that were created and coordinated by Dr. Isabel Cruz: Health Promotion (1994), Intensive Care, Renal Substitutive Therapies (2000), and Professional Master of Science (2003). We invite you to learn more about our School’s three major departments, the Master Degree Program, and our Antonio Pedro University Hospital. Please, visit the Jane da Aurora de Afonso Costa School of Nursing from 1944 to 2004: 60 years preparing nurses to care people s responses to health and illness and to leader the health system.

Faculty practice and roles of staff nurses and clinical faculty in nursing student learning.

The perceptions of staff nurses and clinical nurse faculty on the roles they play in nursing student learning were examined. The study also sought to explore how faculty practice status affected these perceived roles. Nursing schools with generic baccalaureate nursing programs in the middle Atlantic region composed the study population. A convenience sample of two schools that expected their undergraduate clinical faculty to engage in faculty practice and two schools that did not expect faculty practice participated in the study. Clinical faculty members (15) and nursing education administrators (4) from each school participated, as well as staff nurses (22) and nursing service administrators (4) from each school's related hospital. Focus groups and individual interviews were conducted. Manifest and latent content analyses were used to examine the issues. Staff nurses who worked with practicing faculty reported fewer instances of role overload, conflict, and ambiguity than when they worked with nonpracticing faculty. Lack of clear communication and delineation of expectations among administrators, staff, faculty, and students were cited as major factors in perceived role problems. Administrators, faculty, and staff nurses viewed high student/faculty ratios as a causative factor in the faculty's inability to meet all teaching objectives with students.

Nursing quality outcome indicators. The North Dakota Study.

The purpose of this study was to assess the feasibility and conduct a pilot study of the ANA Nursing Care Report Card Study in one state. Clinical indicators studied include agency data, skin integrity, patient falls, and nurse (n = 217) and patient (n = 924) satisfaction. Patients were well satisfied with their care. Nurses were less satisfied, with a significant difference between what was important to their satisfaction and their current level of satisfaction. Important information is included for hospital and nursing service administrators, as well as for nurses.

Challenges for nursing administration educators.

The council on Graduate Education for Administration in Nursing (CGEAN) was established to further develop and improve graduate education for administration in nursing. The council seeks to identify the nature and direction of education for administration in nursing in various healthcare systems, providing guidelines for programs offering administration. A major goal of CGEAN is facilitating dialogue between nursing service administrators and graduate level educators who are engaged in teaching and research related to administration in nursing. This column, sponsored by the members of the Council analyzes and responds to position statements and trends related to the delivery of health services and graduate education for administrators in nursing.

Outcomes of an adjunct executive appointment for faculty.

The Council on Graduate Education for Administration in Nursing (CGEAN) was established to further develop and improve graduate education for administration in nursing. The Council seeks to identify the nature and direction of education for administration in nursing in various healthcare systems, providing guidelines for programs offering administration. A major goal of CGEAN is facilitating dialogue between nursing service administrators and graduate level educators who are engaged in teaching and research related to administration in nursing. This column, sponsored by the members of the Council, analyzes and responds to position statements and trends related to the delivery of health services and graduate education for administrators in nursing.

Job satisfaction correlates among Palestinian nurses in the West Bank

The recruitment and retention of highly qualified nurses present ongoing challenges to nursing service administrators throughout the world. Retention of nurses has been closely linked both to job satisfaction and selected demographic factors. Administrators must be aware of these demographic factors due to their importance to employees. The primary purpose of this study was to examine demographic correlates of job satisfiers and dissatisfiers among nurses in the West Bank of Palestine. Both the McCloskey/Mueller Satisfaction Scale (MMSS) and a single overall job satisfaction item were used to survey the entire population ( n = 330) of nurses employed in 20 acute care hospitals. Significant relationships were found between job satisfaction and the demographic characteristics of marital status, distance traveled to work, number of years the nurse worked as an RN, and extended family responsibilities. This study of job satisfaction among nurses in a geographic location not previously studied provides nursing leaders in the West Bank with important information as they seek to retain and recruit nurses. The findings support the use of the MMSS in non-US countries and cultures. However, an argument is presented for further refinement of the instrument and the underlying conceptual framework of the instrument.

Restructuring Implications for Nursing Administration Education

The Council on Graduate Education for Administration in Nursing (CGEAN) was established to further develop and improve graduate education for administration in nursing. The Council seeks to identify the nature and direction of education for administration in nursing in various healthcare systems, providing guidelines for programs offering administration. A major goal of CGEAN is facilitating dialogue between nursing service administrators and graduate level educators who are engaged in teaching and research related to administration in nursing. This column, sponsored by the members of the Council, analyzes and responds to position statements and trends related to the delivery of health services and graduate education for administrators in nursing.

Survey and critique of studies related to shift length variations in nursing from 1970 to 1993

The purpose of this study was to describe the current status, stage of staffing change, and findings of research relating to shift length variations in nursing. This was accomplished through a review of the literature to (a) evaluate the quality of the research, (b) summarize and draw conclusions related to variations in nursing shift length, and (c) identify gaps in the literature for the purpose of making recommendations for future studies related to nursing shift length variations. Multiple methods were utilized for locating potential studies to include in this project. Smith and Stullenbarger's (1991) Quality of Study instrument was used to rate the studies. None of the research reviewed explicitly identified a conceptual or theoretical framework or model, and few studies could be classified as scientifically rigorous. This study illuminates the state of the art and findings related to length of shift variations in nursing, and as such has implications for practice and research in nursing service administration.

The value of mentoring in nursing leadership: a descriptive study.

The author of this descriptive study explores the general characteristics of mentoring relationships and their effects on professional lives as perceived by nurse administrators. An adult developmental theoretical framework was used. The sample consisted of 367, members of the California Society for Nursing Service Administrators, a group of top-level nurse administrators. The overwhelmingly positive responses supported the literature, which described a variety of significant positive developments as a result of mentoring relationships. Ninety-seven percent (n = 356) indicated changes had occurred in their lives, with a change in self-confidence indicated most frequently. More than eighty percent (n = 294) indicated the relationship was valuable. Enhancing formal and informal mentoring relationships particularly in the nursing leadership arena is important.

Interactive Process of Conducting and Utilizing Research in Nursing Service Administration

The authors report on a project that evolved from a single-purpose project--research use in nursing service administration--to a multipurpose process. The project team initially intended to conduct a classic research use project to develop management interventions to improve job satisfaction. The team eventually conducted three basic research projects and systematically applied this knowledge to the practice of nursing service administration. The members of the team, who came from academic and service settings, collaborated in a dynamic and interactive process of generating and applying knowledge. The products of this work were immediately useful in the setting and can be used more broadly in organizing and managing the care of hospital patients.