Perspective Of Nurse Managers Research Articles

Examining the Perspectives of Nurse Managers on Missed Nursing Care in Surgical Units.

To examine nurse managers' perspectives on missed nursing care (MNC) on surgical units. The phenomenon of MNC is an important concern for nurse researchers. However, the reality of how it is experienced by clinical nurse managers is largely unexplored. Understanding nurse managers' experiences with MNC could help develop useful approaches to reducing levels of MNC. A descriptive qualitative study was conducted between December and June 2020, using face-to-face semistructured interviews with 10 nurse managers. Five themes were identified: 1) awareness of MNC; 2) rationale for MNC; 3) consequences of MNC; 4) questions of reporting; and 5) management of MNC. Nurse managers must use their positions and leadership skills to expect appropriate staffing approaches and material resources for surgical units, effective process for newly hired nurses, and the establishment of a reporting system for MNC to reduce the phenomenon in practice.

Nurses’ Involvement in Health Policy Development and Analysis: Examining the Perspectives of Nurse Managers

Introduction: Nurses make critical decisions that affect the lives of clients. This necessitates their involvement in health policy development to enhance the quality of care delivered to clients. However, only a handful of nurses get the opportunity to participate in developing policies that border on nursing. This study intended to discover nurse managers’ knowledge of policy formation, their involvement in health policy formulation, and the challenges they encounter in their quest to participate in policy formulation. Method: The study employed the qualitative approach with an exploratory descriptive design using individual interviews with 12 nurse managers purposively selected for the study. Results: The findings from the study indicated that nurse managers play an important role as major stakeholders in policy development since they work with nurses and clients. Also, disunity among nurses was identified as a major barrier to nurses’ involvement in policy development. Conclusions: The study reveals nurses' strong interest in policy involvement, hindered by perceived knowledge gaps, limited education access, and dominance of other professionals in policy roles. Addressing these challenges requires investing in education, political advocacy, and establishing a dedicated nursing unit for policy influence, supported by integrated policy education and interdisciplinary collaboration.

COVID-19-Pandemie in Berlin und Brandenburg - Eine Ist-Analyse in Krankenhäusern aus Sicht des Pflegemanagements.

COVID-19 pandemic in Berlin and Brandenburg - A hospital survey from nursing management perspective Abstract. Background: During the COVID-19 pandemic, it is unclear how hospitals in the federal states of Berlin and Brandenburg are structured with regard to structural adaptions, personnel situations, protective equipment and trainings. Therefore, the aim of the present study is to evaluate and compare the current status of all hospitals in both states. Methods: In April 2020, an online survey of all hospitals in Berlin and Brandenburg (n = 99) was carried out. Structural capacities, the personnel situation, protective equipment and training were investigated. Results: The hospitals (response rate: 31.3 %) have made all structural changes except for n = 1 facility. The majority of the failure rate is critically stated as 5 - 10 % before (58.6 %) and during the pandemic (51.5 %). The proportion with > 10 % default rate increases from 20.7 % to 31.0 %. 45.2 % of hospitals report that they rarely have shortage in protective clothing. Nurses at peripheral wards are often trained in handling with respiratory patients. The duration is in median 2 - 8 hours. No significant differences between Berlin and Brandenburg were found. Conclusions: At the time of the survey, the hospitals in Berlin and Brandenburg were well prepared for the challenges posed by the COVID-19 pandemic. In April 2020, the results indicate that hospitals are well prepared to ensure the health care provision.

Implementing National Electronic Health Records in Nursing Homes in Tyrol: A Nursing Management Perspective.

Health information technologies as electronic health records (EHR) have the potential to improve the quality and efficiency of health care. Implementing national EHR in nursing homes in Tyrol is a required task within the next years. To explore and analyze the current situation of information exchange in nursing homes in Tyrol as well as expected potentials and challenges of an ELGA implementation from a nursing management perspective. Semi-structured interviews with nine nursing managers of nursing homes in Tyrol were conducted and analyzed using qualitative content analysis. The explorative interviews offered a glance at the actual information exchange with other institutions and at the perception of nursing managers regarding potentials (e.g. decreasing organizational effort) and challenges (e.g. incompleteness of available patient information) of the nationally mandated implementation of ELGA in the nursing homes in Tyrol. The interviews with the nine nursing managers of nursing homes in Tyrol revealed some hopes (e.g. the reduction of double documentation) that ELGA will probably not be able to fulfill.

606 Establishing a Deep Sedation Program: Challenges and Successes from a Nursing Management Perspective

Abstract Introduction A burn center with a high volume of burn admissions was looking for ways to decrease the pain and anxiety experienced by patients during wound care. Patients requiring surgical dressing removal or demonstrating difficulty in coping during wound care were of particular concern. Discussions between anesthesia providers and the burn team led to the concept of anesthesia safely providing deep sedation in the inpatient wound care center for select dressing changes. Nursing management began to work through the challenges of implementing the Burn Center Deep Sedation Program. Methods Processes for identifying, scheduling, and recovering patients were established. All Burn Acute Care Unit (BACU) patients requiring a surgical dressing removal or demonstrating poor coping during wound care would qualify for deep sedation. Nursing management worked to create an online scheduling system, and designated a room which was set up with anesthesia equipment and supplies. Candidates were reviewed for deep sedation and a schedule created for the following day. All patients required a Burn Intensive Care Unit (BICU) nurse during the recovery period. A BICU room adjacent to the wound care center became the deep sedation recovery room, and was staffed by the BICU charge nurse. BICU nurses received additional training in post anesthesia care prior to the program implementation. Once all educational needs and logistical changes were addressed, the deep sedation program began operating seven days per week. Results Starting in January 2016 deep sedation has been provided to approximately 400 cases per year. No additional staff was required, only shifting responsibilities of existing nursing personnel. Designating a specific room for deep sedation has ensured that anesthesia providers have access to the appropriate equipment and has minimized disruptions to the flow of other dressing changes occurring throughout the day. The impact of the program on pain and anxiety is currently under evaluation. Informal feedback from patients and staff members has been very positive. Conclusions The challenge in developing this program was the amount of education and planning required prior to implementation. Once the program was active, the challenges that occurred involved the scheduling system. An additional benefit of the program was the teamwork required between BICU and BACU nurses to safely handoff patients. The deep sedation program has also strengthened the burn team’s relationship with the anesthesia providers, whose commitment to the project was appreciated by all involved. A team approach and a collective mission to improve care for burn patients have driven this project to its current success. Applicability of Research to Practice The collaboration between the burn team and anesthesia has resulted in an improved wound care experience for the patient.

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.

Barriers to Evidence-Based Nursing Practice Utilization from the Perspective of Nurse Managers

Evidence-based practice is considered a foundation for the provision of quality care. Nurse managers (NMs) play an important role promoting evidence-based practice (EBP) on clinical units within hospitals. However, there is a dearth of research focused on NMs perspectives about barriers to evidence-based nursing practice utilization. The purpose of the study was to assess the barriers to evidence-based nursing practice utilization from the perspective of nurse managers. A descriptive comparative design was used. The study was conducted at Menoufia University hospital and Shebin El-Kom Teaching hospital. A convenient sample was used to select 90 nurse managers. Data was collected using the perceived barriers questionnaire. Nurse managers reported that there barriers related to perceived value of research (e,g, lack of interest, 74.4%), personal (inadequate computer skills, 50.0%) and administrative (lack of knowledge about research, 66.70%). So, it was concluded that nurse managers were challenged by a large number of barriers It was recommended that the results of the study should be disseminated among the important key persons (nurse managers).

Determining Competency for Nurse Managers in Community Hospitals in Thailand: The Perspective of Nurse Managers and Directors of Nursing Services

Introduction: Competent nurse managers have been associated with achieving safe and effective outcomes. Nursing competencies differ within the context of organization depending on size of the hospital and the facilities. Also nurse manager competencies should be different that focused on viewpoints of nurse managers in community hospitals. The aim of this study was to investigate the viewpoints of nurse managers and directors of nursing services in community hospitals regarding the essential competencies of head nurses.Methods: A qualitative descriptive design was used to investigate the perspective of nurse managers and directors of nursing services about essential competencies of nurse managers in community hospitals.  A total of ten participants (four directors of nursing services and six nurse managers) were interviewed.Findings:  Nurse managers and directors of nursing services identified leadership, management, communication, professional ethics, and policy and healthcare environment as the essential competencies for their positions in community hospitals.Conclusions: These findings can be used by executives of community hospitals and nursing institute to plan for competency development for nurse managers. It should be included in nurse administration program.Key words: Competency, Nurse manager, Community Hospital

Information systems in hospitals: a review article from a nursing management perspective

Information management in hospitals is challenging due to vast amounts of information and a great number of people participating in the organisational functions. Information management plays an important role in the provision of care and it can be improved by information and communication technology. The purpose of this literature review is to describe what information and communication systems are available for nurse managers in hospitals to support their decision-making. Managerial decision-making occurs on strategic, tactical and operational levels. The main findings are that several different information and communication systems have been developed to support nurse managers' information management, however, these systems mostly focus on strategic and tactical decision-making levels without real-time information support, and furthermore, operational decision-making is weakly supported. Also, research evaluating how the existing systems support nurse managers' decision-making is lacking.

Economic crisis and challenges for the Greek healthcare system: the emergent role of nursing management

Despite several reform efforts, the Greek health care system still faces problems related to misdistribution of trained health staff and finance between geographical areas. The objectives of the present study were to describe the current situation of the delivery of the healthcare service in Greece, to explore the basic implications of the economic crisis from a nursing management perspective and to examine future practices opening a debate in policy developments. The principal finding of this study was the serious shortage of trained nurses, the imbalances in nursing personnel, an excess of doctors and the complete absence of a Primary Healthcare System in civil areas provided by general doctors. It is important that health care policy makers become aware and seriously consider rearranging the Health Care System to become more effective and efficient for the population (client). Special attention should be paid to strengthening areas such as primary health care, public health and health promotion in the direction of minimizing the demand of hospital services. Any implementation of major health care reforms should consider seriously the role of the nursing management which formulates the substantial link between the health services and the patient.

"Hit the Ground Running": Perspectives of New Nurses and Nurse Managers on Role Transition and Integration of New Graduates

The workplace for new graduates must be a constructive learning environment to facilitate their development. Nurse managers need new graduates who can "hit the ground running." Conflict between the needs of new nurses and the realities of the workplace often creates role confusion and tension in new graduates and threatens employers' ability to retain them. As part of a larger study that examined the effectiveness of a new strategy on new nurse retention and workplace integration, we conducted focus groups with new nurses and nurse managers. This paper discusses the perspectives of new nurses on their role transition from graduates to practising professionals and the perspectives of nurse managers on the workplace integration of new nurses. The thematic findings integrate new nurses' perspectives on their needs during role transition with the perspectives of nurse managers in meeting those needs. The discussion includes strategies to facilitate successful transition and integration of new nurses into the workplace within the context of recruitment and retention.

Policy analysis: a framework for nurse managers

The lack of involvement of nurses in the policy process is an issue of concern which has resulted in calls for nurses to become more active in this area of activity. However, what is often less clear is precisely how this can be done. This paper presents a template for policy analysis which can be used by nurse managers. The nature of policy and policy analysis is explored to provide a broad context for the discussion and the need for managers and nurse managers in particular to be 'policy competent' is established, as a prerequisite for effective management. There is also an examination of policy analysis in nursing which demonstrates why a range of approaches to the analysis of policy is needed. Based on this, a particular framework for policy analysis which can be used by nurse managers is presented. The overall purpose of the paper is to encourage debate in this area and contribute to the development of a specific tool for policy analysis that may help ensure a nursing management perspective informs policy formation and implementation.

Caring for the caregivers--a nursing management perspective.

The aim of the study was to explore the practice of caring for the caregivers in selected hospitals in KwaZulu-Natal. A qualitative research approach was used to ensure that the complexities of caring were reflected in the study. The qualitative analysis of the interviews with nurse managers and nurses indicated that they saw caring as an important part of their management task. The participants in the study saw caring for nurses mainly as dealing with the interpersonal aspects of nurses. Caring for nurses was further described in terms of solving the personal problems of nurses, promoting the development and growth needs of nurses with the focus, mainly, on the educational needs of the organisation itself, the welfare needs of nurses with specific reference to their family needs and responsibilities, and a major emphasis on HIV/AIDS issues arising amongst nurses themselves.

Empowerment: a nursing management perspective

Empowerment as a term and empowerment in nursing management is presently an issue that is frequently addressed in the literature regarding management. OpsommingBemagtiging as a term, en bemagtiging in verpleegbestuur is 'n kwessie wat tans gereeld aangespreek word in literatuur oor bestuur.
 
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