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Author: Kelley Kostich
Publisher:
ISBN:
Category : Care of the sick
Languages : en
Pages : 130
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Book Description
Background. The Institute of Medicine claimed that effective nursing leadership is essential to fulfilling the vision of nurses as full partners with other healthcare professionals. Nursing leadership education is often focused on business acumen and tasks, which does not include the fundamental element of caring. There is a gap in the literature regarding the relationship between nurse manager caring behaviors and patient outcomes, specifically the patient experience. Patient experience scores have remained moderately flat for the past few years despite numerous documented interventions. Examining the impact of nurse manager caring behaviors on the patient experience is an innovative approach. Purpose. The aim of this study was to examine the correlation between staff nurses’ perceptions of nurse manager caring behaviors and patient experience. The research question was, “What is the relationship between nurses’ perceptions of nurse manager caring behaviors and patient experience?” Setting. The study was conducted at Barnes-Jewish Hospital (BJH), a licensed 1,346-bed urban academic medical center located in the St. Louis metropolitan area. Barnes-Jewish is a Magnet® designated, level 1 trauma center. Methods. A cross-sectional, correlational design was used to examine the relationship between staff nurses’ perceptions of nurse manager caring behaviors and patient experience. The independent variable was staff nurses’ perceptions of nurse manager caring behaviors as measured by the Caring Assessment Tool-Administration (CAT-adm©), and the dependent variable was the patient experience using the hospital’s Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. Results. A final sample of 67 staff nurses (8% participation rate) from 17 departments participated in the study. Two hundred forty-four patients from the same 17 departments were included in the final sample. The correlation coefficient between the CAT-adm© and the HCAHPS overall hospital rating was .497 (p-value = .043). The correlation coefficient between CAT-adm© and nurse manager visibility was .375 (p-value = .002). Conclusion. Departments have higher patient experience scores for the HCAHPS overall hospital rating when the staff nurses employed in that department perceived their manager as caring. However, the study results should be interpreted with caution based on the small sample size. Additionally, the more staff nurses see their nurse manager during their shift, the more they perceived their nurse manager as caring.
Author: Kelley Kostich
Publisher:
ISBN:
Category : Care of the sick
Languages : en
Pages : 130
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Book Description
Background. The Institute of Medicine claimed that effective nursing leadership is essential to fulfilling the vision of nurses as full partners with other healthcare professionals. Nursing leadership education is often focused on business acumen and tasks, which does not include the fundamental element of caring. There is a gap in the literature regarding the relationship between nurse manager caring behaviors and patient outcomes, specifically the patient experience. Patient experience scores have remained moderately flat for the past few years despite numerous documented interventions. Examining the impact of nurse manager caring behaviors on the patient experience is an innovative approach. Purpose. The aim of this study was to examine the correlation between staff nurses’ perceptions of nurse manager caring behaviors and patient experience. The research question was, “What is the relationship between nurses’ perceptions of nurse manager caring behaviors and patient experience?” Setting. The study was conducted at Barnes-Jewish Hospital (BJH), a licensed 1,346-bed urban academic medical center located in the St. Louis metropolitan area. Barnes-Jewish is a Magnet® designated, level 1 trauma center. Methods. A cross-sectional, correlational design was used to examine the relationship between staff nurses’ perceptions of nurse manager caring behaviors and patient experience. The independent variable was staff nurses’ perceptions of nurse manager caring behaviors as measured by the Caring Assessment Tool-Administration (CAT-adm©), and the dependent variable was the patient experience using the hospital’s Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. Results. A final sample of 67 staff nurses (8% participation rate) from 17 departments participated in the study. Two hundred forty-four patients from the same 17 departments were included in the final sample. The correlation coefficient between the CAT-adm© and the HCAHPS overall hospital rating was .497 (p-value = .043). The correlation coefficient between CAT-adm© and nurse manager visibility was .375 (p-value = .002). Conclusion. Departments have higher patient experience scores for the HCAHPS overall hospital rating when the staff nurses employed in that department perceived their manager as caring. However, the study results should be interpreted with caution based on the small sample size. Additionally, the more staff nurses see their nurse manager during their shift, the more they perceived their nurse manager as caring.
Author: Cheryl Lynn Wolverton
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 204
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Book Description
Caring relationships established between nurse managers and staff nurses promote positive work environments. However, research about staff nurses' perceptions of nurse manager caring behaviors is limited. A 94-item Caring Assessment Tool-Administration (CAT-adm©) was developed to measure staff nurses' perceptions of nurse managers' caring behaviors; however, it lacked robust psychometric testing. This study was undertaken to establish the CAT-adm© survey as a reliable and valid tool to measure staff nurses' perceptions of nurse managers' caring behaviors. The Quality-Caring Model® (QCM®) served as the theoretical framework. Specific aims were to 1) evaluate construct validity of the CAT-adm© survey by describing factors that account for variance in staff nurses' perceptions of nurse manager caring, 2) estimate internal consistency, and 3) conduct item reduction analysis. Four research questions were: 1) Will the factor structure of observed data fit an 8-factor solution? 2) What is the internal consistency reliability of the CAT- adm©? 3) What items can be reduced while maintaining an acceptable factor structure? and 4) What are staff nurses' perceptions of nurse manager caring behaviors? A cross-sectional descriptive design was used. A sample of 703 staff nurses from Midwestern, Midatlantic and Southern Regions of the U.S. completed the CAT-adm© survey electronically. Analysis included Confirmatory Factor Analysis (CFA), Exploratory Factor Analysis (EFA), univariate analysis, and descriptive statistics. CFA did not support an 8-factor solution. EFA supported a two-factor solution and demonstrated significant shared variance between the two factors. This shared variance supported a one-factor solution that could conceptually be labeled Caring Behaviors. Random selection reduced the scale to 25-items while maintaining a Cronbach's Alpha of .98. Using the new 25-item scale, the composite score mean of staff nurses' perceptions of nurse manager caring behaviors indicated a moderately high level of caring. Suggestions for nursing administration, nurse manager practice, leadership, education and for future research were given. The new 25-item CAT-adm© survey has acceptable reliability and validity. The 25-item CAT-adm© survey provides hospital administrators, nurse managers, and researchers with an instrument to collect valuable information about the caring behaviors used by nurse managers in relationship with staff nurses.
Author: Deanna Sanchez Yamamoto
Publisher:
ISBN:
Category : Helping behavior
Languages : en
Pages : 72
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Book Description
Author: Lorraine B. Bormann
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 398
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Book Description
Hospitals are challenged to understand factors related to staff nurse retention in the context of the nursing shortage slowdown (Huselid, 1995; Mancino, 2008; Mancino, 2009). Leadership is a major factor in organizational success (Gandossy & Guarnieri, 2008; Gettler, 2003; Wooten & Crane, 2003) and nurse managers are the direct link between the executive nurse leaders and the registered nurses (RN) in the staff position (Taunton, Boyle, Woods, Hansen, & Bott, 1997). Studies show that nurse manager leader behaviors influence staff nurse job satisfaction (Blegen, 1993; Irvine & Evans, 1995; Lashinger & Finegan, 2005). A primary role of the nurse leader is to plan strategies for recruiting nursing personnel and to prevent rapid and frequent turnover of nursing staff (American Nurses Association [ANA] Nursing Administration Scope and Standards of Practice, 2009). Nurse managers are in a position to influence staff nurses' job satisfaction and retention through their leader behaviors. McGuire and Kennerly (2006) and Brown and Reilly (2009) conducted studies that show managers perceive their leadership behaviors different than those who reported to them. Bass and Avolio (2004) pointed out that leadership is in the 'eye of the beholder' and the leadership behavior ratings represented the people's perceptions of leaders (p. 9). Understanding the staff nurse perception of their nurse manager leadership behaviors that are related to staff nurse job satisfaction will contribute to improving staff nurse retention strategies. The Magnet Recognition program is one approach to improving staff nurse job satisfaction and retention. The Magnet Recognition program (Magnet) considers that the nurse leaders are the key to nursing excellence (American Nurses Credentialing Center [ANCC], n.d.). The sample population for this study was staff nurses in an acute care hospital applying for Magnet Recognition status. The purpose of this correlational research study was to describe the relationship between the staff nurse perception of their nurse manager leadership behaviors associated with both the facets of staff nurse job satisfaction (job satisfaction with: work on present job, pay, promotion, supervision, and co-workers) and staff nurse overall job satisfaction and the relationship between the facets of staff nurse job satisfaction and staff nurse overall job satisfaction in an acute care hospital applying for Magnet Recognition status (Magnet status). The intent to depart is conceptually and empirically shown to be a direct antecedent to actual turnover. Overall job satisfaction and turnover are inversely related. Brodke et al. (2009) reported overall job satisfaction was the best predictor of intent to quit. Many studies examined facets of staff nurse job satisfaction but the researcher identified that few if any studies examined nurse manager leadership behaviors related to facets of staff nurse job satisfaction and staff nurse overall job satisfaction in a hospital in the process of applying for Magnet status.
Author: Tanya Carson
Publisher:
ISBN:
Category : Nurse administrators
Languages : en
Pages : 114
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Book Description
Staff nurses' perceptions of their manager's caring behaviors can be influential in the environment created for patients to begin healing. The goal of this study is to examine the degree of caring as perceived by staff nurses. Registered Nurses employed in the Perioperative Area belonging to a professional organization were surveyed using the Caring Assessment Tool - Administrative Version. The study is guided by Dr. Jean Watson and the Theory of Human Caring. It was concluded that staff nurses perceive their manager's behaviors as caring only part of the time. There was no statistically significant relationship found among caring and various demographic variables.
Author: Laureen Doell Smith
Publisher:
ISBN:
Category : Nurse administrators
Languages : en
Pages :
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Author: Rebecca A. Feather
Publisher:
ISBN:
Category : Nurse administrators
Languages : en
Pages : 290
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Book Description
The Bureau of Labor Statistics projected a shortage of registered nurses (RNs) growing to an estimated 581,500 by the year 2025 (an increase of 22 percent since 2008). Recent economical downturns have found many healthcare organizations experiencing a positive effect with the stabilization of nursing turnover. Once the economy begins to recover, however, experts predict the profession of nursing will still face the largest shortage in history according to projections by the American Nurses Association. Because lack of job satisfaction is a precursor to resignation, additional research regarding the identification of interventions that increase RN job satisfaction may result in retaining professionally qualified and prepared staff. This study proposed to identify through focus groups, staff nurse perceptions of nurse manager behaviors that influence RN staff nurse job satisfaction. A sample of 28 RNs, each participating in one of five focus groups, answered questions related to satisfaction with nurse manager behaviors. The investigator used qualitative content analysis to identify patterns within and across focus group data. Major findings of the study resulted in the identification of two conceptual categories (manager behaviors supportive of RNs and RN's perceived disconnect of work issues from the manager's role) and three major themes related to supportive behaviors (communication, respect, and feeling cared for). The results suggest the following as staff nurse preferences for nurse manager behaviors: open and honest communication that involves listening, consistency, and confidentiality; an increased level of respect including fairness and recognition of a job well done; and the sense of feeling cared for as when a manager meets individual needs and supports staff as professionals. The investigator compared the categories and themes to previous tools used in healthcare, which indicate the need for further item and/or tool development as well as further research regarding RNs' perceived disconnect of work issues from the manager's role.
Author: Susan R. Parrish
Publisher:
ISBN:
Category : Burn out (Psychology)
Languages : en
Pages : 86
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Book Description
Examines the relationship between hospice staff nurses and their nurse supervisors.
Author: Joanne R. Duffy, PhD, RN, FAAN
Publisher: Springer Publishing Company
ISBN: 0826110150
Category : Medical
Languages : en
Pages : 329
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Book Description
First Edition named an AJN Book of the Year! ìJoanne Duffy makes a compelling argument in this book that relationships have been marginalized and no longer serve as the central organizing principle of health servicesÖThis book resonates with a virtual groundswell of findings regarding the importance of relationships for organizational performance and for human wellbeing.î -Jody Hoffer Gittell Professor of Management, Brandeis University This edition stresses the proven need for a return to the patient-centered care neglected through our health systemís emphasis on procedures, protocols, diagnostic testing, technology, and costs. It addresses the significant challenges to quality care posed by the upcoming changes in our health care system, and focuses on health systems, the role of nursing within them, and the interprofessional health team as the key to change ensuring high quality care. The book responds to the Patient Protection and Affordable Care Actís focus on accountable care organizations, the recent IOMís Future of Nursing Report, the call for radical transformation of nursing education, and current evidence on patient safety and quality of care. This text explores the Quality-Caring Model©, which honors nursingís most deeply felt value, and can be applied to clinical, educational, and leadership practice to advance our nationís health system. Among the bookís strengths are its translation of theoretical knowledge to practical applications that can be used for clinical interventions and resolution of professional issues. Chapters include key terms, case studies along with practical exercises and references, and ìCalls to Actionî offering inspiration and guidance for implementing change. New to the Second Edition: Focuses on current challenges to quality care posed by upcoming changes to our health system Addresses health systems, the interprofessional health team, and the role of nursing within them Combines theoretical foundations for practice with clinical, leadership, and educational applications Examines the powerful role of relationships in promoting nursing excellence, improving patient satisfaction, and patient outcomes Serves as a key guide for graduate nurse educators and students, nurse leaders, and hospital leadership seeking Magnet certification Incorporates recommendations of the Affordable Care Actís focus on accountable care organizations, the IOMís Future of Nursing Report, educational transformation, and current research on safety and quality of care
Author: Huey-Ming Tzeng
Publisher:
ISBN:
Category :
Languages : en
Pages : 380
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