The main purpose of this quantitative, descriptive, non-experimental study was to explore the perceptions of nurses in supervisory roles (NSRs) regarding competence of novice professional nurses (NPNs) in health education. The study’s conceptual frameworks were the objectives of the Regulation R.425 programme and the scope of practice of professional nurses. The study sought to reveal whether the NPNs were competent in health education and in identifying barriers to health education, and to make recommendations. A structured questionnaire was used for data collection from the professional nurses in supervisory roles. The data was analysed using the Statistical Package for the Social Sciences (SPSS) version 21.0 program. The results revealed that NPNs were competent in health education, however, paid less attention to family involvement and patients’ level of education (a barrier to health education). The study recommended assessment of the level of education of patients and involvement of family members when giving health education / Health Studies / M.A. (Health Studies)

Text in Afrikaans / 'n Opname is onder verpleegkundiges in diens van geselekteerde hospitale onderneem ten einde te bepaal watter ondersteuningstelsels tans in die hospitale vir verpleegkundiges beskikbaar is. Daar is ook bepaal hoe effektief hierdie ondersteuningstelsels benut word, en indien nie waarom nie en ten laaste of ondersteuningstelsels as 'n vereiste fasiliteit gesien word. Die leemtes betreffende ondersteuningstelsels in hierdie hospitale is ge·identifiseer, soos die gebrek van verpleegbestuur om outokratiese en burokratiese bestuurstyle met deelnemende bestuurstyle te vervang. Daar bestaan ook leemtes in ondersteuning by die beplanning van verpleegsorg, wat moontlik toegeskryf kan word aan verpleegbestuur se swak deelname en betrokkenheid by verpleegsorgbeplanning. Aanbevelings is geformuleer om hierdie leemtes aan te spreek. Tydens orientering behoort alle nuwe personeel ingelig te word oor die hospitaalbeleid, sodat doelstellings gesamentlik beplan kan word. Die funksie van bestuur en hulle bydrae tot personeelondersteuning behoort deel van die orienteringsprogram te vorm / A survey to establish which support systems are at present available to nurses, was undertaken in selected hospitals. It was determined how effective these support systems have been utilised, and if not, why not and whether the support systems were seen as an essential facility. The failure of nursing management to replace autocratic and burocratic management styles with participative management styles is a deficiency in the support systems of these hospitals. There is also a need for support in the planning of nursing care. This can possibly be due to the nurse manager's poor participation and involvement in the planning of nursing care. Recommendations were formulated to address these needs. During orientation all new personnel should be informed of hospital policy to enable them to plan collectively, to accomplish objectives. The functions of management and their contribution towards personnel ought to form part of the orientation programme / Agriculture & Environmental Sciences / M.A. (Verpleegkunde)

Thesis (MCur)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: The traditional management practice of the unit manager has changed dramatically in the past decade. She is responsible to supply nursing services in an environment which is characterized by smaller operational budgets, rapid developments and changes in every sphere. The researcher has identified deficiencies in the management process of the unit manager. This led to the evaluation of the management activities of the unit manager in a selected group of hospitals. A quantitative, non-experimental, descriptive approach was followed with a questionnaire survey as research design. Standards were set and the management activities were evaluated against these standards. The main findings were: • The unit manager was not 100% involved in her comprehensive management task • The unit manager did not have the necessary training to empower her to manage effectively. The researcher recommends that the unit manager should be empowered by inservice education programmes but should also follow the formal management programmes at a recognized tertiary education institution. Keywords: Unit management / Standard formulation / AFRIKAANSE OPSOMMING: Die tradisionele bestuurspraktyk van die eenheidsbestuurder het oor die afgelope dekade dramaties verander. Sy is verantwoordelik vir die verskaffing van verpleegdienste in 'n omgewing wat gekenmerk word deur kleiner operasionele begrotings, vinnige vooruitgang en veranderinge op alle gebiede, Die navorser het leemtes in die bestuursproses van die eenheidsbestuurder geïdentifiseer. Dit het gelei tot die evaluering van die bestuursaktiwiteite van die eenheidsbestuurder in 'n geselekteerde groep hospitale. 'n Kwantitatiewe, nie-eksperimentele beskrywende navorsingsbenadering is gebruik met 'n vraelysopname as navorsingsontwerp. Standaarde is gestel waarteen die bestuursaktiwiteite geëvalueer is. Die belangrikste bevindinge was dat: • Die eenheidsbestuurder nie 100% betrokke was by haar omvangryke bestuurstaak nie • Die eenheidsbestuurder nie oor die nodige opleiding beskik wat haar bemagtig om hierdie bestuurstaak effektief te verrig nie. Die navorser beveel aan dat die eenheidsbestuurder bemagtig moet word deur middel van indiensopleidingsprogramme maar ook deur formele bestuursopleiding aan 'n erkende tersiêre opvoedkundige intansie moet te volg. Sleutelwoorde: Eenheidsbestuur/standaard formulering

Thesis (MCurr)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: The shortage of nurses in the intensive care units (ICU) affects both the nurse and the patient with regard to quality care and the quality of work life. Job satisfaction as well as factors within the organisation and work environment predisposes dissatisfaction. Identifying these factors may improve the quality of life at work and reduce staff shortages. The aim of this study is to evaluate the contextual factors influencing the turnover of intensive care nurses in specified hospitals in the Cape Metropole. The objectives were: • To determine the factors influencing the turnover of intensive care nurses in specified hospitals in the Cape Metropole. • To compare the findings of the data in the specified hospitals. An explorative, descriptive design with a quantitative approach has been applied. The research sample consists of all nurses working in the intensive care units in the specified hospitals at the time of the study. A convenience sampling was applied. A structured questionnaire containing predominantly closed-ended questions was used and data collection was conducted by the researcher herself. A pilot study consisting of 10% (N=21) of the sample was done in one of the hospitals to validate the reliability of the questionnaire. The 21 participants who completed the pilot test did not participate in the actual study. The reliability and validity of the findings was assured by the utilization of the statistician and experts in the nursing department. The data is presented in tables and histograms. A Chi -square test is used to test the statistical significance association between variables. Spearman’s ranks (rho) order correlation is used to show the strength of the relationship between two continuous variables. The findings of the study show that discontent with salaries, inferior working environments, organisational factors, physical as well as emotional stress and the lack of career development opportunities, were major determinants in the poor quality of life at work with regard to the two set objectives. Recommendations include those for better remuneration, improved career opportunities and the creation of a safe as well as a friendly work environment. The aim is to create a positive work environment and improve the quality of life at work. / AFRIKAANSE OPSOMMING: ’n Tekort aan verpleegsters in die intensiewesorgeenheid beïnvloed beide die verpleegster en die pasient sovêr dit die gehalte van sorg lewering en die kwaliteit van arbeidservarings in die werkplek betref. Werkstevredenheid, sowel as faktore binne die organisasie en omgewingsfaktore in die werkplek, is aanleidend tot ontevredenheid binne die organisasie. Deur hierdie faktore te identifiseer, mag die kwaliteit van werkslewe verbeter word en die verlies aan personeel verminder word. Die doel van hierdie studie is om die kontekstuele faktore wat die personeel omset van intensiewesorgverpleegsters in spesifieke hospitale in die Kaapse Metropool beïnvloed, te evalueer. Die doelwitte was: • Om die faktore wat die omset van intensiewesorgverpleegsters in spesifieke hospitale in die Kaapse metropool beinvloed, te bepaal • Om die bevindinge van die studie binne verskeiehospitale te vergelyk Om hierdie navorsingsvrae te beantwoord, is ’n verkennende en beskrywende ontwerp met ’n kwantitatiewe benadering aangewend. Die steekproef het bestaan uit alle verpleegspersoneel werksaam in die intensiewesorg-eenhede in die gespesifiseerde hospitale binne die studie vermeld . ’n Gerieflikheids-steekproef is uitgevoer. ‘n Goedgestruktueerde vraelys met hoofsaaklik geslote vrae is gebruik vir datainsameling en vraelyste was persoonlik deur die navorser ingeneem. ’n Loodsstudie wat 10% van die steekproef beslaan, (N= 21), is in een van die hospitale onderneem om sodoende die betroubaarheid van die vraelys te bevestig. Die 21 deelnemers was nie deel van die werklike studie nie. Die betroubaarheid en geldigheid van die betrokke studie is bevestig deur die statistikus en kenners in die verplegingsdepartement van sodanige inrigting. Data is voorgelê in die vorm van tabelle en histogramme. ’n Chi-vierkanttoets is gebruik om die statistiese-beduidends verwantskap tussen veranderlikes te toets. Spearman se rangorde (rho) korrelasie is gebruik om die sterkte van die verhouding tussen twee aaneenlopende veranderlikes aan te dui. Die bevindinge dui aan dat ontevredenheid oor salarisse, ‘n swak werksomgewing en organisatoriese faktore, sowel as fisiese en emosionele stres, asook ’n gebrek aan loopbaanontwikkeling, groot bepalers was van swak werkskwaliteit in terme van die twee voorgestelde doelwitte. Aanbevelings bestaan uit voorstelle vir beter salarisse, die skepping van loopbaangeleenthede en die daarstelling van ’n veilige, vriendelike, werksomgewing. Die doel is om ’n positiewe werksomgewing te skep en om die kwaliteit van werkslewe te verbeter.

Nurses face ongoing difficulties in using evidence and making a reality of evidence-based practice. Studies of the factors that facilitate or impede evidence-based practice suggest that nurse managers should have a key role, but the nature of this role has not yet been fully articulated. This study aimed to explore and explain the roles of nurse managers in relation to evidence-based practice implementation. Four case studies in Scottish NHS Acute Trusts provide rich data on evidence-based practice implementation, drawing on interviews (n = 51), observation and documentary analysis. A wide literature on evidence use in nursing suggests that implementation is hindered by confusion and debate about what counts as evidence, and by an incomplete understanding by staff of the complexity of implementation processes. This study confirms such conclusions. Moreover, the study reveals that the roles of nurse managers in facilitating evidence use are currently limited, largely passive and under-articulated. As such, the findings expose significant discrepancies between nurse managers' roles in practice and those espoused in much of the literature. Partial explanation for this can be found in the organisational contexts in which nurses and their managers work (e.g. competing demands; confused communication; diffuse and overloaded roles and limits to authority and autonomy). In particular, the role of the contemporary nurse manager is one that places considerable emphasis on aspects of general management to the detriment of clinical practice issues. More positively, the study uncovered genuine facilitation in two study sites where hybrid roles of nurse manager and clinical nurse specialist were in place. In both sites, these roles had been successful in supporting and progressing implementation in discrete areas of practice and show some potential for advancing evidence-based practice more widely. These findings have significant implications for research, policy and practice in relation to evidence-based practice in nursing.

The main purpose of this quantitative, descriptive, non-experimental study was to explore the perceptions of nurses in supervisory roles (NSRs) regarding competence of novice professional nurses (NPNs) in health education. The study’s conceptual frameworks were the objectives of the Regulation R.425 programme and the scope of practice of professional nurses. The study sought to reveal whether the NPNs were competent in health education and in identifying barriers to health education, and to make recommendations. A structured questionnaire was used for data collection from the professional nurses in supervisory roles. The data was analysed using the Statistical Package for the Social Sciences (SPSS) version 21.0 program. The results revealed that NPNs were competent in health education, however, paid less attention to family involvement and patients’ level of education (a barrier to health education). The study recommended assessment of the level of education of patients and involvement of family members when giving health education / Health Studies / M.A. (Health Studies)

This thesis explores the theme of leadership in the NHS, specifically focusing on nursing. Leadership has become an important area in recent years, particularly in relatiion to improving efficiency, effectiveness and quality of services. As nurses provide 80% of care in the NHS, their role is pivotal in achieving any change. Despite the importance placed on leadership in the NHS, literature shows little is known about perceptions of leadership, how leaders function or what importance staff place on the culture and context in which they work. This study is based on the findings of 28 qualitative interviews with leaders in two health boards in Scotland. Through the presentation of informants' perceptions, beliefs and collective accounts, the study illustrates how staff view leadership in the NHS and provides some significant results. Firstly, it proposes that leadership is comprised of two elements; one relating to individuals and one relating to how individuals function in organisations. Secondly, it indicates three models of leadership are particularly relevant and how these differ according to role and hierarchy. Thirdly, it reveals leadership and management as disticnct components. In nursing a number of complexities make these roles challenging, and the culture and context of health borads influence how these fundtion in practice. Finally, this research concludes that staff value a clear set of characteristics, styles and behaviours not related to vision and change but which centre on character, values, integrity and engagement. The study has considerable impolication for emerging work on leadership in the NHS and for the future development of leadership roles in nursing.

O enfermeiro tem sido cada vez mais requisitado para envolver-se nas decisões financeiras nas organizações de saúde. Sua participação no gerenciamento dos custos associado à assistência de enfermagem é importante para conhecer o quanto a enfermagem contribui para o faturamento de uma Unidade de Terapia Intensiva (UTI) e ao faturamento de um hospital e evidenciar, financeiramente, a relevância do trabalho desse profissional. No entanto, a literatura brasileira carece de estudos nesse aspecto. O objetivo deste estudo foi levantar o valor do faturamento gerado pelos procedimentos de enfermagem, mediante as prescrições médica e de enfermagem, identificar as atividades de enfermagem que são realizadas, mas não recebem pagamento pelas operadoras de saúde e estimar a perda monetária do hospital pela não taxação das atividades de enfermagem, em uma. Tratou-se de um estudo de caso exploratório, descritivo, com abordagem quantitativa. O estudo foi desenvolvido na UTI Cardiológica de um hospital geral filantrópico, com 319 leitos, na cidade de São Paulo. A amostra total calculada para 3 meses foi de 168 pacientes. O faturamento médio gerado pelas prescrições de enfermagem e médica foi de R$ 773,98, e R$ 333,06 corresponderam à prescrição de enfermagem e R$ 440,92, à prescrição médica. Em relação ao valor gerado pela prescrição de enfermagem (R$333,06), R$ 261,67 corresponderam ao pagamento de materiais de consumo e R$ 71,39, ao pagamento de taxas. Em relação ao valor gerado pela prescrição médica (R$ 440,92), R$ 322,51 corresponderam ao pagamento de materiais de consumo e R$ 118,41, ao pagamento de taxas. Os procedimentos da prescrição de enfermagem que mais contribuíram para o faturamento foram a troca de filtro bacteriano (R$ 10.342,80), a realização de punção venosa (R$ 8.062,99), o curativo de ferida operatória (R$ 5.315,26) e o curativo de traqueostomia (R$ 4.762,42). Os procedimentos provenientes da prescrição médica que mais geraram faturamento foram a realização de glicemia capilar (R$ 21.602,06), passagem de pressão arterial invasiva (R$ 14.220,56) e a passagem de sonda gástrica/enteral (R$ 20.239,00). A perda média estimada foi de R$ 480,65 por paciente da amostra. A estimativa média de perda para a amostra estudada foi de R$ 81.263,65. A projeção de perda média de faturamento, para o período dos 3 meses do estudo, para a amostra selecionada, foi de R$ 153.391,15. A extrapolação da estimativa de perda média para o período de um ano, para a amostra selecionada, foi de R$ 613.564,60. Do faturamento total da amostra selecionada, as atividades de enfermagem contribuíram com 1,7% do faturamento, e 0,65% corresponderam aos procedimentos executados mediante a prescrição de enfermagem e 1,05%, aos procedimentos provenientes da prescrição médica / Nurses have increasingly been asked to participate in financial decisions in healthcare organizations. Their participation in managing the costs of nursing care is important to know how nursing contributes to the turnover of an ICU and hospital billing, and, it shows, financially, the relevance of the work of these professionals. However, Brazilian literature lacks studies in this regard. The objective of this study was to raise the value of the revenue generated by nursing procedures by the medical and nursing requirements, to identify nursing activities that are performed but not paid by health insurance companies and to estimate the monetary loss of the hospital for not taxing nursing activities in an intensive care unit (ICU). It was an occurrence study, exploratory, descriptive in a quantitative approach. The study was conducted in the Cardiology ICU of a philantropic general hospital, with 319 beds in the city of Sao Paulo. The total sample calculated for three months was 168 patients. The sources of information were the medical and accounting records of selected patients. The average revenue generated by medical and nursing prescriptions was R$ 773,98 which R$ 333,06 corresponded to the nursing prescription and R$ 440,92, the medical one. In relation to the value generated by the nursing prescription (R$ 333,06), R$ 261,67 corresponded to the payment of consumables and R$ 71,39 to fees. For the value generated by the prescription (R$ 440,92), R $ 322,51 corresponded to the payment of consumables and R$ 118,41, the payment of fees. The procedures of nursing prescription which most contributed to revenue were the exchange of bacteria filter (R$ 10.342,80), performing venipuncture (R$ 8.062,99), the surgical wound dressing (R$ 5,315.26) and tracheostomy dressing (R$ 4.762,42). The procedures from prescription which most generated revenues were performing capillary blood glucose (R$ 21.602,06), passage of invasive blood pressure (R$ 14.220,56) and passage of nasogastric tube / enteral (R$ 20.239,00). The average loss was estimated at R$ 480,65 per patient sample. The average estimate of loss for the sample studied was R$ 81.263,65. The projected average loss of revenue for the period of three months of the study, for the sample selected, was R$ 153.391,15. The extrapolation of the estimated average loss for the period of one year, for the selected sample, was R$ 613.564,60. From the total revenue of the selected sample, nursing activities accounted for 1.7% of revenues, and 0.65% corresponded to the procedures performed by nursing prescription and 1.05% corresponded to the procedures from the doctors prescription

Darbo tikslas - įvertinti pacientų nuomonę apie bendruomenės slaugytojos teikiamas slaugos paslaugas namuose. Tyrimo metodika. Darbe naudoti kiekybiniai tyrimo metodai. Buvo atliekama anketinė apklausa Kauno rajono šeimos sveikatos klinikoje, kurioje dalyvavo 131 šioje įstaigoje besilankančių pacientų. Tyrimo duomenų statistinei analizei buvo naudotas SPSS 17.0 for Windows duomenų apdorojimo paketas. Rezultatai: Dažniausiai pacientai nurodo, jog jų būklė yra gera arba patenkinama. Apytiksliai trečdaliui pacientų yra nustatytas neįgalumas, iš jų daugiau nei pusei nustatytas didžiausias darbingumo lygis. 31,3% tiriamųjų nurodė, jog jiems kyla sunkumų atvykti į gydymo įstaigą, o dažniausios to priežastys – ilgos eilės pas gydytoją (39%), per silpna sveikata (22%) bei sunkumai lipti laiptais (22%). Nustatyta, jog dažniausiai namuose pacientus slaugo šeimos nariai (100%) ir tik ketvirtadalį – bendruomenės slaugytojai. Medicinines paslaugas namuose dažniausiai teikia gydytojas, o net trečdalis tiriamųjų iš viso nekviečia jokio medicinos darbuotojo į namus. Tyrimu nustatyta, jog tik 12,2% tiriamųjų per pastaruosius 2 metus naudojosi bendruomenės slaugytojo paslaugomis namuose. Jiems dažniausiai buvo suteiktos tokios paslaugos: pulso skaičiavimas, kraujo spaudimo matavimas, kraujo ėmimas tyrimams, vaistų peržiūra ir bendravimas. Visas jiems suteiktas paslaugas pacientai vertina labai gerai arba gerai, jų kokybę vertina gerai. Buvo pastebėta, jog nuo asmenų įgalumo/neįgalumo... [toliau žr. visą tekstą] / The research aimed to assess patients’ opinion about community nursing services provided at home. Methodology applied in the investigation. The research used quantitative methods. A survey was carried out at a Family Health Clinic in Kaunas district. 131 subjects attending the clinic participated in the research and answered a questionnaire. The results of the study were statistically analyzed using software SPSS 17.0 for Windows package. Results: In most cases the patients indicated that their health state was good or satisfactory. Approximately one third of the patients were disabled and more than half of them possessed the maximum work capacity. 31,3% of the subjects stated that they face difficulties with the arrival to the clinic. The most common causes were as following: long lines at doctor’s office (39%), a weak health (22%) and difficulties to climb the stairs (22%). It was determined that most of the patients were generally nursed by family members (100%) and only one fourth - by community nurses. Moreover, a doctor usually provided medical services at home and one third of the subjects did not invite any medical officers to their homes. The research revealed that only 12,2% of the subjects had used the community nursing services during the past two years. They received the following services: pulse rate measurement, blood sampling tests, drug monitoring and communication. The provided services were rated as very good and good. The patients commended the quality... [to full text]

Quantitative, descriptive research was conducted to determine which factors contribute to absenteeism among nurses. A structured self-administered questionnaire was administered to the entire population of nurses who worked at a district hospital in the Limpopo Province. Statistical data analysis, involving factor analysis, frequencies and Chi-squares was performed. The findings revealed that various factors related to the characteristics of the nurse, characteristics of the manager, characteristics of the work and characteristics of the organisation contribute to absenteeism. Professional nurses and sub-professional nurses, as well as nurses younger than 40 and nurses who are 40 years and older, appeared to disagree on the extent to which various factors contribute to absenteeism in the workplace. This study was aimed at assisting organisations and managers in reducing absenteeism in the workplace, and by doing so, improving the quality of care. / Health Studies / MA (HEALTH STUDIES)