The purpose of this study was to determine if shared governance systems result in an increased perception of autonomy for staff nurses. The population for this study included all registered nurses providing inpatient care at two mid-sized community hospitals in the Midwest, who were not identified as supervisors, managers or executives. The convenience sample was obtained from those completing and returning a distributed survey. The sample was 146 staff nurses from each organization. Only responses from nurses with more than one year experience at the current facility were included in the study. , One hospital had a shared governance system in place. The other hospital had a traditional organizational system.The theoretical framework for the study was the Neuman Systems Model (1989). Staff nurse autonomy was measured by the Nursing Activity Scale (Schutzenhofer, 1987). Management characteristics were measured by the Profile of Organizational Characteristics (Liken, 1978). Also administered was a brief demographic data questionnaire (Schutzenhofer & Musser, 1994).Each hospital provided the researcher with access to participant mailboxes of those registered nurses providing inpatient care and not in management or executive roles Surveys were placed in each mailbox, and drop boxes were made available in unit classrooms in one hospital, and in nursing administration in the other hospital. A reminder notice was placed in each participant mailbox one week after initial survey distribution. Drop boxes were retrieved by the researcher one week following the reminder notice distribution. Study participants were informed about the study by cover letter and invited to participate. Participation was strictly voluntary. Data was available only to the investigator and only group data were reported without reference to individual participants. Participant responses were completely anonymous. Questionnaires were printed on two different colors of paper in order to distinguish between hospitals. No code numbers or other identifying marks were placed on any of the questionnaires. The study provided information on which to base management decisions regarding nursing governance arrangements. / School of Nursing

Performance Management and Development System (PMDS) is a process of harnessing human and material resources within an organisation to ensure maximum performance to achieve the desired results of improved quality of health service delivery. This study explored and described the ontological experiences of nurses of all categories with contracting and doing performance reviews in a public hospital in the Eastern Cape Province. Purposive sampling approach was used to recruit all categories of nurses Data was collected through unstructured, individual, in-depth interviews with professional nurses and focus group interviews with lower categories. Techs eight step data analysis method was employed to analyse data. Major findings were related to lack of supervisor cooperation, shortage of resources, difficulty in calculating the scores, lack of understanding the tool, time constraints and paperwork which results in the tool being viewed as time consuming. Positive findings were that experiences such as improved relations resulting from spending time with supervisors during performance review sessions. Guidelines were developed, based on the findings, to empower both nurse clinicians and the supervisors in the implementation of the PMDS. , / Health Studies / D. Litt. et Phil. (Health Studies)

Made available in DSpace on 2014-06-11T19:28:19Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-02-27Bitstream added on 2014-06-13T19:57:36Z : No. of bitstreams: 1 pereira_mv_me_botfm.pdf: 593804 bytes, checksum: cbf185f88477b6d064aa8a03d6f9159e (MD5) / O presente estudo teve como objetivo compreender o significado para os Enfermeiros sobre o processo gerenciar em enfermagem e quais elementos indispensáveis para a tomada de decisão gerencial em um Hospital Estadual do Estado de São Paulo. Para essa finalidade, optou-se por uma abordagem qualitativa, na vertente da fenomenologia, pois contempla a compreensão e a interpretação do sentido, considerando os sujeitos como seres histórico-culturais que produzem as transformações por meio do processo de trabalho gerencial. A saturação teórica se configurou, por meio da análise de vinte e duas entrevistas, sendo os sujeitos enfermeiros de unidades assistenciais e supervisores de unidades de serviço. As entrevistas foram áudio-gravadas, transcritas e mantidas com preservação da identidade do sujeito para que não pudessem interferir nos resultados propostos. Utilizamos as seguintes questões norteadoras: Qual o conhecimento sobre o processo gerenciar em enfermagem? Quais os elementos fundamentais para tomada de decisão? Após as transcrições, os depoimentos foram analisados individualmente resgatando os temas: Processo gerenciar e os recursos humanos; Processo gerenciar como meio para o processo assistir/cuidar; Processo gerenciar e os recursos materiais; Processo gerenciar e a tomada de decisão; Processo gerenciar e a dimensão técnico–científica; Processo gerenciar e a dimensão ético-política. A análise dos temas apresentados visou à reflexão sobre o fenômeno a partir das convergências, divergências e idiossincrasias o que possibilitou compreender o mundo-vida dos sujeitos do estudo que possuem um olhar próprio sobre o fenômeno. Neste sentido, desvelamos que o processo gerencial é considerado importante e com ações voltadas para a busca de qualificação da assistência assim como... / This study aimed to understand the meaning for nurses of the managerial process in nursing and which are the indispensable components to decision-making in a State Hospital of the State of São Paulo. For this purpose, we choose a qualitative approach, on phenomenology. The phenomenology contemplates the understanding and interpretation of the meaning, considering the subject as an historical and cultural transformations that produce through of the managerial process of the work. The theoretical saturation has occurred with the analysis of twenty-two interviews of the subjects of nursing care units and supervisors of units of service. The interviews were audio-recorded, transcribed and maintained with preservation of the identity of the subject. We use the following questions: What knowledge about the managerial process in nursing? What are the key elements in decision-making? After the transcription, the reports were analyzed individually and the themes revealed were: Managerial process of the human resources; Managerial process as important to nursing care; Managerial process in material resources; Decision-making process; Scientific and technical dimension of the managerial process, Ethical-political dimension of the managerial process. The analysis of the issues presented aimed to reflect on the phenomenon through the convergence, divergence and idiosyncrasies. Revealing the managerial process is considered important to develop actions, search for care with quality, recognize the role of practical nurses, and comprehend the managerial perspective. Some aspects are inherent in managerial processes. These aspects correspond to the understanding of the staff and the tools required for care classification; preparation of work schedules; absenteeism; turnover; positioning in face of... (Complete abstract click electronic access below)

Orientador: Wilza Carla Spiri / Banca: Marta Maria Melleiro / Banca: Ilda Godoy / Resumo: O presente estudo teve como objetivo compreender o significado para os Enfermeiros sobre o processo gerenciar em enfermagem e quais elementos indispensáveis para a tomada de decisão gerencial em um Hospital Estadual do Estado de São Paulo. Para essa finalidade, optou-se por uma abordagem qualitativa, na vertente da fenomenologia, pois contempla a compreensão e a interpretação do sentido, considerando os sujeitos como seres histórico-culturais que produzem as transformações por meio do processo de trabalho gerencial. A saturação teórica se configurou, por meio da análise de vinte e duas entrevistas, sendo os sujeitos enfermeiros de unidades assistenciais e supervisores de unidades de serviço. As entrevistas foram áudio-gravadas, transcritas e mantidas com preservação da identidade do sujeito para que não pudessem interferir nos resultados propostos. Utilizamos as seguintes questões norteadoras: Qual o conhecimento sobre o processo gerenciar em enfermagem? Quais os elementos fundamentais para tomada de decisão? Após as transcrições, os depoimentos foram analisados individualmente resgatando os temas: Processo gerenciar e os recursos humanos; Processo gerenciar como meio para o processo assistir/cuidar; Processo gerenciar e os recursos materiais; Processo gerenciar e a tomada de decisão; Processo gerenciar e a dimensão técnico-científica; Processo gerenciar e a dimensão ético-política. A análise dos temas apresentados visou à reflexão sobre o fenômeno a partir das convergências, divergências e idiossincrasias o que possibilitou compreender o mundo-vida dos sujeitos do estudo que possuem um olhar próprio sobre o fenômeno. Neste sentido, desvelamos que o processo gerencial é considerado importante e com ações voltadas para a busca de qualificação da assistência assim como... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: This study aimed to understand the meaning for nurses of the managerial process in nursing and which are the indispensable components to decision-making in a State Hospital of the State of São Paulo. For this purpose, we choose a qualitative approach, on phenomenology. The phenomenology contemplates the understanding and interpretation of the meaning, considering the subject as an historical and cultural transformations that produce through of the managerial process of the work. The theoretical saturation has occurred with the analysis of twenty-two interviews of the subjects of nursing care units and supervisors of units of service. The interviews were audio-recorded, transcribed and maintained with preservation of the identity of the subject. We use the following questions: What knowledge about the managerial process in nursing? What are the key elements in decision-making? After the transcription, the reports were analyzed individually and the themes revealed were: Managerial process of the human resources; Managerial process as important to nursing care; Managerial process in material resources; Decision-making process; Scientific and technical dimension of the managerial process, Ethical-political dimension of the managerial process. The analysis of the issues presented aimed to reflect on the phenomenon through the convergence, divergence and idiosyncrasies. Revealing the managerial process is considered important to develop actions, search for care with quality, recognize the role of practical nurses, and comprehend the managerial perspective. Some aspects are inherent in managerial processes. These aspects correspond to the understanding of the staff and the tools required for care classification; preparation of work schedules; absenteeism; turnover; positioning in face of... (Complete abstract click electronic access below) / Mestre

D.Cur. (Nursing Management) / A health maintenance organisation (HMO) that implements managed care is the health care service provider for a mine group. Case management is an integral part of managed care. Case management in a managed care setting within this mine group should be to the holistic benefit of both the client/patient and the service provider. Within the case management environment, nurse case managers (CMs) and their counterparts (professional nurses) should provide and facilitate quality patient care. However, they face many challenges, such as working in isolation from one another. The purpose of the study was to develop a training programme for CMs and professional nurses (PNs) to facilitate quality patient care in a managed care environment for the health care service provider for a mine group. In this study a qualitative, exploratory, descriptive, and contextual design was followed. Purposive sampling was conducted from the populations of six CMs (N=6) and thirty PNs (N=30). Focus group discussions with twenty-eight (28) PNs and individual unstructured interviews with four (4) CMs were conducted to describe their experiences in the case management environment. Open coding followed, based on Tesch’s (1990) method of qualitative analysis (De Vos, 1998:343), and a conceptual framework emerged from the data analysis. A programme to facilitate quality patient care in a case management environment of the HMO was described for stakeholders (nurse case-managers and PNs). Recommendations for implementing the programme were described. Adapted phases of the programme development process of Meyer and van Niekerk (2008) were used in developing the programme. The survey list of the Practice Oriented Theory of Dickhoff, James and Wiedenbach (1968:434) formed the basis for developing a conceptual framework for the programme. Principles of case- and problem-based approaches (Scheider, 2010) served as a point of departure to develop the context-specific training programme. Trustworthiness was maintained by using Guba’s (De Vos, 2006:346; Babbie & Mouton, 2001: 276) model criteria, which are credibility, transferability, conformability and dependability. Ethical standards were adhered to throughout the study.

No description available.

Thesis (M.A. (Nursing)) -- University of Limpopo, 2020 / Background: Patient satisfaction with nursing care is regarded as a significant factor in defining the perception of the quality of health care service received. In South Africa, and many other countries globally, the drive to deliver health services that attest to quality has become an incentive for obtaining the views of patients and determining their levels of satisfaction. Aim: The aim of this study was to determine factors associated with patients’ satisfaction regarding nursing care provided at the selected public hospitals in the Mopani District, Limpopo Province. Objectives: The objectives of this study were to identify and describe factors associated with patients’ satisfaction regarding nursing and to determine their satisfaction with the nursing care. Method/Design: The study applied a quantitative descriptive and cross-sectional design to determine and describe the factors associated with patient satisfaction regarding nursing care. A simple random sampling method was applied in the selection of the 201 respondents in the selected public hospitals. A self-administered questionnaire, the Patient Satisfaction with Nursing Care Scale was used to collect data from inpatients. The software used to analyse the data is Statistical Package for the Social Sciences program. Permission to collect data in the public hospitals was granted by the Limpopo Department of Health while ethical clearance was obtained from the Turfloop Research Ethics Committee. Results: The study found that 77% of the respondents indicated relatively high levels of satistfaction with the nursing care they received while 23% indicated significant dissatisfaction with their nursing care. Greater satisfaction was noted with regard to the following aspects of the nursing care: nurses’ respect of patients’ rights (89%); I have been given privacy by nurses (88%); nurses deliver care competently (87%) and nurses are skillful in performing procedures (86%). The study showed no relationship v between the gender, age, educational level and employment status of the respondents and their satisfaction in the domains of affective support, health information, professional-technical competencies and decisional control. However, a there was notable association between marital status and patients’ satisfaction in the decisional control domain. The wards to which patients were admitted to were also found to be associated with their satisfaction in the affective support domain Conclusion: The predominant factor contributing to the satisfaction of the respondents in this study was affective support. This was followed by professional technical competencies. Most respondents indicated dissatisfaction with the health information and decisional control afforded to them, particularly with regard to nurses’ involvement of the family in care. Key concepts: Patient, patient satisfaction, nursing care

The purpose of this study was to establish if, and to what extent, management of nursing colleges enhanced personnel development with regard to the professional and personal development of nurse educators and clinical preceptors. From the literature survey, it was concluded that an effective personnel development programme that included all nursing personnel involved in the education and training of student nurses, was imperative for the rendering of continuous quality nursing education. The importance of co-operation between management of nursing colleges and nursing management of clinical facilities regarding the development of personnel involved in the education and training of student nurses, was emphasised. A programme for personnel development in nursing colleges was developed. The programme included suggestions for the educational development of both nurse educators and clinical preceptors/ registered nurses involved in the education and training of student nurses. It was suggested that nursing colleges should initiate the programme. Research consisted of an in-depth literature review about the management of personnel development in the educational milieu and a survey with regard to the management of the development of personnel involved in the education and training of student nurses. Principals of nursing schools, nursing educators, nursing directors of health services and clinical preceptors in clinical settings formed the population for the study. The theoretical framework used in this research with regard to personnel development in nursing schools, was Donabedian's theory on structural, process and outcomes standards as applied to quality improvement, as well as Alspach's theoretical foundation of nursing staff development. The focus of this study was to use data generated through research to develop a personnel development programme for all registered nurses involved in the education and training of student nurses. The most important conclusions of this research were as follows:  Personnel development was provided for nurse educators and clinical preceptors/ registered nurses involved in the education and training of student nurses in the clinical setting, but it did not necessarily meet the personal and professional developmental needs of these professionals.  The specific developmental needs of nurse educators and clinical preceptors/ registered nurses were related to educational skills, higher cognitive skill and skills related to research.  Available resources at nursing colleges did not facilitate and support the development of nurse educators and clinical preceptors involved in the education and training of student nurses. The main conclusion was that the establishment of a Department of Personnel Development at nursing colleges could provide for the educational needs of both nurse educators and clinical preceptors/ registered nurses, would benefit the personal and professional development of all learners involved and, ulitmately, would enhance the quality of patient care rendered by student nurses. / Advanced Nursing Sciences / D.Litt. et Phil. (Advanced Nursing Sciences)

The purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what keeps nurses in nursing. The eight registered nurse participants provided rich descriptive data from which four relational themes emerged: Practicing from Inner Core Beliefs, Understanding the Other from Within, Making a Difference, and Nursing as an Evolving Process. The hermeneutical interpretative process guided the researcher to synthesize the themes into a constitutive pattern of meaning which the researcher named Intentional Compassion Energy. In intentional caring consciousness, the nurse intentionally knows the nursed as whole. Compassion energy is the intersubjective gift of compassion that gives nurses the opportunity to be with the nursed. Compassion energy is composed of compassionate presence, patterned nurturance and intentionally knowing the nursed and self as whole. Thus, intentional compassion energy is defined as the regeneration of nurses' capacity to foster interconnectedness when the nurse activates the intent to nurse. Intentional compassion energy was discovered in the meaning of the nurse participants being in their everydayness of practice. The participants described the intention to care compassionately as the grounding of their practice, striving to understand the other, to make a difference while living their nursing as an evolving process. Hermeneutic phenomenology provided the opening to discover what keeps nurses in nursing. / by Dorothy J. Dunn. / Thesis (Ph.D.)--Florida Atlantic University, 2009. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2009. Mode of access: World Wide Web.

The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare. This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded. Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2014. / FAU Electronic Theses and Dissertations Collection