1
|
Seibert M, Hillen HA, Pfaff H, Kuntz L. Exploring leading nurses' work values and their association with team safety climate: Results from a questionnaire survey in neonatal intensive care units. J Nurs Manag 2019; 28:112-119. [PMID: 31733087 DOI: 10.1111/jonm.12903] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 10/28/2019] [Accepted: 11/13/2019] [Indexed: 11/28/2022]
Abstract
AIM To explore leading nurses' work values and their effect on the safety climate in neonatal intensive care units (NICUs). BACKGROUND Despite their significance for behaviour, the work values of leading nurses are still insufficiently studied. We explore the impact of work value dimensions (self-transcendence, self-enhancement, conservation, and openness to change) on the safety climate. METHODS A cross-sectional study was conducted in 86 German NICUs between September 2015 and August 2016. Our analyses relate questionnaire data from 75 leading nurses to the shared perceptions regarding safety among their team members (n = 1,277). We used fractional response modelling to identify important work values. RESULTS The analysis showed differences between the dimensions of work values and their association with the safety climate. A significant positive association was found between the work value dimension self-transcendence (including the work values relationships with others and altruism) and safety climate (β = 0.255, p = .001). A large team size has a negative impact on the safety climate. CONCLUSION The findings indicate that the leading nurse's score on self-transcendence is positively related to the safety climate. IMPLICATIONS FOR NURSING MANAGEMENT The results demonstrate that it might be useful to consider work values in the selection of nurse leaders.
Collapse
Affiliation(s)
- Melissa Seibert
- Department for Business Administration and Health Care Management, Faculty of Management, Economics and Social Sciences, University of Cologne, Cologne, Germany
| | - Hendrik Ansgar Hillen
- Department for Business Administration and Health Care Management, Faculty of Management, Economics and Social Sciences, University of Cologne, Cologne, Germany
| | - Holger Pfaff
- Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany
| | - Ludwig Kuntz
- Department for Business Administration and Health Care Management, Faculty of Management, Economics and Social Sciences, University of Cologne, Cologne, Germany
| |
Collapse
|
2
|
Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A. An integrative review of leadership competencies and attributes in advanced nursing practice. J Adv Nurs 2019; 75:2378-2392. [PMID: 31162695 PMCID: PMC6899698 DOI: 10.1111/jan.14092] [Citation(s) in RCA: 78] [Impact Index Per Article: 15.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Revised: 03/10/2019] [Accepted: 04/08/2019] [Indexed: 12/17/2022]
Abstract
Aim To establish what leadership competencies are expected of master level‐educated nurses like the Advanced Practice Nurses and the Clinical Nurse Leaders as described in the international literature. Background Developments in health care ask for well‐trained nurse leaders. Advanced Practice Nurses and Clinical Nurse Leaders are ideally positioned to lead healthcare reform in nursing. Nurses should be adequately equipped for this role based on internationally defined leadership competencies. Therefore, identifying leadership competencies and related attributes internationally is needed. Design Integrative review. Methods Embase, Medline and CINAHL databases were searched (January 2005–December 2018). Also, websites of international professional nursing organizations were searched for frameworks on leadership competencies. Study and framework selection, identification of competencies, quality appraisal of included studies and analysis of data were independently conducted by two researchers. Results Fifteen studies and seven competency frameworks were included. Synthesis of 150 identified competencies led to a set of 30 core competencies in the clinical, professional, health systems. and health policy leadership domains. Most competencies fitted in one single domain the health policy domain contained the least competencies. Conclusions This synthesis of 30 core competencies within four leadership domains can be used for further development of evidence‐based curricula on leadership. Next steps include further refining of competencies, addressing gaps, and the linking of knowledge, skills, and attributes. Impact These findings contribute to leadership development for Advanced Practice Nurses and Clinical Nurse Leaders while aiming at improved health service delivery and guiding of health policies and reforms.
Collapse
Affiliation(s)
- Maud Heinen
- Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands
| | - Catharina van Oostveen
- Spaarne Gasthuis Hospital, Spaarne Gasthuis Academy, Haarlem, The Netherlands.,Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Jeroen Peters
- Hogeschool van Arnhem en Nijmegen, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Hester Vermeulen
- Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.,HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Anita Huis
- Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands
| |
Collapse
|
3
|
Perry C, Henderson A, Grealish L. The behaviours of nurses that increase student accountability for learning in clinical practice: An integrative review. NURSE EDUCATION TODAY 2018; 65:177-186. [PMID: 29587209 DOI: 10.1016/j.nedt.2018.02.029] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 02/09/2018] [Accepted: 02/26/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To identify nurses' behaviours that promote student accountability for learning in clinical practice. BACKGROUND Health care services are experiencing significant strain in meeting clinical education requirements of increasing numbers of nursing students enrolled in undergraduate nursing programs. Internationally, the transition to university based education for nurses has seen the emergence of issues for busy clinicians trying to manage increasing workloads with responsibility for student learning. An understanding of what types of supervisor behaviours promote student accountability for learning, may support clinicians to more effectively manage their dual roles of clinical care and student support. DESIGN An integrative approach was adopted for this review. DATA SOURCES A search of the Cumulative Index of Nursing and Allied Health Literature, Pubmed, Scopus and Embase was undertaken, limited to articles published between 2000 and March 2017. REVIEW METHODS Whittemore and Knafls' (2005) framework for conducting integrative reviews was used to ensure a methodological and rigorous approach. RESULTS Nine studies were considered. Behaviours emerged in relation to four themes including: belongingness associated with a genuine partnership; empowerment and increasing student self-efficacy; trust linked to increasing and staged independence; and balancing clinical and educational requirements. CONCLUSION Behaviours of nurses significantly influence students' accountability for learning and accordingly, their ability to be adequately prepared for professional nursing practice. Understanding behaviours that impact on students' approach to clinical placement can guide nurses in their approach to facilitating student learning, in particular, behaviours that increase student responsibility and independence over the continuum of clinical education.
Collapse
Affiliation(s)
- Christina Perry
- Community Based Services, Nursing Practice Development Unit, Princess Alexandra Hospital, Building 15, Level 2, 199 Ipswich Road, Woolloongabba QLD 4102, Australia.
| | - Amanda Henderson
- Nursing Practice Development Unit, Princess Alexandra Hospital, Building 15, Level 2, 199 Ipswich Road, Woolloongabba QLD 4102, Australia; Griffith University, Australian Learning & Teaching Fellow, Australia.
| | - Laurie Grealish
- Menzies Health Institute Queensland and School of Nursing & Midwifery, Griffith University and Gold Coast Hospital & Health Services, 2.05c G01, Gold Coast Campus, Griffith University, Southport QLD 4215, Australia.
| |
Collapse
|
4
|
Nare NE, Pienaar AJ, Mphuthi DD. Conceptualisation of African primal health care within mental health care. Curationis 2018; 41:e1-e11. [PMID: 29781699 PMCID: PMC6091788 DOI: 10.4102/curationis.v41i1.1753] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Revised: 11/03/2017] [Accepted: 11/19/2017] [Indexed: 11/22/2022] Open
Abstract
Background It is believed by western education systems that the first contact should be with the nurse in primary health care. However, it is not the case. Therefore, the researcher attempts to correct this misconception by conceptualising the correct beginning of health seeking behaviour in an indigenous African community, namely African Primal Health Care (APHC). ‘Primal’ was coined during a colloquium by Dr Mbulawa and Seboka team members; however no formal conceptualisation took place, only operational definition. Due to the study scope, conceptualisation is narrowed to mental health, but this concept is applicable in the broader health context. The research purpose was to contribute to the body of indigenous knowledge systems to advocate towards co-existence of primal health care and mental health care. Aim Formulate APHC within a mental health care context. Objectives To explore philosophical grounding of APHC and describe epistemology of APHC. To analyse and crystallise the exploration to establish understanding within mental health and conceptualise APHC within mental health care to enhance co-existence. Methodology Narrative synthesis, concept analysis (qualitative design). Lekgotla was used as a method of data collection and data were analysed using Leedy and Ormrod’s five steps of data analysis. Results APHC is a health care system that existed in Africa prior to the introduction of the western health care system. It is based on the African belief system and practices. The practices come from the community, for the community and are authenticated by the community. APHC uses a holistic approach and the family and community are involved in the healing process.
Collapse
Affiliation(s)
- Neo E Nare
- School of Nursing Science, North-West University.
| | | | | |
Collapse
|
5
|
Kim YH, Min J, Kim SH, Shin S. Effects of a work-based critical reflection program for novice nurses. BMC MEDICAL EDUCATION 2018; 18:30. [PMID: 29482527 PMCID: PMC5828399 DOI: 10.1186/s12909-018-1135-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Accepted: 02/21/2018] [Indexed: 05/27/2023]
Abstract
BACKGROUND Critical reflection is effective in improving students' communication abilities and confidence. The aim of this study was to evaluate the effectiveness of a work-based critical reflection program to enhance novice nurses' clinical critical-thinking abilities, communication competency, and job performance. METHODS The present study used a quasi-experimental design. From October 2014 to August 2015, we collected data from 44 novice nurses working in an advanced general hospital in S city in Korea. Nurses in the experimental group participated in a critical reflection program for six months. Outcome variables were clinical critical-thinking skills, communication abilities, and job performance. A non-parametric Mann-Whitney U-test and a Wilcoxon rank sum test were selected to evaluate differences in mean ranks and to assess the null hypothesis that the medians were equal across the groups. RESULTS The results showed that the clinical critical-thinking skills of those in the experimental group improved significantly (p = 0.003). The differences in mean ranks of communication ability between two groups was significantly statistically different (p = 0.028). Job performance improved significantly in both the experimental group and the control group, so there was no statistical difference (p = 0.294). CONCLUSIONS We therefore suggest that a critical reflection program be considered an essential tool for improving critical thinking and communication abilities among novice nurses who need to adapt to the clinical environment as quickly as possible. Further, we suggest conducting research into critical reflection programs among larger and more diverse samples.
Collapse
Affiliation(s)
- Yeon Hee Kim
- Asan Medical Center, 88, Olympic-ro 43-Gil, Songpa-gu, Seoul 05505 Republic of Korea
| | - Ja Min
- Asan Medical Center, 88, Olympic-ro 43-Gil, Songpa-gu, Seoul 05505 Republic of Korea
| | - Soon Hee Kim
- Asan Medical Center, 88, Olympic-ro 43-Gil, Songpa-gu, Seoul 05505 Republic of Korea
| | - Sujin Shin
- College of Nursing, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760 Republic of Korea
| |
Collapse
|
6
|
Häggman-Laitila A, Romppanen J. Outcomes of interventions for nurse leaders' well-being at work: A quantitative systematic review. J Adv Nurs 2017; 74:34-44. [PMID: 28771775 DOI: 10.1111/jan.13406] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Accepted: 07/14/2017] [Indexed: 11/30/2022]
Abstract
AIMS The aim of this study was to gather, assess and synthesize current research knowledge on interventions that aimed to improve nurse leaders' well-being at work. BACKGROUND The research evidence on interventions for nurse leaders' well-being at work has been sporadic and there are a lack of evidence-based recommendations for effective interventions that inform practice, future studies and education. DESIGN A quantitative systematic review, in accordance with the Cochrane Collaboration procedures and the reporting guidance in the PRISMA statement. METHODS CINAHL, Cochrane, EBSCO, PubMed, PsycInfo and Scopus databases were searched from 2009 - December 2016. The final data consisted of five studies, which were assessed with the Cochrane Risk of Bias Tool. The data were summarized narratively. RESULTS The interventions were mainly concerned with stress management and were targeted at individuals. Four of the five interventions examined produced statistically significant outcomes on well-being at work. CONCLUSIONS Stress management interventions that included mental exercises were the most successful. Interventions primarily reduced the stress experienced by participants, but the evidence on the stability of these outcomes was poor because of the short follow-up periods. The certainty of evidence was low, indicating that the use of these interventions among nurse leaders might be beneficial. Further studies are needed to provide more reliable recommendations for their use. As the performance of nurse leaders influences organizations, through interpersonal relationships, it is important to pay more attention in the future to the development of organization- and person-directed interventions and their combinations. A structural empowerment approach should also be considered.
Collapse
Affiliation(s)
- Arja Häggman-Laitila
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.,Department of Social Services and Health Care, Helsinki, Finland
| | - Johanna Romppanen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| |
Collapse
|
7
|
Häggman-Laitila A, Mattila LR, Melender HL. A systematic review of the outcomes of educational interventions relevant to nurses with simultaneous strategies for guideline implementation. J Clin Nurs 2016; 26:320-340. [DOI: 10.1111/jocn.13405] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/22/2016] [Indexed: 12/26/2022]
Affiliation(s)
| | | | - Hanna-Leena Melender
- Department of Social and Health Care; VAMK University of Applied Sciences; Vaasa Finland
| |
Collapse
|
8
|
The influence student placement experience can have on the employment choices of graduates: A paediatric nursing context. Nurse Educ Pract 2016; 16:263-8. [DOI: 10.1016/j.nepr.2015.10.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Revised: 08/10/2015] [Accepted: 10/03/2015] [Indexed: 11/18/2022]
|
9
|
Leadership development in the English National Health Service: A counter narrative to inform policy. Int J Nurs Stud 2014; 51:677-88. [DOI: 10.1016/j.ijnurstu.2013.08.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2012] [Revised: 08/16/2013] [Accepted: 08/16/2013] [Indexed: 11/24/2022]
|
10
|
Houghton CE. 'Newcomer adaptation': a lens through which to understand how nursing students fit in with the real world of practice. J Clin Nurs 2014; 23:2367-75. [PMID: 24455974 PMCID: PMC4263159 DOI: 10.1111/jocn.12451] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/23/2013] [Indexed: 11/28/2022]
Abstract
Aims and objectives To present a discussion on newcomer adaptation as a lens through which to understand how nursing students adapt to clinical practice and raise awareness of strategies that can be used to enhance their learning experiences. Background Socialisation is an important factor that facilitates students’ learning in the clinical setting. Therefore, it is beneficial to examine organisational socialisation literature, particularly that pertaining to newcomer adaptation. Design This is a critical review of organisational socialisation literature. Methods Seminal literature and more recent research in the field of organisational socialisation and newcomer adaptation were accessed. In addition, nursing and allied health literature examining students’ socialisation and the clinical learning environment was retrieved. Conclusions It is revealed in this article that to create an appropriate clinical learning environment, an understanding of socialisation tactics could be beneficial. Role modelling is deemed crucial to successful newcomer adaptation. Peer support is necessary but must be advocated with caution as it can have a negative impact when students form a ‘parallel community’. Students with some knowledge of the workplace tend to adapt more easily. Likewise, students’ disposition and, in particular, their confidence can also enhance the socialisation process. Relevance to clinical practice Both the organisation and the student can impact on how successfully the nursing student ‘fits in’. Understanding this through the lens of newcomer adaptation means that strategies can be put in place to facilitate this process.
Collapse
Affiliation(s)
- Catherine E Houghton
- School of Nursing and Midwifery, National University of Ireland, Galway, Galway, Ireland
| |
Collapse
|
11
|
Henderson A, Burmeister L, Schoonbeek S, Ossenberg C, Gneilding J. Impact of engaging middle management in practice interventions on staff support and learning culture: a quasi-experimental design. J Nurs Manag 2013; 22:995-1004. [PMID: 23800336 DOI: 10.1111/jonm.12090] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2013] [Indexed: 11/26/2022]
Abstract
AIM This study evaluated the impact of different levels of engaging middle management in ward based strategies implemented by a project educator. BACKGROUND The challenge for learning in practice is to develop effective teams where experienced staff engage and foster learning with students and other novice staff. DESIGN A quasi-experimental pre- and post- intervention four group design was conducted from November 2009 to May 2010 across four general surgical and four general medical inpatient matched units in two settings in South East Queensland, Australia. METHOD Staff survey data was used to compare control and intervention groups (one actively engaging nurse managers) before and after 'practice learning' interventions. The survey comprised demographic data and data from two validated scales (support instrument for nurses facilitating learning and clinical learning organisational culture). RESULTS Number of surveys returned pre- and post-intervention was 336 from 713 (47%). There were significant differences across many subscales pertaining to staff perception of support in the intervention groups, with only one change in the control group. The number of significant different subscales in the learning culture was also greater when middle management supported the intervention. IMPLICATIONS FOR NURSING MANAGEMENT Middle management should work closely with facilitators to assist embedding practice interventions.
Collapse
Affiliation(s)
- Amanda Henderson
- Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
| | | | | | | | | |
Collapse
|
12
|
Walker R, Cooke M, Henderson A, Creedy DK. Using a critical reflection process to create an effective learning community in the workplace. NURSE EDUCATION TODAY 2013; 33:504-511. [PMID: 22459911 DOI: 10.1016/j.nedt.2012.03.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2011] [Revised: 03/03/2012] [Accepted: 03/06/2012] [Indexed: 05/31/2023]
Abstract
Learning circles are an enabling process to critically examine and reflect on practices with the purpose of promoting individual and organizational growth and change. The authors adapted and developed a learning circle strategy to facilitate open discourse between registered nurses, clinical leaders, clinical facilitators and students, to critically reflect on practice experiences to promote a positive learning environment. This paper reports on an analysis of field notes taken during a critical reflection process used to create an effective learning community in the workplace. A total of 19 learning circles were conducted during in-service periods (that is, the time allocated for professional education between morning and afternoon shifts) over a 3 month period with 56 nurses, 33 students and 1 university-employed clinical supervisor. Participation rates ranged from 3 to 12 individuals per discussion. Ten themes emerged from content analysis of the clinical learning issues identified through the four-step model of critical reflection used in learning circle discussions. The four-step model of critical reflection allowed participants to reflect on clinical learning issues, and raise them in a safe environment that enabled topics to be challenged and explored in a shared and cooperative manner.
Collapse
Affiliation(s)
- Rachel Walker
- School of Nursing and Midwifery, Research Centre for Clinical & Community Practice Innovation, Griffith Institute of Health and Medical Research, Griffith University, Nathan, 4111, Queensland Australia.
| | | | | | | |
Collapse
|
13
|
Cooke M, Walker R. Research, transformational leadership and knowledge translation: a successful formula. Scand J Caring Sci 2013; 27:1-2. [PMID: 23383725 DOI: 10.1111/scs.12027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
14
|
Adelman-Mullally T, Mulder CK, McCarter-Spalding DE, Hagler DA, Gaberson KB, Hanner MB, Oermann MH, Speakman ET, Yoder-Wise PS, Young PK. The clinical nurse educator as leader. Nurse Educ Pract 2013; 13:29-34. [DOI: 10.1016/j.nepr.2012.07.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2012] [Revised: 05/25/2012] [Accepted: 07/08/2012] [Indexed: 11/25/2022]
|
15
|
Severinsson E, Johansson I, Lindquist I. Effects of process-oriented group supervision - a comparison of three groups of student nurses. J Nurs Manag 2012; 22:443-51. [PMID: 23409832 DOI: 10.1111/j.1365-2834.2012.01463.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2012] [Indexed: 11/27/2022]
Affiliation(s)
- Elisabeth Severinsson
- Centre for Women's, Family and Child Health, Faculty of Health Sciences; Vestfold University College; Tønsberg Norway
| | - Ingrid Johansson
- The Sahlgrenska Academy, Institute of Health and Care Sciences; University of Göteborg; Göteborg Sweden
| | - Ingegerd Lindquist
- The Sahlgrenska Academy, Institute of Health and Care Sciences; University of Göteborg; Göteborg Sweden
| |
Collapse
|
16
|
Affiliation(s)
- Angelique Skoulas
- Harvard School of Dental Medicine; Private consultant in leadership development
| | - Elsbeth Kalenderian
- Department of Oral Health Policy and Epidemiology; Chief of Quality of the Harvard Dental Center; Harvard School of Dental Medicine
| |
Collapse
|