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Abstract

Details

Intellectual Disability Nursing: An Oral History Project
Type: Book
ISBN: 978-1-83982-152-3

Book part
Publication date: 7 December 2011

Eunice Rodriguez, Diana Austria and Melinda Landau

There is a need for rigorous research documenting the important role of school nurses in facilitating positive health outcomes among students. Poorly managed care can…

Abstract

There is a need for rigorous research documenting the important role of school nurses in facilitating positive health outcomes among students. Poorly managed care can affect student absenteeism rates, which are associated with academic performance and school funding, and students in underresourced schools are at particularly higher risk of suffering chronic conditions (e.g., asthma, diabetes) that necessitate proper care and management. The San Jose Unified School District (SJUSD) Nurse Demonstration Project was developed as a five-year endeavor to expand school nursing and formally link school nurses to a school-based health clinic. The initiative provides for full-time school nurses at four elementary and middle schools in SJUSD, and a nurse practitioner at School Health Clinics of Santa Clara County. The objectives are to: (1) improve access to primary care and prevention services, specifically asthma and chronic condition management and (2) facilitate the establishment of a medical home for students. Evaluation of the project employs a mixed methods research design, including a logic model, an intervention and control study design (comparing outcome measures in the four demonstration schools with five “control” schools), parent, teacher, and school administrator feedback, systematic nurse reports, and quantitative analysis of school health and administrative data, including health conditions and absenteeism information. Key findings in Phase I of the project are discussed, including improvement in screening and referrals, follow-up care among students with asthma, and mean days absent due to illness. With increasing budget cuts to public schools, documenting the impact of full-time school nurses will remain crucial in leveraging support and resources for school health services. Findings of this project indicate that school nurses provide valuable services and could be a major player in providing and coordinating effective management and prevention of chronic disease among children.

Details

Democracies: Challenges to Societal Health
Type: Book
ISBN: 978-1-78052-238-8

Article
Publication date: 24 January 2023

W. Randy Evans, Deborah M. Mullen and Lisa Burke-Smalley

The appalling abuse healthcare workers have endured from patients is long documented in the popular press and social media. Less explored in the healthcare management…

Abstract

Purpose

The appalling abuse healthcare workers have endured from patients is long documented in the popular press and social media. Less explored in the healthcare management literature is workplace abuse that professional nurses experience from their coworkers.

Design/methodology/approach

The authors use text-based first-hand accounts from nurses posting on Reddit (N = 75) to better understand the types and context of abusive acts endured by their coworkers in the contemporary healthcare setting. Each account is content analyzed using two raters, and thematic analysis is utilized to summarize findings.

Findings

Findings indicate that nurse workplace abuse frequently targets new entrants to a work unit (e.g. recent grads), typically is ongoing, takes verbal and nonverbal forms, mainly stems from coworkers (i.e. lateral mistreatment), and frequently takes place in front of other coworkers, mainly in hospital settings.

Practical implications

By applying the lens of mindfulness, healthcare organizations can transform these harmful interactions within the nursing profession. The authors offer administrators and frontline workers practical implications for mitigating workplace abuse, including reshaping the culture, bystander interventions and explicit leadership support.

Originality/value

First-hand accounts from nurses in the frontlines of healthcare provide a rich voice that reveals the reality of ongoing verbal and nonverbal peer abuse in hospitals and healthcare settings.

Details

Journal of Health Organization and Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 20 December 2022

Sarah Nakaziba, Sarah Kaddu, Mary Namuguzi and Arnold Mwanzu

The study sought to assess and evaluate the information literacy experiences and competencies of nursing students at Aga Khan University, Uganda. A review of information…

Abstract

Purpose

The study sought to assess and evaluate the information literacy experiences and competencies of nursing students at Aga Khan University, Uganda. A review of information literacy (IL) programs was done to establish the competencies students acquired from the library staff and examine the contribution of IL competencies to the effective utilization of library information resources.

Design/methodology/approach

A qualitative descriptive research design was used to describe the participants' experiences regarding IL competencies. The study population included 35 nursing students pursuing a diploma of science in nursing in the second year of study. Purposive sampling was utilized to identify only second-year diploma students who had undertaken the IL training. The study utilized individual interviews and open-ended questionnaires.

Findings

The study found that nursing students who attained some IL competencies could easily locate the required information; IL was not integrated into the curriculum as a stand-alone course unit, but rather a few elements were embedded in some of the nursing course units like research, nursing informatics and academic writing. Furthermore, there was no well-developed IL curriculum used for teaching the subject. The study also noted that there was a minimum collaboration between the faculty and librarians in teaching IL at AKU. Findings showed there was a gap in the IL program delivery.

Originality/value

This study extends the literature on the subject by bringing together current views and opinions of the three populations involved to present a more comprehensive view of the challenges academia faces regarding teaching and student acquisition of IL skills.

Details

Library Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0143-5124

Keywords

Open Access
Article
Publication date: 23 December 2022

Sari Hirvi, Sanna Laulainen, Kristiina Junttila and Johanna Lammintakanen

This study aims to make visible the dynamic nature of leader–member exchange (LMX) in the changing realm of health-care leadership.

Abstract

Purpose

This study aims to make visible the dynamic nature of leader–member exchange (LMX) in the changing realm of health-care leadership.

Design/methodology/approach

The qualitative study used an open questionnaire, which was distributed amongst nursing staff and managers at a Finnish public university hospital.

Findings

The participants described partly LMX theory, but the leader-member relationship was also influenced by the organizational culture and the existing management practices. Nursing staff were found to have a more variable and dynamic role in the LMX relationship than has previously been reported. The research therefore provided novel information for the field of health-care research.

Research limitations/implications

The presented research was limited by the content of the data, as the collected single narratives were rather short; however, the fact that a large number of narratives were collected from diverse participants strengthened the ability to reliably answer the research questions.

Practical implications

Although the participants described partly LMX theory, the leader–member relationship is also influenced by the organizational culture and existing management practices; the finding that nurses have more variable roles in LMX relationships in the health-care context was new insight in this field. Therefore, the presented findings can help decision-makers change the current, perhaps antiquated, leadership practices at health-care organizations.

Originality/value

This study provides new insight into the field of LMX research in terms of the important role of nursing staff, the organizational factors that influence the LMX relationship and the dynamic nature of LMX relationships.

Details

Leadership in Health Services, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 19 March 2018

Rachel Louise Wood

Through the discussion of two case studies, the purpose of this paper is to suggest that nurses may drive themselves to achieve the impossible. Professional bodies and…

600

Abstract

Purpose

Through the discussion of two case studies, the purpose of this paper is to suggest that nurses may drive themselves to achieve the impossible. Professional bodies and health care expert emphasise the importance of always putting the interests, health and wellbeing of patients first. Could this be at the expense of nurses’ health, thus limiting their capacity to provide quality care for their patients?

Design/methodology/approach

The two case studies discussed offer examples of how two nurses nearly lost their lives in their personal drive to deliver quality nursing care in adverse conditions. The paper is based upon the hypothesis that an organisation which invests in the development of a healthy workplace culture, in which staff are put first, will not only enhance the health and wellbeing of its staff, but will ultimately result in the development of a culture which will empower staff to deliver the highest quality of care.

Findings

These case studies not only offer an example of the risk of neglecting self-care, the risk to Ben and Lily who quickly changed roles from nurse to patient, but also the risk to the quality of health care as a consequence of not paying due attention to the health and wellbeing of nurses (Crane and Ward, 2016). This paper suggests a radical and no doubt controversial shift of focus. Treat nurses as patients, obsess about the quality of their care, to create a culture in which nurses are nurtured so that they can in turn, and they will, nurture their patients.

Social implications

The Royal College of Nursing, the nursing professional body and trade union for all nurses have actively campaigned for a safe and health workplace for the last three years. They support RCN Safety Representatives to work with employers to develop a safe and health working environment for Staff. An important part of this work is the Healthy You Campaign. This has resulted in a series of learning and development workshops for nurses and the development of supporting resources to empower nurses to take care of themselves (www.rcn.org.uk/healthy-workplace).

Originality/value

These case studies and the resulting discussions are the author’s own original work, and have not previously been submitted for publication elsewhere.

Details

Journal of Public Mental Health, vol. 17 no. 1
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 3 May 2011

Ari Mwachofi, Stephen L. Walston and Badran A. Al‐Omar

Nurses heavily influence patient care quality and safety. This paper aims to examine socioeconomic and organizational/system factors affecting patient safety and quality…

3601

Abstract

Purpose

Nurses heavily influence patient care quality and safety. This paper aims to examine socioeconomic and organizational/system factors affecting patient safety and quality perceptions.

Design/methodology/approach

A questionnaire was constructed to gather demographic, managerial support, information technology implementation and integration information. Data were collected from nurses in five Riyadh hospitals, Saudi Arabia. Registered nurses working in hospital departments participated in the survey. A total of 566 completed questionnaires were returned. Subsequent data were analyzed through binary logistic regression.

Findings

Factors that improve patient safety and the likelihood that nurses use their own facility include: fewer visible errors; ability to communicate suggestions; information technology support and training; and a confidential error reporting system.

Research limitations/implications

The survey was a cross‐sectional study. Consequently, it is difficult to establish causation. Furthermore, nursing in these hospitals is dominated by foreign nationals. Also, as with all surveys, this research may be subject to response bias. Although the questionnaire was randomly distributed, there were no mechanisms to assure privacy and minimize peer influence. The high positive patient safety perceptions may be influenced by either individual or peer biases.

Practical implications

Nurses are important communicators; especially about hospital safety and quality. The research informs leaders about areas that need considering and improving. Findings indicate that system factors, including functional feedback, suggestions, and error reporting significantly affect patient safety improvements. Likewise, nurse education to operate their information systems has positive effects. Healthcare leaders need to understand factors that affect patient safety perceptions when creating a patient safety culture.

Originality/value

Few international articles examine the factors that influence nurses' patient safety perceptions or examine those factors that affect these perceptions. This paper adds value by researching what influences patient safety perceptions among Riyadh nurses.

Details

International Journal of Health Care Quality Assurance, vol. 24 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 June 1997

Ching‐Jong Liao and Chien‐Yuan Kao

Suggests that with the shortage of nursing personnel, hospital administrators have to pay more attention to the needs of nurses to retain and recruit them. Also asserts…

2597

Abstract

Suggests that with the shortage of nursing personnel, hospital administrators have to pay more attention to the needs of nurses to retain and recruit them. Also asserts that improving nurses’ schedules is one of the most economic ways for the hospital administration to create a better working environment for nurses. Develops an algorithm for scheduling nursing personnel. Contrary to the current hospital approach, which schedules nurses on a person‐by‐person basis, the proposed algorithm constructs schedules on a day‐by‐day basis. The algorithm has inherent flexibility in handling a variety of possible constraints and goals, similar to other non‐cyclical approaches. But, unlike most other non‐cyclical approaches, it can also generate a quality schedule in a short time on a microcomputer. The algorithm was coded in C language and run on a microcomputer. The developed software is currently implemented at a leading hospital in Taiwan. The response to the initial implementation is quite promising.

Details

Health Manpower Management, vol. 23 no. 3
Type: Research Article
ISSN: 0955-2065

Keywords

Article
Publication date: 1 April 1995

James Buchan and Ian Seccombe

Examines in detail the issue of absence among nurses in theNational Health Service (NHS) in the UK. Three main objectives are to:investigate levels and reasons for absence…

3949

Abstract

Examines in detail the issue of absence among nurses in the National Health Service (NHS) in the UK. Three main objectives are to: investigate levels and reasons for absence among nurses; assess the abilities of NHS management to monitor and control nurse absence effectively; and examine the impact of nurse absence on organizational costs and care delivery. Draws on data generated from four linked studies: a survey of back‐injured nurses, conducted in 1992; a survey of 4,000 qualified nurse members of the Royal College of Nursing, conducted in March/April 1993; a postal survey of 119 NHS employing units, conducted in May/June 1993; and detailed case studies, conducted with management in ten NHS hospital sites in May/June 1993.

Details

Health Manpower Management, vol. 21 no. 2
Type: Research Article
ISSN: 0955-2065

Keywords

Article
Publication date: 1 April 2003

Sharon C. Bolton

Recent government proposals seek to extend the role of nurses into management at a time of (yet another) cultural transformation for the British National Health Service…

3444

Abstract

Recent government proposals seek to extend the role of nurses into management at a time of (yet another) cultural transformation for the British National Health Service (NHS). This is especially the case for line managers involved in service‐delivery, ward managers and clinical nurse managers for instance, roles typically undertaken by senior nurses. This paper aims to give some insight into the role of nurses as managers in the NHS hospital service. Data presented were collected as part of a longitudinal qualitative study, 1994 to date, in a North West trust hospital. The role of ward and unit management has significantly changed since the early images of the nurse as manager and it is hardly surprising that, given the fundamental shift in the framework of values and attitudes, senior nurses have greeted the management role with mixed feelings.

Details

International Journal of Public Sector Management, vol. 16 no. 2
Type: Research Article
ISSN: 0951-3558

Keywords

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