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Head Nurses (head + nurse)
Selected AbstractsDifferences in managerial behaviour between head nurses and medical directors in intensive care units in EuropeINTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, Issue 4 2001Roland Pepermans Abstract We attempt to determine whether differences appear between the managerial behaviour of European intensive care head nurses on the one side and medical directors on the other. In order to come up with a managerial job and competency analysis of ICU managers, observations and interviews were performed. Additionally, focus groups consisting of ICU experts were organized. The results are discussed according to managerial behaviour taxonomies and existing competency models. There seems to be some differentiation between the two managerial positions studied. Head nurses are more involved in planning/coordinating and motivating/reinforcing activities, whereas medical directors are more involved in socializing/politicking, decision making/problem solving, interaction with others and disciplining. Copyright © 2001 John Wiley & Sons, Ltd. [source] Mobbing against nurses in the workplace in TurkeyINTERNATIONAL NURSING REVIEW, Issue 3 2010S.Y. Efe msn EFE S.Y. & AYAZ S. (2010) Mobbing against nurses in the workplace in Turkey. International Nursing Review57, 328,334 Aim:, The aim of the study was to determine whether the nurses have been exposed to mobbing or not, and to reveal the causes of the mobbing between 3 November 2008 and 31 December 2008. Methods:, This research was a mixed method study involving survey and focus group interviews. The sample was calculated using sample calculation formula, and 206 nurses were included in the survey study. Four focus group interviews were later carried out with 16 nurses. The survey method and semi-structured question form were used to collect data. The percentage and chi-square were used to evaluate the quantitative data, and for the analysis of the qualitative data, descriptive analyses were made through direct quotations from the nurses' statements. Findings:, According to the mobbing scale, 9.7% of the nurses had been exposed to mobbing, but according to their own declarations, 33% had been exposed. Some of the nurses (25.2%) who expressed that they had been exposed to mobbing reported that the executor of mobbing was the head nurse and 9.2% said that the reason for mobbing was ,communication problems'. Nurses under 25 years of age and those who work in intensive care units are apparently exposed to mobbing more frequently than others (P < 0.05). Conclusions:, It is suggested that head nurses' mobbing behaviours should be determined and they should be educated about leadership. Nurses should be educated about assertiveness to prevent mobbing. The necessary measures should be adopted to solve the ,communication problems', which are shown as a major reason for mobbing. [source] Toward a Multidimensional Construct of Social Support: Implications of Provider's Self-Reliance and Request CharacteristicsJOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 7 2004Anat Drach-Zahavy The two studies reported here sought to propose a multidimensional taxonomy for providing social support, and to use an attachment-theory framework to investigate provision of support at work. Additionally, the studies sought to explore the distinct contextual considerations that affect decisions on the type of support provided. In Study 1, case studies were presented to 164 hospital nurses, who, taking the role of the head nurse, were asked to deal with a distressed staff nurse who was either high or low tenured, and whose cause of distress was either personal or job-related. In the second study, 55 nurses with various job tenures described the support behaviors of their superiors. In both studies, support interventions and attachment styles were measured. Results provided partial evidence of the multidimensionality of social support, and indicated that it contains 4 distinct support behaviors: helping, maintenance, referral, and encouragement of self-coping. Furthermore, the distinct support behaviors were affected by different attachment styles and contextual considerations. [source] Neonatal end-of-life care in SwedenNURSING IN CRITICAL CARE, Issue 5 2003Anita Lundqvist Summary , A survey was carried out of Swedish neonatal end-of-life regarding practice before birth, at birth, during dying and after death using a descriptive questionnaire with close-ended questions and individual comments , The practice in 32 of 38 neonatal units, as described by the head nurse or the registered nurses, was largely similar. Respectful treatment of both the neonate and the parents during neonatal end-of-life care was indicated , Differences were found in pre-natal care concerning the information about the risks of pre-term birth, the opportunity for parents to view a pre-term neonate and meet its family, as well as a social worker , Practice directly after birth was also different. A little less than half of the units answered that they gave a description of the seriously ill neonate to the parents before the first visit to the ward , Practice during dying indicated that only a few units permitted the neonate to die at home [source] Current admission policies of long-term care facilities in JapanGERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 2 2003Yoshihisa Hirakawa Background: The rapidly aging society in Japan is putting demands on long-term care facilities for the elderly who require care. In Europe and the USA, there is ongoing reform of elderly care services, but the establishment of system based on social insurance is still being explored in Japan. Methods: Two studies were conducted, the first in 2000 and the second in 2001, involving 91 long-term care facilities located in or around the city of Nagoya. Questionnaires were sent to facility directors, chief administrators or head nurses to inquire about their admission policies for six major patient categories. Two educational lectures on methicillin-resistant Staphylococcus aureus (MRSA) and urinary incontinence were given between the distribution of the questionnaires. Results: For all six categories featured on the questionnaire, the acceptance rate in both studies was the highest in geriatric hospitals, and an improvement in acceptance rates was seen in the second study in all three types of care facilities. When the effect the lectures had on changes in admission policies at these facilities was examined, no correlation was found. Conclusions: Lectures should be given to facility management and personnel to raise their awareness of key issues and improve their efficiency. [source] Use of constraints and surveillance in Norwegian wards for the elderlyINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 6 2003Øyvind Kirkevold Abstract Objective To describe the use of constraints and surveillance and their correlates in a nationwide sample of wards in institutions for the elderly in Norway. Methods Questionnaires were sent to 975 institutions and returned by 623 (64%) with 1398 wards. The wards' head nurses were asked whether any patient was currently subjected to physical restraints, electronic surveillance, force or pressure in medical examination or treatment, and force or pressure in ADL. The reporting of constraints was found reliable. Results In all, 79% of the head nurses reported daily or occasional use of constraints in their wards. Most frequently reported were force or pressure in the performing of activities of daily living (reported by 61%, 95% Confidence Intervals (CI) 59,64), use of force or pressure in medical treatment or examination (49%, 95% CI 47,53) and use of physical restraints (38%, 95% CI 36,41). Electronic surveillance was used less frequently (14%, 95% CI 13,16). All classes of constraints, except physical constraints, were used significantly more frequently in special care units for persons with dementia than in ordinary nursing home units. The methodology does not allow conclusions to be drawn regarding the role of ward size and person characteristics. The staffing was unrelated to the use of constraints which varied significantly across the counties. Conclusion Constraints are widely used in Norwegian institutions for the elderly. A different pattern in use of constraints was found between special care units for demented patients and ordinary units in nursing homes. Copyright © 2003 John Wiley & Sons, Ltd. [source] Differences in managerial behaviour between head nurses and medical directors in intensive care units in EuropeINTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, Issue 4 2001Roland Pepermans Abstract We attempt to determine whether differences appear between the managerial behaviour of European intensive care head nurses on the one side and medical directors on the other. In order to come up with a managerial job and competency analysis of ICU managers, observations and interviews were performed. Additionally, focus groups consisting of ICU experts were organized. The results are discussed according to managerial behaviour taxonomies and existing competency models. There seems to be some differentiation between the two managerial positions studied. Head nurses are more involved in planning/coordinating and motivating/reinforcing activities, whereas medical directors are more involved in socializing/politicking, decision making/problem solving, interaction with others and disciplining. Copyright © 2001 John Wiley & Sons, Ltd. [source] Nurses' experiences of research utilization within the framework of an educational programmeJOURNAL OF CLINICAL NURSING, Issue 5 2001Kerstin Nilsson Kajermo RN ,,This paper explores nurses' reflections on their experiences of disseminating and implementing research findings in clinical practice within the framework of an educational programme. ,,Ten registered nurses, all in clinical practice, participated in a research-orientated educational programme with the aim of facilitating the dissemination and implementation of research findings in clinical practice. Thus, the programme contained different activities designed to disseminate and implement research findings in the participants' wards. ,,Focus groups were used to collect data and a qualitative content analysis was performed. The main themes that were developed were: organizational and leadership issues; acquiring a new role; responses and reactions by others; and orientation to research. ,,Organizational and leadership issues, nurses' interest in research, nurses' reading habits, and support and feedback from their head nurses and other managers and from their nursing colleagues and physicians were seen as important. ,,This study confirms that research utilization and the change to research-based nursing practice are complex issues which require both organizational and educational efforts. [source] Changes in patients' need of nursing care reflected in the Zebra systemJOURNAL OF NURSING MANAGEMENT, Issue 4 2002A.-K. Levenstam RN, MSc (business administration) During 1995,97, many head nurses stated that they had perceived an increase in patients' need of nursing care. A questionnaire was designed to determine the reasons for this. The purpose of the investigation was to answer two questions, ,What were the reasons for head nurses perception of an increase in patients need of nursing care from 1995 to May 1997?' and, ,Does patient classification in the Zebra system reflect the underlying changes in patients' need of nursing care? The results show that there are several reasons behind changes in the patients need of nursing care. The main reasons are a decreased general level of health among patients and that treatments are more time-consuming. After comparing statistics concerning patient classification with the answers received from the questionnaire, a good level of agreement could be seen in these. [source] |