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Perceived Contribution (perceived + contribution)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Determinants in the development of advanced nursing practice: a case study of primary-care settings in Hong Kong

HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 1 2005
Sheila Twinn BA PGCEA PhD RN RHV
Abstract Different factors have been shown to influence the development of models of advanced nursing practice (ANP) in primary-care settings. Although ANP is being developed in hospitals in Hong Kong, China, it remains undeveloped in primary care and little is known about the factors determining the development of such a model. The aims of the present study were to investigate the contribution of different models of nursing practice to the care provided in primary-care settings in Hong Kong, and to examine the determinants influencing the development of a model of ANP in such settings. A multiple case study design was selected using both qualitative and quantitative methods of data collection. Sampling methods reflected the population groups and stage of the case study. Sampling included a total population of 41 nurses from whom a secondary volunteer sample was drawn for face-to-face interviews. In each case study, a convenience sample of 70 patients were recruited, from whom 10 were selected purposively for a semi-structured telephone interview. An opportunistic sample of healthcare professionals was also selected. The within-case and cross-case analysis demonstrated four major determinants influencing the development of ANP: (1) current models of nursing practice; (2) the use of skills mix; (3) the perceived contribution of ANP to patient care; and (4) patients' expectations of care. The level of autonomy of individual nurses was considered particularly important. These determinants were used to develop a model of ANP for a primary-care setting. In conclusion, although the findings highlight the complexity determining the development and implementation of ANP in primary care, the proposed model suggests that definitions of advanced practice are appropriate to a range of practice models and cultural settings. However, the findings highlight the importance of assessing the effectiveness of such models in terms of cost and long-term patient outcomes. [source]

Worker flexibility and its perceived contribution to performance: The moderating role of task characteristics

HUMAN FACTORS AND ERGONOMICS IN MANUFACTURING & SERVICE INDUSTRIES, Issue 2 2007
Eric Molleman
This study examined the relationship between worker flexibility in team-based work and its perceived contribution to efficiency, work quality, and innovation, and the moderating role of task autonomy, skill utilization, and task monotony. Four-hundred ninety-four employees from 113 teams in 15 organizations completed and returned questionnaires. Skill utilization proved to be positively related to perceived contribution of flexibility to efficiency, work quality, and innovation. Furthermore, skill utilization strengthened the positive relationships between worker flexibility and its perceived contribution to efficiency and work quality and weakened the negative relationship between worker flexibility and its perceived impact on innovation. Task monotony was negatively related to the perceived quality benefits of being flexible. In addition, it weakened the positive relationship between worker flexibility and its perceived contribution to both efficiency and quality and strengthened the negative relationship with the perceived impact of flexibility on innovation. Task autonomy was positively related to the perceived contribution of flexibility to innovation and weakened the negative relationship between worker flexibility and the perceived innovation benefits of being flexible. The authors conclude that skill utilization and lack of monotony are important issues in relation to worker flexibility on all performance objectives that were considered, whereas task autonomy seems especially relevant when innovation is a key issue. © 2007 Wiley Periodicals, Inc. Hum Factors Man 17: 117,135, 2007. [source]

The role of specialist and general nurses working with people with multiple sclerosis

JOURNAL OF CLINICAL NURSING, Issue 18 2009
Alison While
Aim., To describe the perceived role of nurses and other carers of people with multiple sclerosis from the perspective of different stakeholders (people with multiple sclerosis, non-specialist nurses, specialist nurses and other health care professionals). Background., Multiple sclerosis is one of the commonest causes of disability in young adults. People with multiple sclerosis require supportive care during the disease trajectory. The role of different health and social care providers has not been reported previously. Design., Survey. Method., Questionnaire data collected in 2002 during the first phase of scale development (health professionals n = 459; people with multiple sclerosis n = 65; total response rate 59·4%). The data were reanalysed to compare responses across sample groups. Results., There was consensus that neurologists and specialist nurses were the most appropriate professionals in the provision of specialist care with specialist nurses also being identified as key providers of emotional support. However, there were also significant differences in nominations reflecting the different perspectives of the stakeholder groups and a self-report bias. Each stakeholder group frequently emphasised their own perceived contribution to care. The different perspective of people with multiple sclerosis was also noteworthy with their greater emphasis on social care and lay support. Conclusions., The findings indicate a dissonance in the views of different stakeholders within the care system. The division of labour associated with nursing care requires further exploration. The contrasting paradigms of health care professionals and people with multiple sclerosis regarding models of disability were highlighted. Relevance to clinical practice., Multiple sclerosis, like other chronic illnesses, requires substantial nursing care. There is a growing number of specialist nurses in the workforce, however, little is known how their role interfaces with other nurses. [source]