Clinical nurses’ response to an environment of health care reform and organizational restructuring

Abstract

Successful change outcomes are dependent on clinical nurses' performance. Whether nurses are politically inactive as a result of poor communication, as a consequence of the structural change environment or because their energy is devoted to achieving a balance between organizational imperatives and their personal commitment to patient care requires further investigation.

Dimensions of Precariousness in an Emerging Sector of Self‐Employment: A Study of Self‐Employed Nurses

“…Canadian healthcare has been heavily influenced by market-based economic ideologies and has undergone dramatic restructuring over the last two decades, ostensibly for the sake of healthcare reform but primarily for the purpose of reducing spending (Armstrong and Armstrong, 2003). Recent years have been characterized as a time of constant, chaotic change in Canada and internationally and nurses have experienced ongoing job uncertainty, disruption and stress (Aiken et al, 2001;Daiski, 2004;Laschinger et al, 2001;Wynne, 2003). Nevertheless, 79.1 per cent of nurses continue to work in front-line positions in healthcare organizations, 65.8 per cent of them in hospitals (Canadian Institute for Health Information, 2010).…”

Factors contributing to managerial competence of first‐line nurse managers: A systematic review

“…Because health care has undergone a process of decentralization, the role of FLNMs has changed from having a clinical focus to having managerial focus (Skytt, Ljunggren, & Carlsson, ). The term FLNM has been used interchangeably in the literature with the terms head nurse, ward manager, nursing unit manager, charge nurse, and ward leader (Finkelman, ; Firth, ; Krugman & Smith, ; Wynne, ).…”

Transformational leadership: effect on the job satisfaction of Registered Nurses in a hospital in China

“…The aim of this reform is to provide cost‐effective service and increase the quality of care (Twaddle 2002). As hospitals are the major organization of the healthcare delivery system, they are facing several challenges, such as increase in the development of technology, specialized consumerism and changing healthcare practices and services (Wynne 2003). In China, healthcare reform involves strengthening nursing as a profession and improving the quality of services (Pang et al.…”