Global nurse leader perspectives on health systems and workforce challenges

Gantz, Nancy Rollins; Sherman, Rose O.; Jasper, Melanie; Choo, Chua Gek; Herrin-Griffith, Donna; Harris, Kathy

doi:10.1111/j.1365-2834.2012.01393.x

Cited by 43 publications

(62 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further research relating to this pivotal role within the nursing team (Gantz et al, 2012;International Council of Nursing, 2010) is needed if effective ways of working are to be shared and the value that a ward manager brings to a multidisciplinary team in relation to clinical outcomes identified. There is an imperative for an evidence base to inform ward and nursing team leadership due to the current resource constraints facing many healthcare systems and the necessity to maximise the contribution of ward managers and nurse team leaders.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

An exploration of the working life and role of the ward manager within an acute care hospital organisation

Pegram

Grainger

Jones

et al. 2015

Journal of Research in Nursing

View full text Add to dashboard Cite

The ward manager's role is a complex one that involves meeting financial targets, responding to changes in organisational structures and ensuring the delivery of quality patient care. Whilst the ward manager's role remains key to service delivery, there has been limited research on the current role from the perspective of ward managers. A survey of ward managers, exploring aspects of their working lives and potential enablers of the ward manager role, is described. The variety of activities within the role was a source of job satisfaction despite the challenge of 'keeping on top of everything'. Potential role enablers included having protected time for the managerial aspects of the role. The study findings indicate the need to understand the role of the ward manager with particular reference to job satisfaction, and the underpinning support required to enable ward managers to execute the role effectively.

show abstract

Section: Conclusion and Recommendationsmentioning

confidence: 99%

An exploration of the working life and role of the ward manager within an acute care hospital organisation

Pegram

Grainger

Jones

et al. 2015

Journal of Research in Nursing

View full text Add to dashboard Cite

show abstract

“…According to Milner et al [17] the competence of a facilitator for EBP would be based on a degree in Nursing, which only a few of the facilitators in our study had. Most eligible for the facilitator role would be a level of Master's Degree, but as the lack of higher educated nurses in clinical nursing is quite conspicuous all over the world [40][41] , we consider that BSc degree could be good enough for starting with.…”

Section: Discussionmentioning

confidence: 99%

An attempt to improve nurses’ interest in and use of research in clinical practice by means of network support to ‘facilitator nurses’

Björkström

Johansson

Athlin

2013

JNEP

View full text Add to dashboard Cite

Background: Scientific knowledge is expected to be used in clinical practice to ensure that patients are given evidence-based nursing care. Therefore, in order to improve nurses' research utilisation in clinical practice a network had been provided for nurses especially interested in nursing development in eleven wards. These nurses were expected to take on the role of key person (facilitator) for nursing development in clinical practice. Aim:The study was aimed at describing nurses' interest in nursing research, how network support to 'facilitator nurses' could improve development in patient care based on evidence, and what hindering factors for such development could be. Methods:One and a half years after onset of the project a follow-up study was conducted with a questionnaire answered by 75 (64%) nurses, and group interviews with nine facilitators and eleven head nurses. Findings:The nurses' interest in research utilisation was in general high and in eight wards development work had started. The facilitator nurses had mostly worked without involving their colleagues. Hindering factors for nursing development were related to time, EBP knowledge, involvement and the interest of head nurses and colleagues. Education, work place, previous participation in research projects, and participation in the network impacted positively on nurses' attitudes to and interest in research. Conclusion and implication for clinical practice:Providing networks to 'facilitator nurses' in the ward could be useful for developing nursing care based on research findings. However, support from nurse leaders, involvement of the whole nursing staff, and training in research utilisation are important factors for success.

show abstract

“…Lewis (1990) described ward leaders as the 'professional gatekeeper' of standards, protecting patients from poor practice, but added that if they are unsupported they cannot continue to do this. Worldwide the role has many common aspects, and ward leaders are the keepers of standards and drivers of quality care provision at ward level internationally (Gantz et al 2012, Pegram et al 2013.…”

Section: Ward Leadersmentioning

confidence: 99%

Tensions within management roles in healthcare organisations

Scott

Timmons

2017

Nursing Management

View full text Add to dashboard Cite

Research ROLE CONFLICTTensions in management roles in contemporary healthcare organisations Scott A, Timmons S (2017) Peer review This article has been subject to external double-blind peer review and checked for plagiarism using automated software Online For related articles visit the archive and search using the keywords. Guidelines on writing for publication are available at: journals.rcni.com/r/author-guidelines AbstractAim This article reports the results of a study that gives an insight into ward leaders' perspectives of their leadership role and explores how they deliver leadership at ward level within organisational constraints and processes. Previous studies have been evaluations of clinical leadership in general, or literature reviews of the ward leader role. The aim of this study was to examine the leadership role of ward sisters and to understand how they lead quality of care on their wards. Methods A qualitative methodology was used, incorporating 19 in-depth interviews with ward leaders and modern matrons. Results Three main themes were identified: empty conformity, authority and autonomy, and visibility and leading by example. Participants aimed to be role models in leading and maintaining standards of care for patients, but this was sometimes constrained by organisational processes, lack of authority and autonomy, and lack of support and preparation. Conclusion Perceived differences between nursing and health service management means ward leaders' efforts to lead quality care are often undermined. Ward leaders must strike a balance between leading quality nursing care, in the context of organisational and political performance requirements, and the demands of administrative work, while often lacking autonomy and authority.hospital management, leadership, nursing, nursing management, organisational behaviour, role conflict, ward sister

show abstract

Global nurse leader perspectives on health systems and workforce challenges

Abstract: Opportunities on an international scale for nurse leaders to have dialogue and network, such as the conference presentation discussed in this article, will become increasingly more important to facilitate the development of innovative leadership strategies.

Cited by 43 publications

References 10 publications

An exploration of the working life and role of the ward manager within an acute care hospital organisation

An exploration of the working life and role of the ward manager within an acute care hospital organisation

An attempt to improve nurses’ interest in and use of research in clinical practice by means of network support to ‘facilitator nurses’

Tensions within management roles in healthcare organisations

Contact Info

Product

Resources

About