2.50
Hdl Handle:
http://hdl.handle.net/10755/150851
Type:
Presentation
Title:
The Nature of Nurse Manager Work: Illuminating Novice to Expert Differences
Abstract:
The Nature of Nurse Manager Work: Illuminating Novice to Expert Differences
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Shirey, Maria R., PhD, MBA, RN, NEA-BC, FACHE
P.I. Institution Name:University of Southern Indiana
Title:Associate Professor
21st INRC [Research Presentation] Purpose:   Nurse managers play pivotal roles in creating healthy work environments and engaging staff nurses within the practice setting.  Little, however, is empirically known about the nature of nurse manager work and the difference nurse manager experience plays in facilitating those healthy work environments. This study explores the nature of nurse manager work to provide an understanding of the structures and processes needed to facilitate positive role outcomes.  The study was informed by complexity science and the transactional-based view of stress and coping. Methods: This qualitative descriptive study determined what situations contribute to nurse manager stress, what coping strategies they utilize, and what health-related outcomes they report.  A purposive sample of 21 nurse managers from three U.S. hospitals completed a 14-question interview incorporating the Critical Decision Method, a methodology that uses cognitive probes to illuminate novice to expert cognitive differences.  Content analysis was completed, themes identified, and trustworthiness strategies addressed.  Results:   Sources of stress related to people and resources, tasks/work volume, and high performance expectations.  When comparing novice nurse managers with experienced nurse managers, the novices used predominantly emotion-focused coping strategies, a narrow repertoire of self-care strategies, and experienced negative psychological, physiological, and functional outcomes related to their coping efforts.  Experienced nurse managers working as co-managers utilized mostly problem-focused coping strategies, reported a broad repertoire of self-care strategies, verbalized no negative health-related outcomes, and demonstrated high creativity levels. Conclusion: Performance expectations for nurse managers practicing in acute care hospitals are complex and often unrealistic.  Rising role expectations increase nurse manager stress, making coping more difficult, and potentially harming nurse manager and work environment outcomes.  Findings from this study have implications for the nurse manager's ability to create healthy work environments for practice, crucial structures needed for nurse retention and patient care quality/safety that necessitate individual and organizational strategies.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Nature of Nurse Manager Work: Illuminating Novice to Expert Differencesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150851-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Nature of Nurse Manager Work: Illuminating Novice to Expert Differences</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Shirey, Maria R., PhD, MBA, RN, NEA-BC, FACHE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Southern Indiana</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mrs@mail2maria.com</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: &nbsp; Nurse managers play pivotal roles in creating healthy work environments and engaging staff nurses within the practice setting.&nbsp; Little, however, is empirically known about the nature of nurse manager work and the difference nurse manager experience plays in facilitating those healthy work environments.&nbsp;This study explores the nature of nurse manager work to provide an understanding of the structures and processes needed to facilitate positive role outcomes.&nbsp; The study was informed by complexity science and the transactional-based view of stress and coping. Methods: This qualitative descriptive study determined what situations contribute to nurse manager stress, what coping strategies they utilize, and what health-related outcomes they report.&nbsp; A purposive sample of 21 nurse managers from three U.S. hospitals completed a 14-question interview incorporating the Critical Decision Method, a methodology that uses cognitive probes to illuminate novice to expert cognitive differences.&nbsp; Content analysis was completed, themes identified, and trustworthiness strategies addressed.&nbsp; Results: &nbsp; Sources of stress related to people and resources, tasks/work volume, and high performance expectations.&nbsp; When comparing novice nurse managers with experienced nurse managers, the novices used predominantly emotion-focused coping strategies, a narrow repertoire of self-care strategies, and experienced negative psychological, physiological, and functional outcomes related to their coping efforts.&nbsp; Experienced nurse managers working as co-managers utilized mostly problem-focused coping strategies, reported a broad repertoire of self-care strategies, verbalized no negative health-related outcomes, and demonstrated high creativity levels.&nbsp;Conclusion:&nbsp;Performance expectations for nurse managers practicing in acute care hospitals are complex and often unrealistic.&nbsp; Rising role expectations increase nurse manager stress, making coping more difficult, and potentially harming nurse manager and work environment outcomes.&nbsp; Findings from this study have implications for the nurse manager's ability to create healthy work environments for practice, crucial structures needed for nurse retention and patient care quality/safety that necessitate individual and organizational strategies.</td></tr></table>en_GB
dc.date.available2011-10-26T10:44:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:44:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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