Critical Characteristics of Practicing Nurses: Understanding the Components of a Coherent Work Environment

2.50
Hdl Handle:
http://hdl.handle.net/10755/153732
Type:
Presentation
Title:
Critical Characteristics of Practicing Nurses: Understanding the Components of a Coherent Work Environment
Abstract:
Critical Characteristics of Practicing Nurses: Understanding the Components of a Coherent Work Environment
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:DeMarco, Rosanna F., RN, PhD, ACRN
P.I. Institution Name:Boston College
Title:assistant professor
Co-Authors:Patricia Reid Ponte, DNSc, RN
Objective: To describe the characteristics of newly employed registered staff nurses over time during hospital restructuring. Design: A descriptive design was used including focus groups and self-report instruments to assess attributes thought to impact on the ability to develop a sense of coherence. Variables included hardiness (using the Personal Views Survey), work excitement (measured by the Work Excitement Tool), positive affectivity (measured with the Positive and Negative Affect Scale), and self-advocacy (measured by the Silencing the Self Scale). Population, Sample, Setting: A convenience sample of newly employed RNs, (n=61) in a large teaching hospital in Boston, Massachusetts, USA (two cohorts of 35 and 26 RNs that were followed for 2 years). Methods: A mixed methods approach was used included thematic identification and descriptive analysis. Findings: Focus group data included difficulties in delivering quality patient care, diminished quality of work life, lack of team work and collaboration, deteriorating professional practice, and lack of consistent access to systems and supports for attaining and maintaining competency. Levels of hardiness fell below the reported average range. Responses on the work excitement measure revealed excitement about the high acuity of patients, the opportunity to be involved in research, the unit philosophy of care, and having the opportunity to foster the growth of other nurses. Data on affectivity scores showed a tendency toward a positive affect. Nurses in this sample showed a pattern of self advocacy behaviors. Conclusions: Over time RNs continued to be excited about their work especially related to fostering growth of other nurses and dealing with acutely ill patients despite system failures. Implications: A coherent work group is a critical component of a high-quality professional practice environment, and that attributes within individual nurses such as hardiness, work excitement, positive affectivity, and self-advocacy may impact the development of this coherence in a particular group.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCritical Characteristics of Practicing Nurses: Understanding the Components of a Coherent Work Environmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/153732-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Critical Characteristics of Practicing Nurses: Understanding the Components of a Coherent Work Environment</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">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">DeMarco, Rosanna F., RN, PhD, ACRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Boston College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">assistant professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rosanna.demarco@bc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Patricia Reid Ponte, DNSc, RN</td></tr><tr><td colspan="2" class="item-abstract">Objective: To describe the characteristics of newly employed registered staff nurses over time during hospital restructuring. Design: A descriptive design was used including focus groups and self-report instruments to assess attributes thought to impact on the ability to develop a sense of coherence. Variables included hardiness (using the Personal Views Survey), work excitement (measured by the Work Excitement Tool), positive affectivity (measured with the Positive and Negative Affect Scale), and self-advocacy (measured by the Silencing the Self Scale). Population, Sample, Setting: A convenience sample of newly employed RNs, (n=61) in a large teaching hospital in Boston, Massachusetts, USA (two cohorts of 35 and 26 RNs that were followed for 2 years). Methods: A mixed methods approach was used included thematic identification and descriptive analysis. Findings: Focus group data included difficulties in delivering quality patient care, diminished quality of work life, lack of team work and collaboration, deteriorating professional practice, and lack of consistent access to systems and supports for attaining and maintaining competency. Levels of hardiness fell below the reported average range. Responses on the work excitement measure revealed excitement about the high acuity of patients, the opportunity to be involved in research, the unit philosophy of care, and having the opportunity to foster the growth of other nurses. Data on affectivity scores showed a tendency toward a positive affect. Nurses in this sample showed a pattern of self advocacy behaviors. Conclusions: Over time RNs continued to be excited about their work especially related to fostering growth of other nurses and dealing with acutely ill patients despite system failures. Implications: A coherent work group is a critical component of a high-quality professional practice environment, and that attributes within individual nurses such as hardiness, work excitement, positive affectivity, and self-advocacy may impact the development of this coherence in a particular group.</td></tr></table>en_GB
dc.date.available2011-10-26T12:28:34Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:28:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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