2.50
Hdl Handle:
http://hdl.handle.net/10755/155755
Type:
Presentation
Title:
Globalization of Health Systems and the Impact on Nursing Leadership
Abstract:
Globalization of Health Systems and the Impact on Nursing Leadership
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:Mills, Mary, ScD
P.I. Institution Name:University of Maryland
Title:Associate Professor
Objective: The study sought to determine the means by which nursing leadership might be strengthened as healthcare environments become increasingly global as a result of systems integration. Design: The Transformational Model for Professional Practice in Health Care Organizations (Wolf, Aukerman, & Boland, 1998) was used as the study framework. A correlational design was used to identify current leadership practice and future opportunities for leadership development in relation to the degree of health systems integration existing among health facilities in the State of Maryland, USA. Population, Sample, Setting, Years: The study sample included Nurse Executives in all fifty-six acute care hospitals in the State of Maryland during the year 1999. Rapid change has created the formation of multi-institutional systems incorporating all levels of health care such as primary acute and long-term care. This model is a microcosm of multi-state and multi-national health care system creation. Concept or Variables Studied Together or Intervention and Outcome Variables: The concepts of systemness and professional practice were studied. Systemness was defined as the degree to which an organization functions as one administrative and clinical structure irrespective of geographic location or number of service units. Professional practice was considered to be an array of leadership domains critical to the advancement of nursing in relation to influencing health care systems direction. Methods: A survey of Nurse Executives in the State of Maryland was conducted using a 57-item Perceived Systemness and Integration Measure (Gillies et al., 1993) to assess the level of systems integration. The level of professional practice was measured by a 20-item tool based on the Transformational Model for Professional Practice in Health Care Organizations (Wolf, Aukerman, & Boland, 1998). Findings: On a five point Likert-scale, the level of system integration was measured as moderate in the domains of Function (3.35), Physician-System (2.88), and Clinical (3.14). Significant correlations were found for nursing leadership between Transformational Leadership and Culture (.539, p<.05), Strategic Planning (.514, p<.05), and Resource Allocation (.505, p<.05). Conclusions: Nursing leadership has an opportunity to impact the healthcare environment through the nurturing of transformational leadership style and the development of ability in the fields of strategic planning and resource allocation. Implications: Nursing leadership can be a successful influence on the development of global health system development through an increased focus on specific leadership skills designed to position nursing more equitably in the administrative structure.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleGlobalization of Health Systems and the Impact on Nursing Leadershipen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155755-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Globalization of Health Systems and the Impact on Nursing Leadership</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">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mills, Mary, ScD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Maryland</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">mills@son.umaryland.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The study sought to determine the means by which nursing leadership might be strengthened as healthcare environments become increasingly global as a result of systems integration. Design: The Transformational Model for Professional Practice in Health Care Organizations (Wolf, Aukerman, &amp; Boland, 1998) was used as the study framework. A correlational design was used to identify current leadership practice and future opportunities for leadership development in relation to the degree of health systems integration existing among health facilities in the State of Maryland, USA. Population, Sample, Setting, Years: The study sample included Nurse Executives in all fifty-six acute care hospitals in the State of Maryland during the year 1999. Rapid change has created the formation of multi-institutional systems incorporating all levels of health care such as primary acute and long-term care. This model is a microcosm of multi-state and multi-national health care system creation. Concept or Variables Studied Together or Intervention and Outcome Variables: The concepts of systemness and professional practice were studied. Systemness was defined as the degree to which an organization functions as one administrative and clinical structure irrespective of geographic location or number of service units. Professional practice was considered to be an array of leadership domains critical to the advancement of nursing in relation to influencing health care systems direction. Methods: A survey of Nurse Executives in the State of Maryland was conducted using a 57-item Perceived Systemness and Integration Measure (Gillies et al., 1993) to assess the level of systems integration. The level of professional practice was measured by a 20-item tool based on the Transformational Model for Professional Practice in Health Care Organizations (Wolf, Aukerman, &amp; Boland, 1998). Findings: On a five point Likert-scale, the level of system integration was measured as moderate in the domains of Function (3.35), Physician-System (2.88), and Clinical (3.14). Significant correlations were found for nursing leadership between Transformational Leadership and Culture (.539, p&lt;.05), Strategic Planning (.514, p&lt;.05), and Resource Allocation (.505, p&lt;.05). Conclusions: Nursing leadership has an opportunity to impact the healthcare environment through the nurturing of transformational leadership style and the development of ability in the fields of strategic planning and resource allocation. Implications: Nursing leadership can be a successful influence on the development of global health system development through an increased focus on specific leadership skills designed to position nursing more equitably in the administrative structure.</td></tr></table>en_GB
dc.date.available2011-10-26T14:08:39Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T14:08:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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