2.50
Hdl Handle:
http://hdl.handle.net/10755/182516
Category:
Abstract
Type:
Presentation
Title:
Exploring a Model of Skillful Engagement in Nursing Practice
Author(s):
Keller-Unger, Jan
Author Details:
Jan Keller-Unger, MS, RN, MD Anderson Cancer Center, Houston, Texas, USA, email: jan-keller@comcast.net
Abstract:
Podium Presentation: BRIEF DESCRIPTION: This study explores relationships among the variables of the investigator-constructed model of Skillful Engagement in Nursing Practice. Results provide initial evidence of the empirical model's structure. Implications for improving job attitudes and effectiveness will be discussed. ABSTRACT- Significance: Prominent challenges facing nurse leaders are the growing shortage of nurses and the increasingly complex care required by acutely ill patients. In organizations the shortage is exacerbated by turnover and intent to leave. Unsatisfactory working conditions are cited when nurses leave their current jobs. Disengagement from the job leads to plateaued performance, decreased organizational commitment, and increased turnover. Solutions to these challenges include methods both to retain and increase the effectiveness of each nurse. This study explores relationships among the variables of the investigator constructed model of Skillful Engagement in Nursing Practice. The model incorporates causal loop modeling as a systems tool to examine a developmental cycle for an organization and for an individual nurse to look beyond singular events and investigate deeper patterns that emerge over time. Aims: The specific aim of this study was to examine the relationships among organizational structures thought to foster the clinical development of the nurse, indicators of the development of clinical expertise, and outcomes of job attitudes and job effectiveness. Methods: The setting is an academic specialty-care institution. The sample in this cross-sectional study consists of nurse managers from nine inpatient units and 204 clinical nurses working on those units. Two panels of standardized survey instruments were created based on the model's theoretical variables. Nurse managers completed the first panel of surveys rating each staff nurse on that unit. Staff nurses from those units completed the second panel of surveys rating themselves and their work environment. Results: Each instrument was scored, and then compared to scores from other units and with published data (Cronbach alpha >.70 for all instruments.) Hierarchical linear modeling was used to test the relationships among the independent and outcome variables at the individual or unit level. Conclusions: Results provide initial evidence of the empirical model's structure. Implications for improving job attitudes and effectiveness are discussed, focusing on ways in which nursing leaders can foster a more empowering work environment, decreasing intent to leave, and increasing positive job attitudes.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleExploring a Model of Skillful Engagement in Nursing Practiceen_GB
dc.contributor.authorKeller-Unger, Janen_US
dc.author.detailsJan Keller-Unger, MS, RN, MD Anderson Cancer Center, Houston, Texas, USA, email: jan-keller@comcast.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/182516-
dc.description.abstractPodium Presentation: BRIEF DESCRIPTION: This study explores relationships among the variables of the investigator-constructed model of Skillful Engagement in Nursing Practice. Results provide initial evidence of the empirical model's structure. Implications for improving job attitudes and effectiveness will be discussed. ABSTRACT- Significance: Prominent challenges facing nurse leaders are the growing shortage of nurses and the increasingly complex care required by acutely ill patients. In organizations the shortage is exacerbated by turnover and intent to leave. Unsatisfactory working conditions are cited when nurses leave their current jobs. Disengagement from the job leads to plateaued performance, decreased organizational commitment, and increased turnover. Solutions to these challenges include methods both to retain and increase the effectiveness of each nurse. This study explores relationships among the variables of the investigator constructed model of Skillful Engagement in Nursing Practice. The model incorporates causal loop modeling as a systems tool to examine a developmental cycle for an organization and for an individual nurse to look beyond singular events and investigate deeper patterns that emerge over time. Aims: The specific aim of this study was to examine the relationships among organizational structures thought to foster the clinical development of the nurse, indicators of the development of clinical expertise, and outcomes of job attitudes and job effectiveness. Methods: The setting is an academic specialty-care institution. The sample in this cross-sectional study consists of nurse managers from nine inpatient units and 204 clinical nurses working on those units. Two panels of standardized survey instruments were created based on the model's theoretical variables. Nurse managers completed the first panel of surveys rating each staff nurse on that unit. Staff nurses from those units completed the second panel of surveys rating themselves and their work environment. Results: Each instrument was scored, and then compared to scores from other units and with published data (Cronbach alpha >.70 for all instruments.) Hierarchical linear modeling was used to test the relationships among the independent and outcome variables at the individual or unit level. Conclusions: Results provide initial evidence of the empirical model's structure. Implications for improving job attitudes and effectiveness are discussed, focusing on ways in which nursing leaders can foster a more empowering work environment, decreasing intent to leave, and increasing positive job attitudes.en_GB
dc.date.available2011-10-28T15:27:42Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:27:42Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.