2.50
Hdl Handle:
http://hdl.handle.net/10755/621804
Category:
Full-text
Format:
Text-based Document
Type:
Dissertation
Level of Evidence:
Cross-Sectional Study
Research Approach:
Pilot/Exploratory Study
Title:
Exploring Determinants of Registered Nurses' Trust in their Managers
Author(s):
Wilson-Keates, Barbara Joy
Additional Author Information:
Barbara Joy Wilson-Keates, PhD
Advisors:
Tourangeau, Ann E.; Mallette, Claire; Muntaner, Carles
Degree:
PhD
Degree Year:
2012
Grantor:
University of Toronto
Abstract:

A nurse-manager relationship plays a key role in a nurse’s practice environment. A nurse’s trust in one’s manager is the foundation for a supportive nurse-manager relationship and has crucial bearing upon the professional and personal lives of the nurse. However due to health care restructuring, nurses expressed little trust towards their leaders. To develop and implement strategies to help build healthy nurse-manager relationships, research is needed to more fully understand the factors that establish and enhance a nurse’s trust in one’s manager. 

This study tested a theoretical model that examined potential individual, managerial, relational and environmental attributes that impact a nurse’s degree of managerial trust. Employing a cross-sectional, descriptive design, a self-administered survey was completed by a random sample of 342 Registered Nurses employed in Ontario emergency departments. Structural equation modeling techniques tested and refined the hypothesized model. Final analysis showed adequate fit of data to theoretical model (χ 2 = 78.86, df = 20, SRMR = .02, CFI = .98, RMSEA = .09). In the final model, a manager’s perceived ability, benevolence, integrity and procedural justice had a strong, direct impact on managerial trust. Trust in one’s manager was indirectly influenced by procedural justice and ability as well as a manager’s facilitation of team work, communication accuracy, emotional availability and interaction frequency. Attributes of the individual RN, specifically job tenure and propensity to trust as well as self-determination, access to support and resources and span of control did not affect trust in one’s manager. Study findings suggest that creation and preservation of a nurse’s managerial trust is a complex process affected by manager’s competence and character as well as a fair decision-making process. Education programs that contribute to a manager’s ability, benevolence, integrity and procedural justice may help build and sustain nurses’ trust and healthy nurse-manager relationships.

Keywords:
nurse-manager relationships; Healthy Work Environments
CINAHL Headings:
Interprofessional Relations; Interprofessional Relations--Evaluation; Nursing Management; Personnel Management; Personnel Management--Evaluation; Registered Nurses
Description:
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: RN97225; ProQuest document ID: 1346221134. The author still retains copyright.
Note:
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Repository Posting Date:
2017-07-12T17:54:27Z
Date of Publication:
2017-07-12

Full metadata record

DC FieldValue Language
dc.contributor.advisorTourangeau, Ann E.en
dc.contributor.advisorMallette, Claireen
dc.contributor.advisorMuntaner, Carlesen
dc.contributor.authorWilson-Keates, Barbara Joyen
dc.date.accessioned2017-07-12T17:54:27Z-
dc.date.available2017-07-12T17:54:27Z-
dc.date.issued2017-07-12-
dc.identifier.urihttp://hdl.handle.net/10755/621804-
dc.descriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: RN97225; ProQuest document ID: 1346221134. The author still retains copyright.en
dc.description.abstract<p>A nurse-manager relationship plays a key role in a nurse’s practice environment. A nurse’s trust in one’s manager is the foundation for a supportive nurse-manager relationship and has crucial bearing upon the professional and personal lives of the nurse. However due to health care restructuring, nurses expressed little trust towards their leaders. To develop and implement strategies to help build healthy nurse-manager relationships, research is needed to more fully understand the factors that establish and enhance a nurse’s trust in one’s manager. </p> <p>This study tested a theoretical model that examined potential individual, managerial, relational and environmental attributes that impact a nurse’s degree of managerial trust. Employing a cross-sectional, descriptive design, a self-administered survey was completed by a random sample of 342 Registered Nurses employed in Ontario emergency departments. Structural equation modeling techniques tested and refined the hypothesized model. Final analysis showed adequate fit of data to theoretical model (χ 2 = 78.86, df = 20, SRMR = .02, CFI = .98, RMSEA = .09). In the final model, a manager’s perceived ability, benevolence, integrity and procedural justice had a strong, direct impact on managerial trust. Trust in one’s manager was indirectly influenced by procedural justice and ability as well as a manager’s facilitation of team work, communication accuracy, emotional availability and interaction frequency. Attributes of the individual RN, specifically job tenure and propensity to trust as well as self-determination, access to support and resources and span of control did not affect trust in one’s manager. Study findings suggest that creation and preservation of a nurse’s managerial trust is a complex process affected by manager’s competence and character as well as a fair decision-making process. Education programs that contribute to a manager’s ability, benevolence, integrity and procedural justice may help build and sustain nurses’ trust and healthy nurse-manager relationships.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectnurse-manager relationshipsen
dc.subjectHealthy Work Environmentsen
dc.titleExploring Determinants of Registered Nurses' Trust in their Managersen_US
dc.typeDissertationen
thesis.degree.grantorUniversity of Torontoen
thesis.degree.levelPhDen
dc.description.noteThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.en
dc.primary-author.detailsBarbara Joy Wilson-Keates, PhDen
thesis.degree.year2012en
dc.type.categoryFull-texten
dc.evidence.levelCross-Sectional Studyen
dc.research.approachPilot/Exploratory Studyen
dc.subject.cinahlInterprofessional Relationsen
dc.subject.cinahlInterprofessional Relations--Evaluationen
dc.subject.cinahlNursing Managementen
dc.subject.cinahlPersonnel Managementen
dc.subject.cinahlPersonnel Management--Evaluationen
dc.subject.cinahlRegistered Nursesen
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