{"title":"Administrative challenges in a collaborative baccalaureate program.","authors":"G Bishop","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The collaboration between Vancouver General Hospital and the University of British Columbia in offering the four-year baccalaureate nursing program is unique, as it is the first of its kind in Canada. This paper describes the administrative challenges that occurred at VGH as a result of this collaboration. These challenges arose as a result of altered roles and responsibilities, as well as changes in organizational structure and function. Nurse administrators, who are involved in educational collaborations, may find that they are facing similar challenges.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"8 4","pages":"93-104"},"PeriodicalIF":0.0,"publicationDate":"1995-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19608299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nurse managers: perceptions of their role.","authors":"M K Coulson, C E Cragg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A qualitative study on the role of the nurse manager was conducted based on interviews with nurse managers in an acute care teaching hospital. Role descriptions revealed many similarities to Mintzberg's (1973) model of management roles, but additional roles, related to the nurse manager's professional responsibilities were identified. Conflicts within and among roles and a strong need for support were themes that were identified throughout the interviews. Suggestions for improving the quality of worklife of the nurse manager and for further research are included.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"8 3","pages":"58-77"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19582352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing a collective future: creating a culture specific nurse caring practice model for hospitals.","authors":"M R MacDonald, L Miller-Grolla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurses continue to struggle with the knowledge that practice within a conceptual context is imperative, yet operationalizing theory-based practice has been fraught with challenges and frustrations. It is timely, given the current environment, for nurses to reflect personally and collectively on the processes and meanings of nursing. Caring theories have been examined with increasing frequency recently, as nurse leaders and theorists explore the profession using alternative frames of reference. The authors discuss the concepts central to development of a practice-based nurse caring model in a community hospital and review the process of nurse-caring model development. Concepts central to the development of the model include: individual;-collective experience as theory; cargiver-client congruence in perceptions of nurse caring; institutions as culture-specific environments. The ongoing process of theory development was initiated by data collection through focus group discussions on nurse-caring experiences and definitions. Twenty-four staff RNs and RNAs were interviewed by a trained facilitator. Audiotaped data were later transcribed and subjected to content analysis for initial theme and definition development. A parallel exercise was carried out with hospital patients using the same methodology. Subsequent analysis included validation of findings by both groups. Examinations of constructs as the theory development evolves will be expedited by both staff and in consultation with Dr. Madeleine Leininger and other external nurse-caring theorists. The Health Centre intends to operationalize and implement its nurse-caring model as an outcome of this long term project. Assumptions integral to the purpose of the project have been validated by staff response. Concepts and their relationships appear to achieve acceptance and be congruent with this nursing group's values and the way in which they practice. Observations to date indicate that collective development of a practice model is providing the means for growth and change in the institution's nursing practice.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"8 3","pages":"78-95"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19582354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How a better understanding of transformational leadership can help improve your practice as a nurse administrator.","authors":"J M Skelton-Green","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing administrators of today find themselves practising in an environment of permanent whitewater--an environment of chaotic change. Not only is the environment changing, so too are our employees: their needs, motives and priorities are vastly different than those we knew 20 years ago. The challenges of permanent whitewater cannot be overcome without effective leadership. Theorists agree that most North American organizations are currently overmanaged and underled. Certainly the leadership record of Canadian health care institutions has not been impressive. This paper will examine a selected set of concepts which the author believes are essential for nursing administrators who wish to provide real leadership to their departments and organizations: transformational (as compared to transactional) leadership; feminine (as compared to masculine) leadership; and empowerment. The literature review draws out both theory and practical applications.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"8 3","pages":"8-21"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19582356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Educating nurse administrators.","authors":"M Kilpatrick, J Dick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are startling changes occurring in the Canadian health care system as it restructures to new realities. The need for well-prepared nursing leaders has never been more evident. This article focuses on the importance of improved educational preparation for nurse administrators/executives. The authors reviewed 91 North American university calendars to determine existing educational programs. Administrators and educators must collaborate to develop educational programs that adequately prepare graduates to function within the changing health care system. To date, there is little evidence that this collaboration has taken place. In this article, the writers outline a proposed model and suggestions for a graduate education program in \"nursing administration\" that will meet the unique needs of today's nurse administrator/executive.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"8 3","pages":"22-45"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19582349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supporting staff in times of change: career development strategies.","authors":"G J Donner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Today's nurse managers face an environment where change is the only constant. Managers and staff are feeling threatened, overworked, and stressed. Career development strategies provide managers with an opportunity to assist staff to cope with change and to grow and develop professionally. The strategies described also assist managers to feel a sense of accomplishment and satisfaction--something hard to achieve.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"8 3","pages":"46-57"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19582350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transition from the traditional head nurse to the nurse manager of the 90's.","authors":"W M Nicklin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article was written in order to summarize the issues which must be considered by nursing administrators as the new nurse manager role is implemented and optimized. The writing of the article was prompted for two reasons. The author was unable to find an article with appropriate breadth--which envisioned this role change within the context of the entire organization. Most articles relating to the topic were restricted to nursing and/or to several main issues. Secondly, although many nurse administrators state that the nurse manager role is in place, there are definite problems with its effectiveness as noted by comments from both nurse managers as well as nursing directors. Consequently as this role change was planned and implemented at the Ottawa Civic Hospital, attention was provided to those mechanisms required to enhance effectiveness of the role. The article was written to include sufficient breadth such that this role change is planned within the context of the entire management philosophy of the organization.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"8 3","pages":"96-114"},"PeriodicalIF":0.0,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19582924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Delphi methodology (Part Two): A useful administrative approach.","authors":"N Jairath, J Weinstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Delphi methodology can provide nurse administrators with relevant and accurate information to facilitate decision making. This paper, the second of a two part series, familiarizes nurse administrators with the application of the Delphi methodology in needs assessments, priority setting, changes in nursing practice, identification of cost containment approaches, development of effectiveness indicators, values clarification, and forecasting. Examples from the health sciences literature and our experiences in administration are presented to outline appropriate approaches for nurse administrators planning similar applications.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"7 4","pages":"7-20"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18885841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Marketing strategies nurses can employ to promote health.","authors":"D McCormack","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Marketing strategies are employed to ensure the success of new products, services or programs. Both profit and non-profit organizations have used social marketing strategies to inform, to motivate interest, and to engage the involvement of the consumer. A client-dependent health care system did not find it necessary to market services, but a health care system that encourages clients to choose the most appropriate health promotion service available must market services. Nurses are in the business of promoting the health of clients. Therefore, it is essential that nurses become familiar with, and involved in, the development of marketing plans and strategies. The connection between the four variables of the marketing mix (product, promotion, place, and price) and promoting the health of clients is described. A case example recapitulating the marketing strategies employed to raise public awareness of a self-help group for family caregivers is related, the marketing response is evaluated, and future recommendations are proposed.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"7 4","pages":"21-34"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18887305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Verbal and physical abuse of nurses.","authors":"J Graydon, W Kasta, P Khan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to determine the extent to which nurses working in hospitals in the Toronto area experienced abuse, questionnaires were distributed to 2344 nurses working in either a large teaching hospital, a psychiatric hospital or a community hospital. Of the 603 nurses responding to the questionnaire, 199 (33%) had experienced abuse in their last five days at work. There were no statistical differences between the three hospitals in the incidence of abuse. The abuse was mainly verbal, from the patient and during the day shift. Although abuse occurred in all areas of the hospitals and was directed towards nurses with all levels of education, it was most frequently found in extended care and emergency areas and most often directed towards registered nursing assistants (RNAs). Administrators may be unaware of the high incidence of abuse since only 41% of the nurses reported the abuse to their immediate supervisors.</p>","PeriodicalId":77058,"journal":{"name":"Canadian journal of nursing administration","volume":"7 4","pages":"70-89"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18885839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}