4.5 Article

Nurse leader agency: Creating an environment conducive to support for graduate nurses

期刊

JOURNAL OF NURSING MANAGEMENT
卷 30, 期 3, 页码 643-650

出版社

WILEY-HINDAWI
DOI: 10.1111/jonm.13561

关键词

agency; graduate nurses; nurse leaders; patient safety; structuration theory; structure

资金

  1. Deakin University

向作者/读者索取更多资源

This study aims to gain insight into how nurse leaders manage a safety culture for graduate nurses. Nurse leaders use various strategies and procedures to foster patient safety and mentor graduate nurses. Emphasis is placed on the agency of nurse leaders in creating a supportive environment for learning and support for graduate nurses.
Aim The aim of the study was to gain insight on how nurse leaders manage a culture of safety for graduate nurses. Background Current theoretical approaches to safety culture tend towards a checklist approach that focuses on institutional characteristics, failing to examine the quality of interpersonal relationships. These interpersonal interactions are often seen as separate from the institutional realities of resource allocation, nurse-patient ratios, patient acuity or throughput. A theoretical approach is required to illuminate the dialectic between the structure of an organisation and the agency created by nurse leaders to promote patient safety. Design Qualitative exploratory descriptive study. Methods Semi-structured interviews were undertaken with 24 nurse leaders from hospital and aged care settings. Thematic analysis and Giddens structuration theory was used to describe the findings. Results Nurse leaders identified a range of reciprocal communicative and cultural norms and values, decision-making processes, personal nursing philosophies, strategies and operational procedures to foster patient safety and mentor graduate nurses. The mentoring of graduate nurses included fostering critical thinking, building and affirming formal structural practices such as handover, teamwork, medication protocols and care plans. Conclusions The study provides insight into how nurse leaders foster a culture of safety. Emphasis is placed on how agency in nurse leaders creates an environment conducive to learning and support for graduate nurses. Implications for Nursing Management Nurse leadership functions and decision-making capacity hinges on multiple factors including practicing agency and aspects of the social structure such as the rules for safe communication, and the various institutional protocols. Nurse leaders enforce these forms of engagement and practice through their legitimation as leaders. They have both allocative and authoritative resources; they can command resources, direct staff to attend to patients and/or clinical tasks, mentor, guide, assign, correct and encourage with the authority vested in them by the formal structure of the organisation. In doing so, they sustain the structure and reinforce it.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据