By Rose O. Sherman, EdD, RN, FAAN
This week, I am attending theSigma Theta Tau.德克萨斯州达拉斯的第41次两年生会议。对于那些不熟悉Sigma Theta Tau的人，它是一个国际护理荣誉社会，其中包括86个国家的章节。我正在参加会议，以展示2010年完成的研究研究的调查结果，涉及指控护士及其对其作用的观点。读这篇博客的许多人可能是指护士或病房姐妹。该研究旨在审查今天需要哪些挑战护士的挑战，榜样，职责，以及调查的指控护士是否会考虑申请护士经理角色。354位于大型医疗保健系统中的十名医院收费护士参加了该研究。以下是我们的一些主要发现：
Qualities needed by Charge Nurses Today
在考虑护士的护士职位时，目前在角色中的护士将沟通作为成功的批判性质。研究参与者指出，沟通在今天的迅速变化的医疗环境中挑战，许多不同的员工参与患者的照顾。良好的沟通被视为对患者安全至关重要。指责护士的作用被描述为空中交通管制员的热情。费用护士需要强大的组织技能来组织其团队的工作。他们还需要有效地管理自己的时间并控制自己的压力水平。一个人任务领域的临床能力被确定为有效教练和导师的重要性。完善和非评判的质量被视为批判。在寻求帮助以避免出现错误时，更年轻，经验丰富的员工需要感到安全。
Ro挑战
收费护士确定了他们团队的冲突，作为他们在角色中所面临的最具意义的挑战。在护理团队成员之间，与医生或其他部门之间可能发生这种冲突。借工作场所四代，团队成员有不同的价值观，信仰，关于忠诚度和首选沟通方法的想法。在过去，冲突通常被限制在工作场所。Facebook等社交网站的兴起为团队成员之间的关系和讨论增加了新的维度。收费护士报告说，找到时间并通过冲突工作的技能是困难的。
借FR.equent changes in regulatory requirements related to patient safety, pay for performance initiatives, technology and organizational expectations, charge nurses reported difficulty staying current with policies and procedures. Many noted that they were finding the pace of change to be exhausting. Delegation of care in hospital environments with high patient acuity was also noted to be challenging. Charge nurses need to carefully consider the competency level of their staff and the needs of the patient when making an assignment. Knowing when to step in to help staff and when to step back to allow staff to manage complex situations is a balancing act.
角色满足者
Although there are challenges in the role, charge nurses were readily able to identify what they enjoy in work. The opportunity to develop staff was a theme that resonated with many of the charge nurses. They wrote about the joy of watching new graduates develop into confident professionals under their mentorship. Although keeping patients and families happy was noted to be challenge, the ability to help patients achieve good outcomes was a strong satisfier. Hearing positive feedback about their leadership from their team members and knowing that they are making a difference are strong motivators for charge nurses. Some charge nurses reported that seeing their own growth in their leadership role led to a sense of achievement.
搬进护士经理角色
Succession planning is a key concern for many organizations today. When nurse manager vacancies become available, charge nurses are often considered excellent potential candidates. In this study, only 34% of charge nurses indicated that they would definitely consider a nurse manager role with 21% indicating that they definitely would not consider the role. Charge nurses have a strong appreciation of what is expected of their nurse managers. Some charge nurses reported that with overtime and shift differential, they made more money than their manager. There was also concern about losing clinical skills and connections to patients.
研究
This was a small study conducted in one geographic area. The findings may or may not be applicable to charge nurses in other settings. There is very little research that has been done with nurse leaders at this level of the organization. Authors who have studied the role agree that being a charge nurse in today’s healthcare environment is a skillful balancing act and not all organizations provide the type of leadership training that the charge nurse may need. Because they usually have roles that involve limited formal leadership power, their impact on patient care and other outcomes is often less visible at the organizational level. Yet as the administrative responsibilities of nurse managers have increased, more is expected of the charge nurse. Hopefully in the future, we will see more research directed at examining this important nursing role.
阅读领导
L.M. Connelly，L.H. Yoder和D.矿工威廉姆斯，“对负责人的质量研究，”Medsurg护理，vol.12, no.5, pp. 298-306, 2003.
M.A. Jasper, L. Grundy, E. Curry, E. and L. Jones, “Challenges in designing an all-Wales professional development programme to
empower ward sisters and charge nurses,”护理管理杂志，vol.18, no. 6, pp. 645-653, 2010.
Sherman, R.O. Frontline Nurse Leader Nurse Leader Development.Sigma Theta Tau Biennial会议。2011年Charge Nurse Research
*Sherman, R.O., Schwarzkopf, R. & Kiger, A. (2011). Charge nurse perspectives on frontline leadership in acute care environments.International Scholarly Research Network: ISRN Nursing, 11(Article ID. 164052), doi:10.5402/2011/164052.Click Here for Article
©.emergingrnleader.com 2011.
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