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
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.
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.
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.
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.
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