SEMINAR
ON
ROLE OF RESEARCH,
LEADERSHIP AND
MANAGEMENT IN NURSING
Presenter- shaila panchal
M.Sc Nursing 1st year
INTRODUCTION
“ The unique function of the nurse is to assist the
individual, sick or well, in the performance of those
activities contributing to health or its recovery that he
would perform unaided if he had the necessary strength,
will or knowledge, and to do this in such a way as to
help him gain independence as quickly as possible”.
MEANING OF NURSING RESEARCH:
Nursing research is directed towards helping well people
to improve their status and stay healthy, as well as
assisting client who are sick or disable by an illness to
maintain or improve their health.
According to Vreeland:
“nursing research is concerned with systematic
study and assessment of nursing problems or phenomena,
finding ways to improve nursing practice and patient care
through creative studies, initiating and evaluating change
and taking actions to make new knowledge useful in
nursing”.
According to polit and hungler:
“ nursing research is a process in which the
researcher scientifically collects data to be used in the
clinical, administrative or instructional area in order to
find solution to nursing problems, evaluate nursing
practices, procedures, policies or curriculum, assess the
needs of the patients, staff or students and make
decisions to change or continuous various nursing process
which in turn advances the scientific knowledge in nursing
field”.
ROLE OF RESEARCH IN NURSING:-
To mould the attitudes and intellectual competence and technical skills:-
Nursing is service to individual, families, and therefore society. It is based
on arts and sciences which mould the attitude, intellectual competencies and
technical skills of individual nurse into the desired and to help people, well or sick
and cope with their health needs.
Filling the gaps in knowledge and practice:-
Most of the medical and nurses leaders believe that gap is existing between
existing knowledge that is affecting nursing and its application. This gap exists in
both nursing education and nursing service. To meet the new challenges, investigate
unsolved problems and to scrutinize the changes in nursing. The individual nurse
must actively seek to understand and apply the basic principles of research.
Fostering a commitment, accountability to clientele:-
The ultimate goal of a profession is to improve the practice of its member so
that services provided to clientele should have greatest impact. This can be done by
continual development of scientific body of knowledge fundamental to its practice
that can be instrumental in fostering commitment and accountability to profession
and clientele
NURSES RESPONSIBILITY IN RELATION TO RESEARCH:-
Read and interpret report of research in their own nursing fields, so
that they can keep up-to date with current knowledge, and where
appropriate, base their own policy and practice on their research
findings, to do this they must familiar with research concepts and
knowledge.
Identify areas of nursing where research is needed, nurses should be
aware of the boundaries of their knowledge and situations in which
lack of information is a serious detriment of effectual decision-
making.
Collaborate intelligently with researchers (nurses and others) whose
work brings them into contact with nursing, assist them as possible,
and particularly where patients are involved, be aware of ethical
issues which may not always be apparent to research workers
themselves.
Discuss with patient any research in which they are being asked to
participate in the same way as nurses are called upon to discuss with
the patients the diagnostic and therapeutic measures prescribed by
medical staff.
IN ADDITION A NURSE TEACHER
MUST:-
Use research finding as a basis for deciding what to teach and incorporate
research finding into their teaching.
Use research findings as a basis for deciding to teach, make use of
psychological theories of learning and techniques of educational
assessment.
Plan and supervise student’s project work in a way which will help the
students to develop the ways of thinking, questioning, observing,
analyzing and testing which are the elements of research.
Have Information about resources ( financial, human, mechanical)
available for carrying out research and be able to decide nursing research
priorities, to make the best possible use of these resources.
Initiate and facilitate research in areas where research is needed provide
the appropriate “climate”, have sufficient understanding of research
methods to know what type of research is appropriate to the investigation
of particular problems and from where specialist advice may be sought.
Monitor the progress of research project to ensure that the work is being
carried out is consistent with the agreed objectives.
IN ADDITION SOME NURSES
SHOULD:-
Acquire skill in application of research technique, so that
they can make use of existing research tools, e.g. patient-
opinionated or question are, personality inventors, to
carry out similar studies for themselves.
Become trained research workers capable of designing
tools for nursing research of leading unit and
multidisciplinary research teams and of taking part in
planning and formulating research policy for the nursing
and midwifery profession in both intra and inter
professional capacity.
leadership
DEFINITION
Leadership defined as the process of moving or
groups in some direction through mostly
noncorrosive means.
CONT…….
Gardner (1990):-
Says that the leadership as process of
persuasion and by which an individual (or leadership
team) includes a group to pursue objectives held by
the leader or shared by the leader or shared by the
leader and his or her followers.
Bennis (2001):-
Says that the leader vision so palpable and
seductive that others eagerly sign on.
LEADERS SKILLS:
critical thinking
Creative thinking
Listening
Reading
Writing
Speaking
Motivating
Networking
Delegating
Evolving
NEED OF LEADERSHIP IN NURSING-:
Raise the consciousness of nurses-:
For team building-:
Foundation block for nursing practice-:
Increase the body of knowledge:-
For advocacy in nursing-:
To provide direction-:
Supervision-:
Inspiring the staff-:
Role model-:
ROLE OF NURSING LEADERS:
Widen nursing horizons
To enhance professional knowledge and skill
Strive towards professional autonomy
Need to learn new skills
MANAGE
MENT
According to Joseph Massie (1978):
Management is defined as the
process by which a cooperative group directs action
towards common goals.
According to O.Tead:
Management is a process and agency
which directs and guides the operations of an
organization in realizing established aims.
NEEDS OF THE MANAGEMENT IN NURSING
The nurses in the past used to follow the directions and orders of
administrators and physicians but the changing trends in community needs to
produce nursing administrators who think independently and can solve
problem as well as direct others in goal setting achievement.
The increasing complexity of delivery of the patient care require nurse to be a
good manager and needs to be an effective communicator. The managerial
activities include delegation, management of people, time and resources for
the achievement of organizational goals.
Nurse needs to be manager to manage change, resolve conflicts and making
organizational goals, focus on care of the patient, support of organization,
profession and oneself as a professional.
Management in nurse makes the nurse able to understand the condition
promoting and innovating the expression of the talent among team members.
Management helps the nurse to make decisions in organization and encourage
nurse to determine ways to make the delivery system to function at its best.
The role of management in nursing is to provide opportunities for managers to
manage their own work and give clear direction to nursing personnel to
assume responsibility in every area of nursing.
Staffing and resource adequacy strongly related to RNs' assessment of patient safety: a national study
of RNs working in acute-care hospitals in Sweden.
Source
Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska
Institutet, , Stockholm, Sweden.
Abstract
INTRODUCTION:
Although registered nurses (RNs) are central in patient care, we have not found prior research that specifically
addresses how RNs assess the safety of patient care at their workplace and how factors in RNs' work
environment are related to their assessments. This study aims to address these issues.
METHODS:
9236 RNs working with inpatient care in 79 acute-care hospitals in Sweden completed a national population-
based survey, including Practice Environment Scale of the Nursing Work Index-Revised and items from Agency
for Healthcare Research and Quality's Hospital Survey on Patient Safety Culture. Correlation coefficients
(Pearson and Spearman) and proportional odds regression were used for analysis.
RESULTS:
Nursing work environment factors were strongly related to RNs' assessments of patient safety. RNs' perception
of having adequate staffing and resources improved their assessment of patient safety by at least two and a half
times (OR 2.74 CI 2.52 to 2.97). RNs with a higher level of involvement in direct patient care gave a better
patient safety grade than RNs with a more supervisory role. Most, but not all, patient safety culture items were
related to RNs' assessed patient safety grade. We found that work experience seemed to have no influence on
RNs' patient safety assessment.
CONCLUSIONS:
While previous research emphasises patient-to-nurse ratios in strengthening patient safety practices, this study
complements this by emphasising RNs' own perception of having enough staff and resources to provide quality
nursing care, as well as having good collegial nurse-physician relations and the presence of visible and
competent nursing leadership-all factors highly related to RNs' assessment of the safety of patient care at their
workplace.
CONCLUSION
REFERENCES
Nigam Rahul, Advance Nursing Practice page no. 42-46
Basavanthappa BT, Text Book Of Administration, Published By Jaypee Brothers,
Edition 20th .
Prof. Malik Usha, Managment And Leadership For Nurse AdministratorS,
Published By Kumar Publishing House, 1 st Edition.
Burns Nancy, Grove K. Susan, Under Standing Nursing Research, 2 nd edition.
Journal:
Nursing image for the Nurse, by the Nurses, of the Nurses, Volume No. Iv ,Issues
No. 6, Page No. 14
Websides:
www.google.com
www.pubmed.com