• The Effectiveness of Leadership Styles Exhibited by Nurse Administrators in the Hospital Organization

      Alba, Sheryl; Department of Nursing (1985-05)
      The purpose o~ this descriptive correlational study was to describe the nature and degrees of leadership effectiveness of nurse administrators in the hospital setting. It was designed to determine the relationships between leadership effectiveness and hospital organizational level as p~rceived by self and sign~ficant others. The population for this study was drawn from a convenience sample of nurse administrators in three hospitals in a Southeastern metropolitan area. A total of 47 nurse administtatprs ~ere inc~uded. Of these 47 subjects, 33 were first level administrators (head nurs~s and unit coordinators), 11 were·mid level administrators (associate directors of nursing, ~irectors of departments of nursing, cliriical_supervisors and assistarit~directors of nursing) and 3 we~e top l~vel administrators (director of nursing, assistant/ass6ciate administrator for nursing). In addition, each administrator 9 s immediate supervisors and one or more subordinates provided support data. Data used in this study was collected with the use of a Demographic Data Questionnaire and the Leader Effectiveness and Adaptability Description Instruments by Hersey and Blanchard (1972). The instruments were used to measure primary and secondary leadership styles, style range and flexibility, and leadership effectiveness at all levels within the nursing administration organization. Primary and secondary leadership styles indicated that first, mid, and top level respondants perceived themselves as having a dominant style of High Task/High Relationship. The next frequently used style (secondary) was High Relationship/Low Task at all levels of.nurse administrators. Style range and flexibility and leadership effectiveness was found to be moderate at all levels. ·The r~lationship of leadership effectiveness at all levels were ~xplored as was leadership effectiveness by self, superiors and subordinates. Scores were subjected to a one way analysis of variance and Tukey HSD at the p ~ 0.5 level and no significant differences were found at the various levels or by self, superiors, or subordinates. Other findings, limitations, implications and suggestions for further research are also discussed.
    • Job Satisfaction/Dissatisfaction Among Registered Nurses in The Hospital Setting

      Cromer, Pamela; Department of Nursing (1988-03)
      The purpose of this study was to utilize Herzbe~g's approach to deter~ine the factors within a nursers job and.work environment ·that are most important to the registered. nurse. A convenience sample of 107 registered nurses from two acute care hospitals in the southeast United States participated in this survey and answered questions on the Longest (1974) questionnaire. This instrument is a 6-point Likert type tool designed to.1determine the nurses' pe~ception of the importance of Herzberg's ten motivation/hygiene factors to job satisfaction. A pilot study indicated that the instrument was understandable and easily com~leted. Face and content validity of the instrument were established by a review panel of three experts. A reliability coefficient of 0.5 was obtained. Dat~ analysis showed that these nurses rated both the motivation and hygiene factors as moderately important to very important in terms of job satisfaction. Using the paired t-test to compare mean· ratings of each subject on each factor, there was no significant difference between the means of the hygiene and motivation factors. A comparison of overall .job satisfaction .between medical/surgical nurses and those employed in other clinical areas of practice was conducted. A chi square test produced significant findings between the two practice groups. Nurses in medical/surgical areas reported more dissatisfaction in their jobs than did nurses working non-medical/surgical areas. Recommendations for further resea~ch include ./ further testing and refinement of the Longest questionnaire so that reliability is enhanced and further terminology/vocabulary·specific to the nursing profes~ion can be incorporated.,~ . Results of this study . should be utilized proactively by nurse executives in developing incentives and programs that create an attraction to the nursing field an~ an appealing image of the nurse and her work. Finally, a similar study in other geographical areas with a comparatively larger sample of nurses is suggested.
    • Maternal-Fetal Bonding and A Previous Spontaneous Abortion

      Elkins, Sharon; Department of Nursing (1985-10)
      Maternal-Fetal Bonding and a Previous Spontaneous Abortion. Sharon Sue Elkins. The purpose of this study was to investigate the relationship between the occurrence of a spontaneous abortion in a prior pregnancy and maternal-fetal bonding· in a. current pregnancy. Cranley•s Maternal;;;Fetal Attachment Sca'le and a demographic questionnaire were completed by 236 pregnant women attending either Lamaze classes or a prenatal clinic .. There was no significant difference found in maternal-fetal bonding, measured by the total score on Cranley•s Maternal-Fetal Attachment Sea 1 e, between wome·n who had experienced a spontaneous abortion .in the previous_ pregnancy and women who had not experienced· a spontaneous abortion in the previous pregnancy. However, on ·subscale (2) 11 interaction with the fetus 11 the scores of the spontaneous abortion group. were significantly lower than the scores of the lnonspontaneous abortion group. A1 s o, the spontaneous abortion group had a significantly greater variance than the nonspontaneous abortion group. No relationship was found between the number of weeks pregnant at the time of the spontaneous abortion and maternal~fetal bonding. -. Social class was found to have the greatest effect on maternal-fetal bonding of all the observed variables. Women in higher social classes had significantly higher total scores on the Maternal-Fetal Attachment Scale. Also-, Caucasian women and younger women had significantly \higher total scores on the Maternal-Fetal Attachment Scale. Women who were the greater number of weeks pregnant also had significantly higher scores ·on two of the subscales, 11 i·nteraction with the fetus" and 11 giving of self ...
    • Perceived effects on the family system when a wife/mother returns to school as reported by returnee

      Jackson, Jo Anne Christian; School of Nursing (1986-06)
      The foc~s of this study was the· female's ret~rn to school and her petception of its effect·on the family system. A tota~ of ·twenty females, selected through a snowball effect,· were interviewed ·in their homes. An interview technique· with demographic questionnaire 'Was utilized. The results of the st.udy indicated that the return to school had various similarities for the female. The suppoit 6f . . ·. spouse and f~mily was viewe~ as crucial. Di.~ision.of · labor d-id not change drastically nor did. t'ime spent with families. Quality of time with family.became more important and.the most positive effect of the return to school was seen as the increased interqction between husband and children. The study has implications for educators, counselors, health car~ providers and the families~ The greatest implication of the. study is the fact that the return to school. was viewed by most women in this study as being positive.
    • The Relationship Among Structure, Technology, Autonomy, Decision Making, Nurse Characteristics and the Decision to Call a Resuscitation Code on the Patient Who Needs Cardiopulmonary Resuscitation

      Russell, Katherine S.; Department of Physiological and Technological Nursing (1997-08)
      In this study, the relationship among nursing unit structure, technology, autonomy, decision making, nurse characteristics and the timeliness of calling a resuscitation code was explored. The conceptual framework of the study was The Structural Interaction Model for Health Care Behavior (Colgrove, 1992), a model that combined and synthesized concepts from organizational theory, quality care, and patient-centered care.The hypothesized relationships were investigated using multivariate logistic regression and multiple regression analysis. A sample of 127 registered nurses and 127 patient resuscitation events from one hospital was used in the study. Nurses' perception of nursing unit structure, technology, autonomy and decision making were measured using four instruments. Nurse characteristics were obtained from the nurse demographic tool. Data required to stage the timeliness of calling a resuscitation code (early versus not early) was obtained from the patient's hospital record. Testing of the analytical model resulted in beginning support for elements that may contribute to the timeliness of calling a resuscitation code for the patient who may need cardiopulmonary resuscitation. These relationships pointed to the impact of structural factors and professional factors on the timeliness of calling a code. The findings were nurses with a baccalaureate degree or higher were more likely to call an early code as were nurses with less than a baccalaureate degree. Moreover, nurses that practiced on a unite with a more flexible nursing unit structure
    • Self-Perceived and Actual Competence of Registered Nurses' Evaluations of Electronic Fetal Monitoring Strips

      Bishop, Kitty Pickard; School of Nursing (1983-05)
      The·. relationship between self-perceived and. actual competence . . . . . of 16 registered nurses' evaluations of electronic- fetal monitoring ' . ' - . strips was 'exainfned 1n a 12-bed labor' an'd delive-ry u~it 1n a 7ob~bed' general hospi ~al·.in ·east .dentra 1 . G~o rg.ta. · The :nurses were admi nistered three structur~d inStruments:· The Demographic Data Questi ·a~nai re, Se·l f-Assessment of El ectro·n.i.c Fetal· Monitoring Ski 11 s, and . . ~ . . . . ~ . . ' - . •" . . . ' . . . Electronic· Fetal ·.~onitciring Ski 11 s Asse.ssment. Data were ·analyzed using Pearson 's· product moment. corre·l ati on· coefficient, and _one-way . · analyses: 'of variance .. The: findings showed no. significant relati.o·nsh.ip between-overall l • • : • se.l f:...pe·rcei ved and actua 1 competenc·e among labor and delivery room nurses' eva·l uations of .EFM strips ( r = -0 .2·295, .E_> .05). There was no· s i gni fi ca~t re 1 at ionsh·i p between n.urses •_· 6vera 11 . self-·percei ved · ·. -~ompetence-when. eva:l.uating EFM.stri'ps :and (1) 1ength . o.femployment . - ' .- ' . - . experienc:e fn.·labor·and delivery_settings, .and (2') elapsed.time since electronic fetal monitoring educq.t·ion .. A significant relationship·· did exist between self-perceived-competence in dist.inguishing be: t~een ~ar1y, va·rtab1e,··and··late 'decelerations 'a,nd. (1) exp_erien.ce. in' ·._·labor and delivery ~.ettings·, and (2) elapsed time sinceelectronic. feta 1 m6ni tori ng educat i·on.
    • Temperament, childrearing practices and unintentional childhood injury

      Markowitz, Monika S.; School of Nursing (1987-04)
      ~his study examined the rel.at~onsh.~p. a~()ng parents' . . . - ··- . . . . perceptions-of the~r c::hildren's temperament, self-reported ~hildrear:in~ practices and urililt·en_tional injury in children. ~he sample consisted of 23 injured children· • • ~ ' • • + between the ages of 1· an.d 7 Y~.CJ.rs who, wer~ _recr'lli~ed from the emergency rqoms, hospital·f~~ors and pedia~ric intensiv~ car~·units of two meiropolitan hospitals. . . . ' '. '. ' -. ~ ' ' . . . . . Parents completed·a temperament. questionnaire, a . . childrearing ~ractices questi6~naire and a demographic data . form. Inform·ation related to th~ injury was r~corded· and· the Physiologic Stability Index, which measured injury ' - ' ' ' . ' . . . . . . severity, was deter~ined by tne investigp.t_or afte:r a c}lar~ review. In this study, a.greater frequency of injury was rel.ated to a pa·re_nting style .of low warmth and a .greater injury severity was related to a childrearing practice of. low control, r=. 57 and ··51 respectiv.ely (p< ·• 01). Parents· of inj~red children reported themselves as practicing ' ' . ' . significantly more control and ·prot~ctiveness ·.than a sample ·of parents of non-injured children (n=20). The injured ·children were perceived l:?Y t~eir mothers as b.ein_g.slow in ·.adaptability, demonstrating low-rhythmicity, high withdrawal; and negative mood when compared to normative data bn other child subjects~