从关怀到管理及其他：对护士长角色的审视
From caring to managing and beyond: an examination of the head nurse's role.
作者信息
Drach-Zahavy Anat, Dagan Efrat
机构信息
Department of Nursing, Faculty of Health and Welfare, University of Haifa, Haifa, Israel.
出版信息
J Adv Nurs. 2002 Apr;38(1):19-28. doi: 10.1046/j.1365-2648.2002.02142.x.
AIM
The aim of this study was to depict the essence of what head nurses do, and how they perform their managerial role.
METHODS
To achieve this, the work behaviour of 48 head nurses was examined by a semi-structured observation technique for 6 hours each.
RESULTS
Results demonstrated that head nurses spent a large proportion of their time in clinical practice, followed by co-ordinating care, operating the unit's functions, and leading staff. Personnel management and quality improvement occupied only a marginal share of head nurses' time.
CONCLUSIONS
These results implied that head nurses exhibited a management style orientated to maintenance rather than to re-creation, focusing more on the 'doing' and the 'here and now' aspects of the job than on leading, planning, and proactive problem solving.
目的
本研究旨在描述护士长的工作本质以及她们如何履行管理职责。
方法
为实现这一目标，采用半结构化观察技术对48名护士长的工作行为进行了为期6小时的观察。
结果
结果表明，护士长将大部分时间用于临床实践，其次是协调护理工作、管理科室运作和领导员工。人员管理和质量改进在护士长的工作时间中仅占很小一部分。
结论
这些结果表明，护士长呈现出一种侧重于维持而非创新的管理风格，更多地关注工作中的“执行”以及“当下”层面，而非领导、规划和前瞻性问题解决。
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