Girault-Micheau A C
Rech Soins Infirm. 1996 Sep(46):14-44.
"What idea nurses have about the managerial function; from a professional point of view what commitments does this function entail?" is connected with: The fact that at a legislative level there is no reglementation of the managerial function. From a legal point of view, the nature of the commitments in connection with this function is not accurate enough as there is no law explaining exactly what does the job of charge nurse consist in. Therefore, the opinions the whole medical profession have about the managerial function are various. On the other hand, taking into consideration what charge nurses think about their own function can help to explain the behaviour as, usually the ideas determine the practice (cf. ABRIC 1994). The methodology used was based on a scientific procedure and first of all I had to break with my prejudices and wrong opinions which only give you the illusion that you can understand the matters. Readings and exploratory talks helped me in that way and so I could formulate the problem. I worked within this theoretical context and I practically tested the facts by means of semi-directed interviews. The result of the analysis invalidated the hypothesis put forward at the beginning. As regards to the idea nurses have about the managerial function, the difference expressed is more regarding the connection between the nurses values and those ones of the charge nurses, rather than regarding the adequacy between the function and the place of the charge nurse. This is somewhere the notion of project according to ARDOI-NO (1984) in which it is necessary to define the aim of the project first and to establish the means used for the realization after. To formulate the problem only--in our research: the job description--is not enough. It must be developped. So, this procedure enable me, first, to consider the problems differently and to study complicated situations in which we can feel uncertain. The question is at the same time to anticipate and to accept to discover something different. Therefore, there is no model explaining how to understand the complexity of a problem. The charge nurse who is, on one hand, responsible of a conformity must accept to discover, on the other hand, something new: it is one of the paradox of this function.
“护士对管理职能有怎样的认识;从专业角度来看,这一职能需要承担哪些职责?”与以下情况相关:在立法层面上,管理职能没有相关规定。从法律角度来看,与该职能相关的职责性质不够明确,因为没有法律确切解释护士长的工作内容是什么。因此,整个医疗行业对管理职能的看法各不相同。另一方面,考虑护士长对自身职能的看法有助于解释其行为,因为通常观念决定实践(参见阿布里奇,1994年)。所采用的方法基于科学程序,首先我必须摒弃那些只会给人一种能理解问题的错觉的偏见和错误观点。阅读和探索性谈话在这方面对我有所帮助,这样我就能提出问题。我在这个理论背景下开展工作,并通过半定向访谈对实际情况进行了测试。分析结果推翻了一开始提出的假设。关于护士对管理职能的认识,所表达的差异更多地体现在护士价值观与护士长价值观之间的联系上,而非体现在职能与护士长职位的适配性上。这在某种程度上类似于阿尔多伊 - 诺(1984年)提出的项目概念,即首先要定义项目目标,然后确定实现目标所使用的手段。仅提出问题——在我们的研究中即工作描述——是不够的。必须对其进行拓展。所以,这个过程首先使我能够以不同方式思考问题,并研究那些我们可能会感到不确定的复杂情况。问题同时在于预测并接受发现不同的东西。因此,不存在解释如何理解问题复杂性的模式。护士长一方面要负责合规,另一方面又必须接受发现新事物:这是该职能的一个矛盾之处。