Hoyle Louise
School of Nursing, Midwifery & Social Care, Edinburgh Napier University, UK.
J Adv Nurs. 2014 Nov;70(11):2528-38. doi: 10.1111/jan.12399. Epub 2014 Mar 31.
To provide an original perspective on front-line nurses' perception of senior managers who are not nurses.
A key element of new public management had been the drive for 'hands-on' professional management within the UK National Health Service, meaning the employment of mangers with managerial experience but little or no healthcare experience.
An interpretive qualitative study, based on a single case study design with semi-structured interviews.
Semi-structured interviews were carried out with 31 front-line Scottish National Health Service nurses exploring their perceptions of the role of managers between July-September 2010.
RESULTS/FINDINGS: Nursing staff were often unsure of the responsibilities of managers and perceived that there were an unnecessarily high number of managers within the National Health Service. Nursing staff raised concerns over the non-clinical background of managers, including their ability to understand the pressures faced at the front line.
The main reason for conflict between managers and nursing staff was their differing foci. Managers were seen to concentrate on decisions surrounding targets, audits and budgets with little consideration given to the impact of these decisions on patient care.
提供一线护士对非护士高级管理人员看法的全新视角。
新公共管理的一个关键要素是在英国国民医疗服务体系中推动“亲力亲为”的专业管理，这意味着雇佣具有管理经验但几乎没有或没有医疗保健经验的管理人员。
一项基于单一案例研究设计并采用半结构化访谈的解释性定性研究。
2010年7月至9月期间，对31名苏格兰国民医疗服务体系的一线护士进行了半结构化访谈，以探究她们对管理人员角色的看法。
结果/发现：护理人员常常不确定管理人员的职责，并且认为国民医疗服务体系内管理人员数量过多。护理人员对管理人员的非临床背景表示担忧，包括他们理解一线所面临压力的能力。
管理人员与护理人员之间产生冲突的主要原因是他们关注的重点不同。管理人员似乎专注于围绕目标、审计和预算的决策，而很少考虑这些决策对患者护理的影响。
