Whelan J
Royal Marsden Hospital, London.
J Adv Nurs. 1988 Jan;13(1):125-38. doi: 10.1111/j.1365-2648.1988.tb01399.x.
The aim of this study was to determine if a ward sister's management style influenced the quality of care received by patients on the ward. The management styles of sisters on 16 oncology wards at the Royal Marsden Hospital were assessed by structured interviews with staff members from each ward. Management styles were classified as high, medium or low on three dimensions, namely socio-emotional orientation, task orientation and pattern of decision making. The quality of patient care was determined by asking all grades of clinical nursing staff to complete a questionnaire. A score for each nurse's perception of the quality of care given on her ward was thus obtained. Correlation of management style and nurse's perception of quality of care indicated that the management style prevalent on a ward influenced the quality of care carried out there. Other factors that influence both management style and quality of care were identified. Suggestions for improving the quality of care given on a ward are thus identified.
本研究的目的是确定病房护士长的管理风格是否会影响病房患者所接受护理的质量。通过对皇家马斯登医院16个肿瘤科病房的护士长管理风格进行评估，研究人员与每个病房的工作人员进行了结构化访谈。管理风格在社会情感导向、任务导向和决策模式三个维度上被分为高、中、低三类。通过让各级临床护理人员填写问卷来确定患者护理的质量。由此获得了每位护士对其所在病房护理质量感知的评分。管理风格与护士对护理质量的感知之间的相关性表明，病房中普遍存在的管理风格会影响该病房的护理质量。研究还确定了其他影响管理风格和护理质量的因素。因此，提出了提高病房护理质量的建议。
