Leadership in nursing administration is lived at the corporate level by the chief nurse executive, at the middle management level by directors of nursing and at the practice interface by nurse managers. Corporate and middle management exist to support the nurse manager at the practice interface. This is where the most important work is carried out to ensure that a quality practice environment e...

Background: Because of the economic crisis and nursing shortage, the situation for hospitals will be demanding throughout the decade in the 2010s. This poses challenges for nursing management. This article focuses on Finnish health care, particularly on nurse managers. Aim: The aim of this study is to describe and analyse future challenges in hospitals in one hospital district in Finland from t...

Introduction: The nursing process is defined as a standard of care; however, its implementation in actual clinical settings is very limited, which reduces the quality of care. Objective: To determine the barriers to the implementation of the nursing process from the viewpoint of the faculty members, nursing managers, nurses, and nursing students of the Mashhad University of Medical Sciences. ...

This article reports on a postal survey of 78 long-term care managers in one region of New Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) were middle-aged females holding nursing but not management qualifications. Most long-term care facilities (69%) tended to be stand-alone facilities providing a single type of care (rest home or continuing care hospital). The most p...

The purpose of this study was to explore senior nursing students' perceptions toward the nursing profession and their experiences in clinical practicum in Taiwan. This study used semistructured interview guides and unstructured face-to-face dialogue with the participants based on a qualitative method. A purposive sample with a snowball method from a baccalaureate nursing program in Southern Tai...

INTRODUCTION To ensure continuity of care, it is important to effectively communicate the health status of older patients who are transferred between health care organizations. The objectives of this study were to: (1) evaluate the prevalence of nursing transfer documents, and (2) identify patient and transfer characteristics associated with the presence of nursing transfer documents for older ...

The shortage of frontline nursing staff and their managers in acute care organizations necessitates strategies to both use and recognize the unique knowledge and skills of these individuals. The authors describe one organization's successful implementation of a shared decision-making structure that promotes an empowering work environment in which professional fulfillment and personal satisfacti...

Communication is a fundamental element of care at every level of nursing practice. It is important, therefore, for nurse managers to create environments that promote and encourage good communication, and help nurses to develop their communication skills formally and informally. This article discusses the effects of communication on the quality of care. It examines nurses' professional duty to m...