Managers who are interested in improving the safety culture in their units may

Managers who are interested in improving the safety

This preview shows page 79 - 82 out of 210 pages.

Managers who are interested in improving the safety culture in their units may benefit from understanding that differences in perceptions exist between nurses with varying levels of charge nurse experience. The differences across the sub groups of nurses may require tailored approaches to address concerns that are unique to each group. The perceptions of patient safety culture are complex and of interest to organizational management. Most studies have focused on differences across work areas and between varying groups of healthcare professionals. While the studies show that nurses tend to have less positive perceptions than other professionals, nurses are not a monolithic group. Further research about the role and impact of the charge nurse within the context of a permanent position may help to elucidate the extent of the influence of the charge nurse role on the perception of patient safety culture. In conclusion, the description of the charge nurse role is often subject to collective bargaining negotiations, which are more directly focused on provider outcomes. As evident in the IOM report about the work environment of nurses (Page, 2004), charge nurses were not identified as a distinct subgroup of nurses although they play an integral role in the delivery and management of in-patient nursing care units. Providing staff nurses with adequate preparation and opportunities to function in the charge role could potentially have patient and at least organizational if not national policy implications.
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64 References Ahern, N. R. (2006). Adolescent resilience: An evolutionary concept analysis. Journal of Pediatric Nursing, 21 (3), 175-185. Ahern, N. R., Ark, P., & Byers, J. (2008). Resilience and coping strategies in adolescents. Pediatric Nursing, 20 (10), 32-36. Aitken, R., Manias, E., & Dunning, T. (2006). Documentation of medication management by graduate nurses in patient progress notes: A way forward for patient safety. Collegian, 13 (4), 5-11. Ambrose, J. M. (1995). Orientation to the charge nurse role. Nursing Management, 26 (11), 63-64. Ashcraft, A. (2004). Differentiating between pre-arrest and failure to rescue. Medical- Surgical Nursing . 13 (4), 211-215. Broussard, L., & Myers, R. (2010). School nurse resilience: Experiences after multiple natural disasters. Journal of School Nursing, 26 (3), 203-211. Connelly, L.M., & Yoder, L. H. (2003). A qualitative study of barriers and facilitators of the charge nurse role. Nursing Leadership Forum, 7 (4), 157-164. Connelly, L.M., Nabarette, S. R., & Smith, K. K. (2003). A charge nurse workshop based on research. Journal for Nurses in Staff Development , 19 (4), 203-208. Connelly, L.M., Yoder, L. H., & Miner-Williams, D. (2003). A qualitative study of charge nurse competencies. Medical Surgical Nursing , 12 (5), 298-306. Costello-Nickitas, D. M. (1997). Get ready to take charge. American Journal of Nursing. 97 (5), Retrieved from http:// .org/ajn.
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65 Deppoliti, D. (2008). Exploring how new registered nurses construct professional identity in hospital settings. The Journal of Continuing Education in Nursing, 39 (6), 255- 262.
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  • Nursing, ........., charge nurses

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