Nurses' perception of power regarding their clinical role

Abstract

Cruz DALM, Pimenta CAM, Pedrosa MFV, Lima AFC, Gaidzinski RR. Nurses' perception of power regarding their clinical role. Rev Latino-am Enfermagem 2009 março-abril; 17(2):234-9.This article reports on a study on nurses' perception of power regarding their clinical role before and after implementation of a nursing diagnosis classification. Sixty clinical nurses (average age = 37.2 ± 7.0 years) from a Brazilian teaching hospital answered the Power as Knowing Participation in Change Tool (PKPCT) before and after the implementation of a diagnosis classification. PKPCT has four domains and provides total and partial scores. Reliability coefficients ranged from 0.88 to 0.98. Total scores were not statistically different between assessments (p=0.21), although scores in the "Involvement in Creating Change" domain were higher in the second assessment (p=0.04). Further studies providing sound evidence regarding the impact of nursing classification systems on nurses' power perception are needed to guide decisions on teaching and clinical practice. DESCRIPTORS: attitude; nurse´s role; nursing diagnosis; staff development LA PERCEPCIÓN DE PODER DE LAS ENFERMERAS FRENTE A SU PAPEL CLÍNICOEste artículo relata un estudio sobre la percepción de poder clínico de las enfermeras, antes y después de la implementación de una clasificación de diagnósticos de enfermería. Sesenta enfermeras (edad promedio = 37,2±7 años), de un hospital brasileño de enseñanza, respondieron el instrumento Power as Knowing Participation in Change Tool, antes y después de la implementación de una clasificación de diagnósticos. Ese instrumento tiene 4 dominios y provee puntajes parciales y totales. Los coeficientes de confiabilidad del instrumento fueron de 0,88 la 0,98. Los puntajes totales no fueron estadísticamente diferentes entre las evaluaciones (p=0,21), sin embargo los puntajes de "Participación en la Creación de Cambios" fueron más altos después de la implementación de la clasificación (p=0,04). El impacto del uso de sistemas de clasificación de enfermería en la percepción de las enfermeras sobre su poder clínico todavía requiere estudios que entreguen evidencias útiles para guiar decisiones en la enseñanza y en la clínica. DESCRIPTORES: actitud; rol de la enfermera; diagnóstico de enfermería; desarrollo de personal PERCEPÇÃO DE PODER DE ENFERMEIRAS FRENTE AO SEU PAPEL CLÍNICOEste artigo relata estudo sobre a percepção de poder clínico de enfermeiras, antes e após a implementação de uma classificação de diagnósticos de enfermagem. Sessenta enfermeiras (idade média = 37,2±7 anos), de um hospital brasileiro de ensino, responderam o instrumento Power as Knowing Participation in Change Tool, antes e após a implementação de uma classificação de diagnósticos. Esse instrumento tem 4 domínios e provê escores parciais e totais. Os coeficientes de confiabilidade do instrumento foram de 0,88 a 0,98. Os escores totais não foram estatisticamente diferentes entre as avaliações (p=0,21,), mas os escores de "Envolvimento na Criação de Mudanças" foram mais altos após...

Atitudes dos profissionais de enfermagem relacionadas ao Processo de Enfermagem

“…As for the perceived clinical power; the total mean PKPCT score of the baccalaureate nurses in this study (285.06; SD=36.62) was higher than that in a Brazilian sample of Brazilian clinical nurses (273.6; SD=33.0) (15) and closer to the scores of nurse managers in samples from the United States (USA) (16)(17) . What may have contributed to the higher scores among nurses in this study is the fact that the sample included a considerable part of nurses in leading functions (20.7%), as the perceived power was positively associated with leading functions (p=0.010).…”

Clinical validation of impaired spirituality in patients with chronic renal disease

“…This permits verifying agreement or not between different validation methods, an aspect that has already been mentioned in Brazilian research (18) . Literature (7) suggests that defining characteristics with a score ≤0.50 should not be considered validated.…”

“…Identifying the patients' conditions broadens nurses' ability to contribute to care, through greater efficacy and achievements of the established goals (18) . This kind of validation studies (19) have offered important contributions to clinical practice, offering greater precision in the identification of nursing diagnoses.…”

Nurses’ characteristics and practice environments: Comparison between clusters with different attitude and utilisation profiles regarding nursing diagnosis

“…Some characteristics of health care organisations regarding ND use have also been studied. Most of these characteristics are aspects related to the specific nature of the organisations and institutions where nurses work, such as administrative workload (Paans, Nieweg, Van der Schans, & Sermeus, 2011), implementation of electronic clinical records (Lavin, Avant, Craft-Rosenberg, Herdman, & Gebbie, 2004) and educational programmes (Cruz, Pimenta, Pedrosa, Lima, & Gaidzinski, 2009). However, in an extensive review of the literature, no studies were found that evaluated the global influence of the general organisational characteristics of the work setting on the ND.…”